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Hipervolemia dan Keletihan pada Pasien Chronic Kidney Disease Stage 5: Sebuah Studi Kasus Sari, Yuyun Kartika; Sari, Eka Afrima; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.10878

Abstract

ABSTRACT Chronic kidney disease leads to a progressive decline in kidney function. A decrease in kidney function leads to water and sodium retention, which subsequently causes hypervolemia. Mr. N came with complaints of shortness of breath to the hospital; the patient has undergone hemodialysis five times. In the process of examination, the presence of peripheral edema, pulmonary edema, and shortness of breath was found to be characterized by rapid and shallow breathing. According to the case, there was a problem of hypervolemia and fatigue in Mr. N. The aim of this study is to explore the application of nursing care in patients with chronic kidney disease stage 5 with hyperbolemia and fatigue. The method used is a case study descriptive of nursing care provision systematically starting from the examination, determination of diagnosis, planning, implementation, and evaluation of nurse care. The course was carried out for three days in a collaborative and independent manner. General interventions performed include hypervolemia management consisting of fluid restriction; edema and jugular venous pressure monitoring; interdialytic weight gain calculation; fluid intake and output control; monitoring of urea and creatinine levels; as well as co-administration of furosemide and hemodialysis. General interventions to overcome fatigue performed by giving semi-fowler positions; deep breathing relaxation; oxygen therapy; transfusion packed red cells, and relaxation foot massage. After the evaluation results were obtained for the problem of hypervolemia showed a decrease in the level of edema in the leg from degree 2 to degree 1, decreased jugular venous pressure, reduced blood pressure, interdialytic weight gain of 3.2%, improvement in the values of urea and creatinine, and a glomerular filtration rate post-hemodialysis of 8.28 ml/min/1.73 m2. As for the problem of fatigue, fatigue decreased from a score of 35 to 29, sickness decreased from a scale of 4 to 3, and breathing frequency was within the normal boundaries, so it can be concluded that the problems of nursing hyperbolemia and fatigue are partially overcome. Keywords: Chronic Kidney Disease, Hypervolemia, Fatigue  ABSTRAK Chronic Kidney Disease mengakibatkan penurunan fungsi ginjal secara progresif. Penurunan fungsi ginjal mengakibatkan retensi air dan natrium yang selanjutnya menimbulkan hipervolemia. Tn.N datang dengan keluhan sesak nafas ke RS, pasien telah menjalani hemodialisis sebanyak 5 kali. Pada proses pengkajian ditemukan adanya edema perifer, edema paru, serta sesak nafas yang ditandai pernafasan cepat dan dangkal. Berdasarkan kasus ditemukan adanya masalah hipervolemia dan keletihan pada Tn.N. Tujuan penelitian ini untuk mengekplorasi penerapan asuhan keperawatan pada pasien chronic kidney disease stage 5 dengan masalah keperawatan hipervolemia dan keletihan. Metode yang digunakan yaitu dengan studi kasus deskriptif pemberian asuhan keperawatan secara sistematis diawali dari pengkajian, penentuan diagnosa, perencanaan, implementasi, dan evaluasi keperawatan. Intervensi dilakukan selama 3 hari secara kolaborasi dan mandiri. Intervensi generalis dilakukan meliputi manajemen hipervolemia yang terdiri atas pembatasan cairan, pemantauan edema dan jugular venous pressure, perhitungan interdialytic weight gain, pemantauan intake dan output cairan, pemantauan kadar ureum dan kreatinin, serta kolaborasi pemberian furosemide, dan tindakan hemodialisis. Adapun intervensi generalis untuk mengatasi keletihan dilakukan dengan pemberian posisi semi fowler, relaksasi nafas dalam, terapi oksigen, transfusi packed