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FAKTOR-FAKTOR YANG MEMPENGARUHI FATIGUE PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS RUTIN DI RUMAH SAKIT PUSAT ANGKATAN UDARA DR. SUHARDI HARDJOLUKITO YOGYAKARTA Nugrahandari, Angelica Silfia Intan; Fransisca Anjar Rina Setyani; Lucilla Suparmi
JPK : Jurnal Penelitian Kesehatan Vol. 14 No. 2 (2024): Desember
Publisher : Sekolah Tinggi Ilmu Kesehatan Katolik St. Vincentius a Paulo Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54040/jpk.v14i2.262

Abstract

Gagal ginjal kronis menyebabkan kerusakan ginjal progresif dan ireversibel, mengganggu keseimbangan metabolisme, cairan, dan elektrolit. Terapi utama gagal ginjal kronis dengan hemodialisis menggunakan durasi 4-5 jam per sesi selama 2-3 kali seminggu, sering menyebabkan kelelahan. Kelelahan yang terus-menerus dapat mengurangi kapasitas fisik dan mental. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi kelelahan pada pasien gagal ginjal kronis yang menjalani hemodialisis rutin di Rumah Sakit Pusat TNI AU dr. Suhardi Hardjolukito Yogyakarta. Penelitian ini menggunakan desain cross-sectional kuantitatif dengan populasi 114 responden pada Desember 2022. Sampel penelitian adalah 89 responden yang dipilih menggunakan metode accidental sampling. Data dianalisis menggunakan metode univariat dan bivariat dengan uji chi-square dan Fisher, pada tingkat signifikansi ?=0,05, untuk menentukan faktor-faktor yang mempengaruhi kelelahan pada pasien yang mendapat terapi hemodialisis. Hasil analisis menemukan bahwa faktor yang berhubungan dengan kelelahan adalah hemoglobin (p-value 0,002), lama hemodialisis (p-value 0,000), dan pendapatan (p-value 0,034), yang tidak berhubungan dengan kelelahan adalah usia (p-value 0,839), jenis kelamin (p-value 0,259), pendidikan (p-value 0,381), dan ADL (Activity Daily Living) (p-value 0,285). Saran kepada petugas kesehatan untuk mendidik dan mendukung pasien gagal ginjal kronis yang menjalani hemodialisis dalam mengelola kelelahan, termasuk pemeriksaan Hb rutin, motivasi, dan menggunakan fasilitas kesehatan, memastikan perawatan holistik. Kata kunci: Fatigue, Gagal Ginjal Kronik, Hemodialis
HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU IBU DALAM PENCEGAHAN ISPA PADA BALITA DI DUSUN SAMBILEGI LOR Frederikus Saldi; Riski Wulandari; Anjar Rina, Fransisca
JPK : Jurnal Penelitian Kesehatan Vol. 14 No. 2 (2024): Desember
Publisher : Sekolah Tinggi Ilmu Kesehatan Katolik St. Vincentius a Paulo Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54040/jpk.v14i2.264

Abstract

Infeksi Saluran Pernapasan Akut (ISPA) merupakan infeksi akut yang menyerang bagian saluran napas mulai dari saluran pernapasan atas hingga bawah. ISPA merupakan penyebab utama morbiditas dan mortalitas penyakit menular di dunia. ISPA memerlukan penanganan yang berkelanjutan melalui perwujudan lingkungan dan perilaku hidup bersih dan sehat karena timbulnya penyakit ini sangat bergantung pada kebiasaan/perilaku masyarakat dalam menjaga kesehatan diri dan lingkungannya. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan Ibu dengan perilaku pencegahan ISPA pada balita di Dusun Sambilegi Lor. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu yang memiliki balita usia 0-59 bulan yang pernah mengidap ISPA sebanyak 50 orang dengan total sampling. Alat ukur yang digunakan yaitu kuesioner tingkat pengetahuan dan kuesioner perilaku pencegahan yang sudah dilakukan uji validitas dengan hasil 20 item tingkat pengetahuan dan 12 item perilaku pencegahan dinyatakan valid (r > 0,361). Hasil penelitian menunjukan karakteristik responden dengan rerata usia 32,8 tahun, mayoritas berpendidikan tamat SMA (52%), sebagian besar bekerja sebagai ibu rumah tangga (60%). Tingkat pengetahuan responden termasuk dalam kategori baik yaitu 70%. Sedangkan perilaku pencegahan ISPA termasuk perilaku baik dengan persentase 68%. Hasil analisis rank spearman menunjukkan ada hubungan yang bermakna, arah positif dan kuat antara tingkat pengetahuan ibu dengan perilaku pencegahan ISPA pada balita di dusun Sambilegi Lor (P value < 0.001 ; r 0.260). Responden dengan tingkat pengetahuan baik memiliki kecenderungan perilaku pencegahan yang baik pula. Perlu penelitian lebih lanjut terkait kejadian ISPA di lingkup Puskesmas Depok I serta faktor-faktor yang mempengaruhinya.
KUALITAS HIDUP PASIEN TUBERKULOSIS PARU BERDASARKAN INDEKS MASSA TUBUH Wulansari, Rusmia; Setyani, Fransisca Anjar Rina; Puspasari, Scholastica Fina Aryu
Jurnal Keperawatan Malang Vol 10 No 1 (2025): Jurnal Keperawatan Malang (As You Go)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v10i1.277

