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PENGALAMAN HIDUP PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI INISIASI HEMODIALISIS Riska Subhianti Putri; Raveinal Raveinal; Devia Putri Lenggogeni
Jurnal Ners Vol. 7 No. 1 (2023): APRIL 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i1.11303

Abstract

Pasien dengan penyakit ginjal kronik tahap akhir akan mengalami kehilangan fungsi ginjalnya sampai 90 % atau lebih, sehingga kemampuan tubuh untuk mempertahankan keseimbangan cairan dan elektrolit terganggu dan fungsi ekskresi menjadi tidak adekuat. Terapi pada penyakit ginjal kronik yang paling banyak di gunakan yaitu hemodialisis. Penelitian ini bertujuan untuk mengetahui dan mengeksplorasi pengalaman hidup pada pasien penyakit ginjal kronik yang menjalani inisiasi hemodialisis. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini berjumlah tujuh orang yang merupakan pasien penyakit ginjal kronik yang menjalani inisiasi hemodialisis di RSUP M. Djamil Padang. Hasil analisis data menghasilkan lima tema, yaitu penolakan terhadap tindakan inisiasi hemodialisis, perubahan bio-psiko-sosial-spiritual pasca hemodialisis, kendala pasca hemodialisis, dukungan yang diterima pasien pasca hemodialisis, dan harapan pasien terhadap hemodialisis. Penelitian ini menunjukkan bahwa awalnya pasien dengan penyakit ginjal kronik akan menolak dilakukannya tindakan dan inisiasi hemodialisis ini sendiri akan memberikan berbagai dampak bio-psiko-sosial-spiritual yang berkaitan dengan perubahan pasca inisiasi hemodialisis. Kesimpulan penelitian ini yaitu adanya ponalakan terhadap tindakan dan perubahan yang terjadi terhadap pasien penyakit ginjal kronik yang menjalani inisiasi hemodialisis. Disarankan kepada pelayanan kesehatan untuk bisa memberikan edukasi mengenai hemodialisis untuk mendorong pasien melakukan inisiasi hemodialisis.
Tingkat Kesadaran terhadap Resiko Kanker Payudara pada Mahasiswa Devia Putri Lenggogeni; Hema Malini; Hacidira Vichalova; Bobby Febri Krisdianto
Ners Jurnal Keperawatan Vol 19, No 1 (2023)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.19.1.55-60.2023

Abstract

Peningkatan kesadaran akan risiko kanker payudara memerlukan pengetahuan untuk mengidentifikasi faktor risiko, gejala, sikap, dan perilaku untuk melakukan skrining payudara. Namun fakta menunjukkan bahwa sebagian besar mahasiswi dari kalangan mahasiswa non kedokteran belum memiliki kesadaran yang memadai terhadap pencegahan kanker payudara. Penelitian ini bertujuan untuk menyelidiki kesadaran kanker payudara di kalangan mahasiswi non-kedokteran. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan teknik non-probability sampling yang dilakukan kepada 370 mahasiswa non-kedokteran. Tingkat kesadaran terhadap faktor resiko kanker payudara diukur menggunakan kuesioner Breast Cancers Awareness Scale (BCAS-1). Hasil penelitian menunjukkan sebagian besar responden berusia 19 tahun (51,4%) dan sebagian besar responden (69,2%) memiliki tingkat kesadaran sedang. Tingkat kesadaran memiliki lima domain, seluruh responden sebagian besar sedang: pengetahuan tentang faktor risiko (72,4%); tanda-tanda kanker payudara (54,6%); sikap terhadap pencegahan kanker payudara (71,1%); hambatan skrining (70,5%), dan perilaku terkait kesadaran kanker payudara (66,5%). Penelitian ini menunjukkan mahasiswi non-kesehatan yang memiliki tingkat kesadaran sedang, maka perlu ditingkatkan lagi dengan diadakannya promosi kesehatan dan pelatihan khusus untuk melakukan pemeriksaan fisik payudara sendiri khususnya mahasiswa non kesehatan. 
Psychological Changes in Post Kidney Transplant Recipients: Phenomenology Study Aisya Rahmadhanty; Yevri Zulfiqar; Devia Putri Lenggogeni; Meri Neherta; Emil Huriani; Fitri Mailani; Susmiati Susmiati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 3 (2023): 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.v9i3.535