red cells, dan relaksasi pijat kaki. Setelah dilakukan evaluasi didapatkan hasil untuk masalah hipervolemia, terdapat penurunan tingkat edema pada kaki dari derajat 2 menjadi derajat 1, penurunan jugular venous pressure, penurunan tekanan darah, interdialytic weight gain 3,2%, perbaikan pada nilai ureum dan kreatinin dengan glomerular filtration rate post-hemodialisis 8,28 ml/min/1,73m2. Adapun untuk masalah keletihan, kelelahan berkurang dari skor 35 menjadi 29, sesak berkurang dari skala 4 menjadi 3, frekuensi nafas dalam batas normal, sehingga dapat disimpulkan masalah keperawatan hipervolemia dan keletihan teratasi sebagian. Kata Kunci: Chronic Kidney Disease, Hipervolemia, Keletihan
Gambaran Pengetahuan Pencegahan Penularan Covid-19 Masyarakat Desa Cintakarya Kecamatan Parigi Pangandaran Heryani, Hesti; Fitris, Siti Yuyun Rahayu; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 4, No 1 (2024): Volume 4 Nomor 1 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i1.12215

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ABSTRACT COVID-19 spreads quickly and one of its prevention is by increasing knowledge about it. This study aims to describe the knowledge of preventing COVID-19 transmission in the community of Cintakarya Village, Parigi Sub-district, Pangandaran District. The population of this quantitative descriptive study was community of Cintakarya Village, Parigi Sub-district, Pangandaran District (N=1,444). The determination of the sample used cluster sampling involving (n=100). The instrument used the Student's Knowledge, Attitudes, and Practices Toward COVID-19 (SKAPCOV-19) questionnaire which had been tested for validity and reliability. The analysis used univariate analysis based on good and bad knowledge criteria as well as sub-variables of etiology, risk group, transmission, and prevention. The results showed that the knowledge was considered good (55%) and poor (45%). Based on sub-variables, the etiology was good (89%) and poor (11%); the risk group was good (62%) and poor (38%); the transmission was good (78%) and poor (22%); and the prevention was good (58%) and poor (42%). It can be concluded that many people have poor knowledge and based on the sub-variable, prevention must be improved. The health workers are suggested to provide education regarding the prevention of COVID-19 with clear sources of information.  Keywords: COVID-19, Community, Prevention, Knowledge, Transmission  ABSTRAK COVID-19 adalah penyakit yang penularannya sangat cepat, salah satu cara untuk mencegahnya dengan meningkatkan pengetahuan terkait COVID-19. Sehingga tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan pencegahan penularan COVID-19 pada masyarakat Desa Cintakarya Kecamatan Parigi Pangandaran. Penelitian ini berbentuk deskriptif kuantitatif. Populasinya masyarakat Desa Cintakarya Kecamatan Parigi Pangandaran (N=1.444). Teknik pengambilan sampel menggunakan cluster sampling dengan jumlah sampel (n=100). Instrumen penelitian menggunakan kuesioner Student’s Knowledge, Attitudes, and Practices Toward COVID-19 (SKAPCOV-19) sudah dinyatakan valid dan reliabel. Hasil penelitian menggunakan analisis univariat berdasarkan kriteria pengetahuan baik dan tidak baik. Kemudian diidentifikasi berdasarkan sub variabel yaitu etilogi, kelompok resiko, penularan, dan pencegahan.  Berdasarkan hasil penelitian pengetahuan baik (55%) dan pengetahuan tidak baik (45%). Berdasarkan sub variabel, etiologi memiliki pengetahuan baik (89%) tidak baik (11%), kelompok resiko memiliki pengetahuan baik (62%) tidak baik (38%), penularan memiliki pengetahuan baik (78%) tidak baik (22%), dan pencegahan memiliki pengetahuan baik (58%) tidak baik (42%).  Kesimpulannya masyarakat yang memiliki pengetahuan tidak baik masih cukup banyak, berdasarkan sub variabel yang perlu ditingkatkan mengenai pencegahan. Saran untuk tenaga kesehatan adalah memberikan edukasi mengenai pencegahan COVID-19 secara terus menerus sehingga sumber informasi yang didapatkan jelas. Kata Kunci: COVID-19, Masyarakat, Pencegahan, Pengetahuan, Penularan 
