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Pemberian Aromaterapi Lavender terhadap Kualitas Tidur Pasien Hemodialisis Hartati, Yeni; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Hasanah, Uswatun
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7516

Abstract

This study aims to determine the effectiveness of lavender aromatherapy on hemodialysis patients' sleep quality. The method used is experimental intervention twice a week for four weeks. Before and after the intervention, sleep quality will be measured using the PSQI (Pittsburgh Sleep Quality Index) instrument. The results showed that (t = 22.789, p = 0.0001). 7.3% of the variable variation in the model was able to explain changes in the percentage of sleep quality (R2=0.073). Education variables (β=0.240, p=1.888), duration of HD (β=0.227, p=1.583), and the variable that is a predictor of sleep quality is gender (β=-0.006, p=0.421). In conclusion, there is a relationship between giving lavender aromatherapy and the sleep quality of hemodialysis patients compared to patients who did not receive lavender aromatherapy. Keywords: Lavender Aromatherapy, Hemodialysis, Sleep Quality
Penerapan Evidence Based Nursing Practice (EBNP) Edukasi Video 5 Pilar terhadap Kadar Glukosa Darah Pasien Diabetes Hentu, Ardin Saleh; Irawati, Diana; Anggareni, Dewi; Jumaiyah, Wati; Abriyanti, Rika Mustika
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7744

Abstract

This research aims to identify the effectiveness of 5 pillars of education in controlling blood sugar levels. The method used in EBNP is a case study design. The application of EBNP begins with an article search by selecting articles that use the RCT method with the keyword "Education Video IN DIABETIC PATIENTS." The results of this EBNP research show that education on applying the five pillars video effectively controls blood sugar levels with a p-value of 0.01. In conclusion, using the five pillars of teaching effectively prevents blood sugar levels in diabetes patients at Tarakan Regional Hospital, Jakarta. Keywords: EBNP, 5 Pillar Education, Blood Sugar
Penerapan Intervensi Edukasi Pendidikan terhadap Fatigue pada Pasien Hemodialisis Zuliani, Peri; Irawati, Diana; Anggraeni, Dewi; Jumaiyah, Wati; Abriyanti, Rika Mustika
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7928

Abstract

This research aims to implement education on fatigue in hemodialysis patients. The method used was a Randomized Controlled Trial with a quasi-experimental research design. The results showed a significant difference in the average total Fatigue score in the experimental and control groups after participating in the program (P < 0.001). There were also statistically significant differences between age, gender, disease duration, dialysis frequency, and Fatigue level (p<0.05). In conclusion, the educational intervention aims to increase knowledge so that patients can comply with the educational intervention provided and can help reduce fatigue levels in patients undergoing hemodialysis. Keywords: CKD, Education, Fatigue
Penerapan Intervensi Edukasi terhadap Self-Management, Self Efficacy dan Nilai Gula Darah pada Pasien Diabetes Melitus Silalahi, Lenny Erida; Irawati, Diana; Anggraeni, Dewi; Jumaiyah, Wati; Abriyanti, Rika Mustika
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7929

Abstract

This study aims to implement Evidence-Based Nursing Practice (EBNP) with educational interventions on self-management, self-efficacy, and blood sugar values in DM patients at Tarakan Hospital, Jakarta. This research method uses quasi-experimental. The research results show that the p-value of self-management with self-efficacy is (r=0.464, p=0.001). The conclusion is that fasting blood sugar changes will impact postprandial blood sugar changes, and self-management will influence changes in respondents' self-efficacy. Keywords: DM, Self-management, Self-efficacy
Penerapan Latihan Sepeda Statis Intradialitik dalam Memperbaiki Gejala Kelelahan pada Pasien Hemodialisis Ernawati, Dedeh; Irawati, Diana; Anggraeni, Dewi; Jumaiyah, Wati; Abriyanti, Rika Mustika
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.8286

