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All Journal BIOLINK (Jurnal Biologi Lingkungan, Industri, Kesehatan) Jurnal Ilmu Keperawatan Manuju : Malahayati Nursing Journal JIK- JURNAL ILMU KESEHATAN Jurnal Maternitas Kebidanan Jurnal Keperawatan Priority Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Ners Mikki: Majalah Ilmu Keperawatan dan kesehatan Indonesia MAHESA : Malahayati Health Student Journal I Care : Jurnal Keperawatan STIKes Panti Rapih JURNAL MITRA PRIMA JUKESHUM: Jurnal Pengabdian Masyarakat Jurnal Multidisiplin Madani (MUDIMA) Edu Society: Jurnal Pendidikan, Ilmu Sosial dan Pengabdian Kepada Masyarakat International Journal of Health and Pharmaceutical (IJHP) Healthcaring: Jurnal Ilmiah Kesehatan Jurnal Keperawatan Jurnal Pengabdian Masyarakat dan Riset Pendidikan
Karmila Br. Kaban
Universitas Prima Indonesia
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Efektifitas Terapi Musik Terhadap Penurunan Kecemasan Pada Pasien Gagal Ginjal Kornik Yang Menjalani Hemodialisa di RSU Royal Prima Tahun 2025 Wilda Hani Roully; Emanuel Giovan Kabeakan; Debora Angelina Gulo; Nursaida Purba; Tantri Sonia Manullang; Karmila Br Kaban
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.v9i4.49623

Abstract

Background:Patients with chronic renal failure who receive hemodialysis treatment generally experience significant anxiety due to the long treatment process, discomfort, and lifestyle changes. Music therapy has been known to affect the autonomic and limbic nervous systems, potentially reducing anxiety. Purpose:The purpose of this study was to evaluate the effectiveness of using instrumental music in reducing anxiety in chronic renal failure patients undergoing hemodialysis procedures at RSU Royal Prima Medan in 2025. Method:The type of design applied in this research is quantitative quasi-experiment with pre test and post test measurement method without control group. A sample of 29 people was selected using accidental sampling technique. The intervention was instrumental music playback using earphones for 30-45 minutes every week. Anxiety measurement was carried out with the Hamilton Anxiety Rating Scale (HARS) at the pre- and post-intervention stages, then the results were analyzed through the Wilcoxon Signed-Rank test. Results:The results showed that before being given music therapy, most respondents (48.3%) experienced moderate anxiety levels. However, after the intervention, the majority of respondents (55.2%) no longer showed signs of anxiety. Based on the results of statistical tests, a p-value of 0.000 (p < 0.05) was obtained, which indicates a significant relationship between music therapy and anxiety reduction. Conclusion:Thus, it can be concluded that instrumental music therapy is effective in reducing anxiety in patients with chronic renal failure undergoing hemodialysis. This intervention can be used as a non-pharmacological alternative in nursing services to improve patient comfort and quality of life while undergoing hemodialysis therapy.
Hubungan Lama Menjalani Hemodialisa dengan Status Gizi Pada Pasien Gagal Ginjal Kronik di Rsu Royal Prima Medan Tahun 2025 Gabriella S. Pandiangan; Rosalina Pakpahan; Ruth Kristyanti Dakhi; Geby Laura Lastry Sinambela; Dinda Maharany; Karmila Br Kaban
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52171

