Desy Listyaningrum
Faculty Of Nursing, University Of Jember, Jember, Indonesia

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Self-Efficacy in Salt Consumption Among Patients Undergoing Hemodialysis Desy Listyaningrum; Melyza Perdana; Anita Kustanti
Jurnal Keperawatan Indonesia Vol 27 No 2 (2024): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v27i2.1012

Abstract

Salt consumption restriction has many advantages in patients on hemodialysis (HD), but it is also very challenging for them. Self-efficacy is a crucial aspect of successful disease management. Factors related to self-efficacy have been evaluated in many countries. However, the different demographic characteristics in Indonesia may show different significant results. Understanding this problem may contribute to the development of nursing interventions and the patients’ self-management ability while undergoing HD. Hence, the present study aimed to determine the factors associated with self-efficacy for restricting salt consumption among HD patients. Altogether, 98 HD patients participated in this cross-sectional study. The Self-efficacy for Restricting Dietary Sodium in Hemodialysis Scale questionnaire was completed to assess the patients’ self-efficacy. Linear regression was performed to evaluate the relationship between self-efficacy and patient characteristics. The participants’ mean age was 50.11 ± 1.29 years and the mean self-efficacy score was 73.56 ± 14.85. Mostly, participants were male (60.2%), married (82.7%), and had hypertension (85.7%). Age (p = 0.000; r = 0.384), HD duration (p = 0.004; r = −0.287), and interdialytic weight gain (IDWG) (p = 0.008; r = −0.267) significantly correlated with self-efficacy for restricting salt consumption. These three variables determined 21% of the variance of self-efficacy among HD patients. The present study provides primary evidence that age, HD duration, and IDWG are associated with self-efficacy for restricting salt consumption among HD patients. Thus, nurses could develop innovative interventions to enhance the self-efficacy among patients with younger age, longer HD duration, and more IDWG. Keywords: hemodialysis, salt consumption, self-efficacy   Abstrak Efikasi Diri dalam Konsumsi Garam di Kalangan Pasien yang Menjalani Hemodialisis. Pembatasan asupan garam pasien hemodialisis (HD) bermanfaat bagi kondisi kesehatan sekaligus menjadi tantangan tersendiri bagi pasien. Efikasi diri merupakan aspek mendasar dalam keberhasilan manajemen penyakit. Faktor yang berhubungan dengan efikasi diri sudah diteliti di negara-negara lain, akan tetapi, perbedaan karakteristik demografi di Indonesia dapat memperlihatkan perbedaan hasil. Pemahaman terkait masalah ini berkontribusi pada peningkatan intervensi keperawatan dan manajemen diri pasien. Oleh karena itu, tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan efikasi diri dalam membatasi asupan garam pada pasien hemodialisis. Penelitian ini menggunakan desain cross-sectional dengan melibatkan sebanyak 98 pasien. Kuesioner The self-efficacy for Restricting Dietary Sodium in Hemodialysis Scale digunakan untuk mengukur efikasi diri pasien. Regresi linear dilakukan untuk melihat hubungan antara efikasi diri dengan data demografi. Rata-rata usia partisipan adalah 50,11 ± 1,29 tahun dengan rata-rata skor efikasi diri pasien adalah 73,56 ± 14,85. Sebagian besar partisipan adalah laki-laki (60,2%), sudah menikah (82,7%), dan memiliki hipertensi (85,7%). Ditemukan bahwa usia (p = 0,000; r = 0,384), durasi hemodialisis (p = 0,004; r = −0,287), dan IDWG (p = 0,008; r = −0,267) berhubungan signifikan dengan efikasi diri dalam membatasi asupan garam. Ketiga variabel tersebut berkontribusi sebesar 21% terhadap variansi efikasi diri pasien hemodialisis. Penelitian ini membuktikan bahwa usia, durasi hemodialisis, dan IDWG berhubungan dengan efikasi diri pembatasan asupan garam pasien hemodialisis. Oleh karena itu, perawat dapat mengembangkan intervensi peningkatan efikasi diri pada pasien dengan usia muda, pasien yang telah lama menjalani HD, dan pasien dengan IDWG lebih. Kata Kunci: asupan garam, efikasi diri, hemodialisis
Critical Thinking and Nurses' Caring Behavior in Clinical Practice: A Cross-sectional Study Ailsa Ayu Fadhilla; Nurfika Asmaningrum; Dodi Wijaya; Nurul Arifah; Dwi Yoga Setyorini; Desy Listyaningrum
Journal of Bionursing Vol 8 No 2 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.2.20635

