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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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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.
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.
Efektivitas latihan ankle pump terhadap pencegahan neuropati perifer pada pasien diabetes mellitus tipe 2 Sari, Rita; Sofiani, Yani; Yunitri, Ninik; Kurniasari, Septi
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.v19i9.1565

Abstract

Background: Introduction: Peripheral neuropathy is one of the most common chronic complications in patients with type 2 diabetes mellitus (DM) and carries a risk of diabetic ulcers and amputation. One non-pharmacological intervention that can be used is ankle pump exercises to improve peripheral circulation. Purpose: To evaluate the effectiveness of ankle pump exercises in preventing peripheral neuropathy in patients with type 2 diabetes mellitus. Method: This study used an Evidence-Based Nursing Practice (EBNP) approach with a pre-post quasi-experimental design. A total of 15 participants were selected using purposive sampling based on inclusion criteria. The ankle pump intervention was carried out for 4 weeks, twice daily, for 10 minutes each time. Data were analyzed using univariate tests and paired t-tests. Results: The prevalence of neuropathy decreased from 67% to 40% after the intervention. The paired t-test showed a p-value of 0.024 (p<0.05), indicating a significant difference before and after the intervention. Conclusion: Ankle pumps are effective in improving peripheral circulation and reducing neuropathy symptoms. Suggestion: This intervention is expected to be integrated into preventive nursing practice and patient education.   Keywords: Ankle Pump; Peripheral Neuropathy; Type 2 Diabetes Mellitus.   Pendahuluan: Neuropati perifer merupakan salah satu komplikasi kronis yang paling sering terjadi pada pasien diabetes mellitus (DM) tipe 2 dan berisiko menyebabkan ulkus diabetikum hingga amputasi. Salah satu intervensi nonfarmakologis yang dapat digunakan adalah latihan ankle pump untuk meningkatkan sirkulasi perifer. Tujuan: Untuk mengevaluasi efektivitas latihan ankle pump terhadap pencegahan neuropati perifer pada pasien diabetes mellitus tipe 2. Metode: Penelitian ini menggunakan pendekatan Evidence-Based Nursing Practice (EBNP) dengan desain quasi-experiment pre-post. Sebanyak 15 partisipan dipilih dengan purposive sampling sesuai kriteria inklusi. Intervensi ankle pump dilakukan selama 4 minggu, dua kali sehari, masing-masing 10 menit. Data dianalisis menggunakan uji univariat dan paired t-test. Hasil: Prevalensi neuropati menurun dari 67% menjadi 40% setelah intervensi. Uji paired t-test menunjukkan nilai p=0.024 (p<0.05), menandakan adanya perbedaan signifikan sebelum dan sesudah intervensi. Simpulan: Ankle pump efektif dalam meningkatkan sirkulasi perifer dan mengurangi gejala neuropati. Saran: Diharapkan intervensi ini diintegrasikan dalam praktik keperawatan preventif dan edukasi pasien.   Kata Kunci: Ankle Pump; Diabetes Mellitus Tipe 2; Neuropati Perifer.
Penerapan evidence-based practice aktivitas jalan kaki terhadap penurunan kadar gula darah pada diabetisi Nurhayani, Yani; Sofiani, Yani; Yunitri, Ninik
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.v19i9.1708