Abstract

ABSTRAK Gagal Ginjal Kronik (GGK) didefinisikan sebagai penurunan fungsi ginjal bersifat permanen dan terus memburuk, yang umumnya membutuhkan intervensi terapi pengganti ginjal seperti hemodialisa. Terapi hemodialisa yang diterapkan dalam durasi yang lama mempengaruhi status gizi pasien akibat hilangnya zat gizi selama proses dialisis dan penurunan nafsu makan. Status gizi yang buruk dapat meningkatkan risiko morbiditas dan mortalitas pasien Gagal Ginjal Kronik (GGK) penelitian ini bertujuan mengetahui sejauh mana hubungan antara lama waktu hemodialisa dengan status gizi pasien GGK yang berada di RSU Royal Prima Medan periode 2025. Studi ini menggunakan desain cross-sectional dengan metode kuantitatif. Populasi riset terdiri dari 134 pasien GGK yang menjalani prosedur hemodialisa di rumah sakit yang sama. Pengambilan sampel dilakukan secara tidak sengaja (accidental sampling) dan menghasilkan 47 sempel. Untuk pengumpulan data, peneliti memanfaatkan rekam medis dan kuesioner, kemudian data tersebut dianalisis menggunakan uji statistik Chi-Square dengan tingkat kepercayaan 95% (α < 0,05) Hasil penelitian menunjukkan bahwa mayoritas responden menjalani hemodialisa selama >2 tahun sebanyak 22 orang (46,8%), sedangkan mayoritas status gizi responden tergolong gizi kurang sebanyak 25 orang (53,2%). Terdapat hubungan signifikan yang ditunjukkan oleh hasil uji statistik antara status gizi pasien GGK dan lama waktu mereka menjalani hemodialisa (p-value 0,000). Dapat disimpulkan, bahwa semakin lama pasien menjalani hemodialisa, semakin besar kemungkinan mengalami penurunan status gizi. Oleh karena itu, diperlukan pemantauan status gizi secara rutin dan intervensi nutrisi yang tepat bagi pasien yang telah lama menjalani terapi hemodialisa untuk menjaga kondisi gizi mereka. Kata Kunci: Gagal ginjal kronik, hemodialisa, lama menjalani hemodialisa, status gizi. ABSTRACT Chronic Kidney Failure (CKF) is a medical condition marked by the gradual and ongoing decline in kidney function and permanent decline in kidney function, which often requires renal replacement therapy such as hemodialysis. Long-term hemodialysis therapy can affect the patient's nutritional status due to the loss of nutrients during the dialysis process and decreased appetite. Suboptimal nutritional status among individuals suffering from Chronic Kidney Disease (CKD) heightens their susceptibility to both illness (morbidity) and death (mortality). This research was therefore conducted to assess the correlation between the length of time a patient receives hemodialysis and their nutritional state at Royal Prima Medan Hospital in 2025. The study employed a quantitative methodology with a cross-sectional design. The entire study population consisted of 134 chronic kidney failure patients undergoing hemodialysis at that facility. Using an accidental sampling technique, 47 respondents were successfully recruited. Data were collected via medical record review and questionnaires, and subsequently analyzed using the Chi-Square test at the 95% significance level (α< 0.05). The findings indicated that the majority of participants (22 individuals) had been on hemodialysis for over two years, while a separate majority (25 individuals) were concurrently classified as malnourished. Critically, the statistical analysis demonstrated A strong correlation was found between the length of time patients were on hemodialysis and their nutritional status (p-value = 0.000). The longer a patient undergoes hemodialysis, the greater the likelihood of experiencing a decline in nutritional status. Therefore, routine nutritional monitoring and appropriate nutritional interventions are necessary for patients undergoing long-term hemodialysis therapy to maintain their nutritional status. Keywords: Chronic kidney failure, hemodialysis, duration of hemodialysis, nutritional status.
Pengaruh Self Awareness Terhadap Kepatuhan Pemeriksaan KGD Pada Pasien Diabetes Melitus Tipe 2 di RSU Royal Prima Medan Tahun 2025 Endang Simangunsong; Vina Irma Sulistina; Lamsiana Lamsiana; Qania Anazsya Lubis; Desniar Pandiangan; Karmila Br Kaban
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52251

