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All Journal Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Padjadjaran Jurnal Kesehatan Komunitas Jurnal Keperawatan Silampari Journal of Islamic Nursing Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Saelmakers PERDANA (JKSP) Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Jurnal JKFT Jurnal Keperawatan (JKEP) Jurnal Keperawatan dan Kesehatan Jurnal Ilmiah Kesehatan Jurnal Ilmiah Keperawatan Imelda Jurnal Kesehatan Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Babali Nursing Research MAHESA : Malahayati Health Student Journal Jurnal Pengabdian Masyarakat Saga Komunitas Kolaborasi Jurnal Pengabdian Masyarakat Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Proceeding Muhammadiyah International Public Health and Medicine Conference JHeS (Journal of Health Studies) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan dan Kesehatan (JKK) Jurnal Keperawatan Riset Informasi Kesehatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan Journal of Global Research in Public Health
Yani Sofiani
Universitas Muhammadiyah Jakarta
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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The Effect of Combined Music Therapy and Stress Ball on Pain During Vascular Access Cannulation in Hemodialysis Patients Fatma, Hindri Royiah; Azzam, Rohman; Yunitri, Ninik; Sofiani, Yani; shahroh, Yuni
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6215

Abstract

Hemodialysis remains the main therapy for patients with kidney failure. During the cannulation process, which is the insertion of a needle into a vascular access, hemodialysis patients often experience pain. The combination of music therapy and the use of stress balls is an example of a non-pharmacological intervention that can be used to overcome pain during cannulation. Objective to identify the effectiveness of the combination of music therapy and stress balls on pain in hemodialysis patients during the vascular access cannulation process. This study used a phased cross-over design, where each respondent received both treatments alternately. A total of 42 respondents were divided into two groups: the experimental group (n = 21) received music therapy and stress balls , while the control group (n = 21) received standard hospital therapy, namely deep breathing relaxation. Furthermore, the two groups exchanged treatments. The level of pain was measured using a VAS (Visual Analog Scale). The results showed that the combination of music therapy and stress balls was effective in reducing pain during the cannulation process, with significant changes in pain levels after insertion (p < 0.001). Cohen's d effect size of -0.632 indicates that combination therapy has a stronger effect in reducing pain than deep breathing relaxation therapy.
Enhancing Family Awareness of Stroke Warning Signs through Supportive Education in a Community Setting Latipah, Siti; Sofiani, Yani
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64514

Abstract

Introduction: Health education is a key nursing intervention for individuals, groups, or communities to address health issues and promote behavior change for better outcomes. In stroke management, it increases family knowledge of stroke signs and symptoms, helping prevent recurrence. Supportive education further strengthens understanding and awareness of early stroke warning signs, which is crucial to reducing the risk and severity of recurrent strokes. This study examined the relationship between the effectiveness of supportive education and family awareness of warning signs and symptoms in post-stroke patients. Method: A quantitative quasi-experimental pre- and post-design was applied without a control group and a cross-sectional approach. Purposive sampling was used based on inclusion and exclusion criteria. Using G*Power 3.1.9.4 with an effect size of 0.55 and 80% power, 22 participants were recruited. Data were analyzed using inferential statistics, including univariate analysis (frequency distribution) and bivariate analysis (Wilcoxon signed-rank test). The Stroke Recognition Questionnaire (SRQ) showed strong content validity, with a CVI of 0.90 for symptom items and 1.00 for risk factors. Ethical approval was obtained under reference number Un.01/F.10/KP.01.1/KE.SP/05.08.054/2025. Results: Among 22 stroke patients, 40.9% were aged over 65 years, and 72.7% were male. Hypertension was the most common risk factor (86.4%), and 68.2% had a prior stroke. The Wilcoxon test produced a p-value < 0.001, indicating significant improvement in family awareness after supportive education. Conclusion: Effective stroke care requires long-term, comprehensive family involvement with strong self-care skills to support recovery and prevent recurrence.
PENERAPAN TINDAKAN PROGRESSIVE MUSCLE RELAXATION (PMR) DAN DEEP BREATHING EXERCISES (DBE) UNTUK MENGATASI SESAK NAPAS PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DI RSUP PERSAHABATAN JAKARTA TIMUR Yanti Silaban, Nataria; Rayasari , Fitrian; Anggraini, Dewi; Sofiani, Yani; Santosa, Puji Raharja
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i1.1576

