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Hubungan Tingkat Stres, Dukungan Keluarga, Lama Menjalani Hemodialisis dan Kualitas Hidup Pasien Penyakit Ginjal Tahap Akhir yang Menjalani Hemodialisis di Unit Dialisis RSUD Kabupaten Lombok Utara Putra, S. K. Karyadi; Pramana, Kadek Dwi; Azhar, Abdillah Adipatria B.; Darsana, I Dewa Gede Oka
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18843

Abstract

ABSTRACT Patients with End-Stage Renal Disease (ESRD) often face significant disparities in quality of life compared to the general population, particularly in aspects such as mental health, social well-being, physical health, and overall quality of life. Stress levels, family support, and the duration of hemodialysis influenced these disparities. This study aimed to examine the relationships between stress levels, family support, and the duration of hemodialysis with the quality of life of ESRD patients at dialysis unit RSUD Kabupaten Lombok Utara. A quantitative analytical observational approach was employed, utilizing a cross-sectional design. The study, conducted in September 2024, included 50 respondents selected through total sampling. Data were analyzed using the chi-square test with a significance level of p < 0.05. The results indicated that 30 respondents (60%) had a low quality of life, 19 respondents (38%) experienced severe stress, 20 respondents (40%) received good family support, and 19 respondents (38%) had undergone hemodialysis for less than 12 months. Bivariate analysis demonstrated significant relationships between stress levels and quality of life (p = 0.001), family support and quality of life (p = 0.022), and the duration of hemodialysis and quality of life (p = 0.036). These findings highlighted the significant influence of stress levels, family support, and the duration of hemodialysis on the quality of life of ESRD patients at dialysis unit RSUD Kabupaten Lombok Utara. Keywords: Quality of Life, Renal Disease, Stress, Family Support, Hemodialysis  ABSTRAK Pasien penyakit ginjal tahap akhir (PGTA) sering mengalami kesenjangan kualitas hidup yang signifikan dibandingkan dengan populasi umum. Kesenjangan ini dapat dimanifestasikan dalam berbagai aspek kehidupan, seperti kesehatan mental, kesejahteraan sosial, kualitas hidup, dan kesehatan fisik. Kualitas hidup dapat dipengaruhi oleh faktor risiko seperti tingkat stres, dukungan keluarga, dan lama menjalani hemodialisis. Tujuan penelitian ini untuk mengetahui hubungan tingkat stres, dukungan keluarga, dan lama menjalani hemodialisis dengan kualitas hidup pasien PGTA di RSUD Kabupaten Lombok Utara. Metode Penelitian dalam penelitian ini adalah penelitian kuantitatif analitik observasional dengan desain penelitian cross sectional. Teknik pengambilan sampel menggunakan total sampling. Penelitian dilakukan di RSUD Kabupaten Lombok Utara pada bulan September 2024. Sampel penelitian sebanyak 50 responden. Data yang diperoleh dianalisis dengan uji chi-square dengan nilai signifikasi p < 0.05. Hasil Penelitian dari total 50 responden, hasil analisis univariat menunjukkan 30 orang mengalami kualitas hidup yang rendah, 19 (38%) mengalami tingkat stres berat, 20 (40%) responden dengan dukungan keluarga baik, dan mayoritas responden dengan lama menjalani hemodialisis <12 bulan sebanyak 19 (38%). Hasil analisis bivariat menunjukkan ada hubungan signifikan tingkat stres dengan kualitas hidup pasien PGTA dengan p-value 0,001, terdapat hubungan signifikan dukungan keluarga dengan kualitas hidup pasien PGTA dengan p-value 0,022 dan ada hubungan signifikan lama menjalani hemodialisis dengan kualitas hidup pasien PGTA dengan p-value 0,036. Kesimpulan dari penelitian ini adalah terdapat hubungan signifikan tingkat stres, dukungan keluarga, dan lama menjalani hemodialisis dengan kualitas hidup pasien PGTA di RSUD Kabupaten Lombok Utara tahun 2024 Kata Kunci: Kualitas Hidup, Penyakit Ginjal, Stres, Dukungan Keluarga, Hemodialisis
Pengaruh Kepatuhan Diet, Tingkat Stres, dan Aktivitas Fisik Terhadap Kadar Glukosa Darah Puasa Penderita Diabetes Melitus di RSUD Dr.R.Soedjono Selong Septiana, Sintia; Hermawati, Resna; Pramana, Kadek Dwi; Hidayati, Sulatun
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18844