Abstract

Latar Belakang: Diabetes Melitus dikategorikan sebagai kondisi kesehatan jangka panjang (kronis) yang menuntut adanya manajemen diri yang baik, salah satunya dengan pemeriksaan kadar gula darah secara rutin. Kesadaran diri (Self Awareness) diduga berpengaruh terhadap kepatuhan mereka dalam menjalani pemeriksaan tersebut. Tujuan penelitian: menganalisis dampak Self Awareness (Kesadaran Diri) berkaitan dengan ketaatan pasien Diabetes Mellitus Tipe 2 dalam melaksanakan pemantauan (KGD) di RSU Royal Prima Medan, tahun 2025. Metode Penelitian: Studi ini mengaplikasikan pendekatan kuantitatif, khususnya dengan rancangan cross-sectional.Adapun hasilnya, dari total 44 subjek penelitian, ditemukan bahwa mayoritas partisipan memiliki tingkat Kesadaran Diri (Self Awareness) yang rendah, yaitu sebanyak 28 responden (63,6%) dan minoritas mengalami Self Awareness baik sebnayak 16 responden (36,4%). Kepatuhan pemeriksaan kadar gula darah yang tidak patuh sebanyak 27 (61,4%) dan patuh sebanyak 17 (38,6%). Hasil Chi-square didapatkan P-value sebesar 0,001 (<0,05) oleh karena itu, HO ditolak dan Ha diterima. Kesimpulan: tingkat Self Awarenesspasien kondisi Diabetes Melitus Tipe 2. mayoritas kesadaran kurang, serta memiliki pengaruh signifikan antara Self Awareness dengan Kepatuhan Pemeriksaan Kadar Gula Darah pada pasien Diabetes Melitus tipe 2 Kata kunci: Diabetes Mellitus tipe 2, Self Awareness, Kepatuhan Abstract Background: Diabetes Mellitus (DM) is defined as a long-term condition which leads to requires good self-management, one of which is through regular blood sugar level checks. Patient self-awareness is thought to influence their compliance with these checks. Research objective: This study aims to examine the influence of self-awareness on the compliance rate of blood sugar level checks among individuals Type 2 diabetes receiving ongoing care at Royal Prima General Hospital in Medan in 2025. Research Method: The investigation employed a quantitative approach with a cross-sectional study structure. Results: Self-Awareness among 44 respondents A strong prevalence of poor Self-Awareness level Based on the data collected from 44 individuals, the assessment of Self-Awareness indicated that most respondents were found to have insufficient Self-Awareness levels, with 28 respondents (63.6%), while a minority had good Self-Awareness levels, with 16 respondents (36.4%). Non-compliance with blood glucose level checks was found in 27 respondents (61.4%), while compliance was found in 17 respondents (38.6%). The Chi-square result yielded a P-value of 0.001 (<0.05), therefore, HO was rejected and Ha was accepted. Conclusion: The analysis determined that most patients with Type 2 Diabetes Mellitus (T2DM) at Royal Prima General Hospital in Medan exhibited poor self-awareness. Furthermore, a statistically significant relationship was established, showing that self-awareness directly influences compliance with regular blood sugar level monitoring among T2DM patients.
Hubungan Dukungan Pasangan dan Health Locus Of Control dengan Kepatuhan dalam Menjalani Terapi Hemodialisis pada Pasien Gagal Ginjal Kronis di RSU Royal Prima Medan Tahun 2025 Rindu Meynanti Pasaribu; Rolastiur Panjaitan; Tasya Sandhika Hutabarat; Griandani Zagoto; Kurunia Gea; Karmila Br Kaban
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52701

Abstract

Latar Belakang: Gagal Ginjal Kronis (GGK) adalah kondisi ginjal yang berlangsung selama lebih dari tiga bulan, yang menunjukkan anomali dalam struktur atau fungsi ginjal, serta penurunan laju filtrasi glomerulus baik bersamaan maupun tidak bersamaan. Karena perubahan structural dan fungsional yang terjadi pada ginjal, orang dewasa lebih rentan terhadap penyakit ginjal akut dan kronis. Konsep Health Locus of Control (HLOC) mengatakan bahwa dorongan seseorang untuk berperilaku tergantung pada lingkungannya dan dorongan dirinya sendiri. HLOC berfokus pada masalah berarti mengurangi emosi negative yang terkait dengan masalah. Pasangan sangat membantu orang yang mereka cintai yang sakit dalam rehabilitasi, perawatan, dan bantuan mereka. Tujuan: Untuk melihat adanya hubungan Health Locus of Control, terhadap kepatuhan dalam menjalani terapi hemodialisis pada pasien GGK. Metode: Penelitian ini menggunakan desain penelitian cross-sectional yang merupakan penelitian non-eksperimental. Populasi dalam penelitian ini yaitu seluruh pasien yang memiliki pasangan yang menderita penyakit GGK yang dirawat di RSU Royal Prima Medan. Sampel penelitian ini berjumlah 30 orang. Metode pengumpulan data menggunakan data primer dan sekunder. Data primer diperoleh dari observasi langsung terhadap pasien, sedangkan data sekunder diperoleh lewat kuesioner dan wawancara. Analisis data menggunakan uji Chi-Square. Hasil: Hasil analisis menggunakan Chi-Square diperoleh nilai p-value 0.028<0.05. Kesimpulan: Mayoritas pasien mendapat dukungan pasangan baik, HLOC tipe mandiri, dan patuh dalam menjalani terapi hemodialisis, terdapat hubungan signifikan antara dukungan pasangan dengan kepatuhan pasien dalam menjalani terapi hemodialisis, terdapat hubungan yang signifikan antara HLOC dengan kepatuhan pasien dalam menjalani terapi hemodialisis.
The Relationship Between Body Massage and Fatigue Patiens in The Hemodialysis Ward of Royal Prima Hospital 2025 Yohana Agnes Zebua; Ribka Juntri Yanti Dakhi; Foibe Kristin Br Situmeang; Bella Sakina Fitri; Rindu Hari Lestari; Karmila Br Kaban
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53558

