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Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital Wahdaniyah, Wahdaniyah; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Resnayati, Yeti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.644

Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test. Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital

Hubungan Gangguan Kognitif dengan Kemandirian Lansia dalam Melakukan Basic Activity of Daily Living (BADL) Riasmini, Ni Made; Astried, Luthfiyah; Resnayati, Yeti
Jurnal Sehat Mandiri Vol 20 No 1 (2025): Jurnal Sehat Mandiri, Volume 20 Nomor 1 Juni 2025
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v20i1.1728

Cognitive impairment experienced by the elderly is a serious problem because it has an impact on the ability of the elderly to carry out daily activities. After old age, there are a number of potential physical changes in a person. This is related to differences in the speed of cognitive function in the elderly because it can interfere with the independence of the elderly to carry out Basic daily activities. The aim of this research is determine the relationship between cognitive impairment and elderly independence in carrying out Basic Activities Daily Living (BADL).the elderly. This type of research is quantitative with a cross-sectional approach. The population of this study was 292 people with a sample of 68 respondents and sampling using simple random sampling techniques. The results of data analysis with the chi-square test showed that there is a meaningful relationship between cognitive impairment and independence of Basic Activity Daily Living (BADL) with p-value<0.001. The conclusion is the elderly with severe cognitive impairment are at greater risk of experiencing dependency in BADL compared to elderly people who experience mild cognitive impairment.

The Relationship Between Sleep Quality and Cognitive Function in The Elderly at The Tresna Werdha Social Institution Hanum, Hilda Tiara; Pudjiati, Pudjiati; Maryam, Raden Siti; Badriah, Siti; Resnayati, Yeti
Journal of Nursing Care Vol 8, No 1 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i1.57723

Background: Cognitive changes in the elderly are a natural consequence of the degenerative process. In this process, sleep quality becomes an important factor affecting cognitive function. While it is known that prolonged sleep disturbances can increase the risk of cognitive impairment in the elderly, few studies have specifically explored the relationship between sleep quality and cognitive function in the context of the elderly in elderly residents. Aim: To determine the relationship between sleep quality and cognitive function in elderly residents. Methods: This study used a quantitative method with a descriptive-analytic design and a cross-sectional approach. The research population comprised all elderly residents of Tresna Werdha Social Institution Budi Mulia 3 in Jakarta, totaling 282 individuals, with a sample size of 80 elderly individuals selected using simple random sampling. Data collection was conducted using questionnaires, and data analysis was performed using the Chi-square test. Results: The results showed that the majority had good sleep quality (55%) and normal cognitive function (51.2%). There is a significant relationship between sleep quality and cognitive function (p=0.000) with an OR value of 19.444. Conclusion: There is a significant relationship between sleep quality and cognitive function in the elderly. Recommendations: Based on the results of this study, it is recommended that nurses carry out community-based interventions, such as sleep health education activities and stress management, to support comprehensive elderly health. Further research is recommended to develop and test the effectiveness of non-pharmacological-based interventions, such as cognitive behavioural therapy and meditation techniques, in improving the quality of elderly sleep. Keywords: cognitive function; elderly; sleep quality.

PENINGKATAN PERILAKU PENCEGAHAN STROKE PADA LANSIA MELALUI PENGEMBANGAN MODEL PEMBERDAYAAN KELUARGA DAN LANSIA Riasmini, Ni Made; Resnayati, Yeti; Silaswati, Shinta; Riyanto, Riyanto; Salmid, Amid
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9727

Introduction: The number of patients with hypertension is steadily increasing and poses a significant chronic health problem. Individuals with hypertension have an 87.5% risk of experiencing a stroke. The role of family as caregivers is crucial in elderly care, particularly in stroke prevention. The family empowerment model is an approach designed to enhance self-potential, enabling individuals to make informed decisions regarding their own health. This study aimed to examine the effect of a family empowerment model on stroke prevention behavior among the elderly with hypertension. Methods: This quasi-experimental study involved 132 families with hypertensive elderly, using multistage random sampling. A six-week intervention program consisting of education and skill-building activities was implemented. Stroke prevention behaviour was measured using the validated Elderly Stroke Prevention Behaviour Questionnaire (knowledge, attitude and behaviour). Data were analysed using paired and independent t-tests. Results: Significant improvements were observed in the intervention group following the implementation of the family empowerment model (p < 0.001). Knowledge scores improved from 6.61 (SD = 1.86) to 9.15 (SD = 0.88), attitude scores improved from 17.11 (SD = 2.30) to 25.79 (SD = 3.30), and behaviour scores improved from 7.18 (SD = 2.20) to 9.02 (SD = 0.97). Conclusion: The eight-week empowerment model effectively improved stroke prevention behaviour among the elderly with hypertension This model can be integrated into community-based programs to promote elderly self-care and reduce the risk of stroke. Recommendations: Empowering the elderly is essential to enhance self-efficacy and overall quality of life.

