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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Perawat Indonesia Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Jurnal Ilmiah Keperawatan Imelda Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Journal SAGO Gizi dan Kesehatan MAHESA : Malahayati Health Student Journal Journal of Nursing Education & Practice (JNEP) Proceedings of the International Conference on Nursing and Health Sciences Lentera Perawat Kolaborasi Jurnal Pengabdian Masyarakat DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Jurnal Berita Ilmu Keperawatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan
Jumaiyah, Wati
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Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi Atun, Sri; Sofiani, Yani; Yunitri, Ninik; Jumaiyah, Wati; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1610

Abstract

Background: Diabetic neuropathy is a complication that develops slowly and often goes undiagnosed. Guttormsen explained that neuropathy usually appears after years of diabetes and is often the initial cause of wounds and amputations. Therefore, early detection is crucial to prevent further complications. One recommended approach is non-invasive screening, which allows for early identification before severe symptoms appear. Purpose: To evaluate the effectiveness of non-invasive screening for early detection of foot disorders in people with diabetes. Method: The implementation of evidence-based nursing practice (EBNP) at Al Ihsan Regional Hospital, West Java Province, from June to July 2025, involved a non-invasive screening intervention for each patient for early detection of foot disorders in diabetic patients. This study was preceded by a systematic review and meta-analysis that compiled data from various previous studies. Results: Participants with the ROC curve test showed screening results on BDRFS with a sensitivity value of 1.000; on monofilament screening the sensitivity value was 0.545; vibration screening test sensitivity value was 0.818; temperature screening test sensitivity value was 0.864. In the QST screening test of touch sensation, it showed that the temperature screening test sensitivity value was 0.909. The QST screening test of vibration sensation showed that the temperature screening test sensitivity value was 0.909. The QST screening test of temperature sensation showed that the temperature screening test sensitivity value was 0.773. Conclusion: The implementation of EBNP “Evaluation of the Effectiveness of Non-Invasive Screening for Early Detection of Foot Disorders in Diabetics” has been proven to significantly increase early detection of diabetic neuropathy through a method that is safe, inexpensive, and can be performed by nurses.   Keywords: Diabetes; Early Detection of Foot Disorders; Non-Invasive Screening.   Pendahuluan: Neuropati diabetik merupakan komplikasi yang berkembang secara perlahan dan sering kali tidak terdiagnosis secara dini. Guttormsen menjelaskan bahwa neuropati biasanya muncul setelah bertahun-tahun menderita DM dan sering kali menjadi penyebab awal terjadinya luka hingga amputasi. Untuk itu, deteksi dini sangat penting guna mencegah komplikasi lebih lanjut. Salah satu pendekatan yang direkomendasikan adalah skrining non-invasif, yang memungkinkan identifikasi dini sebelum muncul gejala berat. Tujuan: Untuk mengevaluasi efektivitas skrining non-​​invasif untuk deteksi dini gangguan kaki pada diabetisi. Metode: Penerapan praktik keperawatan berbasis bukti (Evidence Based Nursing Practice/EBNP) yang dilaksanakan di RSUD Al Ihsan Provinsi Jawa Barat pada bulan Juni-Juli 2025. Setiap pasien dilakukan intervensi berupa pemeriksaan skrining non-invasif untuk deteksi dini gangguan kaki pada pasien diabetes. Hasil: Partisipan dengan uji ROC curve menunjukkan hasil skrining pada BDRFS dengan nilai sensitivity 1.000; pada skrining monofilamin nilai sensitivit 0.545; skrining vibrasi test nilai sensitivity 0.818; skrining temperatur test nilai sensitivit 0.864. Pada uji skrining QST sensasi sentuhan menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi getaran menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi suhu menunjukkan bahwa skrining temperatur test nilai sensitivit 0.773. Simpulan: Penerapan EBNP “evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi” terbukti dapat meningkatkan deteksi dini neuropati diabetik secara signifikan melalui metode yang aman, murah, dan dapat dilakukan oleh perawat.   Kata Kunci: Diabetisi; Deteksi Dini Gangguan Kaki; Skrining Non-​​Invasif.
Penerapan evidence-based nursing practice (EBNP) mengenai intervensi virtual reality (VR) dalam mengurangi kecemasan pada pasien yang menjalani coronary angiography Hendi, Oman; Jumaiyah, Wati; Latipah, Siti; Rayasari, Fitrian; Anggraini, Dewi
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1628

