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Susilawati, Agus
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Nursing

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The Effect of Progressive Muscle Relaxation Technique on Anxiety Levels in Chronic Kidney Failure Patients Undergoing Hemodialysis at Gatot Soebroto Army Hospital Devi, Gusti Ayu Tri Shita; Yusuf, Bahreni; Wicaksono, Hendik; Susilawati, Agus
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 1 (2026): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i1.343

Abstract

Bacground: Patients with chronic kidney disease undergoing hemodialysis frequently experience anxiety duet o the continuous nature of the therapy. Progressive muscle relaxation techniques are used to help reduce anxiety by controlling muscle tension and regulating patients emotional responses. Objective: To determine the effect of progressive muscle relaxation techniques on anxiety levels among patients with chronic kidney disease undergoing hemodialysis at RSPAD Gatot Soebroto. Methods: This study employed a pre experimental one group pretest-posttest design, total sampling was used, involving 21 respondents who met the inclusion and exclusion criteria. The Hamilton Anxiety Rating Scale (HARS) was utilized to measure anxiety levels during the pretest and posttest. Data analysis was performed using the Wilcoxon Signed Rank Test. Results: A reduction in anxiety levels was observed. During the pretest, 16 respondents experienced mild anxiety and 5 respondents experienced moderate anxiety. After the intervention, anxiety levels decreased, with 19 respondents experiencing no anxiety and 2 respondents experiencing mild anxiety. Conclusion: Progressive muscle relaxation techniques significantly reduced anxiety levels in patients undergoing hemodialysis, with a p-value of 0.00 (p < 0.05). Recommendation: This study provides evidence that progressive muscle relaxation is an effective, safe, and simple non-pharmacological intervention for reducing anxiety in patients with chronic kidney disease undergoing hemodialysis, and may serve as a reference for clinical practice, patient self-management, and future research.
THE EFFECTIVENESS OF SPLINTING SKILLS EDUCATION IN CLOSED FRACTURE CASES USING THE SEMINAR AND SELF DIRECT VIDEO METHODS ON THE KNOWLEDGE LEVEL OF GRADE 12 STUDENTS OF SMAN 4 JAKARTA Rizaldi, Rizky; Yusuf, Bahreni; Wicaksono, Hendik; Susilawati, Agus
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 1 (2026): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i1.340

Abstract

Background: Fractures resulting from traffic accidents are injuries that have the potential to cause disability if not treated appropriately. One technique used is splinting to prevent bone displacement, reduce pain, and protect surrounding tissue. Students' knowledge of splinting techniques is still low, requiring effective educational methods, such as seminars and self-directed videos. Objective: To determine the effectiveness of splinting skills education for closed fractures using seminars and self-directed videos on the knowledge level of 12th-grade students at SMAN 4 Jakarta. Methods: This study used a Quasi-Experimental design with a Pretest-Posttest with Control Group Design. 144 students were selected using simple random sampling and divided into an intervention group (self-directed video) and a control group (seminar), each with 72 respondents. The research instrument consisted of pretest and posttest questionnaires. Data analysis used the Wilcoxon Signed Rank Test. Results: There was an increase in knowledge in both groups with a p-value <0.05, where the posttest score was higher than the pretest. The positive rank score for the intervention group was 61 and for the control group, 55. Conclusion: Education on splinting skills for closed fractures using seminars and self-directed video was equally effective in improving the knowledge of 12th-grade students at SMAN 4 Jakarta. However, the self-directed video method yielded higher improvement than the seminar method, thus concluding that the self-directed video method is more effective in improving student knowledge.
"The Effect of Cold Compresses on Reducing the Pain Scale of Cannulation" In Chronic Kidney Failure Patients Undergoing Hemodialysis in Jakarta Cempaka Putih Islamic Hospital” Amelia, Delia; Yusuf, Bahreni; Wicaksono, Hendik; Susilawati, Agus
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 1 (2026): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i1.342

Abstract

Cannulation pain is a common problem in chronic kidney failure patients undergoing hemodialysis which impacts the patient's quality of life. Cold compress therapy is a non-pharmacological therapy to reduce pain through vasoconstriction mechanisms and modulation of nerve activity. This study aims to determine the effect of cold compresses on reducing the cannulation pain scale in chronic kidney failure patients undergoing hemodialysis at the Jakarta Islamic Hospital Cempaka Putih. Method: Using a Pre-Experiment with a One Group Pretest and Posttest Design research design with a sample of 18 respondents. There was a decrease in the pain scale with pretest pain values there were 9 respondents with mild pain and 9 other respondents with moderate pain, after being given cold compress therapy, 7 respondents did not experience pain and 11 respondents had a mild pain scale with p-value 0.001 <0.05. There is an effect of cold compresses on reducing the cannulation pain scale in chronic kidney failure patients undergoing hemodialysis at the Jakarta Islamic Hospital Cempaka Putih
Co-Authors Amelia, Delia Devi, Gusti Ayu Tri Shita Rizaldi, Rizky Wicaksono, Hendik Yusuf, Bahreni