Abstract

Background: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which can attack various organs in the body, especially the lungs (pulmonary TB). Body mass index is one of the factors related to the quality of life of pulmonary Tb patients because it can influence health conditions and the body's resistance to fighting tuberculosis infection. Purpose: To determine the relationship between body mass index and quality of life in pulmonary TB patients Methods: This type of research uses quantitative descriptive with a cross sectional approach. The samples in the study were all adult pulmonary TB patients undergoing inpatient or outpatient treatment, taken by accidental sampling of 38 respondents according to the inclusion and exclusion criteria determined by the researchers. The instrument used in this research was the WHOQol BREF questionnaire Result: The results of the univariate and bivariate Spearman correlation tests showed that there was a relationship between body mass index, body mass index and quality of life in the environmental domain (p-value 0.008). There is no relationship between body mass index and quality of life in the domains: physical, psychological and social health (p- value 0.246: 0.493: 0.504). Implication: The results of this research can be used by health workers as a basis for health workers to improve the quality of life of pulmonary TB patients through health programs that focus more on nutritional status and body mass index
Pengaruh Isometric Handgrip Exercise terhadap Tekanan Darah pada Penderita Hipertensi di Padukuhan Papringan Catur Tunggal Depok Sleman Yogyakarta Ririn ambarita, Ririn Ambarita; Rina, Fransisca Anjar; CB, Suparmi
Caring : Jurnal Keperawatan Vol. 14 No. 1 (2025): 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v14i1.2780

Abstract

Hypertension is one of the leading causes of death due to non-communicable diseases. Uncontrolled hypertension can lead to various complications, making effective management essential. One effective non-pharmacological intervention is the isometric handgrip exercise, which involves sustained muscle contractions without changing muscle length and has been shown to reduce systolic and diastolic blood pressure. This study aims to determine the effect of isometric handgrip exercise on blood pressure in individuals with hypertension. The study was conducted over five consecutive days from December 27 to 31 in Padukuhan Papringan, Caturtunggal, Depok, Sleman, Yogyakarta. A pre-experimental design with a one-group pretest-posttest method was used. A purposive sampling technique was employed, involving 33 hypertensive individuals aged 44–64 years. Data were collected using observation sheets and a standard operating procedure (SOP) guide for the isometric handgrip exercise, which participants followed independently at home. The data were analyzed using the Wilcoxon test. The results showed a significant difference in systolic blood pressure before and after the intervention (p = 0.000), but no significant difference in diastolic blood pressure (p = 0.580). These findings suggest that isometric handgrip exercise can be an effective method for reducing systolic blood pressure in hypertensive patients. Future research is recommended to ensure consistency in exercise using tools like the Muscle Strength Testing (MMST) and to implement controlled supervision during the intervention for optimal exercise accuracy.
FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS HIDUP PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI UNIT ONE DAY CARE DI SALAH SATU RUMAH SAKIT SWASTA YOGYAKARTA Maharani, Fransiska Andika; Setyani, Fransisca Anjar Rina; Wibowo, Tandean Arif
Jurnal Kesehatan Karya Husada Vol 13 No 1 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i1.617