Penyiapan Pengelolaan Pasca Rawat pada Pasien Stroke Hemoragik dengan Riwayat Peb: Case Report Mutiarasani, Anjani; Kurniawan, Titis; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14077

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ABSTRACT Post-hospitalization stroke patients include assessing and preparing patients and families to meet post-treatment needs is important. Aims to explain the needs of post-stroke patients with a history of preeclampsia along with efforts to prepare patients and their families to meet these needs. Case report used Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) and Barthel indeks instruments to identify the post- treatment needs od stroke patients with a history of preeclampsia who were undergoing treatment in the inpantient room of a Regional Hospital in West Java. Educational topics include: ROM (range of motion), personal hygiene, pressure ulcer prevention, and fall risk prevention and danger signs. One month after being discharged from the hospital, the patient has implemented ROM (range of motion), personal hygiene is fulfilled, there is no risk of pressure sores/falls. The Barthel index score one month after discharge from the hospital improved to 6 (severe dependence). Preparations for the postpartum period with a history of PEB are fulfilled by taking regular medication and caring for the baby. Post-treatment education and follow-up are activities that have the potential to be effective in improving the patient's ability to meet post-treatment needs. It is important for hospitals to maintain continuity of care through regular follow-up and coordination with families to ensure that post-treatment needs are met and anticipate complications due to stroke.  Keywords: Case Report, Continue of Care, Post Treatment, , Preeclampsia, Stroke Hemoragic  ABSTRAK Pasca rawat pada pasien stroke meliputi pengkajian dan penyiapan pasien dan keluarga untuk memenuhi kebutuhan pasca rawat merupakan hal yang penting. Bertujuan untuk memaparkan kebutuhan pasien pasca stroke dengan riwayat preeklampsia beserta upaya penyiapan pasien beserta keluarganya untuk memenuhi kebutuhan tersebut. Case study ini dengan instrument Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) dan Barthel indeks digunakan untuk mengidentifikasi kebutuhan pasca rawat pasien stroke dengan riwayat preeklampsia yang menjalani perawatan di Ruang Rawat Inap salah satu RS Daerah di Jawa Barat. Topik edukasi mencakup : ROM (range of motion), personal hygiene, pencegahan dekubitus, dan pencegahan risiko jatuh serta tanda bahaya. Satu bulan setelah keluar dari rumah sakit, pasien telah menerapkan ROM (range of motion), personal hygiene terpenuhi, tidak terdapat risiko dekubitus/jatuh. Skor Barthel indeks satu bulan setelah keluar dari rumah sakit membaik menjadi 6 (ketergantungan berat). Penyiapan pada postpartum dengan Riwayat PEB terpenuhi dengan minum obat rutin dan perawatan bayi. Edukasi dan follow up pasca rawat merupakan kegiatan yang berpotensi efektif memperbaiki kemampuan pasien memenuhi kebutuhan pasca rawat. Menjadi penting bagi rumah sakit untuk menjaga continue of care melalui follow up secara reguler serta koordinasi dengan keluarga untuk menjamin keterpenuhan kebutuhan pasca rawat dan antisipasi komplikasi akibat stroke. Kata Kunci: Case Report, Continue Of Care, Pasca Rawat, Preeklampsia, Stroke Hemoragik
Intervensi Pursed-Lip Breathing dan Posisi High Fowler untuk Mengatasi Gejala Sesak Napas pada Pasien dengan Coronary Artery Disease: Sebuah Studi Kasus Aulia, Hannifa Dwi; Pratiwi, Sri Hartati; Sari, Eka Afrima
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.10894

