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All Journal Jurnal Keperawatan Indonesia Jurnal Kesehatan Holistic
Vasquien, Sandra
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Health Professions Medicine & Pharmacology Nursing Public Health

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Persepsi Perawat sebagai Edukator Berhubungan dengan Implementasi Discharge Planning Pakpahan, Martina; Rangga, Fransiska Denata; Vasquien, Sandra; Octaria, Martha
Jurnal Kesehatan Holistic Vol. 4 No. 2 (2020): Jurnal Kesehatan Holistic Volume 4/Nomor 2/Juli 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (493.499 KB) | DOI: 10.33377/jkh.v4i2.81

Abstract

The nurses as an educator becomes an important part in the implementation of discharge planning. The implementation of the optimal Discharge planning can increase the length of stay in hospital, readmission, and financing. The aim of the study to identify the correlation between nurse's perception as an educator with the implementation of Discharge Planning by nurses. This research was a quantitative study with cross sectional design. Sampling technique used the total sampling with 43 nurses in the inpatient room in one central Indonesian private hospital as a respondents. Data collection was carried out using questionnaires and observation. Data analysis in the form of univariate and Bivariat. Bivariate analysis using Chi Square test. The univariate analysis was found by 40 (93.02%) Respondents had negative perception and to 36 (83.72%) The respondent did not implement discharge planning according to standard operating procedures. Bivariat analysis found the correlation between the perception of nurses as an educator with the implementation of discharge planning by nurses (p value 0.001). The hospitals can develop a positive perception of nurses as an educator through training and mentoring in carrying out standard discharge planning. Further research can examine the correlation of other variables on the implementation of discharge planning.
Effectiveness of Intradialytic Resistance Training on Muscle Mass and Strength in Patients on Hemodialysis Vasquien, Sandra; Swarjana, I Ketut; Darmini, A.A.A. Yuliati; Putra, I Nyoman Arya Maha
Jurnal Keperawatan Indonesia Vol 28 No 3 (2025): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v28i3.1320

Abstract

Hemodialysis (HD) patients with chronic kidney disease (CKD) lose muscle mass and strength due to protein energy wasting (PEW). The purpose of this study was to test the effectiveness of intradialytic resistance training (IRT) in increasing muscle mass and strength. It used a pre-experimental, one-group pretest-posttest design. Based on a sample size estimate using G*power software, 33 CKD patients undergoing HD at a private hospital in Bali were included. The patients were selected using purposive sampling. Muscle mass was measured using Bioelectrical Impedance Analysis (BIA), while muscle strength was measured using the Medical Research Council Muscle Scale. The Wilcoxon test evaluated IRT's efficacy on muscle strength, while the dependent samples t-test evaluated its impact on muscle mass. The results of this study found that IRT had no effect on muscle mass, with a mean difference of -0.330 (p = 0.274). On the contrary, IRT significantly improved muscle strength (p = 0.018). In conclusion, IRT proved beneficial for strengthening muscle but not for gaining muscle mass. Therefore, to improve muscle strength, patients with CKD undergoing HD are advised to actively perform IRT under supervision for a minimum of 30 minutes per day. Keywords: intradialytic resistance training, muscle mass, muscle strength, protein energy wasting   Abstrak Efektifitas Intradialytic Resistance Training Terhadap Massa dan Kekuatan Otot Pasien dengan Hemodialisis. Pasien hemodialisis (HD) dengan Penyakit Ginjal Kronis (PGK) kehilangan massa dan kekuatan otot yang disebabkan oleh Protein Energy Wasting (PEW). Tujuan penelitian ini adalah untuk menguji efektifitas Intradialytic Resistance Training (IRT) terhadap peningkatan massa dan kekuatan otot. Penelitian ini menggunakan pre-experimental one-group pretest, post-test design. Berdasarkan perhitungan besar sampel menggunakan G*Power Software, 33 pasien PGK yang menjalani HD di sebuah rumah sakit swasta di Bali terlibat dalam penelitian ini. Pasien dipilih menggunakan teknik purposive sampling. Massa otot diukur menggunakan Bioelectrical Impedance Analysis (BIA), sedangkan kekuatan otot menggunakan Medical Research Council Muscle Scale. Uji efektifitas kekuatan otot menggunakan Wilcoxon test, sedangkan t-test digunakan untuk menguji efektifitas massa otot. Hasil penelitian menunjukan IRT tidak efektif dalam meningkatkan massa otot, dengan mean -0,330 (p = 0,274). Namun, IRT terbukti efektif dalam mening-katkan kekuatan otot, (p = 0,018). Kesimpulannya, IRT bermanfaat untuk meningkatkan kekuatan otot, tetapi tidak untuk meningkatkan massa otot. Oleh karena itu, untuk meningkatkan kekuatan otot, pasien PGK yang menjalani HD disarankan aktif melakukan IRT dengan pengawasan minimal 30 menit dalam sehari.  Kata Kunci: intradialytic resistance training, kekuatan otot, massa otot, protein energy wasting
Co-Authors Darmini, A.A.A. Yuliati I Ketut Swarjana Octaria, Martha Pakpahan, Martina Putra, I Nyoman Arya Maha Rangga, Fransiska Denata