Abstract

ABSTRACT Diabetes Mellitus (DM) remains a public health problem. Blood glucose levels in diabetic patients can be influenced by various factors such as dietary compliance, stress level, physical activity, obesity, carbohydrate intake, and medication compliance. This cross-sectional study collected data at RSUD dr.R.Soedjono Selong using a stratified random sampling technique with as many as 47 samples from September to October 2024. Data were obtained from interviews and the completion of dietary compliance questionnaires using the PDAQ questionnaire, stress levels were assessed using the PSS questionnaire, physical activity was evaluated using the GPAQ questionnaire, and GDP levels were obtained from medical records. The Fisher’s Exact test was used to assess the relationship between the dependent variable and independent variable. Logistic regression was used to assess the effect of the dependent variable on the independent variable. The study sample was predominantly female (70.2%) with an average age ranging from 40 to 55 years (59.6%) and unemployed/housewives (36.2%). The majority of the study sample exhibited low dietary compliance (76.6%), moderate stress levels (51.1%), light physical activity (53.2%), and high GDP levels (78.7%). Dietary adherence was significantly related to the GDP levels of diabetes patients (p-value <0.001), as were stress levels (p-value <0.001) and physical activity (p-value 0.029). Dietary adherence, stress levels, and physical activity had a significant level of 66.7%. There is an influence of diet compliance, stress levels, and physical activity on the GDP levels of DM patients at RSUD dr. R. Soedjono Selong Keywords: Diabetes Mellitus, Fasting Blood Glucose, Dietary Compliance, Stress Levels, Physical Activity  ABSTRAK Diabetes Melitus (DM) masih menjadi masalah kesehatan masyarakat. Kadar glukosa darah pada pasien diabetes dapat dipengaruhi oleh berbagai macam faktor seperti kepatuhan diet, tingkat stres, aktivitas fisik, obesitas, asupan karbohidrat, serta kepatuhan minum obat. Studi cross-sectional ini mengumpulkan data di RSUD dr.R.Soedjono Selong dengan teknik stratified random sampling sebanyak 47 sampel dari September – Oktober 2024. Data diperoleh dari wawancara dan pengisian kuesioner kepatuhan diet dengan kuesioner PDAQ, tingkat stres dinilai dengan kuesioner PSS, aktivitas fisik dinilai dengan kuesioner GPAQ, dan data kadar GDP diperoleh dari rekam medis. Uji Fisher’s Exact digunakan untuk menilai hubungan antara variabel dependen dengan variabel independent. Uji regresi logistik digunakan untuk menilai pengaruh variabel dependen terhadap variabel independen. Sampel penelitian sebagian besar perempuan (70,2%) dengan usia rata-rata berkisar antara 40-55 tahun (59,6%) dan tidak bekerja/IRT (36,2%). Mayoritas kepatuhan diet sampel penelitian rendah (76,6%), tingkat stres sedang (51,1%), aktivitas fisik ringan (53,2%) dan kadar GDP tinggi (78,7%). Kepatuhan diet berhubungan secara signifikan terhadap kadar GDP penderita diababetes (p-value <0,001), demikian pula dengan tingkat stres (p-value <0,001) dan aktivitas fisik (p-value 0,029). Kepatuhan diet, tingkat stres, dan aktivitas fisik memiliki tingkat signifikan sebesar 66,7%. Terdapat pengaruh kepatuhan diet, tingkat stres, dan aktivitas fisik terhadap kadar GDP penderita DM di RSUD dr.R.Soedjono Selong Kata Kunci: Diabetes Melitus, Glukosa Darah Puasa, Kepatuhan Diet, Tingkat Stres, Aktivitas Fisik
Analysis of Smoking Habits, Sleep Quality, and Eating Patterns with The Incidence of Hypertension in The Work Area of The Teruwai Community Health Center, Pujut District, Central Lombok Regency in The Period of 20-31 August 2024 Adipati, Adyen Widya; Pramana, Kadek Dwi; Ardianti, Nurul Endah; Dharmapala, Juslaksmi
Jurnal Biologi Tropis Vol. 24 No. 1b (2024): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i1b.8154

Abstract

Systolic and diastolic blood pressure readings of 140 mmHg and 90 mmHg, respectively, are indicative of hypertension, a condition that can lead to major consequences like heart attacks, strokes, and early death. The prevalence of hypertension increased significantly in 2018, reaching 1.3 billion individuals worldwide. This study aims to determine the relationship between smoking habits, sleep quality, and dietary patterns with the incidence of hypertension in the Working Area of Teruwai Community Health Center, Pujut Subdistrict, Central Lombok Regency, during the period of August 20–31, 2024. The study utilized a cross-sectional design with a sample size of 108 respondents, selected through simple random sampling. The statistical test employed was the chi-square test. The results found 76 respondents (70.4%) had high blood pressure. Hypertensive behavior and smoking significantly correlated (p-value = 0,000). Likewise, there is a significant relationship between food patterns and hypertension (p-value = 0,000) and sleep quality and hypertension (p-value = 0,000). The conclusion is that risk factors for hypertension include smoking habits, sleep quality, and dietary patterns, all of which significantly influence the incidence of hypertension.
Association Between Hypertension and Diabetic Ulcers in Diabetes Mellitus Patients Evada, Alung Abhan; Pramana, Kadek Dwi; Wulandari, Made Ayu Mirah; Azhar, Mutiara Budi
Jurnal Biologi Tropis Vol. 24 No. 1b (2024): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i1b.8259

