Article Per Year (5 Year)
p-Index From 2021 - 2026
0.659
P-Index
This Author published in this journals
All Journal Healthcare Nursing Journal
Wayunah Wayunah
Departemen of Nursing, Universitas Bakti Tunas Husada, Indonesia
Nursing

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Temporal Changes in Blood Pressure During Hemodialysis Wayunah Wayunah; Muhammad Saefulloh; Yeli Yulianti; Vina Yulianti
HealthCare Nursing Journal Vol. 8 No. 2 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i2.7927

Abstract

Intradialytic blood pressure variability (IDBPV) is a common hemodynamic phenomenon during hemodialysis. However, evidence describing sequential blood pressure changes throughout a hemodialysis session remains limited. This study aimed to describe temporal changes in intradialytic blood pressure among patients undergoing maintenance hemodialysis.  Methods: A descriptive analytical study with a repeated-measures approach was conducted among 65 patients receiving maintenance hemodialysis at RSUD Indramayu, Indonesia. Participants were recruited using consecutive sampling. Systolic and diastolic blood pressure were measured hourly from the 1st to the 5th hour of a single hemodialysis session. Data were analyzed using descriptive statistics, paired t-tests, or Wilcoxon signed-rank tests. Results: Systolic blood pressure decreased initially, increased during the middle phase, and declined again toward the end of hemodialysis. Diastolic blood pressure showed a similar pattern, although the final decrease was not statistically significant. Significant differences were observed across all consecutive systolic blood pressure measurements (p < 0.05). Diastolic blood pressure changed significantly from Hours 1–2, 2–3, and 3–4 (p < 0.05), but not from Hours 4–5 (p = 0.060). Conclusion: Blood pressure fluctuated throughout the hemodialysis session, demonstrating dynamic intradialytic hemodynamic changes. These findings support routine intradialytic blood pressure monitoring to better characterize temporal blood pressure patterns during hemodialysis.
Long Time Suffering Influences The Occurrence of Diabetic Neuropathy Wayunah Wayunah; Kitri Hikmawati; Laelatul Khoeriyah; Muhammad Saefulloh
HealthCare Nursing Journal Vol. 6 No. 1 (2024): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v6i1.4149

Abstract

Diabetic neuropathy is the most common complication in diabetes mellitus sufferers. One of the factors that influence the occurrence of neuropathy complications is long-suffering because neuropathy occurs due to microvascular damage caused by the development of chronic disease. The aim of this study was to determine the relationship between long suffering from diabetes mellitus and the incidence of diabetic neuropathy. This type of research is a descriptive correlation with a cross-sectional approach. The population in this study were all type 2 diabetes mellitus patients who visited the internal medicine polyclinic at Indramayu District Hospital. The number of samples used was 64 respondents taken using accidental sampling. Data was taken using an observation sheet. Meanwhile, data analysis used the Chi-square test. The result show that a total of 32 (50.0%) respondents had suffered from DM for ≥ 54 months (4.5 years), and 34 (53.1%) respondents had experienced neuropathy (Score 1-3). The results of the further analysis showed that P-value = 0.000 (α = 0.05; OR, namely 69.6), which means that there is a relationship between long suffering from type 2 diabetes mellitus and the incidence of diabetic neuropathy. In conclusion, long-suffering from the disease is related to the incidence of diabetic neuropathy. Suggestions are directed to nurses to prevent the occurrence of diabetic neuropathy, especially in patients who have suffered from the disease for a long time by carrying out activities that can increase blood flow to the periphery, such as diabetic foot exercises.
Diabetic Foot Exercises as an Effective Effort to Reduce Blood Glucose Levels in Diabetes Patients Wayunah Wayunah; Eleni Kenanga Purbasary; Rina Hardianti; Muhammad Saefulloh
HealthCare Nursing Journal Vol. 7 No. 1 (2025): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i1.5912

Abstract

Diabetes mellitus (DM) is a global health issue with a rising prevalence. One effective intervention for managing blood glucose levels is diabetic foot exercises, which enhance blood circulation and insulin sensitivity. The purpose of this study is to determine the effect of diabetic foot exercises on blood glucose levels. This study employed a quasi-experimental design with a control group pretest-posttest approach. The sample consisted of 30 respondents divided into intervention and control groups. The intervention group performed diabetic foot exercises twice a week for four weeks. Data were analyzed using the Independent T-test. The intervention group showed a significant decrease in mean blood glucose levels, from 245.40 mg/dL to 204.93 mg/dL, with a difference of 40.47 mg/dL. Conversely, the control group experienced an increase in mean blood glucose levels, from 258.46 mg/dL to 305.80 mg/dL, with a difference of 47.34 mg/dL. Statistical analysis indicated a significant difference between the intervention and control groups, with a p-value of 0.000 (p < 0.05). Diabetic foot exercises effectively lower blood glucose levels in type 2 DM patients. This intervention can serve as an additional therapy for diabetes management, particularly for patients at risk of diabetic neuropathy. Education and widespread implementation of diabetic foot exercises are recommended as an accessible and efficient diabetes control strategy.
Co-Authors Eleni Kenanga Purbasary Kitri Hikmawati Laelatul Khoeriyah Muhammad Saefulloh Rina Hardianti Vina Yulianti Yeli Yulianti