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EXPLORING THE RELATIONSHIPS BETWEEN PSYCHOLOGICAL CHANGES, SLEEP QUALITY, AND HYPERTENSION AMONG COMMUNITY-DWELLING ELDERLY Natashia, Dhea; Rahma, Pricelia Alifa; Fitria, Dian; Syamsir, Syamikar Baridwan; Irawati, Diana
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 9, No 3 (2024)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v9i3.618

Objective: to examine the relationship between psychological changes and sleep quality with the incidence of hypertension in the elderly.Method: This cross-sectional study, conducted with a purposive sample of 126 elderly participants, assessed psychological changes using the Depression, Anxiety, and Stress Scale (DASS-42) questionnaire and sleep quality using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Blood pressure was measured using a sphygmomanometer to assess hypertension. Data analysis included independent t-tests and chi-square tests, with logistic regression used to identify predictors of hypertension. Results: The independent t-test revealed significant differences in stress levels between participants with and without hypertension (t = -6.614, p = 0.020). Similarly, significant differences in depression levels were observed between these two groups (t = -0.044, p = 0.014). Elderly individuals with poor sleep quality had a 5 times higher risk of experiencing hypertension (OR = 4.625, p = 0.008). Multivariate analysis indicated that age was a predictor of hypertension incidence (β = 0.208, p = 0.004), and sleep quality was also a predictor (β = -1.501, p = 0.023). Discussion: The findings suggest that psychological factors and sleep quality influence hypertension development in the elderly, likely through physiological mechanisms such as heightened sympathetic activity and vascular stress. These results highlight the importance of addressing both psychological health and sleep quality in managing hypertension risk. Conclusion: Sleep quality is a predictor of hypertension incidence in the elderly. Those with poor sleep quality have a 5 times greater risk of developing hypertension compared to those with good sleep quality. Keywords: elderly, hypertension, psychological changes, sleep quality

The effect of aerobic virtual‐reality‐based exercise on restless legs syndrome, sleep quality, and quality of life among patients undergoing hemodialysis Fauzi, Achmad; Ahmedy, Fatimah; Irawati, Diana
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 9, No 2 (2024): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v19i2.629

Background: Virtual reality (VR) therapy for hemodialysis (HD) patients can improve physical function, maintain patient compliance, and have a positive effect on functional capacity, strength, and health-related quality of life. Nevertheless, the utilization of this treatment for HD patients remains restricted, particularly in the context of Indonesia where its development has yet to be established.Objectives: the primary objective of this research attempt was to determine the effect of aerobic exercise using virtual reality technology on restless legs syndrome, sleep quality, and quality of life in patients undergoing hemodialysis therapy. Methods: The present study employs a quasi-experimental design with a two-group pretest-posttest design. The inclusion criteria for this study include of patients with HD who are over the age of 20, have been undergoing hemodialysis for a minimum of 6 months, exhibit cooperative behavior and compositional awareness, and express a willingness to participate as respondents. The KDQOL-SF, IRLSG Scale, and PSQI were used to measure study outcome.Results: There were 95 people that could have participated, but only 75 ended up doing so due to exclusions and dropouts. The intervention significantly decreased RLS score and improved sleep quality, but quality of life did not increase significantly. In the control group, RLS score did not decrease significantly, sleep quality did not improve, and quality of life did not increase significantly.Conclusion: Intradialytic aerobic exercise supported with virtual reality may have additional effects in RLS, sleep quality, and quality of life. Further research is needed to assess the effect of VR-based intervention, both alone and when combined with other therapies.

Prevalence and Related Psychological Aspects of Frailty in Hemodialysis Patients Natashia, Dhea; Irawati, Diana; Purwati, Nyimas Heny; Rahmi, Upik; Narawangsa, Asri; Handayani, Roswati; Heriadi, Ronny
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.23151

