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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

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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.

PENERAPAN EFEKTIVITAS RELAKSASI BENSON TERHADAP KUALITAS TIDUR PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) YANG MENJALANI HEMODIALISIS DI RSUD TARAKAN JAKARTA PUSAT Dewi, Ratna; Irawati, Diana; Anggaraini, Dewi; Jumaiyah, Wati; Suryanti, Asih Dwi
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i1.1605

Background: Hemodialysis patients can experience psychological problems such as: stress, anxiety, depression, and insomnia or disturbed sleep quality. Prolonged sleep quality disturbances can have an impact on the patient's quality of life, thus requiring interventions that are safe and easy to implement, one of which is Benson relaxation. The aim of applying Benson's relaxation to sleep quality in chronic kidney disease (CKD) patients undergoing hemodialysis. The application of evidence based nursing practice (EBNP) is through literature searches via the PubMed data base with the final result being an article entitled "The Effect of Benson's Relaxation Technique on the Quality of Sleep of Irian Hemodialysis Patients: A Randomized Trial" in the form of a randomized controlled trial with pre -post-test design. The sampling technique used G*Power based on effect size = 0.73, power of 0.8, and ? = 0.05 with 44 hemodialysis patients (22 intervention group and 22 control group) at Tarakan Hospital, Central Jakarta. The application of Benson relaxation is carried out for 20 minutes, 2 times a day 3 days per week for 4 weeks from June 16 to July 15 2023. Sleep quality data was collected using the PSQI questionnaire before and after the intervention with paired t-test and independent sample test. t-test. The results of the implementation showed that the sleep quality score after the intervention had improved (p value 0.002) in the intervention group, while the sleep quality score did not improve in the control group (p value 0.061). The calculated t value between the intervention group and the control group was 2.894 (p value 0.006), so there was a significant difference in sleep quality between the two groups. Conclusion: there was an increase in the sleep quality score of hemodialysis patients in the intervention group and there was a difference in the average quality score after Benson relaxation between the intervention group and the control group. Suggestion: Benson relaxation can be used as a nursing intervention for hemodialysis patients as a measure to prevent sleep quality disorders.

Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia Damayanti, Sri Utami; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Herawati, Eva
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (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.v10i2.623

Aim: to determine the effectiveness of upper arm exercises on pain intensity among patients with breast cancer at the Dharmais Cancer Hospital, Indonesia. Methods: This study used a queasy experiment with pre-post-test and two-group design. Twenty respondents from breast cancer patients in each intervention and control group were recruited. The upper arm training intervention was carried out 3 times/week for 3 weeks. The Visual Analogue Scale (VAS) was used to assess pain, and linear regression and the dependent t-test with a significance level of 0.05 (CI 95%) were used for analysis. Result: The significant difference in pain levels between the intervention group and the control group shows that the mean difference in the pain level scale of respondents in the upper arm exercise intervention group was 2.50 (SD=0.60), while in the control group, the mean was 1.70 (SD=0.65). control group with (t=4.00, p=0.001), and age (p-value =0.023; OR=8.645) were predictors in this study. Conclusions: Upper arm exercises can be recommended to reduce pain in breast cancer sufferers, especially breast cancer patients who have undergone stage 1 and 2 mastectomy operations. It is recommended that further research involve respondents who had the same level of pain before upper arm exercises were carried out

The Effect of Social Media Application-Based Interventions on HIV Adherence to ARV Medication among Patients with HIV Herawati, Eva; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Damayanti, Sri Utami
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.v10i3.637

Aims: The purpose of this study was to determine the effect of health interventions based on social media applications on HIV patients' adherence to taking ARV medication. Method: In this study, 76 were selected using a quasi-experimental methodology and a purposive sampling technique. then divided into two distinct groups: intervention and control. During the study, respondents in the intervention group received treatment in the form of reminders via WhatsApp and the SiARV web application. The control group was only given standard health services without any technology-based health interventions. Results: Significant changes in treatment adherence were observed in both the intervention group (p=0.001) and the control group (p=0.001). The difference in treatment adherence between the intervention group and the control group was statistically significant (p=0.040). In the context of multivariate analysis, education was found to be predictive of changes in respondent Adherence (p = 0.019; OR = 3.692). Discussion: Awareness of ARV adherence can be increased and maintained through SiARV social media as a strategy for reminding and controlling patient adherence Conclusion: HIV patients' adherence to taking ARV medications is affected by health interventions utilizing social media applications. It is anticipated that providing HIV patients with application-based interventions and a high level of patient knowledge through education will enhance their 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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