Abstract

Background: The prevalence of diabetes mellitus (DM) increases annually. Uncontrolled blood sugar levels can lead to various complications. DM management is known to be based on five pillars: diet, pharmacological treatment, physical activity, education, and blood sugar monitoring. One of the pillars of effective type 2 DM management is physical activity. Recommended physical activities include gymnastics, leisurely cycling, jogging, swimming, and walking. Physical activities such as walking are beneficial for improving insulin sensitivity, maintaining physical fitness, and can help lower blood sugar. Purpose: To determine the effect of evidence-based walking training (EBNP) on reducing blood sugar levels in people with diabetes. Method: The implementation of evidence-based walking training (EBNP) was experimental with a pre-posttest design, involving 12 participants. The physical activity, which consisted of walking, was performed by people with diabetes for 3 minutes every 30 minutes for 7 hours. Blood sugar levels were measured before and after the physical activity. Results: The mean difference between fasting and post-EBP blood glucose levels was 6.08 with a standard deviation of 57.429 g% and a p-value of 0.721, indicating no significant difference between fasting and post-EBP blood glucose levels. Meanwhile, the mean difference between fasting and post-EBP blood glucose levels was 24.75 mg/dl with a standard deviation of 38.558 g%. The statistical test yielded a p-value of 0.048, indicating a significant difference between 2-hour postprandial blood glucose levels and those after EBP implementation. Conclusion: There was no significant difference between fasting blood glucose levels before and after EBNP implementation (p = 0.721). However, there was a significant difference in 2-hour postprandial blood glucose levels (p = 0.048), indicating that walking can reduce postprandial blood glucose levels.   Keywords: Blood Sugar Levels; Evidence-Based Practice; People with Diabetes; Walking Activity.   Pendahuluan: Prevalensi penyakit diabetes melitus (DM) semakin meningkat setiap tahunnya. DM yang tidak terkontrol kadar gula darahnya dapat menyebabkan berbagai komplikasi. Pengelolaan penyakit DM disebut dengan lima pilar meliputi diet, pengobatan farmakologi, aktivitas fisik, edukasi, dan monitor kadar gula darah. Salah satu pilar dalam pengelolaan DM tipe 2 yang efektif yaitu aktivitas fisik. Aktivitas fisik yang telah direkomendasikan meliputi senam, bersepeda santai, jogging, berenang, dan jalan kaki. Aktivitas fisik seperti jalan kaki bermanfaat untuk memperbaiki sensitivitas insulin, menjaga kebugaran tubuh, dan dapat membantu dalam menurunkan gula darah. Tujuan: Untuk mengetahui pengaruh evidence-based practice aktivitas jalan kaki terhadap penurunan kadar gula darah pada diabetisi. Metode: Penerapan evidence-based practice (EBNP) ini bersifat eksperimen menggunakan design pre-post test dengan jumlah sampel sebanyak 12 partisipan. Aktivitas fisik berupa jalan kaki dilakukan oleh diabetisi selama 3 menit setiap 30 menit dalam waktu 7 jam. Diabetisi dilakukan pengukuran kadar gula darah sebelum dan sesudah aktivitas fisik. Hasil: Nilai mean perbedaan antara pemeriksaan kadar glukosa darah puasa dan kadar glukosa darah setelah penerapan EBP adalah 6.08 dengan standar deviasi 57.429 gr% dan p value sebesar 0.721, menunjukkan tidak ada perbedaan yang signifikan antara pemeriksaan kadar glukosa darah puasa dan kadar glukosa darah setelah penerapan EBP. Sementara itu, nilai mean perbedaan antara pemeriksaan kadar glukosa darah puasa dan kadar glukosa darah setelah penerapan EBP adalah 24.75 mg/dl dengan standar deviasi 38.558 gr%. Hasil uji statistik didapatkan p value 0.048, menunjukkan bahwa ada perbedaan yang signifikan antara pemeriksaan kadar glukosa darah 2 jam post prandial dan kadar glukosa darah setelah penerapan EBP. Simpulan: Tidak terdapat perbedaan signifikan antara kadar glukosa darah puasa sebelum dan sesudah penerapan EBNP (p = 0.721). Namun, terdapat perbedaan signifikan pada kadar glukosa darah 2 jam post prandial (p = 0.048), sehingga aktivitas fisik jalan kaki terbukti berpengaruh terhadap penurunan kadar glukosa darah setelah makan.   Kata Kunci: Aktivitas Jalan Kaki; Diabetisi; Evidence-Based Practice; Kadar Gula Darah.
Pengaruh nostril breathing terhadap depresiasi tekanan darah pada orang dengan hipertensi usia produktif Zaki, Muhamad; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.2043