Abstract

Background: Coronary angiography is used as an appropriate method for diagnosing coronary artery disease (CAD), which is the radiographic visualization of coronary arteries after the injection of radiopaque contrast media. However, patients undergoing coronary angiography experience anxiety. With advancements in technology, various innovations have emerged offering non-invasive alternatives for managing anxiety in patients undergoing coronary angiography. One innovative approach currently under development is the use of Virtual Reality (VR). Purpose: To determine the effect of VR in reducing anxiety in patients undergoing coronary angiography.  Method: This EBNP application is experimental, using a pre-post test design with a sample size of 30 patients. VR intervention was administered to patients undergoing coronary angiography for 30 minutes. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) questionnaire. Results: The VR intervention showed a reduction in anxiety, with a p-value of 0.000, which is less than the alpha level of 0.05, indicating a significant difference in anxiety levels before and after the VR intervention in patients undergoing coronary angiography.  Conclusion: The VR intervention has a positive effect in reducing anxiety in patients before coronary angiography.   Keywords: Anxiety; Coronary Angiography; Coronary Artery Disease; Virtual Reality.   Pendahuluan: Coronary angiography digunakan sebagai metode yang tepat untuk mendiagnosis penyakit jantung koroner yang merupakan  visualisasi radiografi pembuluh darah koroner setelah penyuntikan media kontras radiopak. Akan tetapi, pasien yang menjalani coronary angiography mengalami kecemasan.  Seiring dengan perkembangan teknologi terdapat berbagai inovasi yang menawarkan alternatif noninvasif dalam pengelolaan kecemasan pada pasien yang menjalani coronary angiography. Salah satu pendekatan inovatif yang sedang berkembang adalah penggunaan virtual reality (VR). Tujuan: Untuk mengetahui pengaruh penerapan evidence-based nursing practice (EBNP) mengenai intervensi virtual reality (VR) dalam mengurangi kecemasan pada pasien yang menjalani coronary angiography. Metode: Penerapan EBNP ini bersifat eksperimen menggunakan desain pre-post test design dengan jumlah sampel sebanyak 30 partisipan. Intervensi VR pada pasien yang menjalani coronary angiography selama waktu 30 menit. Melakukan pengukuran kecemasan 15 dengan kuesioner state trait anxiety inventory (STAI). Hasil: Intervensi VR menunjukkan menurvensi VR paru) mencapai 6,penurunan kecemasan diperoleh (p Value) 0.000 ≤ 0.05 yang berarti terdapat perbedaan signifikan kecemasan sebelum dan setelah dilakukan intervensi VR pada partisipan yang menjalani coronary angiography. Simpulan: Intervensi VR memberikan pengaruh positif dalam mengurangi kecemasan pasien sebelum tindakan coronary angiography.   Kata Kunci: Coronary Angiography; Coronary Artery Disease; Kecemasan; Virtual Reality.
Pemberdayaan Komunitas Lansia melalui Edukasi Kesehatan dan Pemeriksaan Dini Faktor Risiko Penyakit Kronis Latipah, Siti; Sofiani, Yani; Rayasari, Fitrian; Siswandi, Iyar; Nugraha, Rizky; Jumaiyah, Wati; Aisyah, Aisyah; Nathasia, Dhea
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 6 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i6.700