Objective: This study aimed to ascertain the prevalence of frailty and associated psychological factors among hemodialysis patients. Methods: A cross-sectional study was conducted employing a convenience sample of CKD patients undergoing hemodialysis at a Jakarta hospital. A total of 151 participants were included in this study. Instruments included demographic and clinical characteristics. The Tilburg Frailty Indicator (TFI) assessed frailty, while the Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) evaluated psychological status. Data analysis encompassed univariate descriptive statistics, t-test, and Pearson correlation to identify the relationship among variables. A multivariate regression analysis studied frailty index associations with demographic, clinical, and psychological factors. Results: Results: This study indicates that the prevalence of frailty, assessed by the Tilburg Frailty Index (TFI), is 53.6%, primarily evident in the physical aspect. Positive correlations are found between frailty and age, unemployment, higher CCI, and a history of diabetes. Anxiety is correlated with female gender and a history of diabetes, while depression correlates with age, female gender, higher CCI, and a history of diabetes. Conclusion: The study highlights the complexity of frailty among hemodialysis patients. Significant correlations emerged, associating frailty with factors such as age, unemployment, comorbidity, and a history of diabetes. Frailty was linked to psychological aspects, specifically anxiety and depression. Tailored interventions are recommended, focusing on early identification, psychological support, and a holistic care approach. Educational initiatives for healthcare providers are crucial to enhance awareness and improve the quality of care for this vulnerable population, leading to better health outcomes.

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.

Effect of Visual Learning Media and Guidebooks on Fluid Restriction Compliance Among Hemodialysis Patients Suhaemi, Suryati; Nursanti, Irna; Irawati, Diana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): 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.v11i2.815

Background: Hemodialysis is vital for patients with end-stage renal disease, and adherence to fluid restrictions is crucial for preventing complications and improving quality of life. However, many patients struggle with fluid intake control due to limited understanding. Objective: This study aimed to assess the impact of visual learning media and guidebooks on fluid intake control, measured by Interdialytic Weight Gain (IDWG), in hemodialysis patients. Methods: A quasi-experimental design involved 26 participants in the intervention group, who received visual media and guidebooks, and 26 controls. IDWG was used to measure fluid restriction compliance. Data were analyzed using t-tests and multiple linear regression. Results: The intervention group showed a significant reduction in IDWG (p < 0.001), indicating improved compliance. Regression analysis found that education level (R² = 0.353, p = 0.008) was a significant predictor of fluid restriction compliance. Conclusion: Visual learning media and guidebooks significantly improve fluid restriction adherence in hemodialysis patients, leading to a reduction in IDWG. These tools are effective for enhancing patient education and improving clinical outcomes.

Rehabilitative Exercise Strategies for Urinary Incontinence After TURP: A Quasi-Experimental Evaluation of Kegel and Bridging Techniques Haeruman, Haeruman; Nursanti, Irna; Irawati, Diana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): 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.v11i2.816

Background: Urinary incontinence (UI) is a common issue following Transurethral Resection of the Prostate (TURP). Pelvic Floor Muscle Training (PFMT), including Kegel and Bridging exercises, is a promising non-pharmacological intervention for managing UI. Objective: This study aimed to evaluate the effectiveness of Pelvic Floor Muscle Training, combining Kegel and Bridging exercises, in reducing urinary incontinence among post-TURP patients, and to identify factors associated with UI severity. Methods: A quasi-experimental pre-posttest design was employed involving 44 male patients who had undergone TURP. Participants were allocated into an intervention group (n = 22), which received six sessions of PFMT over three weeks, and a control group (n = 22), which received standard care. UI severity was measured using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before and after the intervention. Data were analyzed using paired t-tests and regression analysis. Results: The intervention group demonstrated a significant reduction in UI scores from 15.50 (SD = 2.50) to 7.41 (SD = 4.12) (p = 0.0001), whereas the control group exhibited only minor improvement. Regression analysis identified age and body mass index (BMI) as significant predictors of UI severity (p = 0.037 and p = 0.041, respectively). Conclusion: Pelvic Floor Muscle Training effectively decreases urinary incontinence severity following TURP surgery. Integrating PFMT into routine postoperative nursing care may enhance patient outcomes and facilitate recovery. Future research should explore long-term adherence and outcomes associated with PFMT in diverse patient populations.

