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All Journal Jurnal Kedokteran Brawijaya MEDISAINS Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Aisyah : Jurnal Ilmu Kesehatan Caring : Jurnal Pengabdian Masyarakat Journal of Applied Nursing and Health Nursing Information Journal Journal of Nursing Science Update Journal of Rural Community Nursing Practice Journal of Rural Community Nursing Practice

Ismail, Dina Dewi Sartika Lestari

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Author-ID : 1986291

Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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The Relationship Between High-Density Lipoprotein (HDL) and Glycated Hemoglobin (HbA1C) in Type 2 Diabetes Mellitus Patients: Implications for Cardiovascular Risk Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Kartika, Annisa Wuri; Sari, Dewi Purnama; Septian, Angel Dwi; Lallo, Adelina Stefanie; Kurniasari, Rara
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.576

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder marked by hyperglycemia due to insulin resistance or impaired insulin secretion. Dyslipidemia, especially low High-Density Lipoprotein (HDL), contributes significantly to cardiovascular disease risk in T2DM. Glycated hemoglobin (HbA1c) serves as the standard biomarker for long-term glycemic control. Previous studies suggested an inverse relationship between HDL and HbA1c, but results remain inconsistent, and limited evidence exists from Indonesian primary care settings. Purpose: This study aimed to examine the association between HDL cholesterol and HbA1c levels in T2DM patients at a primary healthcare center in Batu City, Indonesia. Methods: An observational analytic study with a cross-sectional retrospective design was conducted. Secondary data were obtained from medical records of T2DM patients at Puskesmas Sisir, Batu City, in July 2025. A total of 79 patients fulfilling inclusion criteria were included through total sampling. Laboratory results of HDL (mg/dL) and HbA1c (%) were analyzed. Spearman’s rank correlation test was used, with significance set at p ≤ 0.05. Results: Among the 79 respondents, most were aged 45–65 years (50.6%) and female (77.2%). The mean HDL level was 45.3 ± 8.2 mg/dL, while the mean HbA1c level was 8.2 ± 1.5%. Correlation analysis indicated a weak negative association between HDL and HbA1c (r = –0.132, p = 0.246). Although higher HDL levels tended to correspond with lower HbA1c values, the relationship was not statistically significant. Conclusions: These findings underscore the critical role of community nurses in integrating routine HbA1c and lipid profile monitoring into T2DM follow-up visits, promoting holistic cardiovascular risk assessment even when individual biomarkers show weak associations.

