Claim Missing Document
Check
Articles

Efektivitas media promosi kesehatan video terhadap kepatuhan pembatasan cairan pada pasien gagal ginjal kronik yang menjalani hemodialisa Syam, Avina Oktarida; Aziza, Nurul; Karyus, Aila
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1328

Abstract

Background: Chronic kidney disease (CKD) is a global health problem with increasing prevalence and high mortality rates. Patients undergoing hemodialysis often struggle with non-adherence to fluid restriction, which can lead to serious complications such as hypertension, pulmonary edema, and heart failure. Purpose: To analyze the effectiveness of video-based health promotion media in improving adherence to fluid restriction among CKD patients undergoing hemodialysis. Method: This study employed a pre-experimental design with a one-group pretest-posttest approach. A total of 66 participants were selected using total sampling. Adherence was measured using Interdialytic Weight Gain (IDWG) with a digital scale, and data were analyzed with a paired t-test. Results: Findings revealed that prior to the intervention, all patients (100%) were non-adherent to fluid restriction. After receiving health education via video at least three times, adherence increased to 64%. The mean IDWG significantly decreased from 3.8 kg to 2.6 kg (p < 0.001). Conclusion: Video-based health promotion proved effective in improving adherence to fluid restriction among hemodialysis patients with CKD. These findings align with Bandura’s Social Learning Theory, which emphasizes the importance of observation and modeling in health behavior change. Suggestion: Healthcare facilities routinely integrate video-based education, involve families in support programs, and conduct further studies using quasi-experimental or randomized controlled trial (RCT) designs to strengthen scientific evidence.   Keywords: Chronic Kidney Disease; Hemodialysis; Health Promotion; Video Media.   Pendahuluan: Gagal ginjal kronik (GGK) merupakan masalah kesehatan global dengan prevalensi yang terus meningkat serta tingkat mortalitas yang tinggi. Pasien GGK yang menjalani hemodialisa kerap menghadapi tantangan ketidakpatuhan terhadap pembatasan cairan, yang berpotensi menimbulkan komplikasi serius seperti hipertensi, edema paru, hingga gagal jantung. Tujuan: Untuk menganalisis efektivitas media promosi kesehatan, video dalam meningkatkan kepatuhan pembatasan cairan pada pasien GGK yang menjalani hemodialisa. Metode: Penelitian ini menggunakan desain pre-experimental dengan pendekatan one group pretest-posttest. Sampel penelitian berjumlah 66 partisipan yang dipilih menggunakan teknik total sampling. Kepatuhan diukur melalui Interdialytic Weight Gain (IDWG) dengan timbangan digital. Data dianalisis menggunakan uji T berpasangan. Hasil: Sebelum intervensi, seluruh pasien tidak patuh terhadap pembatasan cairan. Setelah diberikan edukasi melalui media video sebanyak ≥ 3 kali, tingkat kepatuhan meningkat menjadi 64%. Rata-rata IDWG pasien menurun signifikan dari 3.8 kg menjadi 2.6 kg (p < 0.001). Simpulan: Media promosi kesehatan berbasis video terbukti efektif dalam meningkatkan kepatuhan pembatasan cairan pada pasien GGK yang menjalani hemodialisa. Temuan ini mendukung Social Learning Theory (Bandura) yang menekankan pentingnya observasi dan modeling dalam perubahan perilaku kesehatan. Saran: Edukasi berbasis video dapat diintegrasikan secara rutin dalam layanan kesehatan serta melibatkan keluarga dalam program pendampingan, dengan penelitian lanjutan menggunakan desain quasi experimental atau RCT untuk memperkuat bukti ilmiah.   Kata Kunci: Gagal Ginjal Kronik; Hemodialisa; Media Video; Promosi Kesehatan.
Holistic Management in Pulmonary Tuberculosis Patients with Malnutrition Karyus, Aila
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.68872