Abstract

Patients undergoing hemodialysis therapy often experience fatigue, which can reduce physical ability and lower overall quality of life, as chronic kidney disease (CKD) is characterized by a gradual and irreversible deterioration in kidney function. Body massage is one of the many non-pharmacological treatments that is known to be successful in enhancing blood circulation and having a calming impact, which helps lower levels of weariness. The purpose of this study is to determine whether body massage might lessen fatigue in CKD patients receiving hemodialysis at Royal Prima General Hospital in Medan in 2025. In this study, two groups (intervention and control) were subjected to a pre-test and post-test using a quasi-experimental methodology. Using a saturation sampling technique, 50 respondents from the intervention group and 50 from the control group made up the sample of 100 respondents. The weariness Assessment Scale (FAS) was used to gauge the degree of weariness, and the Wilcoxon Signed-Rank Test was used to evaluate the results. Fatigue levels significantly decreased following the intervention, according to statistical analysis (p=0.000; p<0.05). These results show that regular body massage helps CKD patients receiving hemodialysis feel less exhausted. Therefore, for CKD patients receiving hemodialysis, body massage is advised as an additional therapy.
Efektivitas Latihan Exercise Walking Untuk Meningkatkan Kualitas Tidur Terhadap Lansia Yang Mengalami Diabetes Melitus di Panti Jompo Yayasan Guna Budi Bakti Medan Tahun 2025 Faarozatulo Ndruru; Dwi Apriani Anjarina; Nency Purmaya Mendrofa; Rosa Elisabeth Hutapea; Grasia Maharani Manik; Karmila Br Kaban
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53936