Abstract

Introduction: Diabetes mellitus (DM) is one of the major non-communicable diseases with a steadily increasing prevalence in Indonesia, including in island regions with limited access to healthcare services. This community service program was conducted on Lancang Island, Kepulauan Seribu. Objective: The purpose of this service was of improving elderly participants’ knowledge of diabetes management, conducting early detection through health screening, and providing education on healthy lifestyle practices. Method: The methods included interactive health education sessions and physical examinations covering random blood glucose, blood pressure, and cholesterol levels. Result: The results showed that the majority of the 101 elderly respondents exhibited significant chronic health risk factors. The average blood pressure was 152/88 mmHg, indicating a tendency toward hypertension. The mean random blood glucose level of 140 mg/dL suggested a predisposition to prediabetes and diabetes mellitus, while the mean cholesterol level reached 253 mg/dL, categorized as high. Conclusion These findings indicate that most elderly participants have not yet implemented optimal dietary management and physical activity, further exacerbated by limited health facilities and access in island areas. The educational intervention effectively increased participants awareness of disease risks and complications, as well as the importance of early detection. Overall, the promotive and preventive activities had a positive impact on improving knowledge, awareness, and motivation among elderly participants to adopt healthy lifestyles. This program is expected to serve as a foundation for sustainable community health development efforts in island regions.
Intradialytic Flexybility Exercise Terhadap Fatigue Pada Pasien Penyakit Ginjal Kronis Inayati, Anik; Jumaiyah, Wati; Latipah, Siti
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.23020

Abstract

ABSTRACT Chronic kidney disease (CKD) is a global health problem with increasing prevalence and mortality rates, leading most patients to require hemodialysis therapy. However, this procedure often causes complications, particularly fatigue, a condition of physical and mental exhaustion that does not improve with rest, which negatively impacts patients’ activity, psychosocial functioning, and quality of life. Non-pharmacological interventions such as intradialytic flexibility exercise are considered effective in reducing fatigue levels, improving physical function, and supporting the overall health of patients undergoing hemodialysis. To determine the effectiveness of intradialytic flexibility exercise in reducing fatigue among patients with chronic kidney disease. This experimental study employed a one-group pretest–posttest design. The population consisted of all CKD patients undergoing hemodialysis at Dr. H. Abdul Moeloek Regional General Hospital. A total of 15 patients were recruited using purposive sampling. The intervention consisted of intradialytic flexibility exercise administered in 8 sessions over 4 weeks, with each session lasting 10–15 minutes. The research instrument used was the FACIT-Fatigue scale. Intradialytic flexibility exercise was proven effective in reducing fatigue levels among CKD patients undergoing hemodialysis. This was indicated by an increase in the mean FACIT-Fatigue score from baseline to week 2 by 8.267 points, further increasing to 16.133 points at week 4, with an additional improvement of 7.867 points from week 2 to week 4 (p<0.05). These findings indicate that intradialytic flexibility exercise provides a significant and sustained positive impact on reducing fatigue in patients with chronic kidney disease undergoing hemodialysis. Keywords: Intradialytic Flexibility Exercise, Fatigue, Chronic Kidney Disease  ABSTRAK  Penyakit gagal ginjal kronik (GGK) merupakan masalah kesehatan global dengan prevalensi dan angka mortalitas yang terus meningkat, sehingga sebagian besar pasien memerlukan terapi hemodialisis. Namun, prosedur ini kerap menimbulkan komplikasi, terutama berupa fatigue, yaitu kondisi kelelahan fisik dan mental yang tidak membaik dengan istirahat, serta berdampak pada aktivitas, fungsi psikososial, dan kualitas hidup pasien. Intervensi nonfarmakologis seperti intradialytic flexibility exercise diyakini efektif dalam mengurangi tingkat fatigue, meningkatkan fungsi fisik, serta mendukung kualitas kesehatan pasien yang menjalani hemodialisis. Mengetahui efektifitas pemberian intervensi intradialytic flexybility exercise terhadap penurunan fatique Pasien penyakit ginjal kronik. Studi eksperimen, desain one group pretest posttest. Populasi adalah seluruh pasien GGK yang menjalani hemodialisa di RSUD Dr. H. Abdul Moeloek. Besar sampel 15 pasien dengan teknik purposive sampling. intradialytic flexibility exercise pada pasien penyakit ginjal kronis yang menjalani hemodialisis, dilakukan sebanyak  8 sesi dalam waktu 4 minggu, dimana setiap sesi menjalani waktu 10-15 menit latihan. Instrumen penelitian menggunakan FACIT Fatigue. Intradialytic flexibility exercise terbukti efektif menurunkan tingkat fatigue pada pasien gagal ginjal kronik yang menjalani hemodialisis. Hal ini ditunjukkan dengan peningkatan rerata skor FACIT-fatigue dari pengukuran awal ke minggu ke-2 sebesar 8,267 poin, meningkat menjadi 16,133 poin pada minggu ke-4, serta tambahan peningkatan 7,867 poin dari minggu ke-2 ke minggu ke-4 (p<0,05). Temuan ini mengindikasikan bahwa intervensi tersebut memberikan dampak positif yang signifikan dan berkelanjutan terhadap penurunan kelelahan pasien. Kata Kunci:  Intradialytic Flexybility Exercise, Fatigue, Gagal Ginjal Kronis
Penerapan metode teach-back terhadap self-care pasien gagal jantung Aminah, Siti; Jumaiyah, Wati; Latipah, Siti; Rayasari, Fitrian; Anggraini, Dewi
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1702