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ABSTRACT Coronary artery disease (CAD) is a pathological process characterized by the accumulation of atherosclerotic plaques in the arteries, both obstructive and non-obstructive. CAD often causes chest pain and shortness of breath. However, patients with symptoms of tightness have 4 times higher mortality compared to patients without chest pain. Pursed-lip breathing intervention and a high fowler position can be done to reduce the shortness of breath experienced by CAD patients. The purpose of this study was to determine the effect of pursed-lip breathing nursing intervention and high fowler position on shortness of breath felt by patients with coronary artery disease. This research method was carried out with a case study approach that used a case about coronary artery disease with complaints of shortness of breath in one of the patient in a hospital in Indonesia.  The results of the study obtained were patients complaining of shortness of breath on a scale of 7 out of 10, respiration rate (RR) is 25 breath per minute, SpO2 value of 100% with oxygen 5L/minute, and heard ronkhi lung sounds. Thus, patients are given nursing intervention in the form of pursed-lip breathing and high fowler positions. The results obtained during the three days of treatment were shortness of breath on a scale of 2 out of 10, respiration rate is 18 breath per minute, SpO2 value of 95% without the oxygen therapy, and ronkhi sound is absent. The conclusion is that pursed-lip breathing intervention and high fowler position are effective in patients who experience shortness of breath. Therefore, pursed-lip breathing interventions and high fowler positions can be applied to patients with coronary artery disease who experience symptoms of shortness of breath. Keywords: Pursed-Lip Breathing, High Fowler, Coronary Artery Disease  ABSTRAK Penyakit arteri koroner atau coronary artery disease (CAD) atau penyakit jantung koroner (PJK) adalah proses patologis yang ditandai dengan akumulasi plak aterosklerotik di arteri, baik obstruktif maupun non-obstruktif. PJK sering kali menimbulkan  nyeri pada dada dan sesak napas. Namun, pasien dengan gejala sesak memiliki mortalitas empat kali lebih tinggi dibandingkan dengan pasien tanpa gejala sesak. Intervensi pursed-lip breathing dan posisi high fowler dapat dilakukan untuk mengurangi rasa sesak yang dialami pasien PJK. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh intervensi keperawatan pursed-lip breathing dan posisi high fowler terhadap gejala sesak yang dirasakan oleh pasien dengan penyakit jantung koroner. Penelitian ini dilakukan dengan pendekatan studi kasus yang menggunakan sebuah kasus tentang coronary artery disease dengan keluhan sesak napas pada salah satu pasien di rumah sakit yang ada di Indonesia.  Hasil pengkajian yang didapatkan yaitu pasien mengeluh sesak napas skala 7 dari 10, respiration rate (RR) 25x/menit, saturasi oksigen 100% dengan oksigen 5L/menit, dan terdengar suara ronkhi. Sehingga, pasien diberikan intervensi keperawatan berupa pursed-lip breathing dan posisi high fowler. Hasil yang didapatkan selama tiga hari perawatan, yaitu keluhan sesak napas skala 2 dari 10, respiration rate menjadi 18x/menit, saturasi oksigen 95% tanpa bantuan terapi oksigen. Intervensi pursed-lip breathing dan posisi high fowler efektif diterapkan pada pasien yang mengalami sesak napas. Maka dari itu, intervensi pursed-lip breathing dan posisi high fowler dapat diterapkan pada pasien dengan coronary artery disease yang mengalami gejala sesak napas. Kata Kunci: Pursed-Lip Breathing, High Fowler, Penyakit Jantung Koroner
Intervensi Pencegahan Merokok dan Konsumsi Alkohol pada Remaja melalui Pendidikan Kesehatan sebagai Upaya Pencegahan Stunting Nursiswati, Nursiswati; Nurrofiqoh, Malihatunnisa; Pratiwi, Sri Hartati; Kurniawan, Titis; Purba, Chandra Isabella Hostanida