Improving Cognitive Function of the Elderly through Tai Chi Exercise Program and Cognitive Stimulation Riasmini, Ni Made; Sabri, Rika; Khatimah, Husnul; Resnayati, Yeti; Mulyana, Nana; Riyanti, Eska; Riyanto, Riyanto
Jurnal Keperawatan Vol 9 No 1 (2024): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v9i1.1472

The increasing proportion of elderly followed by the increasing life expectancy has improved the prevalence of various chronic-degenerative diseases and dementia. The promotive efforts using exercise programs, such as Tai Chi and cognitive therapy, significantly increase the physical fitness, mental well-being, and cognitive function of the elderly. This research aimed to predict the effectiveness of exercise programs for particular groups living in nursing homes. The method of this research was a quasi-experiment with a control group design. Samples are elderly living in the nursing home. The research samples were 116 elderlies living in nursing homes in Jakarta and South Sumatra. They were selected using a random sampling strategy. Statistical tests employed a dependent t-test, independent t-test, and multiple linear regression test. This study revealed that the intervention group showed different cognitive function average values before and after implementing the exercise programs (p-value = 0.001). In contrast, the control group did not show any differences. The intervention and control groups showed different cognitive function mean values after applying the exercise program (p-value = 0.057). Another finding denoted that the length of stay in the nursing home affected the elderly's cognitive functions). This research recommends policymakers and healthcare personnel use the developed exercise program to perform complementary therapy, empower the elderly, and be replaced by many orders of the healthcare system.

The Relationship Of The Level Of Elderly Knowledge About Dementia And The Risk Of Dementia Zhahira, Anisya Virotika; Maryam, Raden Siti; Riyanti, Eska; Resnayati, Yeti; Nurhasanah, Aan; Pudjiati, Pudjiati
Nursing Genius Journal Vol. 1 No. 2 (2024): Nursing Genius Journal (February-April)
Publisher : PT. Nursing Genius Care

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Background:The growing elderly population will bring many changes that impact health problems, such as dementia which affects cognitive function. Objective: Analyzing the relationship between the level of knowledge of the elderly about dementia and the risk of developing dementia at the Mekarsari Village Health Center. Methods:This study uses a quantitative approach that is descriptive analytic, using a cross sectional design. The sample in this study were 85 elderly who were taken using purposive sampling. Data analysis used the chi square test. The instrument used to measure the possibility of dementia in respondents is a modified standard instrument of the HVLT (Hopkins Verbal Learning Test Version) and modified DKAS (Dementia Knowledge Assessment Scale). Results:The results showed that there was a relationship between the level of knowledge of the elderly about dementia and the risk of dementia with a total p value of 0.030 (<0.05). Conclusion:The level of knowledge about dementia in elderly respondents is mostly knowledgeable. The majority of the risk of dementia in the elderly is in the normal category.

The Influence of Lifestyle Modifications in Elderly People With Hypertension on Self-Efficacy and Quality of Life Resnayati, Yeti; Maryam, Raden Siti; Riasmini, Ni Made; Pudjiati, Pudjiati; Carolina Hapsari, Dina
Nursing Genius Journal Vol. 1 No. 2 (2024): Nursing Genius Journal (February-April)
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Problems in the elderly occur due to a decline in all organ functions. The aging process can cause various physical, biological, mental, and socio-economic problems. One very important factor influencing quality of life is lifestyle and lifestyle promotion behavior. Methods: Pretest-posttest research design with control group design. Sample of elderly individuals. The sampling strategy used was simple random sampling with a sample size of 39 each for the intervention group and control group. Data analysis used the difference between two means test (t-test). Results: shows a significant difference (p = 0.000) in self-efficacy and quality of life for the elderly between the intervention group and the control group after the lifestyle modification intervention. Conclusion: It is hoped that continued promotional and preventive activities for senior people can be carried out through the integrated guide post (Posbindu). Lifestyle adjustments for elderly people with hypertension can increase their self-efficacy and quality of life.

Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital Wahdaniyah, Wahdaniyah; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Resnayati, Yeti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.644

Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test. Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital

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