Abstract

Background: Heart failure is a chronic disease that requires long-term management and active patient involvement in self-care. Non-adherence to medication, diet, and symptom monitoring increases the risk of recurrent hospitalization. The teach-back method is an effective educational approach to ensure patients’ understanding of medical instructions and improve self-care behaviors. Purpose: To analyze the effectiveness of implementing teach-back method-based education on self-care of heart failure patients. Method: This study implemented an Evidence-Based Nursing Practice (EBNP) approach using a one-group pretest–posttest design. The sample consisted of 13 heart failure patients who met the inclusion criteria. The intervention was delivered in three sessions during hospitalization, followed by two educational follow-ups via telephone after discharge. The instrument used to measure self-care was the European Heart Failure Self-care Behavior Scale (EHFScB-9). Data were analyzed using a paired t-test. Results: There was a significant improvement in patients’ self-care scores after the intervention (mean before = 48.49; after = 80.97; p = 0.000). This indicates that the teach-back method effectively enhanced the self-care abilities of patients with heart failure. Conclusion: The teach-back intervention effectively improved self-care among heart failure patients, demonstrating high validity, an applicable educational SOP, and positive patient responses.   Keyword: Heart Failure; Self-Care; Teach-Back Method.   Pendahuluan: Gagal jantung merupakan penyakit kronis yang membutuhkan manajemen jangka panjang dan keterlibatan aktif pasien dalam melakukan perawatan mandiri (self-care). Ketidakpatuhan pasien terhadap pengobatan, diet, dan pemantauan gejala dapat meningkatkan risiko rawat inap berulang. Metode teach-back merupakan salah satu pendekatan edukasi yang efektif untuk memastikan pemahaman pasien terhadap instruksi medis dan meningkatkan self-care. Tujuan: Untuk menganalisis efektivitas penerapan pendidikan berbasis metode teach-back terhadap self-care pasien gagal jantung. Metode: Implementasi Evidence-Based Nursing Practice (EBNP) dengan desain one group pretest post-test. Sampel terdiri dari 13 pasien gagal jantung sesuai kriteria inklusi. Intervensi diberikan dalam tiga sesi selama perawatan dan dilanjutkan dengan dua kali edukasi melalui telepon setelah pasien pulang. Instrumen pengukuran self-care menggunakan European Heart Failure Self Care Behavior Scale (EHFScB-9). Analisis data dilakukan dengan uji paired t-test. Hasil: Terdapat peningkatan signifikan skor self-care pasien setelah intervensi (mean sebelum 48.49; sesudah 80.97; p = 0.000). Hal ini menunjukkan bahwa metode teach-back mampu meningkatkan kemampuan perawatan mandiri pasien gagal jantung secara bermakna. Simpulan: Intervensi teach-back efektif meningkatkan self-care pasien gagal jantung dengan validitas tinggi, SPO edukasi aplikatif, dan respon positif pasien.   Kata Kunci: Gagal Jantung; Metode Teach-Back; Self-Care.
Effect of orthopneic position and pursed-lip breathing on dyspnea in patients with chronic obstructive pulmonary disease Arifuddin, Arifuddin; Rayasari, Fitrian; Anggraini, Dewi; Jumaiyah, Wati
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.695

