Mariani, Helni
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Pengetahuan dan Persepsi Keluarga Penderita Penyakit Ginjal Tahap Akhir (PGTA) terhadap Transplantasi Ginjal di RS Hasan Sadikin Bandung Syakira, Rizqa Adinda; Mariani, Helni; Andhika, Rizky
Jurnal Penyakit Dalam Indonesia
Publisher : UI Scholars Hub

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Abstract

Introduction. Kidney transplantation is the best kidney replacement therapy for End Stage Renal Disease (ESRD) patients. The gap between the number of donors and recipients remains a problem contributing to the low rate of kidney transplantation in Indonesia. The families of ESRD patients are the most recommended donor candidates. Knowledge and perception have a crucial role in the decision to donate organs, making it important to know the knowledge and perception of ESRD patients’ families towards kidney transplantation. This study aimed to describe the knowledge and perception of families of ESRD patients undergoing dialysis at Dr. Hasan Sadikin General Hospital Bandung. Methods. A descriptive quantitative study with a cross-sectional approach was conducted on the families of patients in the Dialysis Unit of Dr. Hasan Sadikin General Hospital, Bandung, aged ≥26 years, selected through consecutive sampling. Respondents were chosen if they had a blood relationship or emotional connection with patients undergoing hemodialysis or Continuous Ambulatory Peritoneal Dialysis (CAPD). Data collection was carried out from December 2023 to February 2024 using a validated questionnaire. The questionnaire items were developed based on several research studies on similar topics. Knowledge levels were measured through three variables: concepts, selection, and factual events. Meanwhile, the perception aspect assessed prosocial personality, post-transplant risk, and confidence in the procedure. Descriptive data analysis was performed using SPSS version 25. Results. A total of 107 respondents met the inclusion criteria, with the majority aged 26–35 years (34.6%) and predominantly female (69.2%). The majority of respondents were characterized by good knowledge (53.3%) and positive perceptions (65.4%). Within the knowledge domain, the highest proportion of correct responses was observed for items related to donor requirements (98.1%), whereas the lowest was noted for items addressing the conceptual understanding of kidney transplantation procedures (25.2%). In terms of perception, the most favorable responses were associated with the concept of severance of family ties, while the most negative responses were linked to concerns regarding the risks of post-transplant complications. Conclusions. Most respondents have a good level of knowledge and positive perceptions towards kidney transplantation. The greatest fear among respondents was related to the transplant procedure and the risks of post-transplant complications. This study highlights the need for educational interventions to improve the knowledge and perceptions of ESRD patients’ families concerning aspects of kidney transplantation that remain insufficiently understood.
Effect of Diabetes Self-Management Education on Knowledge and HbA1c Levels among Patients with Type 2 Diabetes Mellitus in Occupational Health Care Margarita, Susan; Arya, Insi Farisa Desy; Mariani, Helni; Setiawati, Elsa Pudji; Kusumawati, Maya; Mutyara, Kuswandewi
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4070

Abstract

Background: Diabetes Self-Management Education (DSME) is a structured self-care program for managing type 2 diabetes mellitus (T2DM), including treatment adherence and complications prevention. This study aimed to evaluate the effect of DSME on diabetes-related knowledge and hemoglobin A1c (HbA1C) levels among patients with T2DM.  Methods: A quasi-experimental pretest-posttest non-equivalent control group design was conducted from August 2023 to January 2024, involving 65 patients with T2DM in occupational health care in Cikarang and Tangerang, Indonesia.  The DSME program included five key components: (1) diabetes mellitus education, (2) medical nutrition therapy, (3) physical exercise, (4) pharmacological intervention; and (5) blood glucose self-monitoring. The intervention group received DSME in six sessions over three weeks (45–60 minutes each), while the control group only reviewed 40 educational slides for 30 minutes. Knowledge was assessed using the Diabetes Knowledge Questionnaire (DKQ-24), and HbA1c levels were measured twice, six months apart. Data were analyzed using independent t-tests, dependent t-tests, and ANOVA. Results: The intervention group (n=26) and control group (n=39) had similar baseline characteristics. A significant improvement in diabetes knowledge was observed in both groups. Interestingly, only the intervention group showed a notable reduction in HbA1c levels (−1.9%), from 8.5% to 6.6%. Post-intervention HbA1c levels differed significantly between groups (p<0.05), with the control group remaining at 8.2%.Conclusions: The DSME program effectively improves knowledge and reduces HbA1c levels in patients with T2DM. It is recommended for integration into occupational health care settings to promote healthy lifestyles and enhance diabetes management.