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13084

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ABSTRAK Tahap perkembangan remaja sangat rentan akan perilaku berisiko. Kontrol emosi dan stres yang labil mengakibatkan remaja memilih mekanisme koping yang salah. Dampaknya, remaja dapat berisiko mengalami stunting. Perlu adanya penyuluhan terkait bahaya dan cara pencegahan konsumsi rokok dan alkohol guna mencegah terjadinya stunting. Dengan demikian, tujuan dari penelitian ini untuk melihat gambaran pengetahuan (kognitif) dari siswa kelas 7 salah satu SMP swasta di Kabupaten Bandung mengenai pencegahan penggunaan rokok dan alkohol. Pendidikan kesehatan dilaksanakan secara interaktif bertemakan menghindari rokok dan alkohol agar terhindar dari masalah kesehatan fisik dan mental guna mencegah terjadinya stunting. Pendidikan kesehatan diikuti oleh 72 siswa kelas 7 Sekolah Menengah Pertama. Evaluasi dari hasil pendidikan kesehatan dilakukan dengan memberikan soal Pre-test dan Post-test masing-masing sebanyak 5 soal. Sebanyak 55,55% remaja yang mengikuti pendidikan kesehatan dapat menjawab dengan benar ≥3 soal dari 5 soal yang tersedia dan sebanyak 33,33% mengalami peningkatan skor dari pre-test ke post-test. Pemahaman tentang bahaya merokok dan alkohol dapat diberikan sejak masa SMP dan dilakukan pemantauan berkelanjutan oleh guru di sekolah. Sekolah dapat memberikan kebijakan dan pelayanan UKS yang memadai bagi siswa. Pendidikan kesehatan berpengaruh positif dan secara signifikan meningkatkan pengetahuan remaja mengenai bahaya serta cara menghindari rokok dan alkohol. Kegiatan lanjutan berupa focus group discussion dan permainan dibutuhkan sebagai kegiatan lanjutan penguatan kognitif, afektif, dan psikomotor pencegahan merokok dan konsumsi alkohol pada siswa SMP. Kata Kunci: Alkohol, Merokok, Pendidikan Kesehatan, Remaja, Stunting  ABSTRACT The developmental stage of adolescents is very vulnerable to risky behavior and bad coping mechanisms. As a result, teenagers may be at risk of experiencing stunting. There is a need for education regarding the dangers and ways to prevent cigarette and alcohol consumption to prevent stunting. This research aims to describe the knowledge (cognitive) of grade 7 students at one of the private junior high schools in Bandung Regency regarding preventing the use of cigarettes and alcohol. Health education was carried out interactively with the theme of avoiding smoking and alcohol to avoid physical and mental health problems to prevent stunting. Health education was attended by 72 grade 7 junior high school students. Evaluation of the results of health education was carried out by providing pre-tests and post-tests. As many as 55.55% of teenagers who took part in health education were able to answer ≥3 questions correctly out of the 5 questions available and as many as 33.33% experienced an increase in scores from pre-test to post-test. Understanding of the dangers of smoking and alcohol can be given since junior high school and ongoing monitoring by teachers at school. Schools can provide adequate UKS policies and services for students. Health education has a positive effect and significantly increases teenagers' knowledge about the disadvantages and how to avoid smoking and alcohol. Further activities in the form of focus group discussions and games are needed as further activities to strengthen cognitive, affective, and psychomotor skills to prevent smoking and alcohol consumption in junior high school students. Keywords: Adolescents, Alcohol, Health Education, Smoking
Kebutuhan Psikososial Pasien Paska Stroke Pada Fase Rehabilitasi Pratiwi, SRI Hartati
Jurnal Keperawatan 'Aisyiyah Vol. 4 No. 2 (2017): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.218 KB) | DOI: 10.33867/jka.v4i2.43