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder characterized by persistent airflow limitation and dyspnea that significantly reduces patients’ functional capacity and quality of life. Non-pharmacological nursing interventions, including breathing techniques and therapeutic positioning, have increasingly been applied to improve respiratory function and alleviate dyspnea symptoms. However, evidence regarding the combined effectiveness of orthopneic positioning and pursed-lip breathing in clinical inpatient settings remains limited. Objective: This study aimed to evaluate the effect of orthopneic position combined with pursed-lip breathing on dyspnea indicators, including respiratory rate, oxygen saturation, and peak expiratory flow, among patients with chronic obstructive pulmonary disease. Methods: A pre-experimental one-group pretest–posttest design was conducted in the MDR Baji Ati ward, Labuang Baji General Hospital Makassar. Seventeen hospitalized adult COPD patients meeting inclusion criteria participated in the study. The intervention consisted of orthopneic positioning combined with pursed-lip breathing exercises administered for 20–30 minutes per session, at least three times weekly for four weeks. Outcome measures included respiratory rate, oxygen saturation, and peak expiratory flow assessed before and after the intervention. Data were analyzed using paired t-test with a significance level of 0.05. Results: The intervention significantly reduced respiratory rate from 23.4 to 18.9 breaths per minute (p = 0.001), increased oxygen saturation from 89.6% to 96.4% (p = 0.001), and improved peak expiratory flow from 256 L/min to 367 L/min (p = 0.001). Large effect sizes across outcomes indicated substantial clinical improvement. No adverse events were reported during the intervention period. Conclusion: The combined application of orthopneic positioning and pursed-lip breathing effectively improved respiratory parameters and reduced dyspnea among COPD patients. This evidence-based nursing intervention represents a safe, feasible, and clinically valuable strategy for respiratory symptom management in hospitalized patients with chronic obstructive pulmonary disease.
Pengaruh Edukasi Interdialytic Weight Gain (Idwg) Berbasis Media Sosial Online Terhadap Kepatuhan Pembatasan Cairan Pada Pasien Hemodialysis : The Effect of Online Social Media-Based Interdialytic Weight Gain (IDWG) Education on Fluid Restriction Compliance in Hemodialysis Patients Ernawati, Dedeh; Endah, Tria Astika; Jumaiyah, Wati
Journal of Nursing Education and Practice Vol. 5 No. 1 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i1.532

Abstract

Latar Belakang: Gagal Ginjal Kronik (GGK) merupakan lambatnya kondisi fungsi ginjal yang memburuk, progresif dan irreversible sehingga menimbulkan kurang mampunya ginjal melakukan pembuangan produk sisa dan mempertahankan keseimbangan cairan dan elektrolit.Tujuan: Diketahuinya pengaruh edukasi Interdialytic Weight Gain (IDWG) berbasis Media Sosial Online terhadap kepatuhan pembatasan cairan pada pasien hemodialisis di RS Qadr Tangerang.Metode: Penelitian ini adalah Quasy Experimental dengan rancangan pretest-posttest control group design. Total responden dalam penelitian ini adalah 30 orang yang terbagi menjadi dua kelompok yaitu kelompok control 15 orang dan kelompok intervensi 15 orang.Hasil: Diketahui terdapat peningkatan nilai posttest dari nilai pretest dengan nilai signifikansi sebesar 0,000 (< 0,05). Hasil uji independent sample t-test menunjukkan bahwa nilai signifikansi yang diperoleh sebesar 0,043 (< 0,05).Kesimpulan: edukasi Interdialytic Weight Gain (IDWG) berbasis media sosial online berpengaruh terhadap kepatuhan pembatasan cairan pada pasien hemodialisis di RS. QADR Tangerang.
Terapi kombinasi pijat minyak zaitun dan akupresur Li 11 pada pruritus dan kualitas tidur diantara pasien hemodialisis Khaier, Nurhayati; Natashia, Dhea; Gayatri, Dewi; Jumaiyah, Wati
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.2682

