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The Effect of Integrated Education on the Knowledge of Hemodialysis Patients EP, Apriria; Gusty, Reni Prima; Lenggogeni, Devia Putri
Indonesian Journal of Global Health Research Vol 6 No 6 (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.v6i6.4149

Abstract

ESRD (End-Stage Renal Disease) patients receive inadequate information regarding fluid and dietary restrictions, and the current educational methods provided by nurses are not optimal and do not fully meet the needs of hemodialysis patients. This study aims to evaluate the effect of integrated education on the knowledge of hemodialysis patients at Raden Mattaher Public Hospital Jambi Method: The study is a quantitative research with a quasi-experimental design and a Pre-Test-Post-Test design. The sample size is 56, with 28 in the intervention group and 28 in the control group, using purposive sampling technique. The intervention group received integrated education for 4 weeks. The instrument used in this study measures knowledge using Curtin's knowledge The questionnaire met validity criteria with a Pearson correlation value > 0.40 and reliability with a Cronbach's alpha value > 0.70. The computerized data analysis results show a significant average difference in the intervention group's knowledge (p < 0.05). Based on this study, integrated education is effective in improving the knowledge of hemodialysis patients. The implementation of an integrated education program is recommended as the standard for educating hemodialysis patients.
Studi Kualitatif Layanan Kesehatan Yang Diterima Orang Dengan HIV: A Qualitative Study of Health Services Received by People Living with HIV Gusti Sumarsih; Mahathir; Devia Putri Lenggogeni
NERS Jurnal Keperawatan Vol. 19 No. 1 (2023): NJK Volume 19, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i1.47

Abstract

Comprehensive health care service is right for people living with HIV/AIDS. It is important to know and dig deeply into the needs of healthcare services among people living with HIV as a vulnerable group. Exploration of healthcare provider services received by people living with HIV can provide a thick description related to the process of care and treatment. In-depth interviews were conducted with nine people living with HIV who utilize healthcare services in Jakarta. In this phenomenological qualitative study, researchers have used the data analysis stage according to Stevick-Colaizzi. This study identifies the essence of the healthcare received by people living with HIV as healthcare services information, easy access to healthcare services, services before the test, services after the test, getting ARVs, and treatment of health complaints. The findings recommend that healthcare providers further optimize their services to give a real impact in the prevention of the HIV/AIDS pandemic.
Tingkat Kesadaran terhadap Resiko Kanker Payudara pada Mahasiswa: Level of Awareness of Breast Cancer Risk in College Students Devia Putri Lenggogeni; Hema Malini; Hacidira Vichalova; Bobby Febri Krisdianto
NERS Jurnal Keperawatan Vol. 19 No. 1 (2023): NJK Volume 19, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i1.57

Abstract

Increasing awareness of breast cancer risk requires knowledge to identify risk factors, symptoms, attitudes, and behaviors for conducting breast screening. However, the facts showed that most female students from non-medical university students had not had adequate awareness of breast cancer prevention. This study aimed to investigate breast cancer awareness among female non-medical university students. This study used quantitative design with cross-sectional design. A sampling technique used a non-probability sampling technique which conducted to 370 non-medical students. A modified Breast Cancers Awareness Scale (BCAS-1) questionnaire was used to measure level awareness of students regarding risk factors of breast cancer. The results showed that most respondents were 19 years old (51.4%) and most respondents (69.2%) have a moderate level of awareness. The level of awareness has five domains, all of respondents which are mostly moderate: knowledge about risk factors (72.4%); signs of breast cancer (54.6%); attitudes toward breast cancer prevention (71.1%); barriers to screening (70.5%), and behaviours related to breast cancer awareness (66.5%). This study concluded that non-medical students had moderate knowledge, so it is recommended a health promotion and special training to perform breast self-examination regularly for university students, especially non-medical students.
Effects of Intradialytic Exercise on Adequacy, Depression, and Quality of Life in Hemodialysis Patients Gusti Ayu Ary Antari; Devia Putri Lenggogeni
NERS Jurnal Keperawatan Vol. 21 No. 2 (2025): NJK Volume 21, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i2.329