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Pasien paska stroke sering mengalami masalah psikososial seperti gangguan emosi, perubahan perilaku dan kognitif. Perubahan tersebut dapat memperberat kondisi kesehatannya dan menghambat pencapaian outcome pada fase rehabilitasi. Pemenuhan kebutuhan psikososial sangat diperlukan untuk mengatasi masalah yang dialami pasien stroke. Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi kebutuhan psikososial pasien paska stroke yang sedang menjalani perawatan fase rehabilitasi. Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan untuk mengidentifikasi kebutuhan pasien paska stroke di Poliklinik saraf dan stroke centre salah satu Rumah Sakit di Bandung. Teknik sample yang digunakan adalah consecutive sampling dengan jumlah sampel sebanyak 83 orang. Kriteria inklusi pasien paska stroke dalam penelitian ini adalah memiliki kesadaran penuh dan tidak mengalami aphasia. Instrumen yang digunakan dalam penelitian ini dikembangkan dari konsep kebutuhan pasien paska stroke Kevitt (2009) dan Moreland (2009) dengan skala likert dan koefisien validitas 0,73 dan r 0,75 sehingga dinyatakan valid dan reliable. Data yang terkumpul akan dianalsa dengan menggunakan distribusi frekuensi. Hasil penelitian ini menunjukkan bahwa kebutuhan psikososial yang paling dibutuhkan pasien paska stroke adalah dukungan teman, keluarga, dan kelompok (= 1,76), mendapatkan konseling ( = 1,39), mendapatkan dukungan emosi ( = 1,20), bantuan untuk menjalankan aktivitas sebagaimana sebelum sakit ( = 1,16), berinteraksi dengan pasien paska stroke lainnya (= 1,11), mengatasi perasaan terpuruk (= 1,07), mengatasi kecemasan (=1,05) dan mengatasi perasaan menjadi beban keluarga (= 1,02). Berdasarkan hasil tersebut, pasien membutuhkan bantuan dalam mengatasi masalah psikologis yang dialaminya. Petugas kesehatan diharapkan dapat memfasilitasi kebutuhan pasien tersebut dengan melakukan konseling dan mendorong keluarga untuk memberikan dukungan kepada pasien paska stroke.
Correlation between self-efficacy in treatment and rehabilitation programs with functional status among post-stroke patients Pratiwi, Sri Hartati; Fitriani, Nur; Platini, Hesti
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2247

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Background: Stroke patients must comply with medication and undergo rehabilitation to prevent recurrent attacks. Self-efficacy plays a significant role in patient adherence to and compliance with these programs. Post-stroke patients have varying functional statuses, which may result in differences in their levels of self-efficacy in carrying out these programs. Purpose: To identify the relationship between patients' self-efficacy in undergoing rehabilitation and treatment. Method: A correlational descriptive study using accidental sampling conducted on 69 post-stroke patients. Data were collected using the Stroke Self-Efficacy Questionnaire (SSEQ), the Self-Efficacy for Appropriate Medication use Scale (SEAMS), and the Barthel Index. Data analysis was performed using Spearman's analysis. Results: Most respondents (40.6%) had high self-efficacy in rehabilitation, 62.3% had high self-efficacy in medication, and 56.5% had mild dependence. There was a significant relationship between self-efficacy in carrying out rehabilitation and the functional status of patients (p = 0.000), and there was a significant relationship between self-efficacy in carrying out medication and the functional status of patients (p = 0.000). Conclusion: There is a significant relationship between self-efficacy in undergoing rehabilitation and treatment and the functional status of patients. Health workers, especially nurses, must motivate patients to undergo treatment and rehabilitation, particularly those with low functional status. Keywords: Functional Status; Rehabilitation; Self-Efficacy; Treatment.