Abstract

This study aims to implement an intradialytic stationary bicycle exercise intervention to improve fatigue symptoms in hemodialysis patients. The research method used is a literature review. Research results The research results showed that there were significant differences between the experimental group and the control group on fatigue subscales such as decreased motivation (P = 0.02) and mental fatigue (P = 0.046). Also, there were significant differences between the experimental and control groups in all fatigue subscales during the third month of intervention and 1 month after intervention. In addition, the results showed that exercise prevented the development of mental fatigue in the experimental group. In conclusion, exercise with a stationary bicycle prevented an increase in fatigue and its subscales, especially mental fatigue, in the test group. Keywords: Hemodialysis, Fatigue, Stationary Bike
MEKANISME KOPING, EFIKASI DIRI DAN KUALITAS HIDUP DI ANTARA PASIEN DIABETES MELLITUS TIPE II: Coping Mechanisms, Self-Efficacy and Quality of Life Among Patients with Type II Diabetes Mellitus Natashia, Dhea; Wanandi, Eka Wisnu; Fitria, Dian; Irawati, Diana
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 3 (2023): JIKep | Oktober 2023
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i5.1786

Abstract

Pendahuluan: Penerapan strategi koping yang efektif berperan dalam mengelola dan mencegah komplikasi diabetes, dapat memengaruhi kepatuhan pasien terhadap rencana pengobatan. Hal tersebut dapat membantu dalam mendukung kepatuhan terhadap manajemen penyakit dan dengan demikian dapat meningkatkan kualitas hidup. Tujuan: Penelitian ini bertujuan untuk mengetahui Hubungan Mekanisme Koping, Efikasi Diri, dan Kualitas Hidup pada pasien DM Tipe II. Metode: Penelitian ini menggunakan desain korelasional dengan pendekatan cross-sectional. Sampel terdiri dari 80 partisipan. Analisis data dilakukan dengan menggunakan uji chi-square dan regresi logistik berganda untuk melihat hubungan antara mekanisme koping, efikasi diri, dan kualitas hidup pada pasien DM Tipe II. Hasil: Mayoritas responden berusia sekitar 45,85 tahun, sebagian besar laki-laki, sebagian besar bekerja, dan sebagian besar memiliki tingkat pendidikan yang rendah. Selain itu, sebagian besar responden hidup dengan DM Tipe II selama lebih dari satu dekade dan memiliki kondisi kesehatan yang ringan. Mekanisme koping berhubungan dengan kualitas hidup pada pasien dengan DM Tipe II. Mekanisme koping juga berhubungan dengan efikasi diri pada pasien dengan DM Tipe II. Analisis multivariat menunjukkan bahwa mekanisme koping menjadi prediktor dari kualitas hidup. Simpulan: Mekanisme koping yang adaptif dapat meningkatkan efikasi diri, dan mekanisme koping yang adaptif dapat memiliki dampak positif pada kualitas hidup pasien DM Tipe II.
The Influence of Oral Hygiene Using NaCl 0.9% and Chlorhexidine on Ventilator Associated Pneumonia (VAP) in the ICU of Jakarta Hospital Haryanti, Noviana; Nursanti, Irna; Irawati, Diana
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 01 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 01 March 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i01.3183

Abstract

Background: VAP is a problem found in patients who are on a ventilator, the VAP has not been considered by nursing staff when providing nursing care processes, starting from when reviewing patients, conducting interventions and evaluating patients. Prevention is done from the beginning of nursing care, one of which is oral hygiene. Objectives: The purpose of this study was to examine the effect of oral hygiene using a combination of 0.9% Natrium Chloride (NaCl) and Chlorhexidine (CHG) in patients who were on a ventilator. Methods: The design of this study was a quasi experiment with a pretest-post test with a control group design. The sampling technique used the Federer formula with a sample of 18 respondents with 9 respondents per group. Statistical analysis used in this research is univariate characteristic test, bivariate test with paired t-test and for multivariate using simple linear regression test for confounding. Results: Of the research conducted showed that there was no significant effect in group A before and after the intervention with a p-value (0.403) and the average increased slightly, while group B before and after the intervention had a p-value (0.512) with a decreasing average. The multivariate test found that age confounding had an effect on VAP with a p-value (0.024) while gender confounding had no effect on VAP with a p-value (0.277). Conclusion: In this study, oral hygiene using a combination of 0.9% NaCl and CHG was effective against VAP.
HUBUNGAN KUALITAS TIDUR TERHADAP VITAL EXHAUSTION PADA PASIEN CORONARY ARTERY DISEASE DI POLIKLINIK JANTUNG RUMAH SAKIT ISLAM JAKARTA CEMPAKA PUTIH Cahyani, Ratri; Irawati, Diana
Indonesian Journal of Nursing Sciences and Practice Vol 3, No 1 (2020)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v3i1.23-28