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a chronic lung disease with progressive, irreversible and partially reversible airway obstruction. COPD includes chronic bronchitis and emphysema, or a combination. COPD patients generally complain of continuous shortness of breath and this will result in a decrease in the patient's quality of life and as a result the patient will go back and forth to the hospital. To prevent this, it is necessary to do breathing exercises. The aim of implementing EBNP is to implement Progressive Muscle Relaxation (PMR) and Deep Breathing Exercises (DBE) interventions to change the shortness of breath response in COPD patients in the form of a randomized controlled trial with a pre-post-test design. The sampling technique uses G-Power version 3.1.9.7 with T-test, one tail, effect size 0.53, alpha error 0.05, and power 0.80, a minimum of 18 is required plus a possibility of error of 10%, so the number of patients needed in this study is 20 at Persahabatan Hospital, East Jakarta. The implementation of PMR actions with 13 (thirteen) movements and DBE with 6 (six) movements is carried out every day for 5 weeks, from May 15 to June 16 2023. Method: The study design in this research is a case study involving 40 respondents. Respondents were divided into two groups, namely 20 people in the PMR group and 20 people in the DBE group. Evaluation is carried out every week using the dyspnoe-12 instrument. Results: This application shows that there is a difference in the response to shortness of breath between before and after the PMR procedure (P value 0.001) and the DBE procedure (P value = 0.001). Conclusion: The application of EBNP recommends the need for nurses to carry out PMR and DBE interventions to change the shortness of breath response in COPD patients.
The Influence of Dhikr on Anxiety in Acute Coronary Syndrome (ACS) Patients at Dr. Chasbullah Abdulmadjid Hospital, Bekasi City Sulistiyowati, Heppy; Jumaiyah, Wati; Purnamawati, Dewi; Sofiani, Yani; Susanto, Budi; Prima, Ashar; Hamdah, Hamdah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.616

Abstract

Aims: This study was to determine the effect of dhikr on anxiety in ACS patients at Dr. Chasbullah Abdulmadjid General Hospital, Bekasi City. Methods: The research method used pre- and post-quasy experiments in the control group and the intervention group. This study used the HARS questionnaire and family support for 76 respondents. Result: Data analysis using multiple logistic regression tests The results showed that the proportion in the control group with mild-moderate anxiety was 31.6% and severe anxiety was 18.4%; the proportion in the intervention group with mild-moderate anxiety was 46.1% and severe anxiety was 3.9%. Dhikr (p = 0.006) and history of heart disease (p = 0.023) significantly influence anxiety after being controlled by age (p = 0.244) (p = 0.001 omnimbus). The dominant factor that influences anxiety is dhikr (OR 10.674).  Conclusions : Dhikr is an act of remembering Allah that can be used to reduce anxiety in SKA patients. This can be done independently by reading istigfar, tasbih, hauqalah, and takbir for 15 minutes in the morning and evening. Therefore, nursing services using dhikr as an effort to reduce anxiety in ACS patients.
The Effect of Bridging Exercise on Muscle Strength and Body Balance in Stroke Patients at National Brain Center Hospital Prof. DR. Mahar Mardjono East Jakarta Desvita, Eva; Sofiani, Yani; Yunitri, Ninik
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.654

