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Journal : Real in Nursing Journal

Hubungan Mekanisme Koping dengan Kecemasan Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisa Mailani, Fitri; Refnandes, Randy; Ranita, Nada Dwi
REAL in Nursing Journal Vol 6, No 3 (2023): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v6i3.2771

Abstract

Background: Patients with chronic kidney disease undergoing hemodialysis often experience anxiety. The response made by patients in facing anxiety can involve adaptive coping mechanisms or maladaptive coping mechanisms. The difference in these abilities affects the level of anxiety experienced by patients. The objective of this research is to determine the relationship between coping mechanisms and anxiety levels in patients with chronic kidney disease undergoing hemodialysis at Dr. M Djamil Padang General Hospital. Methods: The research method is quantitative with a cross-sectional study design. The analysis used is Spearman's correlation. The sample in the study consisted of 134 respondents using a purposive sampling technique. Data collection utilized the Brief COPE Questionnaire to assess coping mechanisms and the Zung Self Rating Anxiety Scale (ZSAS) Questionnaire to assess anxiety. Results: Based on the research results, the median value of coping mechanisms is 58.00, indicating maladaptive coping mechanisms, while the median value for anxiety is 62.00, indicating a moderate level of anxiety in patients. Bivariate analysis showed a significant relationship between coping mechanisms and anxiety in patients undergoing hemodialysis, with an average correlation strength and a negative direction (p-value = 0.000 and r = -0.506), meaning that the lower the coping mechanisms, the higher the anxiety experienced by hemodialysis patients. Conclusion: Promotive and preventive efforts are needed to address anxiety in patients undergoing hemodialysis. Healthcare professionals can contribute to this by conducting health education activities on anxiety management and coping mechanisms.Keywords: Anxiety, Coping Mechanisms, Hemodialysis
Efektivitas Edukasi Pra-Kateterisasi terhadap Pengetahuan Pasien PJK yang akan Menjalani Tindakan Kateterisasi Jantung Muliantino, Mulyanti Roberto; Mailani, Fitri; Dafris, Wendo
REAL in Nursing Journal Vol 6, No 2 (2023): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v6i2.2477

Abstract

Background: Cardiac catheterization was a common procedure in the management of patients with coronary heart disease, but this was still unknown among patients. It was impacted on fear, anxiety and high psychological stres when undergoing cardiac catheterization. The aim of this study was to identify the effectiveness of directly pre-catheterization education on increasing the knowledge of inpatients who will undergoing cardiac catheterization. Methods: This was a quasi-experiment with one group pretest-posttest research design. Total 41 patients with coronary heart disease who will undergoing cardiac catheterization participated in this study. Accidental sampling technique was used in this study. The education of pre-catheterization was given for 30 minutes and carried out 1 day before the patients undergoing the procedure. Knowledge of catheterization was measured using a pre-cardiac catheterization knowledge questionnaire. Data were analyzed using paired t-test. Results: The results showed that there was an effect of pre-catheterization education on the knowledge of patients who undergoing cardiac catheterization (p<0.001). Conclusion: Education is effective to increasing patients knowledge before undergoing catheterization and it is important for nurses to provide pre-catheterization education before the procedure in decresing fear, anxiety, stres and make the patients more cooperative.Keywords: education, pre-catheterization,  coronary heart disease.
Hubungan Persepsi Penyakit dan Lama Menderita dengan Manajemen Diri Pada Pasien Dengan Diabetes Mellitus Tipe 2 Salsabilla, Ghina; Mailani, Fitri; Oktarina, Elvi
REAL in Nursing Journal Vol 6, No 2 (2023): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v6i2.2407

Abstract

Background: The high incidence of type 2 diabetes mellitus and its complications, as well as an unhealthy lifestyle, cannot be separated from the problem of low self-management behavior in patients with diabetes mellitus. Chronic disease for a long time tends to affect the perception of disease and duration of suffering in patients with diabetes mellitus. The purpose of this study was to determine the relationship between perception of disease and length of suffering with self-management in type 2 diabetes mellitus at Crocodile Health Center Lubuk Padang City. Methods: is a quantitative study with a correlational design and a cross sectional approach. The sample of this research was 70 respondents who were taken using purposive sampling technique. Data collection used the SDSCA-Revised and B-IPQ questionnaires. Data analysis using the Pearson Product test. Results: showed that the average perception of disease was 34.04, the average length of suffering was 6.00 years, the average self-management of diabetes mellitus patients was 41.91.There is a relationship between perception of disease and self-management of diabetes mellitus patients with p value = 0.000. There is a significant relationship between duration of suffering and self-management of diabetes mellitus patients with p value = 0.040. Conclusion: This research gain the increasing of self-management activities on the intensity of PROLANIS activities, especially providing diabetes mellitus exercises from 1x a month to 2-3x a month, conducting regular home visits to help elderly patients check their blood sugar levels, providing comprehensive education, mentoring and monitoring drug consumption.Keywords: type 2 diabetes mellitus, illness perception, illness duration, self-management
Hubungan Pengetahuan dan Pelaksanaan End Of Life Care Pada Masa Pandemi Covid-19 Muthia, Rahmi; Fitri, Tiya Rama; Mailani, Fitri; Oktarina, Elvi; Huriani, Emil
REAL in Nursing Journal Vol 6, No 1 (2023): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v6i1.2221