Abstract

Background: Uncontrolled hypertension over a long period of time can lead to heart attacks, strokes, chronic heart failure (CHF), and chronic renal failure (CRF). The prevalence of hypertension in Indonesia's productive-age population is 13.2%, 20.1%, 31.6%, 45.3%, and 55.2%, among those aged 25-34. One non-pharmacological treatment that can be used to lower blood pressure in hypertensive patients is Nostril Breathing. Purpose: To determine the effect of nostril breathing on blood pressure depression in people with hypertension of productive age. Method: This quantitative quasi-experimental study, with pre- and post-tests without a control group, used a cross-sectional approach. This study was conducted at Astra Insurance Jakarta in August 2025 for 5 days, measuring blood pressure before and after the intervention in 40 participants with hypertension. Data analysis used repeated measures ANOVA at a p-value of 0.002 (<0.05). Results: The average systolic blood pressure before the intervention on day 1 was 151.18 ± 7.26, while the average diastolic blood pressure on day 1 before the intervention on the first day was 85.28 ± 6.91. In the next measurement, the average systolic blood pressure after the intervention on day 5 was lower than the previous days, at 133.63 ± 6.13. Meanwhile, the average diastolic blood pressure after the intervention on day 5 was lower than the previous days, at 82.63 ± 4.08. Conclusion: There is an effect of nostril breathing on blood pressure in people with hypertension, marked by a decrease in blood pressure with a p-value = 0.000 (<0.05). Suggestion: For future researchers, to further examine risk factors that influence the degree of hypertension, such as age and obesity, develop nursing interventions through experimental research, for example, the effect of health education on sleep quality on reducing blood pressure, employee behavior such as lack of physical activity, obesity, smoking, coffee consumption, and personality type.   Keywords: Blood Pressure; Hypertension; Nostril Breathing.   Pendahuluan: Hipertensi yang tidak terkontrol dalam waktu yang lama akan menyebabkan serangan jantung, stroke, chronic heart failure (CHF), dan chronic renal failure (CRF). Prevalensi hipertensi penduduk usia produktif di Indonesia pada umur 18-24 tahun sebesar 13.2%, umur 25-34 tahun sebesar 20.1%, umur 35-44 tahun sebesar 31.6%, umur 45-54 tahun sebesar 45.3%, dan umur 55-64 tahun sebesar 55.2%. Salah satu penatalaksanaan non farmakologis yang dapat dilakukan untuk menurunkan tekanan darah pada pasien hipertensi adalah Nostril Breathing. Tujuan: Untuk mengetahui pengaruh nostril breathing terhadap depresiasi tekanan darah pada orang dengan hipertensi usia produktif. Metode: Penelitian kuantitatif quasy experiment dengan pre and post without control group menggunakan pendekatan cross-sectional. Penelitian ini dilakukan di Asuransi Astra Jakarta pada bulan Agustus 2025 selama 5 hari dengan mengukur tekanan darah sebelum dan sesudah intervensi kepada 40 partisipan dengan hipertensi. Analisis data yang digunakan adalah menggunakan repeated measure ANOVA pada ketetapan p-value 0.002 (< 0.05). Hasil: Rata-rata tekanan darah sistole sebelum intervensi pada hari ke-1 adalah 151.18 ± 7.26, sedangkan rata-rata tekanan darah diastole hari ke-1 sebelum intervensi pada hari pertama adalah sebesar 85.28 ± 6.91. Pada pengukuran berikutnya didapatkan hasil rata-rata tekanan darah sistole sesudah intervensi pada hari ke-5 lebih rendah dari hari-hari sebelumnya, sebesar 133.63 ± 6.13. Sementara itu, rata-rata tekanan darah diastole sesudah intervensi pada hari ke-5 lebih rendah dari hari-hari sebelumnya, sebesar 82.63 ± 4.08. Simpulan: Terdapat pengaruh nostril breating terhadap tekanan darah pada orang dengan hipertensi, ditandai adanya penurunan tekanan darah dengan p-value = 0.000 (<0.05). Saran: Bagi peneliti selanjutnya untuk meneteliti lebih lanjut faktor risiko yang memengaruhi derajat hipertensi, seperti usia dan obesitas kembangkan intervensi keperawatan melalui penelitian eksperimen, misalnya pengaruh penyuluhan kesehatan tentang kualitas tidur terhadap penurunan tekanan darah. perilaku pegawai seperti kurangnya aktivitas fisik, obesitas, merokok, konsumsi kopi, dan tipe kepribadian.   Kata Kunci: Hipertensi; Nostril breathing; Tekanan darah.
Determinan Self Care Pasien Penyakit Jantung Koroner Setelah Intervensi Koroner Perkutan: Determinan Self Care Pasien Penyakit Jantung Koroner Setelah Intervensi Koroner Perkutan Erni Kurniasih; Wati Jumaiyah; Dewi Purnamawati; Yani Sofiani; Erwin Erwin
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47105