Effects of e-health on family caregiving burden of cancer patients: A scoping review Platini, Hesti; Pratiwi, Sri Hartati; Maulana, Indra
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2260

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Background: The increasing incidence of cancer means that more people are living with cancer, which increases the responsibility of informal caregivers. Most caregivers are not prepared to fulfil their duties when taking on responsibility for the treatment and care of patients, which can become a burden on caregivers and affect the care of cancer patients. Purpose: To conduct a literature review that assesses the effects of e-health interventions on the burden of informal caregivers. Method: The research method was a literature review using a scoping review approach. The scoping review used inclusion criteria for articles published between 2020 and 2025, using a randomized control trial and experimental study design, and published in English. Article selection used the PRISMA Flow Diagram. The databases used were PubMed and EBSCO. Proquest and engine search Google Scholar. Results: The results of this literature search found 16,690 articles on e-health. However, only 18 articles met the inclusion criteria. Ten articles were complete but did not focus on the benefits of e-health on caregiver burden. Thus, only five articles met the inclusion criteria. Four e-health interventions were found to have an effect on reducing caregiver burden, such as stress, in family caregivers. Conclusion: These findings indicate that e-health interventions have beneficial effects for informal caregivers of cancer patients in long-term care. Keyword: Burden; Cancer; E-Health; Family Caregiver; Informal Caregiver.
Intervensi untuk mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis: A scoping review Sridiawati, Esy; Ibrahim, Kusman; Pratiwi, Sri Hartati
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.v19i12.1920

Abstract

Background: Patients with chronic kidney disease (CKD) often experience thirst when restricting their fluid intake. To improve patient survival, interventions to manage thirst in hemodialysis patients are needed, with the hope of reducing fluid intake in HD patients. Thirst remains an unresolved issue in hemodialysis (HD) patients. Purpose: To map and synthesize the current evidence on interventions to manage thirst in chronic kidney disease (CKD) patients undergoing hemodialysis. Method: A scoping review was conducted using the PRISMA-ScR framework. Articles were identified through PubMed, Scopus, EBSCOhost, and Google Scholar using keywords related to "Interventions to manage thirst in chronic kidney disease (CKD) patients undergoing hemodialysis." Eligible studies were interventional, observational, published in English, and focused on interventions to manage thirst in chronic kidney disease (CKD) patients undergoing hemodialysis. Twenty-one studies met the inclusion criteria and were analyzed thematically using a descriptive and exploratory approach. Results: Based on the literature reviewed, various interventions, such as sucking on unsweetened ice cubes, mint-flavored popsicles, lemon-flavored popsicles, chewing gum, squirting cold boiled water into the mouth, visual fluid restriction education, and brochures, have been consistently and continuously shown to reduce thirst in CKD patients. Conclusion: Interventions such as sucking on ice cubes, mint-flavored popsicles, lemon-flavored popsicles, chewing gum, squirting cold boiled water into the mouth, visual fluid restriction education, and brochures have been consistently and continuously shown to reduce thirst in CKD patients.   Keywords: Chronic Kidney Disease Patients; Hemodialysis; Thirst.   Pendahuluan: Pasien dengan Penyakit Ginjal Kronis (PGK) sering mengalami rasa haus sementara itu mereka harus membatasi asupan cairan. Untuk meningkatkan keberlangsungan hidup pasien diperlukan intervensi penatalaksanaan rasa haus pada pasien hemodialisis dengan harapan asupan cairan pada pasien HD dapat dikurangi.  Rasa haus masih menjadi masalah yang belum terpecahkan pada pasien hemodalisis (HD). Tujuan: Untuk memetakan dan mensintesis bukti terkini tentang intervensi mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis. Metode: Scooping review dilakukan dengan menggunakan kerangka kerja PRISMA-ScR. Artikel diidentifikasi melalui PubMed, Scopus, EBSCOhost, dan Google scholar menggunakan kata kunci terkait Intervensi mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis. Studi yang memenuhi syarat bersifat intervensi, observasional, dipublikasikan dalam bahasa Inggris, dan berfokus pada intervensi mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis sebanyak 21 studi memenuhi kriteria inklusi dan dianalisis secara tematis menggunakan pendekatan deskriptif eksploratif. Hasil: Berdasarkan litereratur yang telah di review, setelah dilakukan berbagai macam intervensi, seperti megulum es batu tawar, es loli rasa mint, es loli rasa lemon, mengunyah permen karet, semprotan air sprai ke mulut dengan air dingin matang, edukasi pembatasan cairan dengan media visual, dan aflet yang dilakukan secara berkala dan berkelanjutan terbukti dapat mengurangi rasa haus pada pasien PGK. Simpulan: Intervensi mengulum es batu, es loli rasa mint, es loli rasa lemon, mengunyah permen karet, semprotan air spray ke mulut dengan air dingin matang, edukasi pembatasan cairan dengan media visual dan leaflet yang dilakukan secara berkala dan berkelanjutan terbukti dapat mengurangi rasa haus pada pasien PGK.   Kata Kunci: Hemodialisis; Pasien Penyakit Ginjal Kronis; Rasa Haus.