Abstract

Background: During the Covid 19 pandemic, the need of care and the death rate of patients in the Intensive Care Unit (ICU) increased. So that nurses are required to to integrate the implementation of end of life care (EOLC) in end of life (EOL) patients. However, the implementation of EOLC during the Covid 19 pandemic was vulnerable to obstacles. The implementation of EOLC treatment is influenced by knowledge. The purpose of this study was to see the relationship between knowledge and implementation of EOLC during the COVID-19 pandemic in the Intensive Care Unit room. Methods: This research is a descriptive correlation with a cross sectional approach. The research sample was 91 people, using a convenience sampling technique. This research was conducted in August-October 2022 with research respondents in intensive care nurses at the Hospital in Padang City who worked during the Covid 19 pandemic for at least 1 year. Data collection used Palliative Care Quiz for Nurse Indonesian Version (PCQN-I) and Self Reported Practice Checklist. Data analysis used fisher's exact test. Results: The results showed that nurses' EOLC knowledge was in the moderate category (82.4%) and the implementation of end of life care by nurses during the Covid 19 pandemic was in the high category (85.7%). Conclusion: There was no relationship between EOLC knowledge and EOLC implementation during the Covid 19 pandemic (p = 0.451). Hospital institutions are advised to facilitate the increase of end of life care knowledge in nurses so as to support optimal implementation. Keywords: End of Life Care, Knowledge, Implementation, Nurse, Intensive Care Unit
Co-Authors Abdul Malik Abdullah, Khatijah Lim Agus Sri Banowo Ainal Jannata Purnama Aisya Rahmadhanty Amanda Rahma Yunita Andriani, Rika Fitri Aninda T. Puari Annisa Rahma Yuni Bakri, Sri Olta Chan, Chong Mei Cholina T. S Chong Mei Chan Chong Mei Chan Dafris, Wendo Dally Rahman Danny Hidayat Davris, Wendo Deivy Andhika Permata Dewi Murni Donny Eros Dwi Novrianda Eli Ratni Emil Huriani Esi Afriyanti Fachry Abda El Rahman Fadilah Lukvianti Fatin, Atikah Febriyana, Indah Ferry Efendi Fitri, Nera Fitri, Tiya Rama Fiziola Fiziola Fiziola Ginza Johanda Hema Malini Hema Malini, Hema Heni Pujiastuti Herien, Yelly Jauharry, Jauharry Khatijah Lim Abdullah Krisdianto, Boby Febri Lenggogeni, Devia Putri Leni Merdawati Mahathir Mahathir, Mahathir Maisa, Esthika Ariany Muliantino, Mulyanti Roberto Muthmainah Muthmainah Muthmainah Muthmainah Natasha Melani Ardian Neherta, Meri Nelwati Nelwati Nofrizon Nofrizon Nurikhsani, Nadiya Oktarina, Elvi Permata, Putri Indah Rahmi Muthia Rahmi Muthia Rahmiwati Rahmiwati Rahmiwati Ramadhani, Faizah Ramadini, Indri Ranita, Nada Dwi Refnandes, Randy Reni Prima Gusty Rhiana Eviranita Sariani Rifdatunnisa, Aisyah Rika Fatmadona Rika Sarfika Rika Syafitri Risti Kurnia Dewi Safitri, Dea Anggun Saifudin, I Made Moh. Yanuar Salsabilla, Ghina Selvi Marcellia Setiawan Setiawan S Sovia Susianty Susmiati Susmiati Tiurmaida Simandalahi Vebby Fitri Nur&#039;arita Vebby Fitri Nur’arita Vebby Fitri Nur’arita Virtous Setyaka Wati, Afdalina Rahmida Wenny, Bunga Permata Wijaya, Nindy Eka Wirdhatul Vier Marza Yanti, Delvi Yevri Zulfiqar Yolanda Sukarma Yuanita Ananda Yuza Olsi Rahmi Zikri, Rahmi Zulfiqar, Yevri