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All Journal Jurnal NERS IJNP (Indonesian Journal of Nursing Practices) Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Midwifery and Nursing Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Journal SAGO Gizi dan Kesehatan MAHESA : Malahayati Health Student Journal Idea Pengabdian Masyarakat Journal of Language and Health Journal of Pubnursing Sciences Journal of Public Health and Pharmacy Holistik Jurnal Kesehatan APMa Jurnal Pengabdian Masyarakat
Natashia, Dhea
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Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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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

Abstract

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

Abstract

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

Abstract

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
Exploring the Impact of Social Support on Tuberculosis Treatment: A Thematic Review Syamsir, Syamikar Baridwan; Setiawan, Agus; Supriyatno, Heru; Yudanagara, Bani Bacan Hacantya; Natashia, Dhea; Mar'ah, Novya Ashlahatul
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (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.v10i5.744

Abstract

Aims: Tuberculosis (TB) remains a critical global health issue, characterized by significant morbidity and mortality rates. Recent research highlights the potential of social support interventions to enhance TB treatment outcomes and improve patient quality of life. This study examines the positive effects of social support interventions on TB patients throughout their treatment process. Method: Utilizing a traditional review approach, this study applies thematic analysis to synthesize findings from the literature. The review encompasses 17 articles selected from reputable databases, including PubMed, Wiley Online Library, ProQuest, and Google Scholar, based on predefined inclusion criteria. These articles underwent quality assessment using the Critical Appraisal Skills Programme (CASP) tool. The PRISMA flowchart provided transparency in the selection process. Results: Key themes identified through the analysis include treatment adherence, psychological well-being, motivation to recover, health-related quality of life, prevention of TB transmission, successful TB treatment, and self-efficacy to recover. Conclusion: The findings suggest that social support interventions can play a crucial role in addressing the persistent challenges of TB management globally.
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

Abstract

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.
Cognitive Behavioral Therapy (CBT-I) Terhadap Kualitas Tidur Pasien Gagal Ginjal Yang Menjalani Hemodialisis Lakoro, Danny Des Kartyko; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15079

Abstract

ABSTRACT Hemodialysis can cause multi-component impacts such as fatigue, pain, restless legs syndrome, anxiety and depression which can cause sleep disturbances resulting in decreased sleep quality. CBT-I is a multi-component therapy that can overcome sleep problems caused by many factors. The purpose of this study was to determine the effect of CBT-I on sleep quality. The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 90 respondents with a sample size of 30 respondents using purposive sampling technique. Measurement sleep quality using pittsburgh sleep quality index (PSQI). Data analysis was performed using paired t-test and Repeated Measures ANOVA. The results showed that the average value of sleep quality before the intervention on the 1st measurement was 15.00 (±2.262), on the 2nd measurement after the intervention was 13.23 (±2.674) and the 3rd measurement was 10.23 (2.991). These findings explain cognitive behavioral insomnia (CBT-i) has a significant impact on improving sleep quality (P = 0.00). Multivariate analysis results showed the effect of time on sleep quality improvement scores (F(2, 58) = 349.493, p-value 0.000, partial eta squared = 0.959). It was also found that fatigue, pain, restless legs syndrome, anxiety and depression scores decreased. The results of this study can be used as a non-pharmacological treatment to improve sleep quality independently. Keywords: Cognitive Behavioral Therapy Insomnia, Fatigue, Sleep Quality, Hemodialysis.  ABSTRAK Hemodialisis dapat menimbulkan dampak multi komponen seperti kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi yang dapat menyebabkan gangguan tidur sehingga mengakibatkan penurunan kualitas tidur. CBT-I merupakan terapi multikomponen yang dapat mengatasi gangguan tidur yang disebabkan oleh banyak faktor. Tujuan penelitian ini adalah untuk mengetahui pengaruh CBT-I terhadap kualitas tidur. Metode penelitian yang digunakan adalah quasi eksperimen dengan pendekatan one group pretest-posttest tanpa pendekatan kelompok kontrol. Populasi sebanyak 90 responden dengan jumlah sampel sebanyak 30 responden dengan menggunakan teknik purposive sampling. Pengukuran kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Analisis data dilakukan dengan menggunakan uji t berpasangan dan Repeated Measures ANOVA. Hasil penelitian menunjukkan nilai rata-rata kualitas tidur sebelum intervensi pada pengukuran ke-1 sebesar 15,00 (±2,262), pada pengukuran ke-2 setelah intervensi sebesar 13,23 (±2,674) dan pada pengukuran ke-3 sebesar 10,23 (2,991). Temuan ini menjelaskan insomnia perilaku kognitif (CBT-i) mempunyai dampak signifikan terhadap peningkatan kualitas tidur (P = 0,00). Hasil analisis multivariat menunjukkan adanya pengaruh waktu terhadap skor peningkatan kualitas tidur (F(2,58) = 349,493, p-value 0,000, parsial eta squared = 0,959). Ditemukan juga bahwa skor kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi menurun. Hasil penelitian ini dapat digunakan sebagai pengobatan non farmakologi untuk meningkatkan kualitas tidur secara mandiri. Kata Kunci: Terapi Perilaku Kognitif Insomnia, Kelelahan, Kualitas Tidur, Hemodialisis.
Pelatihan Pengkajian Komprehensif Perubahan Fisik, Psikososial, dan Frailty Bagi Perawat dalam Meningkatkan Kualitas Pelayanan Pasien Hemodialisis Irawati, Diana; Natashia, Dhea; Slametiningsih, Slametiningsih; Latifah, Noor; Fauzi, Achmad; Handayani, Rosmawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 3 (2024): Volume 7 No 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i3.13318

