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Utomo, Eri Purba
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Medicine & Pharmacology Nursing Public Health

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Frailty among hemodialysis patients Adi, Ginanjar Sasmito; Utomo, Eri Purba
MEDISAINS Vol 20, No 1 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i1.12374

Abstract

Introduction: Hemodialysis patients have physical vulnerability due to the progressive decline of the body's systems. The physical changes in the patients can lead to haemostatics failure, known as frailty syndrome. The frail condition can cause maladaptive psychological responses due to changes that can cause anxiety in patients.Objective: This study aims to determine the prevalence of frailty in hemodialysis patients and to find out the different factor that correlates in frailty patients undergoing hemodialysis therapy.Method: This is a cross-sectional study involving 55 respondents who underwent hemodialysis therapy at the Jember Klinik Hospital. The instruments used in this study were the Edmonton Frail Scale (EFS) and the Hamilton Anxiety Rating Scale. Results: Moderate frailty was found in 23 patients (41.8%), followed by mild frailty in 18 patients (32.7%) and severe frailty in 14 patients (25.5%). In terms of anxiety, 18 patients (32.7%) had severe anxiety, 20 had moderate anxiety (36.4%), 12 (21.8%) had mild anxiety, and the other 7 (12.7%) were not anxious. The statistical analysis shows a significant difference in the average level of anxiety and the frailty status (p<0.001) among the patients. Conclusion: Frailty was highly prevalent in hemodialysis patients and had relations with anxiety and different sociodemographic characteristics of patients. The assessment of frailty should be considered when clinicians intervene and prevent worsening in patients.
PENGARUH PENDIDIKAN KESEHATAN DAN SENAM HIPERTENSI TERHADAP TEKANAN DARAH PADA LANSIA Adriani, Sri Wahyuni; Utomo, Eri Purba; Wulandari, Shela; Kurniawan, Tacuk; Sukarji, Veliyana
Journals of Ners Community Vol 12 No 1 (2021): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v12i1.1310

Abstract

Permasalahan yang sering dihadapi lansia yaitu terjadi penurunan berbagai fungsi organ tubuh, misal lansia mengalami aterosklerosis, sehingga berisiko hipertensi. Salah satu upaya untuk mengatasi masalah hipertensi yaitu denganpendidikan kesehatan dan senam hipertensi. Tujuan penelitian ini adalah mengetahui pengaruh pendidikan kesehatan dan senam hipertensi terhadap tekanan darah pada lansia. Penelitian ini merupakan penelitian pra-experiment design one group and pretest–posttest bertujuan untuk mengetahui pengaruh pendidikan kesehatan dan senam hipertensi terhadap tekanan darah lansia di Dusun Krajan Kecamatan Sukorambi.Populasi penelitian ini sejumlah 12 lansia dengan hipertensi. Teknik pengambilan sampel menggunakan purposive sampling.Data dianalisis secara univariat dan bivariat (Uji Paired T – Test). Hasil analisis pre test dan post testpendidikan kesehatan didapatkan data p value< α = 0,005 dengan nilai 0,000 < 0.05 yang artinya ada pengaruh penyuluhan hipertensi terhadap tingkat pengetahuan lansia yang mengalami hipertensi di Dusun Krajan Kecamatan Sukorambi, sedangkan hasil analisis pre test dan post testsenam hipertensi didapatkan data p value < α = 0,005 dengan nilai 0,000 < 0.05 yang artinya ada pengaruh senam hipertensi terhadap penurunan tekanan darah lansia yang mengalami hipertensi di Dusun Krajan Kecamatan Sukorambi. Hasil penelitian yang telah dilakukan menunjukkan ada pengaruh pendidikan kesehatan dan senam hipertensi terhadap penurunan tekanan darah, saran bagi lansia penderita hipertensi dapat melakukan senam hipertensi secara rutin agar tekanan darah menurun. DOI: 10.5281/zenodo.5226066
Co-Authors Adi, Ginanjar Sasmito Adriani, Sri Wahyuni Kurniawan, Tacuk Sukarji, Veliyana Wulandari, Shela