Correlational Analysis of Physiological and Psychological Factors with Fatigue on Chronic Kidney Disease Patients Undergoing Hemodialysis Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Fatigue is a major problem commonly experienced by chronic kidney disease patients undergoing hemodialysis. However, currently, the factors that correlate with fatigue in chronic kidney diseases patients undergoing hemodialysis are not comprehensive studies and there are still contradictory results from previous studies in Indonesia. This study aims to investigate the correlational analysis of physiological and psychological factors with fatigue on chronic kidney disease patients undergoing hemodialysis. This studi use a cross-sectional study with a sample count of 80 patients undergoing hemodialysis in Yarsi Public Hospital Pontianak, Indonesia. The sampling was carried out using the total sampling approach. A FACIT fatigue scale tool and depression and anxiety stress scale (DASS) 42 were employed to measure fatigue and depression, while hemoglobin and urea levels were taken based on medical history. The Spearman’s Rho test shows the physiological factor from the urea level had an insignificant correlation with fatigue (p-value 0.585). The physiological factor of hemoglobin level had a weak positive correlation (p-value 0.001 and r= 0.349) with fatigue. The psychological factor of depression had a strong negative correlation (p-value 0.000 and r = -0.812) with fatigue. The psychological factor of depression was the dominant factor causing fatigue than other factors based on the standardized coefficient beta value of -0.717. Factors that correlate with fatigue on chronic kidney disease patients undergoing hemodialysis are hemoglobin levels and depression. The most dominant factor influencing fatigue in chronic kidney disease patients undergoing hemodialysis is depression.Abstrak: Kelelahan merupakan masalah utama yang sering dialami oleh pasien gagal ginjal kronik yang menjalani hemodialisis. Namun, saat ini faktor-faktor yang berkorelasi dengan kelelahan pada pasien gagal ginjal kronik yang menjalani hemodialisis belum diteliti secara komprehensif dan masih terdapat hasil yang kontradiktif dengan penelitian-penelitian sebelumnya di Indonesia. Penelitian ini bertujuan untuk mengetahui analisis korelasi faktor fisiologis dan psikologis dengan kelelahan pada pasien gagal ginjal kronis yang menjalani hemodialisis. Penelitian ini menggunakan studi potong lintang dengan jumlah sampel 80 pasien yang menjalani hemodialisis di RSU Yarsi Pontianak, Indonesia. Pengambilan sampel dilakukan dengan menggunakan pendekatan total sampling. Alat FACIT Fatigue Scale dan depression and anxiety stress scale (DASS) 42 digunakan untuk mengukur kelelahan dan depresi, sementara kadar hemoglobin dan urea diambil berdasarkan riwayat medis. Uji Spearman's Rho menunjukkan faktor fisiologis dari kadar urea tidak terdapat korelasi dengan kelelahan (p-value 0,585). Faktor fisiologis kadar hemoglobin memiliki korelasi positif yang lemah (p value 0,001 dan r= 0,349) dengan kelelahan. Faktor psikologis depresi memiliki korelasi negatif yang kuat (p-value 0,000 dan r = -0,812) dengan kelelahan. Faktor psikologis depresi merupakan faktor dominan penyebab kelelahan dibandingkan faktor lainnya berdasarkan nilai koefisien standar beta sebesar -0,717. Faktor yang berhubungan dengan kelelahan pada pasien penyakit ginjal kronik yang menjalani hemodialisis adalah kadar hemoglobin dan depresi. Faktor yang paling dominan mempengaruhi kelelahan pada pasien penyakit ginjal kronis yang menjalani hemodialisis adalah depresi.

Nurse Anxiety of Handling Patient Covid-19 in Emergency Department Nur, Mangsur M; Andarini, Sri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Coronavirus or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a virus that attacks the respiratory system. Coronavirus can cause mild disorders of the respiratory system, severe lung infections, and even death. This study aims to determine the relationship between knowledge, workload, an increasing number of patients, risk of exposure and infrastructure with nurses' anxiety. This study used an analytic observational design with a cross-sectional approach. The sample is 61 nurses, the sampling technique uses Total Sampling, and the analysis uses the Spearman Rank test, Pearson correlation. The results of this study indicate that there is a relationship between knowledge (p = .002, r = - .389), workload (p-value = .047, r = .256), an increase in the number of patients (p-value = .009, r = .333), risk exposure (p-value = .048, r = - .254), and infrastructure (p-value = .040, r = - .264) with anxiety. There is a significant relationship between knowledge, workload, an increasing number of patients, risk of exposure, and facilities and infrastructure with anxiety. The hospital needs to prepare adequate infrastructure and facilities for medical personnel who are on the front line, especially related to personal protective equipment.Abstrak: Virus Corona atau severe acute respiratory syndrome coronavirus 2 (SARS-CoV- 2) merupakan virus yang menyerang sistem pernapasan. Virus Corona bisa menyebabkan gangguan ringan pada sistem pernapasan, infeksi paru-paru yang berat, hingga kematian. penelitian ini bertujuan untuk mengetahui hubungan pengetahuan, beban kerja, peningkatan jumlah pasien, resiko paparan dan sarana prasarana dengan kecemasan perawat. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross sectional. Sampel sebanyak 61 orang perawat, tehnik sampling menggunakan Total Sampling, dan analisis menggunakan uji Spearman Rank, korelasi pearson. Hasil penelitian ini menunjukkan adanya hubungan antara pengetahuan (p= .002, r= - .389), beban kerja (p value= .047, r= .256), peningkatan jumlah pasien (p value = .009, r = .333), resiko paparan (p value=.048, r = -.254), dan sarana prasarana (p value= .040, r= - .264) dengan kecemasan. Terdapat hubungan signifikan antara Pengetahuan, beban kerja, peningkatan jumlah pasien, resiko paparan, dan sarana dan prasarana dengan Kecemasan. pihak rumah sakit perlu mempersiapkan sarana dana prasarana yang memadai buat tenaga medis yang berada di garda terdepan terutama terkait dengan alat pelindung diri.

