Agastiya, I Made Cahyadi
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Stress level and interdialytic weight gain (IDWG) in hemodialysis patients Agastiya, I Made Cahyadi; Rismawan, I Made
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 20 No. 1 (2024): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.3416

Abstract

Stress has various impacts on hemodialysis patients. Stress in hemodialysis patients can cause physical symptoms (fatigue, muscle cramps, nausea, and vomiting), a decrease in quality of life, and non-compliance with self-management, one of which is compliance related to limiting fluid intake, thus adversely affecting on the patient's IDWG. IDWG is an important indicator for fluid monitoring in hemodialysis patients. Increasing IDWG that exceeds the tolerance limit can have a negative impact and can even cause mortality. This study aimed to determine the correlation between stress level and IDWG among hemodialysis patients. This study was conducted in the hemodialysis unit of RSD Mangusada, involving 95 respondents. This study was quantitative, with non-experimental research using a cross-sectional approach. Data collection was carried out with DASS questionnaires for stress and observation sheets for the IDWG. The data was analyzed using Pearson's Spearman Rank (α<0.05). Respondents with IDWG within tolerance limits were the majority unstressed, and none experienced severe stress or very severe stress. There is a positive and weak correlation between stress and IDWG among patients undergoing hemodialysis. The findings from this study may provide useful information in reviewing existing nursing care and standards of care provided in hemodialysis units, including the need to consider psychological assistance services in the care of hemodialysis patients. Qualitative research is needed to explore the in-depth experience of stress in hemodialysis patients and the factors associated with it.
Telehealth Intervention for Self-management Among Patient with Hypertension: A Scoping Review Agastiya, I Made Cahyadi; Risnawati, Nyoman Eta
Jurnal Keperawatan Malang Vol 9 No 1 (2024): Jurnal Keperawatan Malang (JKM)
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.v9i01.245

Abstract

Background: Self-management among hypertensive patients is important to reduce morbidity and mortality. The use of telehealth can be applied to optimized self-management among hypertensive patients. Purpose: This study aimed to describe the application of telehealth in self-management of hypertensive patients. Methods: This review uses three electronic databased namely PubMed, EbscoHost and Scopus. The article included in the review is the use of telehealth in management in hypertensive psien. Review papers are excluded from the review. 9 articles are included in this review. Result: The form of application of telehealth in the management of hypertensive patients is health education related to hypertension, blood pressure monitoring, motivational support related to self-management, reminders in the form of taking medication, doctor visits, and diet, recording blood pressure results regularly in the form of charts / diagrams, and online consultations. Implication: The forms of telehealth implementation in this review are education, monitoring the blood pressure of hypertensive patients, motivation, reminders, diagram of blood pressure monitoring, and e-consultation. Although in the application of telehealth, there are some challenges, the application of telehealth provides advantages and benefits in chronic patient management Keywords: Hypertension; self-management; telehealth
Training hotel staff in early emergency management to enhance tourist comfort at Ubud Raya Resort area Ani, Luh Seri; Hendrayana, Made Agus; Gandari, Ni Komang Matalia; Laksmi, Ida Ayu Agung; Agastiya, I Made Cahyadi; Vittala, Govinda; Juniartha, I Gusti Ngurah; Dwija, Ida Bagus Nyoman Putra
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 9 No. 1 (2024): February 2024
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v9i1.12128

Abstract

Tourists who stay at the hotel have a risk of illness and/or experiencing emergency problems that interfere with the sense of security and comfort for tourists. One factor for successful emergency management is first aid proficiency. However, the knowledge and skills of hotel staff are relatively lacking in handling emergency problems for tourists.  Based on this, this service was held to train the skills of hotel staff in handling emergencies for tourists. Service activities are carried out by presentation methods and practice on basic life support. The target of this activity is the hotel staff of Ubud Raya Resort. Dedication materials were given in 5 meetings. The training material has been adjusted to travel medicine subjects and based on the results of previous research by the implementation team. The implementation of this service went smoothly and as planned. Based on the results of the pretest and posttest, an increase in the knowledge and skills of participants was obtained. Based on interviews, it was found that service participants received positive benefits from the service carried out. Thus, concluded that this service was successfully carried out despite the limitations in its implementation. This community service advice re-conducting basic life support training for hotel staff so that the knowledge and skills received are beneficial in the long term.
The Effect of Combination Foot Massage and Active Range of Motion (ROM) on Foot Sensitivity among Patients with Type 2 Diabetic Mellitus Agastiya, I Made Cahyadi; Romani, Ni Ketut; Artana, I Made
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61443

Abstract

Introduction: T2DM can increase morbidity and mortality. Almost half of T2DM patients have impaired foot sensitivity. This increases the risk of diabetic foot ulcers, causing the patient to not feel any injuries to the legs, even to amputation. Therefore, handling the proper treatment to prevent these complications is necessary, one of which is using foot massage and active ROM. This study aimed to determine the effect of the combination of foot massage and active ROM on foot sensitivity among T2DM patients at Mangusada Hospital. Methods: This study was carried out in the Kecak Room of Mangusada Hospital, involving 30 T2DM patients. This study uses a pre-experiment design with a one-group pretest-posttest design. The instrument used to assess foot sensitivity among T2DM patients was a 10-g monofilament applied at five points on each patient's right and left soles. The normality test results showed that the data was not normally distributed, so the Wilcoxon Signed Rank Test was used to analyze the difference in foot sensitivity of T2DM patients before and after the intervention with a significance level (α<0.05). Results: The results showed that median foot sensitivity scores improved from 7 to 8. Before the intervention, most foot sensitivity scores were 7, and after the intervention, they were 8. It can be concluded that a combination of foot massage and active ROM affected foot sensitivity among T2DM patients at Mangusada Hospital. Conclusion: Future studies should incorporate a control group and randomization to enhance validity.