Abstract

Aims: Kidney transplantation can have a big impact on recipients, so they must be able to adapt to many changes, including psychological changes. Psychological changes are the most complained about by post- kidney transplant recipients. Psychological changes including feelings of anxiety and worry after kidney transplantation, these feelings arise due to post-transplant complications, feelings of guilt and fear of rejection, treatment regimens and uncertainty about the future. Therefore, recipients must be able to deal with psychological changes after kidney transplantation. Objective: To explore the psychological changes of post-kidney transplant recipients. Methods: A qualitative study using a phenomenological approach. This study was conducted on 6 participants who were undergone kidney transplantation. Purosive sampling was performed and data was collected through 35 to 60 min. Data collection in this study was carried out through in-depth interviews, audio recording and field notes.  The data analysis technique uses the Collaizi method (1978). Result: This study obtained results including: psychological adaptation transitions and post-transplant anxiety control strategies. Conclusion: Kidney transplant provide better psychological changes if the recipients can implement strategies to control emotions. Therefore, it is important to have family, social and nurses support in controlling the psychological changes of post-kidney transplant recipients.
Fokus Grup Diskusi Mitra Penta Helix dalam Evaluasi Kesiapsiagaan Kebencanaan Pasca Gempa 7,3 Skala Richter di Kelurahan Parupuk Tabing Mahathir Mahathir; Devia Putri Lenggogeni; Gusti Sumarsih; Hema Malini; Fitra Yeni; Bunga Permata Wenny; Agus Sri Banowo
Warta Pengabdian Andalas Vol 30 No 3 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.3.429-437.2023

Abstract

The Penta-helix collaboration on disaster preparedness requires a comprehensive and collaborative role between various fields in society as an initiative from the National Agency for Disaster Countermeasure by strengthening the role of academics, government, the private sector, organizations and the community itself. This activity aims to evaluate the disaster preparedness necessity of the community after the 7.3 magnitude earthquake through a focus group discussion of the disaster preparedness penta-helix collaboration team in a district of West Sumatra. This activity was carried out on May 24. This activity invited disaster nursing experts from the Polytechnic University of Hong Kong. The activity was carried out with focus group discussions inviting various essential community disaster preparedness stakeholders, namely the Faculty of Nursing Universitas Andalas, BNPB, BASARNAS, Ministry of Health, Indonesia Red Cross (PMI), and community leaders. On this occasion, thematic results were obtained from focus group discussions on the importance of community empowerment, strengthening family values and vulnerable groups’ advocacy. Through evaluating disaster preparedness planning, it is crucial to know the need to be met after the community responds to an actual disaster event. The collaborative role of disaster penta-helix stakeholders can provide recommendations for strengthening disaster preparedness planning.
Edukasi dan Pemeriksaan Kesehatan Jiwa Remaja Menggunakan Instrumen IDASS-Y di SMPN 23 Padang Bunga Permata Wenny; Mahathir Mahathir; Atih Rahayu Ningsih; Windy Freska; Devia Putri Lenggogeni; Rika Sarfika; Randy Refnandes; Agus Sribanowo; Sovia Susianty; Siti Yuliharni
Warta Pengabdian Andalas Vol 30 No 4 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.4.655-667.2023

Abstract

Adolescents are exposed to a variety of stressors during the challenging adolescent transition phase. Nowadays, adolescents are more susceptible to mental health issues, which are reportedly becoming more prevalent globally. Involve schools in initiatives to address adolescent mental health to raise teenage understanding and awareness. Adolescents' mental health status can be assessed by mental health screening and education, and mental health education can help them know more about their mental health. This activity aims to expand students' awareness of mental health issues at public junior high schools in Padang. The IDASS-Y adolescent health self-reporting instrument was used to implement the intervention. The dissemination of information about adolescents' mental health issues and strategies for preventing them served as the basis for educational initiatives. According to the activity's findings, 25 students in Junior High School had mild depression (92.6%), one who had moderate depression (3.7%), and one who had severe depression (3.7%). The prevalence of anxiety among SMPN 23 students was 25 mildly anxious individuals (92.6%) and two moderately anxious individuals (7.4%). Twenty participants (74.1%) reported light stress, six (22.2%) reported moderate stress, and one (3.7%) reported severe stress. The knowledge score has improved before and during mental health education—the importance of involving schools in mental health management, including education and screening.
Screening of Risk of Type 2 Diabetes Mellitus in Sungai Buluh Village, Padang Pariaman Devia Putri Lenggogeni; Hema Malini; Esi Afriyanti; Reni Prima Gusty; Rahmi Muthia; Elvi Oktarina
Warta Pengabdian Andalas Vol 31 No 1 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.1.135-142.2024