Co-Authors Ade Rosi Amalia, Fany Andini, Nathania Putri Andri Agustin Anita Setyawati Aprilia, Rahmita Nurul Asri Nurkarimah Aulia, Hannifa Dwi Azizah, Levina Bambang Aditya Nugraha Bambang Aditya Nugraha Chandra Isabella Hostanida Purba Chandra Kirana Khairunnisa Citra Windani Mambang Sari Citra Windani Mambang Sari Dadang Purnama Dahlia, Debie - Dewin Safitri Dwi, Tia Dyah Setyorini Early Octavia Limbong Eka Afrima Sari Eka Afrima Sari Eka Fitri Ningsih ENDAH NESTITI URIP RAHAYU Endah Yuniarti Estiqomah, Yuli Etika Emaliyawati Fauzia, Salwa Ghaida Fitri Nurul Khotimah Fitris, Siti Yuyun Rahayu Giovanni Maria Gusgus Ghraha Ramdhanie Hamidah . Hana Rizmadewi Agustina Handayani, Nathasa Harun, Hasniatisari Harun, Hasniatisari Helwiyah Ropi Herman, Regina Heryani, Hesti Hesti Platini Ida Maryati Indah Wahyuni Indra Maulana` Indra Maulana Karina, Grashiva Khairunnisa, Chandra Kirana Khairunnisa, Nisrina Kusman Ibrahim Liya Arista lukman, dede Ma'ripah, Isnan Mira Trisyani Muhammad Ramdhani, Muhammad Musawi, Husein Mutiarasani, Anjani Ni Putu Santhi Dewi Saraswati NUR FITRIANI Nur Fitriani Nurfadila, Eva Nurjanah, Ismirani Nurkarimah, Asri Nurrofiqoh, Malihatunnisa Nursalma, Aisyah Nursiswati Nurul Azmi Fauziyah Oktorullah Oktorullah Puspita, Tita Rahmah, Tira Nur Rahmayani, Melly Ria Sitorus Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rohaeti, Sri Elis Rohayanti, Yanti Ryan Hara Permana Salsabila, Nada Salwa, Sayyidah Sandra Pebrianti Santi Mulyani Sari, Yuyun Kartika Seizi Prista Sari Sicilia, Asha Grace Siti Ulfah Rifa’atul Siti Ulfah Rifa’atul Fitri Siti Yuyun Rahayu Fitri Slamet Riyanto Sri Elis Rohaeti Sridiawati, Esy Sutandi, Andi Sya'fa, Siti Noor Tanjung, Rifani Taty Hernawaty Titis Kurniawan Titis Kurniawan Tuti Pahria Urip Rahayu Urip Rahayu Wati, Putri Windiramadhan, Alvian Pristy Yosilistia, Yosilistia Yusshy Kurnia Yusshy Kurnia Herliani, Yusshy Kurnia