Abstract

Aims:  The study aimed to determine the effect of bridging exercise on muscle strength and body balance in stroke patients at national brain center hospital Prof. DR. Mahar Mardjono East Jakarta. Methods: This study used experimental design aimed to test the application of bridging exercise to body balance and muscle strength in stroke patients. This study was conducted in one group with pre and post-test design. This study was conducted at National Brain Center hospital Prof. DR. Mahar Mardjono East Jakarta. The bridging exercise was conducted at 2-weeks, with light tp moderate intensity, three times a week, with 30 to 45 minutes every session. Results: The result of the statistical test with the Paired Samples t-Test P value resulted in 0.001. These result mean that bridging exercise has a significant effect on muscle strength in stroke patients with a mean difference of -0.63 (CI: -0.91-0.34) and a significantly improved the balance of patients with a mean difference of 17 (CI 12.1-21.9) and a high magnitude of effect (1.69). Conclusion: These result mean that bridging exercise has a significant effect on muscle strength in stroke patients.
Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.
Penerapan Evidence Base Nursing Practice Skrining Diabetic Sensorimotori Polineuropathy (DSPN) di UPT RSUD Labuang Baji Makassar Sakinah, Sri; Sofiani, Yani; Yunitri, Ninik
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18795

Abstract

ABSTRACT Diabetes Mellitus is a degenerative disease, if not treated properly it can have a negative impact on complications in various organ systems in the body (Syahid, 2021). One of the complications of diabetes that often occurs is neuropathy (nerve damage) in the feet which increases the incidence of foot ulcers, infections and even the need for foot amputation (Sianipar, 2023). The aim of this research is to prepare Standard Operating Procedures (SPO) for the implementation of EBNP regarding Diabetic Sensorimotor Polyneuropathy (DSPN) Screening in Type 2 Diabetes Mellitus patients. The number of respondents involved in implementing this EBNP was 14 people. In the implementation of EBNP, Diabetic Sensorimotor Polyneuropathy (DSPN) screening was carried out using the mTSN (Modified Toronto Clinic Score Neuropathy) instrument which aims to assess whether there are symptoms of neuropathy and no symptoms of neuropathy. DSPN screening is carried out based on Standard Operating Procedures (SOP). Based on the results of the two instrument tests between mTCSN and mNSI-E using the undercurve test, it can be concluded that the mTCSN instrument has a higher sensitivity value with a value of 0.909, while the sensitivity value for the mNSI-E instrument is smaller than the mTCSN instrument with a value of 0.571. So, to screen for neuropathy it is more effective to use the mTCSN instrument because the sensitivity score is higher. Keywords: Diabetes Mellitus, Screening, Polyneuropathy, DSPN  ABSTRAK Diabetes Melitus merupakan penyakit degeneratif bila tidak ditangani dengan baik dapat berdampak buruk menjadi komplikasi pada berbagai sistem organ dalam tubuh (Syahid, 2021). Salah satu komlikasi dari diabetes yang sering terjadi adalah Neuropati (kerusakan saraf) dikaki yang meningkatkan kejadian ulkus kaki, infeksi dan bahkan keharusan untuk amputasi kaki (Sianipar, 2023). Tujuan penelitian ini adalah tersusunnya Standar Prosedur Operasional (SPO) pelaksanaan EBNP tentang Skrining Diabetic Sensorimotori Polyneurophaty (DSPN) pada pasien Diabetes Melitus Tipe 2. Jumlah responden yang terlibat pada pelaksanaan EBNP ini adalah 14 orang. Pada pelaksanaan EBNP ini telah dilakukan skirining Diabetic Sensorimotori Polineuropathy (DSPN) dengan menggunakan instrumen mTSN (Modified Toronto Clinic Score Neuropathy) yang bertujuan untuk menilai ada gejala neuropati dan tidak ada gejala neuropati. Skrining DSPN dilakukan berdasarkan Standar Operasional Prosedur (SOP). Berdasarkan hasil kedua uji intrumen antara mTCSN dengan mNSI-E menggunakan uji undercurve, maka dapat disimpulkan, instrumen mTCSN memiliki nilai sensitivitas yang lebih tinggi dengan nilai 0.909, sedangkan nilai sensitivitas pada instrumen mNSI-E lebih kecil dari instrumen mTCSN dengan nilai 0.571. Maka, untuk melakukan skrining neuropathylebih efektif digunakan instrumen mTCSN karena skor sensitivitasnya lebih tinggi. Kata Kunci: Diabetes Mellitus, Skrining, Polyneurophaty, DSPN
Pengaruh Intervensi Terapi Musik terhadap Tingkat Kecemasan pada Pasien Stroke Murtini, Sri; Agung, Rizki Nugraha; Yunitri, Ninik; Sofiani, Yani; Silistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14372