Abstract

Diabetes mellitus (DM) type 2 is a non-communicable disease, and the incidence continues to increase. Various factors can increase the incidence of type 2 DM, but many people lack the awareness to determine risk factors and the efforts that need to be made to reduce the risk of type 2 DM. This community service aims to conduct health examinations and determine the risk level of DM type 2 in Sungai Buluh, Padang Pariaman, West Sumatra. This community service activity includes health examination, determining risk levels of risk type 2 DM, and personal education to reduce the risk of type 2 DM. The instrument used to determine the risk of type 2 DM is the Finnish Diabetes Risk Score (FINDRISC). Type 2 DM screening showed that most people had a slightly increased risk 37 people (45.6%), low-risk 26 people (32.1%), high-risk 13 people (16.1%) and very high-risk five people (6.2%). It is hoped that health centers will carry out risk level screening and education on reducing the risk of type 2 DM as a planned and structured activity to increase public awareness to prevent and reduce the risk of type 2 DM.
PEMERIKSAAN KESEHATAN SEBAGAI UPAYA DETEKSI RISIKO PENYAKIT STROKE PADA MASYARAKAT Fitri Mailani; Hema Malini; Rahmi Muthia; Elvi Oktarina; Dally Rahman; Tiurmaida Simandalahi; Emil Huriani; Devia Putri Lenggogeni; Vebby Fitri Nur'arita
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 3 (2024): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i3.22350

Abstract

Abstrak: Stroke merupakan suatu penyakit yang menyebabkan kematian nomor dua setelah penyakit jantung iskemik dan merupakan penyebab kecacatan di seluruh dunia. Peningkatan angka kejadian penyakit stroke dapat dipengaruhi oleh faktor yang dapat dimodifikasi dan yang tidak dapat dimodifikasi, namun masih banyak masyarakat yang tidak mengetahui pentingnya untuk menentukan faktor risiko dan mengetahui upaya yang perlu dilakukan untuk menurunkan risiko terjadinya stroke. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk melakukan pemeriksaan kesehatan, mengidentifikasi faktor risiko dan menentukan tingkat risiko penyakit stroke pada masyarakat di Nagari Sungai Buluh Selatan, Padang Pariaman, Sumatera Barat, sebanyak 78 orang. Metode pelaksanaan kegiatan pengabdian masyarakat meliputi pemeriksaan kesehatan, penentuan tingkat risiko penyakit stroke, dan edukasi individual mengenai cara menurunkan risiko terjadinya penyakit stroke. Intrumen yang digunakan untuk penentuan tingkat risiko penyakit stroke adalah Stroke Risk Scorecard. Hasil evaluasi dilakukan menggunakan lembar kuisioner yang langsung diberikan kepada masyarakat setelah dilakukan pemeriksaan kesehatan. Hasil skrining penyakit stroke menggunakan Stroke Risk Scorecard didapatkan hampir seluruh masyarakat memiliki risiko rendah terkena stroke yaitu sebanyak 83,3% dan sebagian kecil masyarakat memiliki risiko tinggi terkena stroke sebanyak 16,7%. Diharapkan tindak lanjut puskesmas untuk melakukan skrining tingkat risiko dan edukasi pengurangan risiko penyakit stroke kepada masyarakat dalam pencegahan dan penurunan risiko stroke.Abstract: Stroke is a disease that causes death second only to ischemic heart disease and is a cause of disability throughout the world. The increase in the incidence of stroke can be influenced by factors that can be modified and cannot be modified. However, there are still many people who do not know the importance of determining risk factors and understanding the efforts that need to be made to reduce the risk of stroke. This community service activity aims to carry out health checks, identify risk factors, and determine the level of risk of stroke in the community in Nagari Sungai Buluh Selatan, Padang Pariaman, West Sumatra, with as many as 78 people. Methods for implementing community service activities include health checks, determining the risk of stroke, and educating individuals on how to reduce the risk of stroke. The stroke risk scorecard is the instrument used to determine the stroke risk level. The evaluation results were carried out using a questionnaire sheet immediately given to the public after a health examination. The results of stroke screening using the Stroke Risk Scorecard showed that almost all people had a low risk of stroke, namely 83.3%, and a small percentage of people had a high risk of stroke, 16.7%. It is hoped that follow-up at the community health center will carry out risk-level screening and education on reducing the risk of stroke to the community in preventing and reducing the risk. 
How hemodialysis patients manage dietary and fluid intake? A descriptive qualitative study Devia Putri Lenggogeni; Hema Malini; Esthika Ariany Maisa; Mahathir Mahathir
Jurnal Keperawatan Padjadjaran Vol. 12 No. 2 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i2.2381