Abstract

ABSTRAK Penyakit Ginjal Kronis (PGK) adalah kondisi medis yang cukup kompleks. Kejadian PGK cukup tinggi di Indonesia, sehingga diperlukan intervensi jangka panjang. Pengobatan hemodialisis jangka panjang ini berdampak signifikan pada pasien secara fisik, psikologis, dan sosial. Selain itu, prevalensi frailty juga tinggi di antara pasien yang menjalani HD. Frailty pada pasien dengan penyakit ginjal kronis (PGK) dapat memperburuk perkembangan penyakit dari aspek fisik dan psikologis, meningkatkan kematian, dan menurunkan kualitas hidup. Saat ini, para perawat menghadapi tantangan dalam melakukan pengkajian komprehensif terhadap pasien akibat pengetahuan terbatas tentang prosedur dan format pengkajian. Program pelatihan perawat dikembangkan untuk meningkatkan kemampuan mereka dalam mengkaji perubahan fisik, psikososial, dan status frailty yang dapat berdampak terhadap kualitas hidup pasien. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk memberikan pelatihan pengkajian komprehensif kepada 18 perawat di ruang hemodialysis rumah sakit islam Jakarta cempaka putih. Kegiatan PkM ini menggunakan pendekatan intervensi keperawatan berbasis edukasi (educative-based nursing intervention) yang terdiri dari beberapa sesi yaitu sesi edukasi, role-play dan bedside teaching praktik dan sesi diskusi. Analisa data dilakukan menggunakan metode analisis kuantitatif one group pre-post-test design dengan menggunakan paired t-test.  Hasil PkM ini menunjukan peningkatan pengetahuan dan keterampilan peserta terhadap pengkajian komprehensif pada pasien penyakit ginjal kronik yang menjalani Hemodialisa. Peningkatan signifikan dalam pengetahuan dan keterampilan peserta menunjukkan keberhasilan pendekatan intervensi keperawatan berbasis edukasi dalam pengabdian masyarakat untuk pengaplikasian dalam praktik klinis. Kata Kunci: Hemodialisis, Gejala Fisik, Perubahan Psikologis, Kelemahan, Pengkajian  ABSTRACT Chronic Kidney Disease (CKD) is an advanced medical condition. The incidence of CKD is significantly high in Indonesia, necessitating long-term interventions. This prolonged haemodialysis treatment significantly impacts patients physically, psychologically, socially, with various signs and symptoms emerging during the process. Besides, the incidence of frailty is also high among patients undergoing HD. Frailty in patients with chronic kidney disease (CKD) may worsen disease progression, increase mortality, and decrease quality of life. Nurses currently face challenges in conducting comprehensive patient assessments due to limited knowledge of assessment procedures and formats. To address this issue, nurse training programs are being developed to improve their skills in assessing physical, psychosocial, and quality-of-life changes. Enhanced assessment proficiency will aid in identifying patient issues and implementing targeted interventions, ultimately improving patient care and quality of life. Community Service Activity (CSA) activities aim to provide comprehensive assessment training to 18 nurses in the haemodialysis unit of Jakarta Islamic Hospital Cempaka Putih. This CSA activity employs an educative-based nursing intervention approach, consisting of several sessions, including education sessions, role-play, bedside teaching practices, and discussion sessions. Data analysis is conducted using the quantitative analysis method with a one-group pre-post-test design, utilising paired t-tests. The results of CSA show an improvement in participants' knowledge and skills in conducting comprehensive assessments on chronic kidney disease patients undergoing Haemodialysis. The results show the positive impact of Community Service Activity (CSA) activities in strengthening the competencies of HD nurses in comprehensive patient assessment, not just routine tasks. The significant improvement in participants' knowledge and skills after the community service activity is a positive outcome. This indicates that the nursing based educational approach applied in community service has successfully enhanced the participants' competencies for application in clinical practice routine. Keywords: Haemodialysis, Physical Symptoms, Psychological Changes, Frailty, Assessment
Pemberdayaan Orang Tua dalam Optimalisasi Perkembangan Anak Usia Pra Sekolah di BKB PAUD Kepodang, Jakarta Timur Purwati, Nyimas Heny; Awaliah, Awaliah; Natashia, Dhea; Rani, Amelia Hartika; Hamidah, Hamidah; Irawati, Diana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.18801