Abstract

ABSTRAKTidur merupakan salah satu kebutuhan dasar manusia yang bersifat fisiologis atau kebutuhan paling dasar, kesempatan tidur dan istirahat sama pentingnya dengan kebutuhan makan, aktivitas maupun kebutuhan dasar lainnya. Siklus bangun-tidur (pola tidur) selama sakit juga mengalami gangguan atau perubahan khususnya pada pasien Coronary Artery Disease (CAD) atau Penyakit Arteri Koroner. Kualitas tidur pasien CAD yang buruk dapat berdampak terhadap kesehatan khususnya Vital Exhaustion dan perubahan VE yang tidak baik, secara langsung maupun tidak langsung akan meningkatkan morbiditas dan mortalitas pada pasien CAD. Penelitian ini bertujuan untuk mengetahui hubungan kualitas tidur terhadap vital exhaustion pada pasien CAD  di Poliklinik Jantung Rumah Sakit Islam Jakarta Cempaka Putih. Metode penelitian yang digunakan adalah deskriptif analitik dengan pendekatan Cross Sectional. Sampel dipilih menggunakan teknik Non-Probability Sampling atau Non-Random Sampling dengan metode Purposive Sampling pada 106 responden. Sampel penelitian adalah seluruh pasien CAD yang menjalani rawat jalan di Poliklinik Jantung RSIJ Cempaka Putih. Hasil penelitian menggunakan analisis uji statistik Chi Square dengan tingkat kemaknaan α = 0,05. Berdasarkan hasil analisis bivariat menunjukkan adanya hubungan yang signifikan antara kualitas tidur terhadap Vital Exhaustion dengan P Value <0,05. Diharapkan hasil penelitian ini dapat digunakan oleh perawat yang ada diruangan untuk membantu meningkatkan kualitas pelayanan kesehatan dengan memberikan edukasi tentang pentingnya menjaga kualitas tidur untuk mencegah perburukan kondisi pada pasien CAD.Kata kunci: Coronary Artery Disease, Kualitas tidur, Vital Exhaustion.ABSTRACTSleep is one of the basic human needs that focuses on the basic needs, the opportunity to sleep and rest is as important as the need for food, whatever other basic needs. The wake-up (CAD) cycle during illness also increases or changes in patients with Coronary Artery Disease (CAD) or Coronary Artery Disease. Poor sleep quality of CAD patients on health Special fatigue and changes in VE that are not good, directly or indirectly will increase morbidity and mortality in CAD patients. This study aimed to determine the relationship of sleep quality to vital fatigue in CAD patients at the Cardiac Polyclinic at the Jakarta Islamic Hospital Cempaka Putih. The research method used is descriptive analytic by discussing Cross Sectional. The sample was selected using the Non-Probability Sampling or Non-Random Sampling technique with the Purposive Sampling method on 106 respondents. The study sample was all CAD patients who were approved for outpatient care at the Cardiac Polyclinic at the Jakarta Islamic Hospital Cempaka Putih. The results of the study used Chi Square statistical test analysis with significance level α = 0.05. Based on the results of bivariate analysis showed a significant relationship between sleep quality on Vital Fatigue with a P value <0.05. It is expected that the results of this study can be used by nurses in the room to help improve the quality of health services by providing education about requiring sleep safety to prevent worsening in CAD patients. Keywords: Coronary Artery Disease, Sleep Quality, Vital Exhaustion
HUBUNGAN NILAI INTERDIALYTIC WEIGHT GAIN (IDWG) DAN KEPATUHAN PEMBATASAN DIET TERHADAP TERJADINYA RESTLESS LEGS SYNDROME PADA PASIEN YANG MENJALANI HEMODIALISA Karmiyati, Novia; Irawati, Diana; Siswandi, Iyar
Indonesian Journal of Nursing Sciences and Practice Vol 4, No 1 (2021)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v4i1.7-16