Burnout and Human Needs Fulfillment Based on Watson’s Ninth Carative Factor: A Correlational Study Among Hemodialysis Nurses in Malang, Indonesia Sassanti, Suci Wulandari; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.349

Background: Burnout among hemodialysis nurses has reached critical levels globally. Grounded in Watson's Theory of Human Caring, this study examined the relationship between Watson's ninth carative factor (assisting with human needs gratification while preserving dignity and wholeness) and burnout levels among hemodialysis nurses. Methods: A cross-sectional correlational study was conducted among 113 hemodialysis nurses from the Indonesian Dialysis Nurses Association in Malang (April-May 2025). Stratified random sampling used Slovin's formula with 5% margin of error. Inclusion criteria: actively working hemodialysis nurses providing informed consent. Exclusion criteria: nurses on leave, retired, experiencing health issues, or in training programs. Burnout (independent variable) was measured using Professional Quality of Life Scale version V (ProQOL-V) burnout subscale (10 items, 5-point Likert, scores 10-55). Human needs fulfillment (dependent variable) used 10 items from Caring Nurse-Patient Interactions Scale (5-point Likert, scores 10-50). Both instruments underwent pilot testing (n=10), demonstrating validity (r>0.632) and reliability (Cronbach's α>0.6). Data collection utilized online surveys. Statistical analysis employed Spearman's correlation (α=0.05). . Results: Participants were predominantly female (59.3%), aged 36-45 years (48.7%), with bachelor's degrees plus nursing credentials (53.1%), and >5 years experience (65.5%). Burnout distribution: 56.6% low, 43.4% moderate, 0% high. Human needs fulfillment: 90.3% high, 9.7% moderate, 0% low. Spearman's analysis revealed significant negative correlation between burnout and human needs fulfillment (ρ=-0.446, p<0.001, moderate effect size). Conclusion: Higher implementation of Watson's ninth carative factor significantly reduces burnout among hemodialysis nurses. The theoretical model demonstrates that addressing patients' holistic needs while preserving dignity creates meaningful work experiences protecting nurses from burnout. Healthcare organizations should integrate Watson's Theory into professional development programs. Future longitudinal studies across diverse contexts are recommended to establish causal relationships.

Co-Authors Adi, Setyo Agus Putra Murdani Agustina, Mulya Aisyana, Lala Amanda, Efina Anggreni, Ni Kadek Indah Sunar Ariska, Hanisa Iis Ariyani, Anita Dwi Asti Melani Astari Balqis, Rani Diana Caressa, Dea Amanda Damayanti, Fransiska Erna Davelin, Valencia Nadya Carissa Dewi Purnama Sari Dwi, Arisma Septia Efris Kartika Sari, Efris Kartika Elvira Sari Dewi Firman Prastiwi Fitri Dwi Astuti, Fitri Dwi Heri Kristianto Hermanto, Andrik Ida Ayu Putu Sri Widnyani Inggita Kusumastuty Intan Yusuf Habibie Irawan, Paulus Lucky Tirma Irmayanti , Ni Kadek Ayu Depy Kartika, Annisa Wuri Kawitantri, Orchidara Herning Kristianingrun, Niko Dima Kumboyono Kumboyono Kurniasari, Rara Kusumawati, Diana Lallo, Adelina Stefanie Lola Ayu Istifiani Maydinah, Anissa Mudianti, Jihan Faadhilah Muladefi Choiriyah Munif, Badrul Nifangelya, Prisilya Nur, Mangsur M Nurdiana, Sevia Pamungkas, Akhmad Yanuar Fahmi Prasetyawan, Riyan Dwi Purnama, Avief Destian Rahmawan, Fajri Andi Ramadhania, Lailatul Rinik Eko Kapti, Rinik Eko Roshanti, Dian Rosuli, Ahmad Rudiyanto Rudiyanto, Rudiyanto Rulli Rosandi Sassanti, Suci Wulandari Satrianto, Anang Septian, Angel Dwi Setyoadi Setyoadi Setyoadi Setyorini, Ika Sri Andarini Supriyanto Supriyanto Suryanto Suryanto Titin Andri Wihastuti Toga, Erik Yuyun Yueniwati

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