Abstract

One of the most common diseases in the world, including in Indonesia, is diabetes mellitus, which can lead to complications such diabetic ulcers, which can raise the risk of death and amputation. It is believed that hypertension, as a risk factor in and of itself, contributes to the development of diabetic ulcers by causing both macrovascular and microvascular damage. This study aims to analyze the association between hypertension and diabetic ulcers in diabetes mellitus patients at the Mataram City Regional General Hospital (RSUD). This research is an analytical observational study with a case-control design. Sampling used purposive sampling technique. A total of 105 samples were selected with a 1:2 ratio between the case and control groups who met the inclusion and exclusion criteria. Data analysis was carried out using the Chi-Square test. There is a significant association between hypertension and diabetic ulcers (p-value = 0.028; OR = 2.771; 95% CI = 1.198–6.411). Subjects with uncontrolled hypertension were 3 times more at risk of developing diabetic ulcers.
Relationship Between Age, Coffee Consumption and Smoking with The Incidence of Gastro Esophageal Reflex Disease (GERD) Putri, Annisa Zahara; Pramana, Kadek Dwi; Wulandari, Made Ayu Mirah; Khairunnisai, Khairunnisai
Jurnal Biologi Tropis Vol. 25 No. 1 (2025): Januari - Maret
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i1.8324

Abstract

One of the most prevalent illnesses in the world is gastroesophageal reflux disease, or GERD. In addition to sleep patterns, eating habits, such as the amount and timing of meals, as well as the acidity of food, can also lead to GERD. The purpose of this study is to investigate how smoking, coffee intake, and age relate to the prevalence of GERD in the province of NTB, particularly in West Lombok Regency. This study used a quantitative approach and a cross-sectional study design. The Chi Square test was employed for statistical analysis after univariate and bivariate data analysis. The results showed that 52% of respondents were women and 48% of respondents were men. 67% of respondents claimed not to have GERD, while 33% reported having it. There is a substantial correlation between age, coffee consumption, and smoking and the occurrence of GERD at Patut Patuh Patju Hospital in West Lombok. The Patut Patuh Patju Hospital in West Lombok has concluded that smoking, coffee use, and age are associated with GERD.
Hubungan Lama Menjalani Hemodialisis dengan Indeks Massa Tubuh, Aktivitas Fisik, dan Kualitas Tidur Pada Pasien Penyakit Ginjal Tahap Akhir di Rumah Sakit Umum Daerah Bangli Ayu Pramesti Hariyadi, Alivia; Pramana, Kadek Dwi; Hardinata, Hardinata; Fatrahady, H. L. Buly; Putra, Made Rama
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 17 (2024): Jurnal Ilmiah Wahana Pendidikan 
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13852152

Abstract

Kasus Penyakit Ginjal Tahap Akhir (PGTA) selalu mengalami peningkatan tiap tahun. Sebagian besar penanganan PGTA di Indonesia berupa hemodialisis. Terdapat berbagai masalah psikologis dan fisik yang terjadi pada pasien hemodialisis seperti gangguan tidur, aktivitas fisik, dan masalah pada nutrisi dan berat badan pasien, sehingga berdampak pada kualitas hidup pasien. Studi potong lintang ini mengumpulkan data di RSUD Bangli dengan teknik total sampling sebanyak 80 sampel antara Agustus – September 2023. Data diperoleh dari wawancara, Indeks Massa Tubuh (IMT) diukur pada saat pre dan post-hemodialisis, kualitas tidur dinilai dengan kuesioner PSQI dan aktivitas fisik dinilai dengan kuesioner IPAQ. Uji kai kuadrat digunakan untuk menilai hubungan antar variabel nominal dan uji korelasi pearson untuk menilai korelasi antar variabel numerik. 80 pasien terkumpul pada studi ini. Sebagian besar laki-laki (56,3%), rerata usia 51,13 13,57 tahun, overweight (30%), rerata lama HD 56,93 41,26 bulan, skor rerata kualitas tidur 8,13 3,89 dengan 66,3% kualitas buruk, rerata aktivitas fisik 1453,29 2014,11 MET/mnt/minggu dengan dominan 60% aktivitas fisik sedang. Tidak didapatkan hubungan signifikan antara lama menjalani hemodialisis dengan indeks massa tubuh (p=0,237), aktivitas fisik (p=0,52), dan kualitas tidur (p=0,345). Tidak didapatkan korelasi yang signifikan antara lama menjalani hemodialisis dengan indeks massa tubuh (r=0,025, p=0,829), aktivitas fisik (r=0,045, p=0,692), dan kualitas tidur (r=0,19, p=0,092). Tidak didapatkan hubungan signifikan antara lama menjalani hemodialisis dengan IMT, aktivitas fisik, dan kualitas tidur pada pasien PGTA di RSUD Bangli.