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EFFECTIVE PSYCHEDUCATION TO REDUCE ANXIETY AND INCREASE COMPLIANCE OF LIQUID DIETS IN CHRONIC KIDNEY DISEASE PATIENTS DURING HEMODIALYSIS Meylani Dewi Wowor; Ni Luh Widani; Emiliana Tjitra
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Background: Chronic kidney failure (chronic renal failure) is a chronic disease that causes disruption of kidney function, so it requires kidney replacement therapy with long-term hemodialysis that must comply with fluid diets and can cause anxiety. Aims: Research to assess the effect of nursing psychoeducation on reducing anxiety levels and adherence to fluid diets in chronic renal failure patients with hemodialysis. Methods: The study was conducted in April-July 2018 in three private hospitals in Tomohon and Manado. This research is a quantitative study with a quasi-experimental pre-post test design with a control group of 112 respondents (82 in the intervention group and 30 in the control). Psychoeducation interventions are given according to the education module for 4 weeks, 2 times a week for a total of 8 meetings. Anxiety was assessed using the Beck Anxiety Inventory (BAI) questionnaire and adherence was assessed by the End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) before and after the study and weight observations at each visit. Results: Wilcoxon test results showed significant differences in anxiety levels (p <0.005) and fluid diet compliance (p <0.005) before and after the intervention. Mann Whitney test results showed no significant difference in decreasing anxiety level (p = 0.456) and increasing levels of fluid diet compliance (p = 0.495) between the intervention and control groups. The results of the ordinal logistic regression test, psychoeducation reduced anxiety levels by an OR of 6.5 times compared to the control group. The results of the binary logistic regression test, psychoeducation increased the level of adherence to the liquid diet with an OR value of 2.4 times compared to the control group. Conclusion: Psychoeducation can help reduce the level of anxiety and adherence to the fluid diet of patients with chronic renal failure with hemodialysis.

Tingkat Pengetahuan Masyarakat tentang Perilaku Hidup Bersih dan Sehat di Desa Rumengkor Kabupaten Minahasa Patandung, Vina Putri; Sepang, Mareyke Yolanda Lusia; Wowor, Meylani Dewi
An Idea Health Journal Vol 2 No 01 (2022): FEBRUARY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v2i01.74

Background: Clean and Healthy Lifestyle (PHBS) is very important for health, life, and development. Worldwide an estimated 2.4 billion people still lack basic sanitation. PHBS is a concern for the government because it becomes a benchmark for increasing health coverage in the SDGs program in 2015-2030. PHBS and SDGs are one of the prevention efforts that can have a short-term impact on improving health, including the family, the general public, and schools. The knowledge and awareness of the community, especially the people who live in the village are still relatively low to get used to having a clean and healthy life. The purpose of this study was to determine the level of public knowledge about PHBS in Rumengkor Village, Minahasa Regency. Method: Descriptive quantitative to describe the level of community knowledge about PHBS. The sample was the people of Rumengkor Village, Minahasa Regency, who are respondents from 78 people, which are determined using purposive sampling. Data were obtained by interview and using demographic characteristics questionnaire and PHBS questionnaire. Results: In general, the level of public knowledge about PHBS for clean water facilities, the availability of healthy latrines, waste disposal, fruit and vegetable consumption is good, but the level of knowledge about smoking habits is still very low. Conclusion: The results of this study illustrate the level of community knowledge about PHBS in Rumengkor Village is quite good. It's just that PHBS related to smoking habits are still relatively lacking. This happens because most of the respondents and family members are active or passive smokers. Recommendations for health workers are expected to be more active in providing health education in easily accessible language so that people can understand and make good use of the information received.

EFFECTIVE PSYCHEDUCATION TO REDUCE ANXIETY AND INCREASE COMPLIANCE OF LIQUID DIETS IN CHRONIC KIDNEY DISEASE PATIENTS DURING HEMODIALYSIS Meylani Dewi Wowor; Ni Luh Widani; Emiliana Tjitra
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v7i1.803

Background: Chronic kidney failure (chronic renal failure) is a chronic disease that causes disruption of kidney function, so it requires kidney replacement therapy with long-term hemodialysis that must comply with fluid diets and can cause anxiety. Aims: Research to assess the effect of nursing psychoeducation on reducing anxiety levels and adherence to fluid diets in chronic renal failure patients with hemodialysis. Methods: The study was conducted in April-July 2018 in three private hospitals in Tomohon and Manado. This research is a quantitative study with a quasi-experimental pre-post test design with a control group of 112 respondents (82 in the intervention group and 30 in the control). Psychoeducation interventions are given according to the education module for 4 weeks, 2 times a week for a total of 8 meetings. Anxiety was assessed using the Beck Anxiety Inventory (BAI) questionnaire and adherence was assessed by the End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) before and after the study and weight observations at each visit. Results: Wilcoxon test results showed significant differences in anxiety levels (p <0.005) and fluid diet compliance (p <0.005) before and after the intervention. Mann Whitney test results showed no significant difference in decreasing anxiety level (p = 0.456) and increasing levels of fluid diet compliance (p = 0.495) between the intervention and control groups. The results of the ordinal logistic regression test, psychoeducation reduced anxiety levels by an OR of 6.5 times compared to the control group. The results of the binary logistic regression test, psychoeducation increased the level of adherence to the liquid diet with an OR value of 2.4 times compared to the control group. Conclusion: Psychoeducation can help reduce the level of anxiety and adherence to the fluid diet of patients with chronic renal failure with hemodialysis.