Abstract

ABSTRAK Anak usia pra sekolah, khususnya dalam rentang usia 3-5 tahun, berada pada periode penting yang dikenal sebagai masa keemasan (golden age), jendela kesempatan (window of opportunity), dan periode kritis (critical period) dalam perkembangan anak. Selama masa ini, anak mengalami perubahan signifikan dalam aspek fisik, kognitif, sosial, dan emosional. Berdasarkan hasil survei di PAUD Kepodang, Jakarta Timur, ditemukan bahwa orang tua kurang memahami perkembangan anak usia pra sekolah, yang mengakibatkan masalah emosional seperti tantrum pada anak. Kegiatan pengabdian masyarakat ini bertujuan untuk memberdayakan orang tua dalam optimalisasi perkembangan anak usia pra sekolah di PAUD Kepodang melalui metode luring yang komprehensif dan terstruktur. Metode pengumpulan data menggunakan kuesioner yang mengukur karakteristik responden dan tingkat pengetahuan orang tua sebelum dan sesudah edukasi. Kegiatan edukasi mencakup penyuluhan kesehatan, teknik stimulasi perkembangan, dan pentingnya deteksi dini gangguan perkembangan. Evaluasi dilakukan melalui pre-test dan post-test untuk mengukur perubahan pengetahuan orang tua. Hasil menunjukkan peningkatan pengetahuan orang tua setelah edukasi, dengan persentase ibu yang memiliki pengetahuan baik meningkat dari 50% menjadi 75%. Data demografi menunjukkan bahwa mayoritas ibu berada dalam kategori dewasa (75%) dengan latar belakang pendidikan tinggi (20.8% S1), dan sebagian besar tidak bekerja (75%), sehingga memiliki waktu lebih banyak untuk berinteraksi dengan anak. Pemberdayaan orang tua melalui edukasi terbukti efektif dalam meningkatkan pemahaman tentang perkembangan anak usia pra sekolah. Dukungan holistik dan penuh kasih sayang dari orang tua sangat penting untuk memastikan anak-anak tumbuh dan berkembang secara optimal, siap menghadapi tantangan di masa depan. Kata Kunci: Anak Usia Pra Sekolah, Pemberdayaan Orang Tua, Perkembangan Anak, Edukasi Orang Tua, PAUD, Perkembangan Emosional Anak ABSTRACT Preschool children, especially in the age range of 3-5 years, are in an important period known as the golden age, window of opportunity, and critical period in child development. During this period, children experience significant changes in physical, cognitive, social, and emotional aspects. Based on the results of a survey at PAUD Kepodang, East Jakarta, it was found that parents do not understand the development of preschool children, which results in emotional problems such as tantrums in children. This community service activity aims to empower parents in optimizing the development of preschool children at PAUD Kepodang through a comprehensive and structured offline method. The data collection method used a questionnaire that measured the characteristics of respondents and the level of parental knowledge before and after education. Educational activities included health counseling, developmental stimulation techniques, and the importance of early detection of developmental disorders. Evaluation was carried out through pre-tests and post-tests to measure changes in parental knowledge. The results showed an increase in parental knowledge after education, with the percentage of mothers who had good knowledge increasing from 50% to 75%. Demographic data shows that the majority of mothers are in the adult category (75%) with a higher education background (20.8% S1), and most are unemployed (75%), so they have more time to interact with their children. Empowering parents through education has proven effective in increasing understanding of the development of preschool children. Holistic and loving support from parents is essential to ensure that children grow and develop optimally, ready to face future challenges. Keywords: Preschool Children, Parent Empowerment, Child Development, Parent Education, PAUD, Child Emotional Development
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