Abstract

The intervention for coronary heart disease (CHD) is myocardial reperfusion with percutaneous coronary intervention (IKP). However, after the IKP procedure, there is a risk of recurrent myocardial infarction and so restenosis, self-care is an important part in efforts to improve the quality of life of patients who have undergone IKP. This study aims to identify the determinants of self-care in patients undergoing IKP. The research design used a cross-sectional survey on 300 respondents who were taken by consecutive sampling technique at the Heart Polyclinic at Hermina Bekasi Hospital. The study used the SC-CHDI (self-care coronary heart disease inventory) questionnaire, the CADE-Q SV (Coronary Artery Disease Education Questionnaire Short Version) questionnaire and the family support questionnaire. The results showed that factors related to self-care were gender (p=0.000), education (p=0.000), length of IKP (p=0.165), occupation (p=0.000), income (p=0.000), knowledge (p=0.000) and family support (p=0.000). Meanwhile, in multivariate analysis, the most dominant factor with self-care is family support (p=0.000) with OR 6.724. Respondents who have high family support have more adequate self-care. The implication in nursing is to provide education according to the needs of patients by identifying educational needs beforehand and involving families in providing education.
Determinan Terbentuknya Epibole (Rolled Under Epithelial) Pada Penyembuhan Ulkus Kaki Diabetik Irma Puspita Arisanty; Yani Sofiani; Rizki Nugraha Agung; Fitrian Rayasari; Dian Noviati Kurniasih
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49253

Abstract

Introduction: Diabetic foot ulcers (wounds) are chronic ulcers that require special treatment, one of which is to ensure that the wound edge epithelialization process goes well. Epibole is a wound edge complication where the epithelium rolls downward, preventing wound closure. Methods: This study is a cross sectional observation with a conscusive sampling method in diabetikic foot ulcer patients. Results: Statistical analysis of this study showed the incidence of epibole in diabetic foot ulcers was 18.3% (N=93) and showed no significant relationship between the characteristics of respondents, ulcer characteristics with the incidence of epibole in diabetic foot ulcers. Multivariate analysis showed that the determinant factor of epibole formation in diabetic foot ulcer healing was wound age with an OR value of 5.566. Chronic wounds aged ≥ 21 days have the characteristic of keratinocytes (epithelialization) that slow down (do not migrate) so that epibole is formed and the wound is difficult to close. Recommendation: The occurrence of epibole should be identified as soon as posible, so that it can be treated immediately and accelerate wound re-epithelial or closure.
Terapi musik efektif menurunkan kecemasan pada pasien penyakit ginjal kronis yang menjalani pemasangan akses vena Budianto, Apri; Agung, Rizki Nugraha; Siswandi, Iyar; Sofiani, Yani; Andini, Sandra
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.v19i12.2417