Abstract

Background: Tuberculosis (TB) is still a problem in developing countries and even the world. TB is one of the top 10 causes of death and the first cause of death from an infectious agent worldwide. The government plans to eliminate TB by 2030, which is carried out with the National Strategy for TB Control. Family doctors play an important role in which the role of family doctors is not only to cure but also to promote health and prevention of TB disease. Purpose: The application of evidence-based medical doctor family services to patients by identifying risk factors, clinical problems, and management with a patient-centered approach and family approach. Method: The study conducted was a Case Report. Primary data were obtained through history taking and physical examination by making home visits, filling family folders, and filling patient files. The assessment was carried out based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. Results: Based on a holistic diagnosis, it was found that an 87-year-old patient complained of coughing, difficulty in swallowing, and weight loss since three months ago, three weeks ago the patient was diagnosed with TB. Physical examination showed a BMI of 14.2. The patient had difficulty swallowing, with the examination of nerves 10 within normal limits. Internal risk factors include a lack of knowledge about TB, and aging. External factors are often exposed to dust. Functional degrees 4. Four visits were made. The interventions provided in the form of education about TB include the definition, symptoms, treatment and prevention, counseling with the family, and providing a high-calorie, high-protein diet for patients. The evaluation results show an increase in patient and family knowledge about TB and an improvement in the patient's diet that the family has done. Conclusion: The diagnosis of TB with malnutrition and dysphagia is good. Management provided is in accordance with the guidelines, visible changes in behavior, and knowledge of patients and patients' families after an intervention based on evidence-based medicine that is patient-centered, family approach.
Analysis of Factors Related to Family Assistance of People with Schizophrenia Doris, Doris; Budiati, Endang; Rahayu, Dewi; Adyas, Atikah; Karyus, Aila
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3473

Abstract

Schizophrenia is a complex chronic mental health. The role of family is very important in fulfilling basic needs, the cost of maintaining the, treatment and prevention a recurrence. In the onion, often still found the stigma and discrimination, and poor family assistance in patients, that is allegedly affected by low support officers to educate.Objective: Research objectives and analyze factors associated with assistance schizophrenic Method: kind of research with a quantitative approach cross sectional. The population research even all patients with schizophrenia and a 590, sample is 247 respondents. Simple random sampling techniques of sampling, analisis Data using univariate, bivariate and multivariate analysis using logistic regression tests. Results: is a knowledge of the known with p-value 0,016 (<0,05 & OR 2.248), p-value attitude 0,040 (<0,05 OR 2.04), the role of health workers p-value 0,004 (< 0,05 & OR 2.612), access to information p-value 0,028 (<0,05 & OR 2.110), the family motivation p-value 0,009 (<0,05 & OR 2.404). The dominant factor associated with the role of family assistance schizophrenic health workers with p-value 0,002 & OR 2.793. Conclusions Advice to improved access and coordination services, promoting access to mental health services, facilitate coordination between health workers, help family in navigating the health care system.
Penatalaksanaan Scabies dengan Infeksi Sekunder pada Anak Laki-Laki Usia 15 Tahun melalui Pendekatan Kedokteran Keluarga Zubaidi, Humairoh Abdul Kadir; Naufal, Fachri; Karyus, Aila
Jurnal Penelitian Perawat Profesional Vol 6 No 5 (2024): Oktober 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i5.3145

Abstract

Sarcoptes scabei var hominis adalah parasit penyebab kudis, penyakit kulit. Nama lain atau sinonim dari kudis adalah "gatal agogo", "gudig", dan "budukan". Banyak variabel yang berkontribusi terhadap perkembangan penyakit ini, seperti status sosial ekonomi yang rendah, kebersihan diri yang tidak memadai, usia, tingkat pengetahuan, dan interaksi langsung maupun tidak langsung dengan penderita. Kondisi ini memudahkan Sarcoptes scabei untuk menyebar dan menginfestasi. Tujuan: Mengidentifikasi faktor risiko dan masalah klinis yang terdapat pada pasien dan menerapkan prinsip pelayanan kedokteran keluarga kepada pasien berdasarkan masalah yang ditemukan dan melakukan penatalaksanaan secara holistik serta komprehensif dengan prinsip patient-centred dan family approach berbasis Evidence Based Medicine. Metode: studi ini adalah laporan kasus. Data primer diperoleh melalui autoanamnesis dan alloanamnesis, pemeriksaan fisik dan kunjungan rumah, untuk melengkapi data keluarga, data psikososial dan lingkungan. Penilaian dilakukan berdasarkan diagnosis holistik dari awal, proses, dan akhir studi secara kuantitatif dan kualitatif. Hasil: An. MR usia 15 tahun datang dengan keluhan gatal dan nyeri pada kedua tangan. Pasien didiagnosis scabies dengan infeksi sekunder. Pada kasus ini telah dilakukan diagnosis dan tatalaksana sesuai dengan teori dan jurnal terkait. Setelah dilakukan intervensi, didapatan penurunan gejala klinis dan peningkatan pengetahuan pasien dan keluarga. Simpulan: Penatalaksanaan secara holistik dapat meningkatkan pengetahuan, sikap, dan perilaku pada pasien terhadap penyakitnya. Serta peran keluarga juga sangat penting dalam pengobatan penyakit pasien.
Analisis Faktor yang Berhubungan dengan Kanker Payudara Pada Wanita di Klinik Bintang Ki Maja Lampung Fadhila, Syifa Rahmi; Karyus, Aila; Setiaji, Bambang; Irianto, Sugeng Eko; Za'im, Ammar; Nonasri, Fitra Galih
Malahayati Nursing Journal Vol 6, No 8 (2024): Volume 6 Nomor 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i8.15890