Abstract

Diabetes mellitus adalah kondisi metabolik jangka panjang yang ditandai dengan peningkatan kadar glukosa darah yang berkelanjutan. Ketersediaan terus-menerus dari opsi terapi yang efektif dan terjangkau, termasuk terapi insulin, memainkan peran krusial dalam menjaga kesehatan dan fungsi sehari-hari pada individu yang terkena diabetes. Salah satu manifestasi yang sering dilaporkan dari diabetes mellitus adalah nokturia, yang dapat mengganggu siklus tidur normal dan berdampak negatif pada kualitas tidur secara keseluruhan. Kualitas tidur yang buruk sering dikaitkan dengan gangguan endokrin dan metabolik, termasuk intoleransi glukosa, resistensi insulin, dan penurunan produksi insulin. Latihan berjalan dianggap sebagai strategi non-farmakologis yang praktis yang berpotensi meningkatkan kualitas tidur melalui relaksasi fisiologis dan peningkatan tekanan tidur homeostasis. Aktivitas berjalan yang konsisten mendukung pengeluaran energi, merangsang sekresi endorfin, dan menimbulkan perubahan termoregulasi yang dapat memfasilitasi onset dan kontinuitas tidur. Penelitian ini dilakukan untuk menilai dampak latihan berjalan kaki terhadap kualitas tidur pada individu lanjut usia yang didiagnosis menderita diabetes mellitus. Desain kuasi-eksperimental kuantitatif dengan pendekatan pretest–posttest satu kelompok digunakan dalam penelitian ini. Penelitian ini melibatkan 55 peserta yang memenuhi kriteria inklusi yang telah ditentukan dan direkrut menggunakan metode sampling total. Analisis statistik dilakukan menggunakan uji Wilcoxon signed-rank. Hasil penelitian menunjukkan adanya perbaikan yang signifikan secara statistik pada kualitas tidur setelah intervensi latihan berjalan kaki, sebagaimana tercermin dari nilai p sebesar 0.000. Dari total peserta, 42 responden (76,4%) mengalami perbaikan kualitas tidur setelah menyelesaikan program berjalan kaki yang dijadwalkan.
Co-Authors A.A. Ketut Agung Cahyawan W Agfornidar Zalukhu Agnes Gulo Agustina, Siska Alpiani Alpiani Ambarita, Sarah Emma Tiovani Anastasya Beatrick Andriyanto Andriyanto Anggraini Maulidiya Sary Aritonang, Murni Armia - Audible, Dea Aulia, Febri Nanda Ayu Darman Halawa Aziva Zahrianis Bella Sakina Fitri Betty Nurmala Samosir Bohalima, Kharisman Brahmana, Elkana Pramujaya Buliato Zebua Chelsea Paulina Duha Cheriza Addara Chrismis Novalinda Ginting Cristine Welga Cut Kanza Lindia Sari Daeli, Ivan Kristian Dakhi, Tio Yohana Renatalis Debora Angelina Gulo Debora, Trionyta Delfiana Zamili Desniar Pandiangan Dian Ari Fransisca Diana, Cut Dinda Maharany Diyan Marsella Sirait Dwi Apriani Anjarina Eben Haezer Harefa Eka Della Muhaningsyah Elis Anggeria Emanuel Giovan Kabeakan Endang Simangunsong Erna Elfrida Naiborhu Eva Latifah Nurhayati Eva Nurzannah Hutabarat Faarozatulo Ndruru Fandu, Bonay A.M Fanny, Ananda Fitriani Lubis Flora Marbun Foibe Kristin Br Situmeang Futri, Andini Amelia Gabriella S. Pandiangan Geby Laura Lastry Sinambela Giawa, Nirmala Putri Ayuningsih Ginting, Chrismis Novalinda Grasia Maharani Manik Griandani Zagoto Gulo, Legisnaria Gulo, Surya Kristiani Gusti Susanti Telaumbanua Hacki, Tio Abdul Halawa, Kurniawati Harefa, Perdamaian Harefa, Ria Juwinta Helen Triwati Ziraluo Hengki Sirait Hia, Zami Nirma okterina Hotmaria Simanullang Hutagaol, Priscillia Margaretta Hutapea, Dwight Mahaputera Marulitua Ibrahasan Hulu Irfan Harefa Istiqomah Istiqomah Iswadi Jakasmir Girsang Julia Yosida Damanik Julimanto Hia Juniati Simanjuntak Junita Silaban Juwita Imelda Telaumbanua Kaniya, Putri Karmelinda, Karmelinda Kezia Chaterine Hasibuan Khairullah Khairullah Kharisman Bohalima Kristina L Silalahi Kurunia Gea Laia, Yulisry Imelda Lamsiana Lamsiana Laoly, Marnesry Rahmat Kristin Leny Kreativitas Zebua M. Rizky Ma’ruf Manalu, Ester Y.R Manalu, Filius Gratcia Marbun, Eva Kristin Marbun, Yesa Meliana Margareta Pratiwi MARIA BINTANG Maria Ulfa Marlina Manurung Melati Hutagalung Miftahul Jannah Mikha Lamtiur Sihaloho Monica Clara Siregar Muhammad Luthfi Muhammad Thob Dhiya’ul Haq Nasution, Anggina Putri Nasution, Rizki Syadiyah Ndraha, Herti Wahyu Ningsih Ndruru, Regina Desni Ndururu, Jerniwati Nency Purmaya Mendrofa Novia, Deka Novika Dinda Pratiwi Novita Indenada Br. Tarigan Novita K. Rambe Nur'aini, Nur'aini Nurhayatika Sidabutar Nurlela Petra Saragih Nurmasyitah Nursaida Purba Nurul Amirah Tamimi Patricia Saragih Peringati Waruwu Priscilia Ursula Rumondang Aruan Purba, Monica Nysia Qania Anazsya Lubis Rael Malia Putri Wau Ramadhani Ramadhani Ribka Juntri Yanti Dakhi Rindu Hari Lestari Rindu Meynanti Pasaribu riswanto riswanto Rolastiur Panjaitan Rosa Elisabeth Hutapea Rosalina Pakpahan Ruth Kristyanti Dakhi S. Cristin Tambunan Safira Firyaal Saniyyah Aribah Dhilla Br. Sitohang Sanofa, Helena Santri, Heirika Satria, Mhd Yuda Selnia, Emika Seprina, Seprina Septi Cahyani Laowo Setiawan, Ika Siburian, Lilis Suryani Sihombing, Agustina Sihombing, Melisa Silalahi, Kristina L Simangunsong, Rina Kristina Simanjuntak, Melati Silvia Simanullang , Hotmaria Siregar, Monica Clara Sitepu, Marinta Br Siti Aisyah Siti Basyariah Situmorang Sitohang, Agnesia Sitompul, Mutiara Rolika Putri Situmorang, Tio Roganda Sondang Selviana Silitonga Stella Anjuliani Sihite Suci Christin Zega Sunarti Sunarti Surpan Manto Situmorang Syahrullah Pohan, Muhammad Syukur Selamat Waruwu Tantri Sonia Manullang Tarigan, Dewi Sartika Br Tasya Sandhika Hutabarat Telaumbanua, Juwita Imelda Theresia Theresia Tiarnida Nababan Tommy Syahputra Pardede Triono, Heru Bambang Tuju, Alfando Uci Silalahi Vania Almira Vina Irma Sulistina Waruwu, Dian Souvenir Waruwu, Idaman Hati Wiajeng Mustikah Wilda Hani Roully Winarti Winarti Yantriani Talunohi Yemima Sahputri Nadeak Yohana Agnes Zebua Yolanda Valeri Yusmar Christianto Zai Zahra, Khairani Zai, Yusmar Christianto Zeta Silaban