Abstract

There are three independent predictors related to dialysis mortality rates such as adequacy, depression and poor quality of life. Intradialytic exercises are a potential strategy to increase adequacy, overcome depression and improve quality of life. This study aimed to analyse the effectiveness of intradialytic exercise in addressing adequacy, depression, and quality of life. A quasi-experimental design was used in this study. The study was conducted at a hemodialysis clinic in Bali, from August to October 2020. A total of 60 samples involved in the research were selected using purposive sampling. Samples were randomly grouped into intervention (n = 30) and control (n = 30) groups. Patients in the intervention group were given intradialytic exercises for 30 minutes/day twice a week for four weeks. All patients underwent measurement of adequacy using Kt/V, depression using the Beck Depression Inventory-II and quality of life using Kidney Disease Quality of Life. Measurements were taken at baseline and after four weeks. The results showed there was a decrease in the mean depression score in patients after being given intradialytic exercise (p-value = 0.001). Intradialytic exercise significantly affects adequacy (p-value = 0.003). Regarding quality of life, this study did not find any significant effect from intradialytic exercises, but there was an increase in the average score on the mental health composite dimension. This study concludes that intradialytic exercise can be considered a therapeutic modality applied routinely in hemodialysis rooms. Apart from that, exercise is also safe, and there are no reports of side effects from exercise.
Risk Factors for Intradialytic Hypotension in Chronic Kidney Disease Patients Undergoing Hemodialysis Ramadhani, Faizah; Mailani, Fitri; Lenggogeni, Devia Putri
NERS Jurnal Keperawatan Vol. 21 No. 2 (2025): NJK Volume 21, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i2.357

Abstract

Intradialytic hypotension (IDH) is one of the most common complications of hemodialysis therapy experienced by hemodialysis patients, with a prevalence of 8–40%. IDH carries important clinical consequences, including reduced dialysis adequacy and interruption of treatment sessions. Several factors are known increase the occurrence of IDH. This study aimed to identify risk factors influencing the occurrence of intradialytic hypotension in patients with chronic kidney disease undergoing hemodialysis. This study used a quantitative method with a cross-sectional design. The study was conducted in the hemodialysis unit of a government hospital in Padang City. The sampling technique was purposive sampling with a sample size of 104 respondents with inclusion and exclusion criteria, between April and May 2025. Data analysis used the Chi-Square test and the Mann-Whitney U test. The results showed that gender, dialysate temperature, and meals during hemodialysis were not associated with intradialytic hypotension (p > 0.05). However, hemoglobin and Interdialytic Weight Gain (IDWG) were related to the occurrence of intradialytic hypotension (p < 0.05). Based on the results of this study, nurses can monitor and evaluate anemia status and IDWG, which can influence the incidence of intradialytic hypotension. The role of nurses in improving dietary compliance and fluid restriction is crucial in preventing intradialytic hypotension.
SELF-MANAGEMENT AND SEVERITY OF ANGINA PECTORIS AMONG CORONARY HEART DISEASE PATIENT: HUBUNGAN MANAJEMEN DIRI DENGAN DERAJAT ANGINA PEKTORIS PADA PASIEN PENYAKIT JANTUNG KORONER Huriani, Emil; Rahmi Meilani, Fitria; Lenggogeni, Devia Putri
Journal of Health and Cardiovascular Nursing Vol. 5 No. 2 (2025): Journal of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v5i2.2208

Abstract

The prevalence of coronary heart disease (CHD) in Indonesia continues to increase. Padang ranks 10th with the most CHD patients in Indonesia. The clinical manifestation of CHD is angina pectoris. One of the efforts in minimizing angina pectoris is self- management. This study aimed to determine the relationship between self-management and the degree of angina pectoris in coronary heart disease patients at the cardiac polyclinic of RSUD dr. Rasidin Padang. This study used a quantitative research design with a cross-sectional approach. Sampling in this study used purposive sampling technique with 106 respondents. The instruments used were CSMS (Coronary self-management scale) and Canadian Cardiovascular Society angina grade (CCS). The results of univariate analysis showed that the patient's self-management was in the good range and the highest degree was in the angina II category. The bivariate analysis test using the chi-square correlation test showed a significant relationship between self-management and the degree of angina pectoris with significance 0.000 (? <0.005), meaning that there was a significant relationship between self-management and the degree of angina pectoris and coefficient relation was 0.95 (strong relation). The limitation of this study was the cross-sectional design used where the measurement of the dependent variable and the independent variable was carried out simultaneously so that it cannot prove the existence of cause and effect between the two variables. It is hoped that the hospital through health workers can increase health education in an effort to increase adequate knowledge related to self-management of coronary heart disease patients.
Nursing intervention using ice gel pack for pain reduction during femoral sheath removal after cardiac catheterization Davris, Wendo; Mailani, Fitri; Lenggogeni, Devia Putri
Science Midwifery Vol 13 No 5 (2025): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2125

