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The Factors Affecting Chronic Kidney Disease Patients Undergoing Hemodialysis after Intradialytic Exercise and Cognitive Behavioral Therapy: A CFA Akhmad Huda; Sofyan Hadi Hasibuan; Johan Budhiana; Rosliana Dewi; Kushariyadi Kushariyadi
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.551

Abstract

Chronic kidney disease (CKD) patients undergoing continuous hemodialysis (HD) experience decreased daily physical activity, lower tolerance to exercise and poorer health-related quality of life. There are many factors that have not been identified that can affect CKD patients after undergoing hemodialysis. This study aims to determine the factors that influence CKD patients undergoing hemodialysis after intradialytic exercise and cognitive behavioral therapy. The research design uses confirmatory factor analysis (CFA) model. The research was conducted in the hemodialysis unit of the Surabaya Islamic Hospital, Indonesia. The sampling technique uses purposive sampling. The sample includes 180 patient respondents with the following criteria: patients undergoing hemodialysis, aged between 20-60 years, treated for CKD with hemodialysis for ≥ 3 months, and agreed to be respondents. The research instrument used the WHOQOL-BREF questionnaire. The validity of the internal factor domain and quality of life each showed good consistency, indicated by the loading factor () values ranging from 0.700 to 0.841. All components of each domain were declared reliable, indicated by the indicator reliability (R2) values ranging from 0.48 to 0.71. Data analysis uses CFA with parameter data estimation using analysis of moment structures (AMOS) software. Acceptance of the CFA model by looking at the GoF. The respective p values for age factor, income factor, gender factor, educational factor, physical domain, psychological domain, social domain, and environmental domain are 0.000, while the religious factor is (0,789) which has no effect. Factors that can influence CKD patients undergoing hemodialysis after intradialytic exercise and cognitive behavioral therapy are: 1) internal factors include: age factor, income factor, gender factor, and education factor; 2) quality of life includes: physical domain, psychological domain, social domain and environmental domain.
Factors Related to the Quality of Life of Type II Diabetes Mellitus Patients Rosliana Dewi; Rifda Adzkia Maulamni Ashfiya; Leviana Suci Novianti; Zulfah Roudhatul Zanah; Rifa Muhaimin; Johan Budhiana
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.1679

Abstract

Type II diabetes mellitus is a chronic disease with an increasing prevalence that significantly impacts patients' quality of life. Behavioral and psychosocial factors are thought to play a role in determining quality of life. The objective of this study was to identify the factors that influence the quality of life of patients with type II diabetes mellitus. A quantitative cross-sectional study was conducted on 147 patients at a community health center in Sukabumi City using proportional random sampling. The instruments used included the HDFSS, DMSES, DQOL, SDSCA, and PDAQ, which have been tested for validity and reliability. Data analysis used the chi-square test and binary logistic regression. The results showed significant simultaneous relationship between self-care (p = 0.027; OR = 17.77), family support (p = 0.036; OR = 15.89), diet adherence (p = 0.004; OR = 65.11), and self-efficacy (p = 0.047; OR = 15.61) with quality of life, with dietary adherence being the most dominant factor. It was concluded that self-care, family support, dietary adherence, and self-efficacy play a significant role in the quality of life of type II diabetes mellitus patients, with dietary adherence being the main determinant.
Scalp Cooling for Chemotherapy-Induced Alopecia in Breast Cancer: A Recent Literature Review Mochamad Rizki Hermawan; Rosliana Dewi; Dedi Wahyudin
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1776

Abstract

Chemotherapy significantly improves the prognosis of breast cancer patients. However, its most disturbing side effect is alopecia, which significantly reduces patients' quality of life. Scalp cooling (SC) was developed to minimize hair loss during chemotherapy. Study objective: To analyze the effectiveness, success factors, technical parameters, and tolerability of SC in breast cancer patients. Study methods: A literature review using the PRISMA approach, including English and Indonesian studies from 2021 to 2026. Keyword combinations: "scalp cooling" and "chemotherapy-induced alopecia" were used to search the literature through PubMed, Scopus, Google Scholar, and DOAJ. Of the 1,744 articles identified, ten articles met the inclusion criteria and underwent further analysis. Results: Scalp cooling was 40%-90% effective in preventing hair loss. It was most effective with taxane-based regimens compared to anthracycline-based regimens. The effectiveness of SC was influenced by the type, dose, and duration of chemotherapy, as well as the cooling temperature. Hair characteristics had no effect. SC contributed to hair recovery and reduced alopecia. It was well tolerated, with mild side effects. However, treatment discontinuation rates were observed in some studies. Conclusion: SC is an effective and evidence-supported supportive intervention to reduce the severity of chemotherapy-induced alopecia in breast cancer survivors. Its success depends on the regimen and requires optimization of technical parameters and patient education to improve its sustainability in clinical practice.
Co-Authors Abdul Rahman La Ede Agustina, Fanny Dwi Agustina, Marina Pra Akhmad Huda Akhmad Huda Alawiyah, Luthfi Azzahra, Zaira Tanesa Bayu Kusuma N Budhiana, Johan Budhiana3, Johan Budiana , Johan Dea Kartika Dedi Wahyudin Dian Puspitasari Firdaus Dila Nurul Arsyi Farel, Muhammmad Fatmala, Syiva Dwi Fera Melinda Firdaus, Ridwan Fitri Yuliawati, Fitri Ghulam Ahmad Hasibuan, Sofyan Hadi Hilfi Gustiny Huda, Akhmad Humaira, Frizka Ika Tarwiyah Inten Herlianti Anugrah Iyam Mariam Iyam Mariam Johan Budhiana Johan Budhiana Kushariyadi Kushariyadi Kusumah, R. Bayu Kuswenda, Cici Mawati Laili Rahayuwati Leviana Suci Novianti Lia Novianty Lia Novianty Lia Noviyanti Liawati, Nunung Lisdyani, Kristi Lusi, Neng Maria Yulianti Maria Yulianti, Maria Maulida, Siti Melinda, Fera Mira Aulia Mochamad Rizki Hermawan Neng Fauziyah Nida Rahayu Nisa Fajriah Novianty, Lia Nunung Liawati Nunung Liawati Nur Syazana Umar Nur Syazana Umar Nurani, Meilani Dwi Nurul Novtiana Sabilah Nurvita Trianasari Panduragan, Santhna Letchmi Permana, Iwan Pramudita, Kirana Putri, Tania Rakanda Putra Waliyu Rani Fitriani Arifin Rani Fitriani Arifin, Rani Fitriani Rani Indriani Kusumah Resfani Fatimah Rifa Muhaimin Rifda Adzkia Maulamni Ashfiya Rima Novianti Utami Rizkia Mawarni Ryan Taufik Hidayat Sanjaya, Waqid Santha Letchmi Panduragan Santhna Letchmi Panduragan Saputri, Verawati Eka Saputro, Dimas Sari, Aulia Fatimah Sofyan Hadi Hasibuan Sofyan Hadi Hasibuan Sonia Ramadianti Sri Janatri Suci Rahayu Suci, Suci Fitriyani Amanda Kartini Suherman, Reni Syailla Fatimaheisya Islamayusty Tanti Rahmawati Teten Tresnawan Titis Kurniawan Tsuraya, Siti Zahra Umar, Nur Syazana Wahida, Astri Zeini Waluya, Ady Waqid Sanjaya Waqid Sanjaya Wildan Suheri Woro Rahmanishati Yeni Oktaviani, Yeni Yohan Frans Unmehopa Yulianti, Yeni Zeini Wahida, Astri Zulfah Roudhatul Zanah