Abstract

ABSTRACT Stroke often leads to psychological impacts, including high levels of anxiety in patients. Uncontrolled anxiety can worsen health and hinder recovery. Music therapy, a non-pharmacological intervention, has been proven effective in reducing anxiety in stroke patients. Untreated post-stroke anxiety can affect long-term treatment processes. Music therapy uses music to achieve psychological effects on individuals. Implementing evidence-based nursing practice (EBNP) involves developing standard operating procedures (SOPs) to reduce anxiety in stroke patients through music therapy. The data analysis method used was RM ANOVA. Pre-tests and post-tests were conducted on all respondents, and then the results were compared. The number of respondents involved in the music therapy implementation was 20 respondents plus 10% for dropout risk, making a total of 22 stroke patients at the National Brain Center Prof. Dr. Mahar Mardjono East Jakarta. The EBNP implementation was carried out for 20 days, with instrumental music therapy being listened to once a day for two weeks, with a duration of 30 minutes. The health workers involved were seventh-floor nurses who were responsible for patient data collection in the E-Record Medical Records of RS PON, for patients who met the inclusion and exclusion criteria that had been determined beforehand. Music therapy significantly reduces anxiety levels (p-Value <0.001) in stroke patients with a large effect (Cohen’s d = 0.86). Posthoc analysis using the Tukey method showed a significant difference in anxiety levels in stroke patients between baseline measurements, mid-intervention, and immediate post-treatment (p-Value <0.001). The highest average change occurred between baseline measurements and immediate post-treatment (MD 7.35; p-Value <0.001). Keywords: Stroke, Music Therapy, Anxiety  ABSTRAK Stroke seringkali menyebabkan dampak psikologis, termasuk kecemasan yang tinggi pada pasien. Kecemasan yang tidak terkontrol dapat memperburuk kesehatan dan menghambat pemulihan. Terapi musik, intervensi non-farmakologis, telah terbukti efektif mengurangi kecemasan pada pasien stroke. Kecemasan pasca stroke yang tidak diatasi dapat mempengaruhi proses pengobatan jangka panjang. Terapi musik digunakan untuk mencapai pengobatan  efek-efek psikologis pada individu. Melakukan perawatan berbasis bukti (EBNP) melibatkan pembuatan standar prosedur operasional (SPO) untuk mengurangi kecemasan pada pasien stroke melalui terapi musik. Metode analisis data yang digunakan adalah RM ANOVA. Pre test dan post test dilakukan pada seluruh responden, kemudian hasilnya dibandingkan. Jumlah responden yang terlibat dalam penerapan terapi musik adalah 20 responden ditambah 10% untuk risiko dropout, sehingga total 22 pasien Stroke di RS Pusat Otak Nasional Prof. Dr. Mahar Mardjono Jakarta Timur. Penerapan EBNP dilakukan selama 20 hari, dengan mendengarkan musik instrumental yang diberikan sekali sehari selama dua minggu, dengan durasi 30 menit. Tenaga kesehatan yang terlibat adalah perawat lantai tujuh yang berperan dalam pendataan pasien di E-Rekam Medik RS PON, untuk pasien yang sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Terapi musik secara signifikan mengurangi tingkat kecemasan (p-Value <0,001) pada pasien stroke dengan efek yang besar (Cohen’s d = 0,86). Analisis posthoc menggunakan metode Tukey menunjukkan perbedaan yang signifikan dalam tingkat kecemasan pada pasien stroke antara pengukuran baseline, mid intervention, dan immediate post-treatment (p-Value <0,001). Perubahan rata-rata tertinggi terjadi antara pengukuran baseline dan immediate post-treatment (MD 7,35; p-Value <0,001). Kata Kunci: Stroke, Terapi Musik, Kecemasan 
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 practice nursing program intradialytic flexsibility exercise range of mation terhadap fatigue pada pasien chronic kidney disease yang menjalani hemodialisa Barus, Sada Ukur; Agung, Rizki Nugraha; Septiawantari, Rani; Siswandi, Iyar; Sofiani, Yani
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.v19i8.1671