Abstract

Backgrund: Chronic kidney disease (CKD) resulting in hemodialysis is a major health problem that is often overlooked and burdens the economies of countries worldwide. This is due to the high prevalence and mortality rates across all age groups year after year. Complementary therapies are independent nursing interventions that can be implemented independently by nurses as patient caregivers. Complementary therapies, including massage and acupressure, have shown potential in reducing pruritus and improving sleep quality in hemodialysis patients. Purpose: To identify the effect of a combination of olive oil massage and Li11 acupressure on pruritus and sleep quality in hemodialysis patients. Method: This quasi-experimental study used a pretest-posttest approach with a control group. This study was conducted at the Dr. Esnawan Antariksa Air Force Hospital, with the study period running from December 2024 to January 2025. The independent variable was the combined intervention of olive oil massage and Li11 acupressure, while the dependent variables were pruritus and sleep quality. The sample in this study consisted of 28 participants divided into two groups. Data analysis was performed using IBM SPSS version 20, using paired t-tests and independent t-tests. Results: There was a difference in the mean VAS-p score between the intervention and control groups (p-value <0.001). This indicates that the combination therapy of olive oil massage and acupressure at the Li 11 point can reduce pruritus in HD patients. However, there was no correlation between the combination therapy and improvements in skin moisture (p-value = 0.123) and sleep quality (p-value = 0.068). Conclusion: The olive oil massage and acupressure intervention at the Li 11 point can be included in the nursing care for patients undergoing continuous hemodialysis. Suggestion: Further training is needed to correctly perform the massage according to established protocols, involving companions or family members who will continue care with the patient.   Keywords: Complementary Therapy; Itching; Li 11 Acupressure; Olive Oil Massage; Sleep Quality.   Pendahuluan: Penyakit ginjal kronis (CKD) yang mengakibatkan hemodialisis merupakan masalah kesehatan utama yang sering diabaikan dan menjadi beban bagi perekonomian negara-negara di seluruh dunia. Hal ini disebabkan tingginya prevalensi dan mortalitas pada semua kelompok umur dari tahun ke tahun. Terapi komplementer adalah intervensi asuhan keperawatan independen yang dapat dilakukan secara mandiri oleh perawat sebagai perawat pasien. Terapi komplementer, termasuk pijat dan akupresur, telah menunjukkan potensi dalam mengurangi pruritus dan meningkatkan kualitas tidur pada pasien hemodialisis. Tujuan: Untuk mengidentifikasi pengaruh terapi kombinasi pijat minyak zaitun dan akupresur Li 11 pada pruritus dan kualitas tidur diantara pasien hemodialisis. Metode: Penelitian eksperimen semu dengan pendekatan pretest-posttest dengan kelompok kontrol. Penelitian ini dilakukan di RSAU dr. Esnawan Antariksa, dengan waktu pelaksanaan penelitian sejak Desember 2024 hingga