Abstract

Background: Managing dietary and fluid intake for hemodialysis patients is crucial, but it is also challenging. Non-compliance to diet and fluid intake restriction may increase a patient’s morbidity and mortality. Exploring the experiences of hemodialysis patients who successfully manage those regimens may provide new insight to develop more effective strategies. Purpose: The study aimed to explore the experiences of hemodialysis patients who successfully manage the dietary and fluid intake restrictions.  Methods: A descriptive qualitative study was applied. Semi–structured interviews were conducted with 15 hemodialysis patients purposively recruited from a hemodialysis unit of a public hospital in West Sumatera, Indonesia. Interviews were transcribed verbatim and thematically analyzed to describe the phenomenon of hemodialysis patients. The study was reported following the COREQ guidelines. Results: Most   participants in this study are female, aged between  38 – 63 years and length of hemodialysis 4 months – 6 years. The finding of this study was that the essential themes that explained how hemodialysis patients adhere to fluid and dietary restrictions   are 1) strategies for restricting fluid and dietary intake, 2) motivation to restrict fluid and dietary intake, 3) fear of the effects of non-adherence to fluid and dietary restrictions and 4) social support.
Self-Protective Motivation and Compliance with COVID-19 Health Protocols among Undergraduate Nursing Students Malini, Hema; Krisdianto, Boby Febri; Lenggogeni, Devia Putri; Armes, Al Hanifah
Jurnal Keperawatan Soedirman Vol 19 No 1 (2024): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2024.19.1.7163

Abstract

Students who gather and do not pay attention to health protocols can be evidence of their low compliance with implementing health protocols. University students, particularly those who come from health faculties, are considered change agents in implementing health protocols. Thus, it is necessary to examine their motivation and attitude toward implementing health protocols. This study aimed to determine the relationship between self-protective motivation and compliance with the nursing students' health protocol. The study was carried out with 253 undergraduate nursing students selected through cluster sampling with a cross-sectional design. The results showed that most of the students complied with the health protocols; some already had motivations related to self-protective motivation against COVID-19 and some already had a positive attitude towards the health protocol. There is a significant relationship between self-protection motivation and compliance with the nursing student health protocol (p-value = 0.000). However, nursing students must increase self-protective motivation and positive attitudes by increasing their understanding and confidence in the dangers of COVID-19 to encourage their obedience to health protocols. More studies need to be conducted to investigate the causes of student non-compliance in implementing health protocols, especially in the campus environment.
WAKTU PULIH PASCAHEMODIALISIS Antari, Gusti Ayu Ary; Devi, Ni Luh Putu Shinta; Lenggogeni, Devia Putri
Coping: Community of Publishing in Nursing Vol 11 No 4 (2023): Agustus 2023
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2023.v11.i04.p02

Abstract

Waktu pulih pascahemodialisis merupakan salah satu parameter penting yang dapat digunakan untuk memprediksikan kualitas hidup pasien hemodialisis. Meskipun waktu pulih sering dikaitkan dengan risiko rawat inap dan mortalitas, konsep waktu pulih belum diketahui secara jelas. Studi ini bertujuan untuk menyediakan sebuah state of the science mengenai waktu pulih pascahemodialisis. Desain yang digunakan adalah systematic literature review yang pencarian literaturnya dilakukan melalui beberapa database seperti PubMed, Science Direct, ProQuest, dan CINAHL. Sebanyak 11 artikel yang memenuhi kriteria digunakan dalam studi ini. Hasil analisis menunjukkan rata-rata waktu pulih pascahemodialisis berada pada rentang 2-6 jam. Usia tua, jenis kelamin perempuan dan ras kulit hitam didapatkan lebih berisiko mengalami pemanjangan waktu pulih. Selain itu, pemanjangan waktu pulih juga lebih berisiko terjadi pada pasien dengan gangguan psikiatri seperti depresi, memiliki komorbid, indeks massa tubuh yang berlebih, mengalami penurunan napsu makan, dan mengalami komplikasi hemodialisis. Faktor biokimia darah dan regimen hemodialisis juga ditemukan memiliki kaitan erat dengan waktu pulih. Terdapat beberapa faktor yang dapat memperpanjang waktu pulih pascahemodialisis. Waktu pulih dapat digunakan sebagai indikator subjektif yang menjelaskan kondisi pasien pasca menjalani satu sesi hemodialisis sehingga waktu pulih perlu dikaji secara rutin di ruang hemodialisis.