Abstract

Background: Chronic Kidney Disease (CKD) is one of the leading causes of global morbidity and mortality. Patients undergoing hemodialysis often experience fatigue, which significantly affects their quality of life, productivity, and psychological well-being. One of the non-pharmacological interventions that can be applied is intradialytic flexibility exercise in the form of range of motion (ROM). Purpose: To determine the effect of intradialytic flexibility exercise range of motion on fatigue levels among CKD patients undergoing hemodialysis. Method: A quasi-experimental study using a one-group pre-post test design was conducted from May to July 2025 at Al Ihsan Regional General Hospital, West Bandung. Purposive sampling was used to select 18 participants. The independent variable in this study was the Intradialytic Flexibility Exercise Range of Motion Program, while the dependent variable was the level of fatigue. Data analysis was performed using univariate analysis in the form of frequency distribution and bivariate analysis using the Cochran test. Translated with DeepL.com (free version) Results: Before the intervention, 77.8% of participants experienced severe fatigue. After 8 weeks of intervention, all participants (100%) showed a decrease in fatigue to a mild category. Statistical analysis indicated a significant difference in fatigue levels before and after the intervention (p < 0.05). Conclusion: Intradialytic flexibility exercise range of motion is effective in reducing fatigue levels among CKD patients undergoing hemodialysis. This intervention can be considered a non-pharmacological nursing strategy to improve patients’ quality of life.   Keywords: Chronic Kidney Disease; Fatigue; Hemodialysis; Intradialytic Exercise; Range of Motion.   Pendahuluan: Penyakit ginjal kronis (CKD) merupakan salah satu penyebab utama morbiditas dan mortalitas global. Pasien CKD yang menjalani hemodialisis sering mengalami kelelahan (fatigue) yang berdampak pada kualitas hidup, produktivitas, dan kesehatan mental. Salah satu intervensi non-farmakologis yang dapat diterapkan adalah intradialytic flexibility exercise berupa range of motion (ROM). Tujuan: Untuk mengetahui pengaruh penerapan intradialytic flexibility exercise range of motion terhadap tingkat kelelahan pada pasien CKD yang menjalani hemodialisa. Metode: Penelitian quasi experimental dengan metode one group pre-posttest design, dilaksanakan pada Mei-Juli 2025 di RSUD Al Ihsan, Bandung Barat. Teknik pengambilan sampel menggunakan purposivel sampling dengan jumlah sampel yang digunakan sebanyak 18 partisipan. Variabel independen dalam penelitian ini adalah Program Intradialytic Flexibility Exercise Range of Motion, sedangkan variabel dependen ialah tingkat kelelahan. Analisis data yang digunakan univariate dalam bentuk distribusi frekuensi dan bivariate menggunakan uji Cochran. Hasil: Sebelum intervensi, 77.8% partisipan mengalami fatigue berat. Setelah 8 minggu intervensi, seluruh partisipan (100%) mengalami penurunan tingkat fatigue menjadi kategori ringan. Hasil uji statistik menunjukkan adanya perbedaan signifikan tingkat fatigue sebelum dan sesudah intervensi (p < 0.05). Simpulan: Penerapan intradialytic flexibility exercise range of motion efektif menurunkan tingkat kelelahan pada pasien CKD yang menjalani hemodialisa.   Kata Kunci: Chronic Kidney Disease; Fatigue; Hemodialisa; Intradialytic Exercise; Range of Motion.