Abstract

Background: Caring behavior is essential in nursing professionalism and is linked to the quality of nursing care. Nurses are responsible for providing holistic, patient-centered healthcare that includes various dimensions of well-being. However, nursing practice often lacks a holistic approach, especially as patient cases become more complex. Balancing critical thinking skills with caring behavior is crucial to meet the demands of nursing practice. Objective: To examine the association between critical thinking skills and caring behavior among ward inpatient nurses at Perkebunan Jember Klinik Hospital. Methods: A cross-sectional correlational study was conducted among all 82 nurses in tbe inpatient ward through total sampling. Critical thinking ability were measured using a NCT-4 Practice, and Caring behavior were assessed using Caring Behavior Questionnaire. Descriptive statistics were calculated for participant characteristics and study variables. The association between critical thinking skills and caring behavior was tested using Kendall’s Tau C (a =0,05). Results: Participants had a median age of 35 years and the work experience of nurses 10,5 years, were most female (76,8%), with the nurses’ highest education is in the nursing profession (72%) and the majority nurses are married (93,9%). The majority partisipants also attended the training (91,5%). Kendall’s Tau C indicated a statistically significant, weak correlation between critical thinking skills and caring behavior, with moderate critical thinking skills tending to be associated (|τ| = 0,376, p = 0,000), with caring conduct that is nonetheless considered to be deficient Conclusion: Critical thinking skills were significantly correlation with caring behavior among ward inpatient nurses.The development of evidence-based practice and the enhancement of clinical reasoning capacity through training and independent literature exploration are recommended to improve daily clinical critical thinking skills.
Faktor-faktor Risiko Kualitas Tidur pada Pasien Kritis: Scoping Review: Faktor-faktor Risiko Kualitas Tidur pada Pasien Kritis: Scoping Review Irni Fuzi Wijayanti; Desy Listyaningrum; Sri Setiyarini
Jurnal Keperawatan Terapan Vol 11 No 2 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i2.5972

Abstract

Background: Sleep is a psychological need that is often neglected in critically ill patients. Many factors contribute to poor sleep quality in critically ill patients. Current risk factors for sleep quality need updating. Objectives: To map the risk factors affecting sleep quality in critically ill patients. Methods: Scoping review was conducted on online databases, including ScienceDirect, Scopus, PubMed, and Google Scholar. There were 16 relevant studies published from 2018 to May 2023 that met the eligibility criteria. Article screening was carried out by two researchers, any differences of opinion were resolved by consensus. Outcomes: Sixteen studies identified premorbid, disease-related, and ICU-related factors (environmental, pharmacological, and respiratory & ventilation) as risk factors for sleep quality in critically ill patients. Noise, light exposure, nursing interventions are factors related to the ICU environment that are most commonly reported as disturbing. Conclusion: This review complements previous circulation systems to help nurses categorize patients who are at greatest risk for poor sleep quality according to PADIS guidelines, as well as assist nurses in developing multi-intervention programs that can improve sleep quality in critically ill patients. Keywords: Critically ill; sleep disorders; sleep quality
Poor Sleep Quality in Critically Ill Patients Sri Setiyarini; Desy Listyaningrum; Irni Fuzi Wijayanti; Setyo Triatmojo; Hersinta Retno Martani; Yunita Cahyaningsih; Gunawan; Hardi Apriyanto; Endang Suryaningsih; Husna Yulianingsih
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.43865

Abstract

Aims: This study aimed to evaluate the sleep quality of critically ill patients in Indonesia. Additional aims are to compare sleep quality among patients using both the Richards-Campbell Sleep Questionnaire (RCSQ) and smartwatch-based data.  Methods: A descriptive cross-sectional study was conducted involving adult critically ill patients in three hospitals in Indonesia. A total of 437 patients completed the RCSQ, with 26 of these individuals additionally utilizing a smartwatch to objectively assess sleep quality. A frequency distribution was employed to analyze all samples exhibiting poor quality, alongside the Mann-Whitney test to compare RCSQ and smartwatch scores.  Results:  Among 437 participants, 217 patients (49.7%) were classified as having poor sleep quality based on a mean (±SD) RCSQ score of 59.26±24.8, below a cut-off point of 63.4. Mean (±SD) scores across RCSQ domains were as follows: the sleep depth (60.87±27.97), sleep latency (56.68±27.99), awakening (56.99±27.10), sleep continuity (59.30±28.28), and sleep quality (59.30±28.28). The measurement results from smartwatch data indicated an overall sleep quality score of 72.42±9.72. No significant difference was observed between the total score of RCSQ and smartwatch sleep quality (p=0.297).  Conclusion: Critically ill patients demonstrated generally poor sleep quality, with sleep latency and awakening being the most affected domains