Ramadhan, Muhammad Deri
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Nursing Knowledge and Practice in Self-Care Compliance in Heart Failure Patients: A Systematic Review Istianah, Istianah; Said, Faridah Binti Mohd; Nambiar, Nisha; Tohri, Tonika; Ramadhan, Muhammad Deri; Purwanti, Tentry Fuji; Juwita, Ninda Aina
International Journal of Nursing Information Vol. 3 No. 1 (2024)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v3i1.59

Abstract

The disease that causes the number 1 death in the world is cardiovascular disease. Self-care involves maintaining possibilities by engaging in practices that enhance health. Monitoring symptoms and managing symptoms when they arise in patients with chronic diseases, including heart failure. This study aimed to explore knowledge and innovations that can be applied to Self-care with heart failure. The research method uses a systematic literature review. Research articles were obtained from three databases, namely Proquest, PubMed, and Google Scholar. Literature searches using keywords (in English), namely knowledge and practice, self-care, and heart failure, with Primary articles. The inclusion criteria used are articles from 2019-2023 in English. Primary articles, full text, and research subjects of patients with heart failure were reviewed from 1390 articles in eleven that met all criteria. Then, it was analyzed using simplified thematic analysis. The results show the themes that emerged from this literature review were the critical domain of self-care, the excellent impact of compliance, and monitoring innovations needed to reduce complications. Apart from that, telemonitoring is an outstanding innovation. The conclusion is that self-care for heart failure patients improves their quality of life and reduces complications. Adherence is critical, and innovations like telemonitoring applications enhance monitoring, proving effective in boosting patient welfare. This research contributes to providing readers with information about self-care strategies for heart failure patients to improve patient well-being.
Pendekatan body mind spirit sebagai solusi holistik untuk meningkatkan kualitas hidup pasien gagal ginjal kronis Istianah, Istianah; Ramadhan, Muhammad Deri; Tohri, Tonika
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1262

Abstract

Background: Chronic kidney disease (CKD) patients undergoing hemodialysis often experience a decreased quality of life due to physical, psychological, social, and spiritual disorders. A holistic approach such as the Body Mind Spirit (BMS) model is believed to improve patients' overall quality of life. Purpose: To determine the effect of the body mind spirit approach in improving the quality of life of chronic kidney disease (CKD) patients. Method: This study used a quasi-experimental design with a pre-post-test approach without a control group. The study sample consisted of 30 CKD patients selected using purposive sampling. The BMS model intervention was implemented for 4 weeks through education, relaxation, and spiritual support sessions. Quality of life was measured using the KDQOL-36 questionnaire before and after the intervention. Results: Most participants were male with an average age of 52 years, had been on hemodialysis for >2 years, and most (80%) had a poor quality of life. However, after the BMS intervention, their quality of life improved. There was a significant increase in patients' quality of life scores after the BMS model intervention (p < 0.05). The physical, psychological, and spiritual dimensions showed significant improvements. Conclusion: The body-mind-spirit model is effective in improving the quality of life of chronic kidney disease (CKD) patients undergoing hemodialysis. This approach can be used as a holistic surgical intervention strategy in hospitals.   Keywords: Body-Mind-Spiritual; Chronic Kidney Failure; Hemodialysis; Quality of Life.   Pendahuluan: Pasien gagal ginjal kronik (GGK) yang menjalani hemodialisa sering mengalami penurunan kualitas hidup akibat gangguan fisik, psikologis, sosial, dan spiritual. Pendekatan holistik seperti model Body Mind Spirit (BMS) diyakini mampu meningkatkan kualitas hidup pasien secara menyeluruh. Tujuan: Untuk mengetahui pengaruh pendekatan body mind spirit dalam meningkatkan kualitas hidup pasien gagal ginjal kronis. Metode: Penelitian ini menggunakan desain quasi-eksperimental dengan pendekatan pre-post-test tanpa kelompok kontrol. Sampel berjumlah 30 pasien GGK yang dipilih secara purposive sampling. Intervensi model BMS dilaksanakan selama 4 minggu melalui sesi edukasi, relaksasi, dan dukungan spiritual. Pengukuran kualitas hidup dilakukan menggunakan kuesioner KDQOL-36 sebelum dan sesudah intervensi. Hasil: Sebagian besar partisipan laki-laki dengan rerata usia 52 tahun, menjalani hemodialisa > 2 tahun, dan sebagian besar (80%) memiliki kualitas hidup yang buruk, sedangkan setelah diberikan intervensi BMI kualitas hidup pasien menjadi meningkat. Terdapat peningkatan signifikan skor kualitas hidup pasien setelah diberikan intervensi model BMS (p < 0.05). Dimensi fisik, psikologis, dan spiritual menunjukkan perbaikan yang bermakna. Simpulan: Model body mind spirit efektif dalam meningkatkan kualitas hidup pasien GGK yang menjalani hemodialisa. Pendekatan ini dapat dijadikan strategi intervensi keperawatan berbasis holistik di rumah sakit. Kata Kunci: Body Mind Spirit; Gagal Ginjal Kronik; Hemodialisa; Kualitas Hidup.