Abstract

Cardiac catheterization is performed to reduce mortality risk from vascular stenosis. Following the procedure, femoral sheath removal often resulted in mild to severe pain. This study aimed to describe nursing care through the application of an ice gel pack as a nonpharmacological method to reduce pain during femoral sheath removal in post–cardiac catheterization patients at RSUP Dr. M. Djamil Padang. A case study design was applied, which included assessment, nursing diagnoses, intervention, implementation, and evaluation. The ice gel pack was applied over the sheath site for 20 minutes before sheath removal. Evaluation showed that pain intensity decreased from a scale of 5 to 3 after the intervention. The application of an ice gel pack effectively reduced pain and is recommended for inclusion in hospital standard procedures.
Nursing intervention using ice gel pack for pain reduction during femoral sheath removal after cardiac catheterization Davris, Wendo; Mailani, Fitri; Lenggogeni, Devia Putri
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2125

Abstract

Cardiac catheterization is performed to reduce mortality risk from vascular stenosis. Following the procedure, femoral sheath removal often resulted in mild to severe pain. This study aimed to describe nursing care through the application of an ice gel pack as a nonpharmacological method to reduce pain during femoral sheath removal in post–cardiac catheterization patients at RSUP Dr. M. Djamil Padang. A case study design was applied, which included assessment, nursing diagnoses, intervention, implementation, and evaluation. The ice gel pack was applied over the sheath site for 20 minutes before sheath removal. Evaluation showed that pain intensity decreased from a scale of 5 to 3 after the intervention. Theapplication of an ice gel pack effectively reduced pain and is recommended for inclusion in hospital standard procedures
CMHN (Community Mental Health Nursing) in Efforts to Improve Literacy and Empowerment Strategies for Posyandu Cadres Towards a Mentally Healthy Neighborhood Wenny, Bunga Permata; Sarfika, Rika; Mahathir; Erwina, Ira; Freska, Windy; Adelirandy, Okky; Safitri, Kiki Hardiansyah; Fernandes, Feri; Refnandes, Randy; Lenggogeni, Devia Putri
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.04.497-504.2025

Abstract

Mental health remains a significant global challenge, including in Padang City, where community-based services are not yet fully optimized. In Ganting Village, posyandu cadres have limited capacity to conduct early detection of mental health disorders, which may hinder timely intervention. This community engagement initiative was designed to enhance mental health literacy and strengthen cadres’ competencies through the Community Mental Health Nursing (CMHN) approach. The program employed a combination of socialization, structured health education on the concept of mental well-being, hands-on training in the use of validated screening tools (PHQ-2, GAD-2, and EPDS), and field-based mentoring. Evaluation was carried out using pre- and post-tests as well as observational assessments of cadre participation was conducted on August 8, 2025.Findings revealed an increase in the average knowledge score from 6.0 to 8.0 (33% improvement). Cadres demonstrated improved soft skills in conceptual understanding and hard skills in administering screening instruments. Importantly, they were able to identify cases of postpartum depression, underscoring the practical relevance of the intervention. Overall, the program proved effective in preparing cadres as community change agents in mental health promotion. Empowering local cadres through CMHN contributes to strengthening preventive strategies and advancing Ganting Village toward a mental health–ready community.
Community-Based Approach to Hypertension Screening through Cholesterol, BMI, and Physical Activity Assessment Merdawati, Leni; Mailani, Fitri; Huriani, Emil; Malini, Hema; Lenggogeni, Devia Putri; Muthia, Rahmi; Afriyanti, Esi; Oktarina, Elvi; Rahman, Dally; Simandalahi, Tiurmaida; Krisdianto, Boby Febri; Muliantino, Mulyanti Roberto; Fatmadona, Rika; Gusty, Reni Prima
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.4.520-526.2025

Abstract

Hypertension remains a major public health concern worldwide, largely driven by unhealthy lifestyles such as poor diet, physical inactivity, and excess body weight. Early identification of modifiable risk factors, including cholesterol levels, body mass index (BMI), and physical activity, is crucial for preventing hypertension. This community-based screening activity was conducted on 7 August 2025, at SMA Negeri 9 Padang, targeting teachers, administrative staff, and food vendors. A total of 80 adults participated in the study using convenience sampling. The activity included health education followed by individual health screenings, which consisted of blood pressure measurement, BMI calculation, cholesterol testing using portable point-of-care devices, and physical activity assessment using structured questionnaires. The results showed that 45% of participants were classified as prehypertensive, 83.8% had high cholesterol levels, and 66.3% were overweight or obese. Most participants (72.5%) reported moderate physical activity levels, which fell short of the World Health Organization’s recommendations. These findings indicate a high risk of hypertension among adults in the school community, particularly related to elevated cholesterol, excess body weight, and insufficient physical activity. We identified hypertension risk factors and provided health education and individualized screening feedback to raise awareness of cardiovascular risks and emphasize the importance of regular screening.