Abstract

Background: Anxiety in patients with chronic kidney disease (CKD) is not only a psychological problem but also a serious clinical threat because it triggers hemodynamic instability. When patients experience intense anxiety before an invasive procedure such as double-lumen catheter (DLU) placement, the sympathetic nervous system is activated, increasing blood catecholamine levels, leading to spikes in blood pressure and tachycardia. This condition is particularly risky for CKD patients who already have cardiovascular complications. Several factors can trigger anxiety and depression in hemodialysis patients, including frequent comorbidities, frequent hospitalizations, new experiences with invasive procedures, chronic pain, sleep disturbances, chronic inflammation, increased fatigue, decreased sexual function, uremia, and lack of family support in daily life. Purpose: To determine the effectiveness of music therapy in reducing anxiety in patients with chronic kidney disease undergoing venous access placement. Method: This study used an evidence-based nursing practice (EBNP) approach with a quasi-experimental pre-post-test design, conducted on 14 participants selected through purposive sampling based on inclusion criteria. Music therapy was administered during the venous access/CDL surgical procedure for 30 minutes. Anxiety was measured using the HARS and VAS questionnaires. Data were analyzed using univariate and bivariate tests, including paired t-tests and Wilcoxon tests. Results: The prevalence of anxiety decreased from 60% to 40%, with HARS and VAS measurements decreasing from 48% to 43% after the intervention. The paired t-test and Wilcoxon test showed p-values ​​of 0.01 and 0.00, respectively. Conclusion: Music therapy can reduce anxiety in hemodialysis participants. Applied systematically and supported by scientific evidence, music therapy has a positive effect on anxiety in patients with chronic kidney disease (CKD) undergoing venous access. Suggestion: Further exploration of the physiological and psychological mechanisms of music therapy is needed, as well as consideration of other factors, such as pain, sleep quality, depression levels, and medication adherence, which may influence anxiety levels in hemodialysis patients undergoing first-time venous access.   Keywords: Anxiety; Chronic Kidney Disease Patients; Music Therapy; Venous Access Insertion.   Pendahuluan: Kecemasan pada pasien Penyakit Ginjal Kronis (PGK) bukan sekadar masalah psikologis, melainkan ancaman klinis yang serius karena memicu instabilitas hemodinamik. Saat pasien mengalami kecemasan hebat menjelang tindakan invasif seperti pemasangan catheter dual lumen (CDL), sistem saraf simpatis akan teraktivasi, meningkatkan kadar katekolamin dalam darah yang berujung pada lonjakan tekanan darah dan takikardia. Kondisi ini sangat berisiko bagi pasien PGK yang sudah memiliki komplikasi kardiovaskular. Beberapa faktor yang bisa memicu kecemasan dan depresi pada pasien hemodialisis, antara lain penyakit penyerta yang sering timbul, seringnya dirawat di rumah sakit, pengalaman baru terhadap tindakan invasif, nyeri kronik, gangguan tidur, peradangan kronik, peningkatan kelelahan, penurunan fungsi seksual, uremia, dan kegagalan dukungan keluarga dalam kehidupan sehari-hari. Tujuan: Untuk menerapkan terapi musik efektif menurunkan kecemasan pada pasien penyakit ginjal kronis yang menjalani pemasangan akses vena. Metode: Penelitian ini menggunakan pendekatan evidence-based nursing practice (EBNP) dengan desain quasi-experiment pre-posttest, dilakukan pada 14 partisipan terpilih berdasarkan purposive sampling sesuai kriteria inklusi. Terapi musik diberikan selama proses operasi pemasangan akses vena/CDL selama 30 menit, kecemasan diukur menggunakan kuesioner HARS dan VAS. Data dianalisis menggunakan uji univariat dan bivariat dengan uji paired t-test dan uji Wilcoxon. Hasil: Prevelansi tingkat kecemasan 60% menurun menjadi 40% dengan pengukuran HARS dan VAS 48% menurun menjadi 43% setelah intervensi. Uji paired t-test dan Uji wilcoxon menunjukkan nilai p=0.01 dan p=0.00. Simpulan: Terapi musik dapat menurunkan kecemasan pada partisapan hemodialisis, diaplikasikan secara sistematis dan didukung oleh bukti ilmiah untuk menurunkan kecemasan terapi musik memiliki efek positif terhadap kecemasan pasien penyakit ginjal kronis yang menjalani pemasangan akses vena. Saran: Perlu mengeksplorasi lebih jauh mekanisme fisiologis maupun psikologis dari penerapan terapi musik, serta mempertimbangkan faktor-faktor lain, seperti nyeri, kualitas tidur, tingkat depresi, dan kepatuhan terhadap pengobatan yang mungkin berpengaruh terhadap tingkat kecemasan pada pasien hemodialis yang akan menjalani pemasangan akses vena pertama kali.   Kata Kunci: Kecemasan; Pasien Penyakit Ginjal Kronis; Pemasangan Akses Vena; Terapi Musik.
Co-Authors Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Agung Widiastuti Agung, Rizki Nugraha 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 Desi Luanda Desvita, Eva Desy Anggraini Desy, Kemala Dewi Anggraini Dewi Purnamawati Dian Noviati Dian Noviati Kurniasih Dian Novita Diana Irawati 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 Hernani, Eny Hidayat Arifin Hidayat, Agus Samsul 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 Siswandi, Iyar Siti Aminah SRI ATUN sri murtini . Sri Suryati Sri Utami Damayanti Sulistiyowati, Heppy Sulistyorini, Cahyo Ismawati Sumah, Dene Fries Sumedi Sumedi Suriadi Jais Suryani Suryani Suryati Suhaemia Syahid Amrullah Tiara Octary Uswatul Khasanah 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