Co-Authors Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Agung Widiastuti Agung, Rizki Nugraha Agus Purnama Agus Purnama Aisy, Rifa Rohadatul Aisyah Aisyah Amrullah, Syahid Andini, Sandra Andry Sartika Anwar Wardi Anwar Wardi Anwar Wardy W Apri Budianto, Apri Ardiani, Kristi Ashar Prima Astuti, Medya Aprilia Astuty, Yeni Atlantic, Mia Azzahra, Sabrina Azzam, Rohman Barus, Sada Ukur Bayu Saputra Berniati Berniati Berniati, Berniati Besral . Beti Haerani Budiati, Dhiani Burmanajaya, Bram Dene Fries Sumah Desi Luanda Desvita, Eva Desy Anggraini Desy, Kemala Dewi Anggraini Dewi Purnamawati Dian Noviati Dian Noviati Kurniasih Dian Novita Diana Irawati Dluha Maf’ula Dwiyanto, Yusup Egi Mulyadi Elang Wibisana Erni Kurniasih Erwan Setiyono Erwin Erwin Erwin Erwin Eva Herawati fari, aniska indah Fatma, Hindri Royiah Fauziah, Hani Firdaus, Nuzula Fischa Awalin Fredy, Muhammad Khalid Hamdah, Hamdah Hani Fauziah Harwina Widya Astuti Hernani, Eny Hidayat Arifin Hidayat, Agus Samsul Ibrahim, Iksan Ida Yatun Khomsah Ikhsan Ibrahim Imansyah Abd Latif Ode Irawati, Diana Irawati, Diana Irma Puspita Arisanty Iyar Siswandi Iyar Siswandi Jaemi Janitra, Fitria Endah Jumaiyah, Wati Jumaiyah, Wati Kamil, Abdu Rahim Kemala Desy Kiki Rizki Amelia, Kiki Rizki kurniasari, septi Kurniasih, Dian Noviati Kustanti, Christina Yeni Latipah, Siti Leni Rosita Lofa, Priyo Hadi Prasetyo Luanda, Desi Lusiana Lusiana Lusiana Lusiana Maryani, Fenny Masykur Khair Melati Fajarini Moh. Heri Kurniawan Muhammad Hadi Muhammad Khalid Fredy Mulyatsih, MG Enny Natalia Suraningsih Natashia, Dhea Nathasia, Dhea Neneng Kurwiyah Ninik Yuniatri Ninik Yunitri Nugraha, Rizky NUR AINI Nur Wahyuni Munir Nuraeni Nuraeni Nurhayani, Yani Nurma Dewi Nuzula Firdaus Ohorella, Usman Barus Oktavina, Risa Pramono, Cahyo Purnamawati, Dewi Puspitasari, Nia Ayu Putri, Alifiani Rahmi Rahayu, Essih Rahim Kamil, Abdu Rahmasari, Ikrima Rayasari, Fitrian Rini Lestari Rita Sari Rizki Nugraha Agung Rostini, Heny Rukmana, Aip Sahriana Sahriana Sakinah, Sri Santosa, Puji Raharja Saputri, Dwirima Satriani Satriani Septian, Alnendi Septiawantari, Rani Serli Wulan Safitri Shahroh, Yuni Silistyorini, Cahyo Ismawati Siswahyudianto Siswandi, Iyar Siti Aminah SRI ATUN sri murtini . Sri Suryati Sri Utami Damayanti Sulistiyowati, Heppy Sulistyorini, Cahyo Ismawati Sumedi Sumedi Suriadi Jais Suryani Suryani Suryati Suhaemia Syahid Amrullah Tiara Octary Uswatul Khasanah Uswatun Hasanah Wariani, Wiwik Warongan, Wardy widya astuti Yanti Silaban, Nataria Yohanes Andy Rias Yuliarti Yuliarti Yunitri, Ninik Yuntiri, Ninik Yunus, Muhammad Iqbal Yusup Dwiyanto Zaki, Muhamad