Optimalisasi Literasi Kesehatan Reproduksi Remaja melalui Program Lentera (Literasi Reproduksi Remaja Aman dan Sehat): Pengabdian Kepada Masyarakat Berbasis Komunitas Nursanti, Irna; Fadhillah, Harif; Natashia, Dhea; Irawati, Diana; Karmi, Rudi; Yanti, Damai
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21548

ABSTRAK Remaja merupakan kelompok usia yang rentan terhadap berbagai risiko kesehatan reproduksi, termasuk keterlibatan dalam perilaku seksual berisiko akibat rendahnya tingkat literasi. Peningkatan literasi reproduksi melalui pendekatan berbasis komunitas menjadi salah satu strategi penting dalam membekali remaja dengan pengetahuan, sikap, dan perilaku sehat yang sesuai kebutuhan usia. Kegiatan ini bertujuan untuk meningkatkan literasi kesehatan reproduksi remaja melalui program LENTERA (Literasi Reproduksi Remaja Aman dan Sehat) yang dilaksanakan dalam lingkungan komunitas. Program dilaksanakan dengan mengintegrasikan metode edukasi interaktif seperti pemaparan materi, diskusi kelompok, pemutaran video edukatif, refleksi nilai, dan sesi tanya jawab. Sebanyak 27 remaja putra dan putri dari komunitas di Kota Bandung terlibat dalam kegiatan ini. Evaluasi dilakukan dengan instrumen pre–post test menggunakan KPS2R dan adaptasi dari YRBSS. Analisis data menggunakan uji-t sampel berpasangan. Hasil menunjukkan peningkatan signifikan pada pengetahuan, sikap, dan kesiapan perilaku remaja dalam melakukan deteksi dini kesehatan reproduksi (p < 0,05), serta penurunan proporsi perilaku seksual berisiko. Temuan ini menegaskan pentingnya pendekatan edukasi berbasis komunitas untuk meningkatkan literasi kesehatan reproduksi dan mendorong perilaku sehat pada remaja. Kata Kunci: Remaja, Literasi Reproduksi, Perilaku Sehat, Kesehatan Sekolah, Edukasi ABSTRACT Adolescents represent an age group that is particularly vulnerable to various reproductive health risks, including engagement in risky sexual behaviors due to low levels of reproductive health literacy. This initiative aimed to enhance adolescents' reproductive health literacy through the LENTERA program (Safe and Healthy Adolescent Reproductive Literacy) implemented within a community setting. The program integrated interactive educational methods, including material presentations, group discussions, educational video screenings, value reflection sessions, and Q&A discussions. A total of 27 male and female adolescents from a community in Bandung participated. Evaluation was conducted using pre–post tests with the KPS2R instrument and an adapted version of the Youth Risk Behavior Surveillance System (YRBSS). Data were analyzed using paired sample t-tests. The results demonstrated a significant improvement in adolescents' knowledge, attitudes, and behavioral readiness for early reproductive health screening (p < 0.05), along with a decrease in the proportion of risky sexual behaviors. These findings highlight the importance of community-based educational interventions in promoting reproductive health literacy and encouraging healthy behaviors among adolescents. Keywords: Adolescents, Reproductive Literacy, Healthy Behavior, School Health, Education

Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD) Arsyi, Dila Nurul; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3694

Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.

Implementation of Guided Imagery and Intradialityc Exercise Regular Flexibility on Fatigue of Hemodialysis Patients Yulianti, Maria; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3706

Fatigue is a common symptom in dialysis patients, with a significant prevalence rate. In overcoming the problem of fatigue, therapeutic management is done through the application of guided imagery and intradialytic exercise. Objective: Objective is assess the effect of guided imagery and intradialytic exercise regular flexibility on fatigue in patients with chronic kidney disease who are undergoing hemodialysis process. Methods: The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 23 respondents with a sample size of 22 respondents using total sampling technique. Measurement of fatigue using Functional Assessment Chronic Illness Therapy (FACIT). Data analysis was performed using paired t-test and Repeated Measures ANOVA. Results: The results showed that the mean value of fatigue before intervention in the first measurement was 24.00 (±3.911). The value increased in the second measurement to 25.22 (±4.095), in the third measurement to 28.11 (±3.411), in the fourth measurement to 33.89 (±2.908), and in the last measurement to 39.67 (±3.106). This finding explained that both interventions had a significant impact on reducing fatigue (t = -18.561, p = 0.000). Time effect analysis confirmed the significant impact of the interventions on fatigue reduction scores (F(1, 473) = 187.798, p < 0.000, partial eta squared = 0.917). Conclusion: This study can be used as a non-pharmacological treatment to reduce fatigue symptoms that can be done independently during the hemodialysis process, and is expected as an independent nursing intervention for a nurse in providing nursing care.

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