HEALTH LITERACY ACROSS THREE DOMAINS AND SOCIO-DEMOGRAPHIC DETERMINANTS IN A NON-COMMUNICABLE DISEASE POPULATION IN EASTERN BOLAANG MONGONDOW DISTRICT: A CROSS SECTIONAL STUDY Langingi, Ake Royke Calvin; Watung, Grace Ireine Viodyta; Wowor, Meylani Dewi; Pagayang, Zefania Ireyne; Rasu, Stella
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 3 (2025): Vol. 2 No. 3 Edisi Juli 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i3.1261

This study aimed to obtain information about socio-demographic factors associated with HL of NCD patients in East Bolaang Mongondow Regency. The method used was quantitative method with cross sectional study design with a total sample of 383 NCD patients (purposive sampling) with stratified sampling technique. Data were collected using questionnaires both socio and demographics and HL of NCD patients. The results of this study were [education (p=0.023, OR=2.711); gender (p=0.017, OR=2.001); language (p=0.001, OR=1.013); age (p=0.020, OR=2.968); employment status (p=0.001, OR=1.248); residence (p=0.012, OR=2.068); personal health condition (p=0.031, OR=5.840); access to health information (p=0.020, OR=2.968). In the logistic regression test, the personal health condition factor was most associated with HL of NCD patients (p=0.010, OR=5.840). In conclusion, the study showed that socio-demographic factors (education, gender, language, age, employment status, residence, personal health condition and access to health information simultaneously or partially influenced the HL of patients with NCDs. The most dominant factor associated with HL of patients with NCDs was personal health conditions. The role of health workers provides many sources of information to develop and learn solutions and support for people with various types of NCDs.

Pemberdayaan Lansia Dalam Upaya Penatalaksanaan Hipertensi Di Kelurahan Taratara Satu Calvin Langingi, Ake Royke; Pongantung, Henny; Anastasia Terok, Kansia; Dewi Wowor, Meylani
Journal of Excellence Humanities and Religiosity Vol. 1 No. 2 (2024): July (2024)
Publisher : Journal of Excellence Humanities and Religiosity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34304/joehr.v1i2.220

Elderly is when a person becomes older and experiences a decline in physical function, which is characterized by a decrease in muscle mass and strength, maximum heart rate, increased body fat, and decreased brain function. The reason for choosing the service topic is because elderly people cannot do activities for long enough and have to do more activities at home, which causes them to feel anxious about their condition and experience stress, which has an impact on their quality of life. The service method used is the lecture and talk show method with elderly people suffering from hypertension. The result of this service activity is that there is an increase in knowledge about the management of hypertension in the elderly. This activity is very important to carry out, especially targeting elderly people with hypertension because the elderly are no longer able to carry out activities and are unable to comply with taking anti-hypertension medication, so they need to be provided with counseling or socialization regarding the management of hypertension.

The Role of Educational Interventions in Mitigating Hypertension Among the Elderly: A Systematic Review Langingi, Ake Royke Calvin; Sepang, Mareyke Yolanda Lusia; Wowor, Meylani Dewi; Rembet, Ignatia Yohana; Rasu, Stella; Asa, Priscila Evangelin; Komaling, James; Kobis, Ifka Wangi
Jurnal Penelitian Pendidikan IPA Vol 11 No 11 (2025): November: In Progress
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i11.13242

Hypertension is one of the most common major health problems in the elderly population and is a major cause of global morbidity and mortality. Factors such as aging, unhealthy lifestyles, low medication adherence, and the presence of comorbidities contribute significantly to the increase in hypertension in the elderly. This study aims to analyze factors associated with hypertension in the elderly, including demographic, lifestyle, and medical factors, through a systematic review (SR) approach. The study was conducted by searching scientific literature from various reputable databases published between 2019 and 2025, using inclusion criteria that included the elderly population, blood pressure measurements, and the identification of relevant risk factors. The synthesis results indicate that demographic factors such as advanced age and female gender, lifestyle factors such as high salt consumption, low physical activity, and smoking habits, and medical factors such as family history of hypertension, medication adherence, and the presence of comorbidities (especially diabetes and heart disease) are the main determinants of the degree of hypertension in the elderly. Non-adherence to medication contributes to the severity of hypertension, wheres adherence contributes to the control of hypertension.

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