Abstract

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.
Improving Quality of Service melalui Pendekatan Perawatan Holistik di Unit Hemodialisis Natashia, Dhea; Fitria, Dian; Fadhillah, Harif; Puspasari, Jehan; Sugiyono
APMa Jurnal Pengabdian Masyarakat Vol. 6 No. 1: Januari 2026
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/apma.v6i1.839

Abstract

Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan perawat hemodialisis dalam menerapkan pendekatan perawatan holistik guna memperbaiki kualitas pelayanan di unit hemodialisis. Pelatihan dilakukan melalui metode workshop dan pendampingan yang mencakup empat aspek utama, yaitu pelayanan prima, komunikasi terapeutik, serta manajemen stres pada pasien, keluarga, dan perawat. Pengukuran dilakukan dengan menggunakan pre-test dan post-test terhadap 17 perawat peserta pelatihan. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan perawat sebesar 20% setelah pelatihan, yang mengindikasikan efektivitas program edukasi dalam memperluas wawasan dan kesadaran perawat mengenai pentingnya pendekatan bio-psiko-sosial-spiritual dalam asuhan keperawatan. Selain peningkatan kognitif, kegiatan ini juga berkontribusi pada peningkatan kemampuan psikomotor dan afektif, khususnya dalam pelaksanaannya melalui komunikasi terapeutik serta manajemen stres. Dampak kegiatan ini terlihat pada meningkatnya motivasi kerja perawat, penurunan stres perawat, serta meningkatnya hubungan positif antara perawat, pasien, dan keluarga. Kegiatan ini memberikan kontribusi nyata terhadap peningkatan kompetensi profesional perawat dan diharapkan dapat menjadi model berkelanjutan dalam pengembangan pelayanan keperawatan holistik di unit hemodialisis.
Co-Authors Achmad Fauzi Agung, Rizki Nugraha Agus Setiawan Aisya Adif, Shannastaniar Astuti Astuti Awaliah, Awaliah Bani Bacan Hacantya Yudanagara Berliana, Diksi Hera Chen, Hsing Mei Dais, Exsos Grend Damai Yanti Damayanti, Sri Utami Dewi Anggraini Dewi Gayatri Dila Nurul Arsyi Dina Rahmawati Fadhillah, Harif Fitria, Dian Fitriana, Anantusia Fitriyati, Fitriyati Hamidah . Handayani, Rosmawati Handayani, Roswati Hartati, Yeni Hasanah, Idyatul Henny Permatasari Heny Purwati, Nyimas Herawati, Eva Heriadi, Ronny Heru Supriyatno Huang, Chen-Hui Humairah, Faradila Ikhsan Ibrahim Irawati, Diana Ismail, Ii Istinganah Istinganah Jumaiyah, Wati Karmi, Rudi Karwati, Eti Khaier, Nurhayati La Ramba, Hardin Laily, Dayang Lakoro, Danny Des Kartyko Lily Herlinah Lusty, junita Mar'ah, Novya Ashlahatul Maria Yulianti, Maria Muhammad Hadi Mursiah, Mursiah Narawangsa, Asri Noor Latifah Noviana Noviana Nursanti, Irna Nusanti, Irna Oktavina, Risa Pinamiranti, Firza Pramono, Cahyo Purwati, Nyimas Heny Puspasari, Jehan Rachmawati, Utami Rahma, Pricelia Alifa Rahmania, Sarah Rani, Amelia Hartika Resnayati, Yeti Rismawati, Rini Ruriwinita, Ruriwinita Siswandi, Iyar Slametiningsih, Slametiningsih Sofyan, Evi Sugiyono Sugiyono Sugiyono Suhartini, Euis Sumedi Sumedi Susanti, Yuanita Suwito, Kafi Pangki Syamikar Baridwan Syamsir Tri Setyaningsih Tuti Nuraini Uly, Nilawati Upik Rahmi, Upik Uswatun Hasanah Wahdaniyah Wahdaniyah, Wahdaniyah Wahyuni, Emmy Putri Wanandi, Eka Wisnu Wasilah, Hinin Wulandari, Reissa Amalia Yani Sofiani Yen, Miaofen Yeni, Veronica Yulianti, Dian Anggur