Januari 2025. Variabel independen adalah intervensi terapi kombinasi pijat minyak zaitun dan akupresur Li11, sedangkan variabel dependennya adalah pruritus dan kualitas tidur. Sampel dalam penelitian ini berjumlah 28 partisipan dibagi menjadi dua kelompok. Analisis data dilakukan menggunakan IBM SPSS versi 20, dengan uji-t berpasangan (paired t-test) dan uji-t independen. Hasil: Terdapat perbedaan rata-rata skor VAS-p antara kelompok intervensi dan kelompok kontrol (nilai p <0.001). Hal ini menunjukkan terapi kombinasi pijat minyak zaitun dan akupresur pada Li 11 dapat mengurangi pruritus pada pasien HD. Namun, tidak ada korelasi terapi kombinasi dalam peningkatan kelembapan kulit (p-value = 0.123) dan kualitas tidur (p-value = 0.068). Simpulan: Intervensi pijat minyak zaitun dan akupresur Li 11 dapat dimasukkan dalam serangkaian asuhan keperawatan bagi pasien yang menjalani hemodialisis secara berkelanjutan. Saran: Pelatihan selanjutnya diperlukan untuk melakukan pemijatan dengan benar sesuai dengan langkah protokol yang telah ditetapkan dengan melibatkan pendamping atau anggota keluarga yang akan melanjutkan perawatan dengan pasien.   Kata Kunci: Akupresur Li 11; Kualitas Tidur; Pijat Minyak Zaitun; Pruritus; Terapi Komplementer.
Co-Authors Abriyanti, Rika Mustika Agung Waluyo Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Aisyah Aisyah Aji, Prima Trisna al Hasbi, Sulthan Dzahir Anggaraini, Dewi Anggareni, Dewi Ardiani, Kristi Aresta, Annisa Septiani Arifuddin Arifuddin Arsianti, Lyana Ashar Prima Asmara, Amelia Atlantic, Mia Budi, Arif Wahyu Setyo Burmanajaya, Bram Desy anggraini Dewi ANGGRAENI Dewi Anggraini Dewi Gayatri Dewi Purnamawati Dian Hudiyawati Dila Nurul Arsyi Endah, Tria Astika Ernawati, Dedeh Erwin Erwin Fajarini, Melati Fawwaz, Achmad Daffa Firdaus, Nuzula Firmansyah, Doddy Hamdah, Hamdah Handayani, Martuti Dwi Harison, Nunu Hartati, Yeni Hendi, Oman Hentu, Ardin Saleh Hernani, Eny Ibrahim, Mufti Inayati, Anik Indraswati, Ita Irawati, Diana Ismail, Ii Jaemi, Jaemi Jum’atina, Jum’atina Junaidin, Junaidin Kamil, Abdu Rahim Khaier, Nurhayati Komalawati, Dedeh Lakoro, Danny Des Kartyko Latipah, Siti Maesaroh Maesaroh Maria Yulianti, Maria Masykur Khair Moh. Heri Kurniawan Mulyadi, Egi Mulyatsih, MG Enny Munaya Fauziah Munaya, Munaya Mustafida, Ika Natashia, Dhea Nathasia, Dhea Noviana Noviana Nugraha, Rizky Nurhayati, Elis Nurrahman, Aris Nursanti, Irna Nurwijayanti Nusanti, Irna Octoba, Fatwa Achmad Oktavina, Risa Pinamiranti, Firza Pramono, Cahyo Purnawati, Dewi Ratna Dewi Rayasari, Fitrian Rinawati Rinawati Rohani Rohani Saputra, M. Khalid Fredy Setiawati, Desy Silalahi, Lenny Erida Siswahyudianto Siswandi, Iyar Siti Aminah Siti Hanifah SRI ATUN Suhartini, Euis Sulistiyowati, Heppy Sumedi Sumedi Suryanti, Asih Dwi Suwandi, Wawan Suwito, Kafi Pangki Syafriati, Ani Tallulembang, Abdi Toha Muhaimin Triantono, Bayu Tuti Nuraini Tyawarman, Ady Uly, Nilawati Uswatun Hasanah Wahidi, Kemala Desy Yani Sofiani Yuli Widyastuti Yuliarti Yuliarti Yuliastutik, Fitri Yulistriani, Anisa Yuniarsih, Winda Yunitri, Ninik Yunus, Muhammad Iqbal Zuliani, Peri