Abstract

ABSTRACT Breast cancer is the first contributor to cancer in women in Indonesia. The early detection rate for breast cancer in Bandar Lampung City in 2022 through the SADANIS examination is quite low (40.8%), the prevalence of breast cancer in Bandar Lampung City is high. Bintang Ki Maja Clinic founded by oncology surgeons, has a community of breast cancer sufferers “Komunitas Tetap Semangat”. To examining factors related to the incidence of breast cancer in women at the Lampung Bintang Ki Maja Clinic in 2024. This research is a quantitative research with a case control design. The minimum sample size is 100 people, using consecutive sampling technique. Data were collected using a breast cancer risk factors and smoking behavior questionnaires, then analyzed and presented in univariate, bivariate and multivariate analysis, using chi square and binary logistic regression. Age at first pregnancy (p=0.021), hormonal contraception use (p=0.003), family history (p=0.021), and smoking behavior (p=0.025) were associated with the incidence of breast cancer and the dominant factor is hormonal contraception use (OR 4.872). Hormonal contraceptive use, family history, and smoking behavior are related to the incidence of breast cancer and hormonal contraceptive use is the dominant factor. Keywords: Breast Cancer, Hormones, Women of Childbearing Age  ABSTRAK Kanker payudara menjadi penyumbang pertama kanker pada wanita di Indonesia. Angka deteksi dini kanker payudara di Kota Bandar Lampung tahun 2022 melalui pemeriksaan SADANIS cukup rendah (40,8%), sehingga prevalensi kejadian kanker payudara di Kota Bandar Lampung masih tinggi. Klinik Bintang Ki Maja yang didirikan oleh dokter spesialis bedah onkologi memiliki komunitas penderita kanker payudara “Komunitas Tetap Semangat”. Untuk meneliti faktor-faktor yang berhubungan dengan kejadian kanker payudara pada wanita di Klinik Bintang Ki Maja Lampung tahun 2024. Penelitian ini menggunakan desain case control. Jumlah sampel minimal 100 orang diambil dengan teknik consecutive sampling. Pengambilan data dilakukan menggunakan kuesioner faktor risiko kanker payudara dan perilaku merokok, kemudian dianalisis, dan disajikan dalam analisis univariat, bivariat, dan multivariat, menggunakan chi square dan regresi logistik ganda. Faktor usia pada kehamilan pertama (p=0,021), pemakaian kontrasepsi hormonal (p=0,003), riwayat keluarga (p=0,021), dan perilaku merokok (p=0,025) berhubungan dengan kejadian kanker payudara. Faktor yang dominan berhubungan dengan kejadian kanker payudara pada wanita di Klinik Bintang Ki Maja Lampung adalah pemakaian kontrasepsi hormonal (OR 4,872).  Faktor pemakaian kontrasepsi hormonal, riwayat keluarga, dan perilaku merokok berhubungan dengan kejadian kanker payudara dengan faktor yang dominan berhubungan adalah pemakaian kontrasepsi hormonal. Kata Kunci: Hormon, Kanker Payudara, Wanita Usia Subur