Abstract

Latar Belakang: Kanker payudara menduduki peringkat pertama kematian pada wanita dengan jumlah yang terus meningkat hingga saat ini. Pengobatan kanker payudara yang paling sering dijalani adalah kemoterapi. Perubahan fisiologis dan psikologis dari pengobatan kemoterapi akan mempengaruhi kualitas hidup seseorang. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup pasien kanker payudara yang menjalani kemoterapi di Unit One Day Care Rumah Sakit Swasta Yogyakarta. Metode: Penelitian menggunakan metode kuantitatif analitik korelasional dengan pendekatan cross sectional. Sampel yang digunakan adalah 50 responden dengan metode accidental sampling. Metode pengumpulan data dengan menggunakan kuesioner EORTC QLQ C-30 dan kuesioner dukungan keluarga yang sudah dilakukan uji validitas dan reliabilitas. Hasil penelitian: faktor usia (p value = 0,472), pendidikan (p value = 0,688), status pernikahan (p value = 0,056), pendapatan (p value = 0,897), stadium penyakit (p value = 0,073), frekuensi kemoterapi (p value = 0,773), dukungan keluarga (p value = 0,334). Kesimpulan: Tidak terdapat faktor yang berhubungan dengan kualitas tidur pasien kanker payudara yang menjalani kemoterapi. Saran: Bagi Dokter dan Perawat diharapkan tetap melanjutkan pemberian edukasi terkait kemoterapi kepada pasien kanker payudara agar dapat meningkatkan kepatuhan dalam menjalankan pengobatan sehingga kualitas hidup pasien dapat meningkat.
Karakteristik dan Kadar Kolesterol Masyarakat di Padukuhan Tegalsari, Pakembinagun, Yogyakarta: Demographic Characteristics and Cholesterol Levels in the Community of Padukuhan Tegalsari, Pakembinagun, Yogyakarta Fransisca Anjar Rina Setyani; Chatarina Setya Widyastuti; Hiasinta Anastasia Purnawijayanti
Journal of Health Vol. 13 No. 1 (2026): Journal of Health (JoH) - January
Publisher : LPPM STIKES Guna Bangsa Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v13n1.200

Abstract

Background: Developments in food technology and community income have had an impact on people's eating habits. People prefer fast food, which is often high in calories and fat but low in fiber, leading to high blood cholesterol levels. High blood cholesterol levels cause blood vessels to harden and narrow, leading to atherosclerosis and increasing the risk of coronary heart disease. Other complications that can occur due to high blood cholesterol levels include stroke and peripheral artery disease. Objective: The purpose of this article is to provide an overview of the cholesterol levels of adults in Padukuhan Tegalsari, Pakembinagun, Yogyakarta. Methods: The research design used was descriptive. The population in this study was all members of the Gahtra Health Center, Tegalsari Village, Pakembinangun, Yogyakarta. The sampling technique used was accidental sampling. The number of samples in this study was 89 respondents. Result: The results showed that most respondents (52.8%) had very high cholesterol levels (> 200 mg/dL), 28.1% had high cholesterol levels (180-200 mg/dL), and only a small portion (19.7%) had normal cholesterol levels. Conclusion: Factors that may be associated with high blood cholesterol levels include age, gender, dietary patterns, and physical activity. Health workers should educate the public about factors that can be controlled to manage blood cholesterol levels. Education can be provided using engaging media to make it easier for the public to accept the information provided by health workers.
The Relationship between Family Support and Adherence to Taking Medication in Hypertension Patients at the Internal Medicine Polyclinic Hafiza Usnaini; Fransisca Anjar Rina Setyani; Scholastika Fina Aryu P
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i1.408

Abstract

Hypertension is a non-communicable disease and is still referred to as a silent killer because its symptoms are difficult to recognise and often there are no symptoms or no symptoms at all. Family support is one of the most important types of support with the aim of achieving optimal medication adherence. Family support can be provided in the form of emotional, appreciative, instrumental and informational support. This study aims to analyse the relationship between family support and adherence to taking medication in patients with hypertension at the Internal Medicine Poly of Santo Antonio Hospital Baturaja. This research is a type of quantitative research with a cross sectional design. The population in this study were 73 people with hypertension in the Internal Medicine Clinic of Santo Antonio Hospital. In this study, the sample was hypertensive patients in the Internal Medicine Clinic of Santo Antonio Hospital Baturaja using accidental sampling as many as 62 people according to the inclusion criteria. The instruments used in this study were the family support questionnaire and the Morisky Medication Adherence Scales-8 (MMAS-8) instrument. The results of this study obtained the distribution of family support for hypertensive patients at the Internal Medicine Clinic of Santo Antonio Hospital with good family support, namely 39 (62.9%) and a moderate level of compliance as many as 28 people (45.2%). The results of statistical analysis using the spearman test showed a significant relationship between family support and adherence to taking medication in patients with hypertension in the Internal Medicine Poly of Santo Antonio Hospital Baturaja (pvalue = 0.000). This study can be an input for nurses to be able to continue to educate hypertensive patients to continue taking medication regularly considering that family support can affect adherence to taking medication.