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Nursalam
Faculty of Nursing Universitas Airlangga Surabaya Indonesia
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STRUCTURED HEALTH EDUCATION ON SELF-CARE MANAGEMENT TOWARD SELF-EFFICACY, STRESS AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS: A QUASI-EXPERIMENTAL STUDY Netti Herawati; Khamida; Chilyatiz Zahro; Nursalam; Lono Wijayanti; Yurike Septianingrum
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7378

Abstract

Hemodialysis patients face complex issues, including decreased self-efficacy, high stress levels, and diminished quality of life. Comprehensive interventions are required to enhance patients' self-management capabilities. This study aims to analyze the effect of structured self-care management health education based on peer group support on the self-efficacy, stress, and quality of life of hemodialysis patients. This quasi-experimental study used a pre-post test control group design involving 70 respondents (35 intervention, 35 control) selected via consecutive sampling. The intervention group received four sessions of structured health education based on peer support. Research instruments included a self-efficacy questionnaire, the Depression Anxiety Stress Scales (DASS-42), and the KDQOL-SF 1.3. Data were analyzed using Paired T-Test and Mann-Whitney tests. There were significant increases in self-efficacy (p=0.006) and quality of life (p=0.000), as well as a significant decrease in stress levels (p=0.027) within the intervention group. In contrast, the control group showed no significant changes across the three variables (p > 0.05). Peer group support proved effective in facilitating the exchange of experiences and emotional support, which strengthened patients' self-belief in managing their condition. Structured self-care management health education based on peer group support is effective in improving self-efficacy and quality of life while reducing stress levels in hemodialysis patients. This intervention is recommended as an integral part of supportive nursing care in hemodialysis units.
INTRADIALLYTIC EXERCISE-RANGE OF MOTION (IDE-ROM) AND CINNAMON AROMATHERAPY ON ANXIETY, FATIGUE AND SLEEP QUALITY IN HEMODIALYSIS PATIENTS: EXPERIMENT STUDY Sri Sulistiyawati; Nur Hidaayah; Dyah Ika Krisnawati; Nursalam; Yanis Kartini; Chilyatiz Zahroh
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7379

Abstract

Routine hemodialysis patients frequently experience anxiety, chronic fatigue, and sleep disturbances, necessitating a holistic non-pharmacological approach. This study aims to analyze the effect of combined Intradialytic Exercise–Range of Motion (IDE-ROM) and cinnamon aromatherapy on anxiety, fatigue, and sleep quality among patient at RSUD Syarifah Ambami Rato Ebu Bangkalan. This quantitative research employed a quasi-experimental design with a pretest-posttest control group approach. Seventy respondents were selected through purposive sampling and divided into a control group (n=35) and an intervention group (n=35). The intervention group received a combination of IDE-ROM and cinnamon aromatherapy inhalation across six sessions over one month. Data were collected using the Zung Self-Rating Anxiety Scale (SAS), the Functional Assessment of Chronic Illness Therapy (FACIT) fatigue scale, and the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using Paired t-tests and MANOVA. The intervention significantly affected all three variables (p < 0.05). MANOVA results indicated the strongest effect on sleep quality (p < 0.001), while the variables of anxiety (p = 0.348) and fatigue (p = 0.121) showed lower significance levels compared to sleep quality. The combination of IDE-ROM and cinnamon aromatherapy is effective in improving the physical and psychological conditions of patients. This intervention provides the most dominant influence on enhancing the sleep quality of the respondents.
Co-Authors Chilyatiz Zahro Chilyatiz Zahroh Dyah Ika Krisnawati Khamida Lono Wijayanti Netti Herawati Nur Hidaayah Sri Sulistiyawati Yanis Kartini Yurike Septianingrum