Abstract

Penyakit ginjal kronik adalah suatu penyakit yang harus membutuhkan terapi hemodialisis, dimana fungsi ginjal yang ireversible, dan menimbulkan dampak komplikasi berupa gejala Restless Legs Syndrome (RLS). Masalah yang dapat menyebabkan terjadinya RLS ini ialah kenaikan berat badan diantara dua waktu dialisis (IDWG) dan kepatuhan pembatasan diet pasien. Tujuan penelitian ini untuk mengetahui hubungan nilai IDWG dan kepatuhan pembatasan diet yang dilakukan pasien. Penelitian ini menggunakan metode deskriftif analitik dengan pendekatan cross sectional, Yang dilakukan di Klinik HD Apotik Berkat Pangkal Pinang dengan jumlah responden 26 orang yang diambil secara total sampling. Uji yang digunakan pada penelitian ini menggunakan uji Chi-Square. Hasil penelitian dengan analisa Chi-Square didapatkan nilai p value untuk IDWG sebesar 0,006 dan nilai p value 0,030 untuk kepatuahn pembatsan diet. Pasien yang patuh terhadap pembatasan diet akan meminimalkan kenaikan nilai IDWG dan akan mengurangi dampak terjadinya RLS. Saran yang dapat diberikan berdasarkan penelitian ini diharapkan kepatuhan pembatasan diet dan cairan dapat ditingkatkan pada paien HD sehingga keluhan RLS berkurang
PENINGKATAN SELF EFFICACY MELALUI SPIRITUAL CARE PADA PASIEN DIABETES MELITUS TIPE 2 S, Baharudin Lutfi; Rayasari, Fitrian; Irawati, Diana
Indonesian Journal of Nursing Sciences and Practice Vol 1, No 2 (2018)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v1i2.83-91

Abstract

Diabetes melitus merupakan penyakit kronis yang disandang seumur hidup dan jika gula darah tidak terkontrol akan menimbulkan berbagai komplikasi fisik hingga psikologi seperti depresi. Penyandang DM tipe 2 mempunyai resiko mengalami depresi 15% dibandingkan orang tanpa DM,  Katon, WJ (2008). Penerimaan terhadap kondisi yang dialami akan meningkatkan keyakinan seseorang dalam melakukan perawatan dirinya atau dikenal self efficacy. Pencapaian pada Spiritual Well Being  untuk meningkatkan kesehatan biologis, psikologis dan kesehatan sosial dilakukan melalui pemenuhan kebutuhan spiritual atau spiritual care. Penelitian ini bertujuan mengidentifikasi pengaruh spiritual care terhadap self efficacy pada pasien dengan Diabetes Melitus tipe 2. Metode penelitian menggunakan quasi eksperimen pre post test dengan kelompok kontrol. Jumlah sample dalam penelitian ini 16 responden pada setiap kelompok yang diambil menggunakan consecutive sampling. Hasil penelitian menunjukan peningkatan skore self efficacy setelah diberikan spiritual care sebanyak 6,875 point dan 3,625 point lebih tinggi dibandingkan kelompok kontrol dengan p value 0,03 (p >0,05). Pemberian spiritual care pada pasien DM tipe 2 meningkatkan keyakinan dalam merawat dirinya yang berdampak pada kesehatan fisik, psikologis, sosial dan diharapkan kualitas hidup penyandang DM semakin baik. Perawatan holistik dengan menyentuh aspek spiritual menjadi bagian penting pada pemberian asuhan keperawatan pada pasien DM tipe 2 khususnya dan untuk gangguan kronik lainnya. Kata Kunci: Diabetes Melitus Tipe 2, Self Efficacy, Spiritual Care ABSTRACTDiabetes mellitus is a chronic disease which occurred to patient for a lifetime and if blood sugar uncontrolled, it will cause various physical complications till psychology such as depression. People with DM type 2 have a 15% risk of depression than people without DM, Katon, WJ (2008). An Awareness to the occurred condition will increase person’s confidence for carrying out their self-care or known as self-efficacy. The achievement of Spiritual Well Being for improving biological, psychological and social health is done through fulfilling spiritual needs or spiritual care. This study aims to identify the effect of spiritual care on self-efficacy to the patients with diabetes mellitus type 2. The research method used quasi-experimental pre-post test with the control group. The number of samples in this study were 16 respondents, which in each group taken using consecutive sampling. The results showed an increase in self-efficacy scores after being given a spiritual care of 6.875 points and 3.625 points higher than the control group with p value 0.03 (p> 0.05). Giving spiritual care to the patients DM type 2 increases their confidence in caring for themselves which has an impact on physical, psychological, social health and expected to improve the quality of life of people with DM. Holistic care by touching spiritual aspects is being an important part for the provision of nursing care to the patients DM type 2 especially and for other chronic disorders.Keywords: Diabetes Melitus Type 2, Self Efficacy, Spiritual Care