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Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study Fitri Mailani; Emil Huriani; Rahmi Muthia; Rahmiwati Rahmiwati
Nurse Media Journal of Nursing Vol 13, No 1 (2023): (April 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i1.48708

Abstract

Background: The latest approach to managing chronic kidney disease (CKD) involves the implementation of self-management methods. Nonetheless, numerous previous studies indicate that self-management behaviors remain inadequate among hemodialysis patients in Indonesia. Therefore, a deeper comprehension of the factors that affect a patient’s self-management should be studied.Purpose: This study aimed to examine self-management among CKD patients undergoing hemodialysis and its relating factors.Methods: The study used a cross-sectional approach. A convenience sample of 164 patients undergoing hemodialysis determined using a table of power analysis was recruited from two hemodialysis centers in Padang, Indonesia, from May to July 2022. Hemodialysis self-management instrument-18 (HDSMI-18), the scale of self-efficacy for chronic diseases, and the hemodialysis knowledge questionnaire were used as the instruments. T-tests, ANOVA, Spearman correlation test, and multiple linear regression were used to analyse the data.Results: Self-management, knowledge, and self-efficacy mean scores were 48.62(8.45), 17.77(2.96), and 43.05(10.08), respectively. There was a significant positive correlation between self-management with education (p=0.000), employment status (p=0.025), monthly income (p=0.003), knowledge (p=0.000), and self-efficacy (p=0.004). Multiple linear regression analyses for overall self-management indicated that knowledge and education were the main influencing factors of self-management.Conclusion: Hemodialysis patients had a subpar degree of self-management. Furthermore, knowledge and education were the most significant influencing factors of self-management. Nurses are expected to be able to provide structured education to increase patient knowledge which will later yield good self-management.
Pendampingan Pemanfaatan Digital Branding dan Digital Marketing pada We Farm Hidroponik untuk Menuju Kawasan Agroeduwisata Fitri Mailani; Eli Ratni; Danny Hidayat; Mulyanti Roberto Muliantino; Risti Kurnia Dewi; Virtous Setyaka
Warta Pengabdian Andalas Vol 30 No 1 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.1.136-143.2023

Abstract

"We Farm Hydroponics" is an agricultural business implementing a hydroponic system with the motto healthy vegetables and free of pesticides. The need for good business branding and proper digital marketing in advancing the "We Farm Hydroponic" business, especially in the field of marketing, so that it can be a solution to meet market needs and is well known by the public. The purpose of this activity is to provide assistance to partners in building business profiles/branding and digital marketing and to make "We Farm Hydroponics" a hydroponic agro-education area in West Sumatra; assistance to partners is carried out for three months starting from October to December 2022 with the method of mentoring, coaching, and development. The activities carried out were FGDs for the development of a hydroponic We Farm business into an agrotourism area, assistance in managing the legality of the "We Farm Hydroponics" business, namely the business registration number (NIB), fostering the development of the "We Farm Hydroponics" business to become an agrotourism area through strengthening branding/business profile. Assistance in optimizing promotions through digital marketing, training in maintaining the greenhouse area "We Farm Hydroponics," and training in hydroponic vegetable nutrition to improve the quality and quantity of hydroponic vegetable crops as well as training in making healthy food products made from hydroponic vegetables (vegetable juice and smoothies). This activity impacts increasing agrotourism visits to We Farm Hydroponics and increasing insight into We Farm Hydroponics' social media.
Peningkatan Kualitas Kesehatan Pesantren Menuju Santri Sehat Ceria (Satria) di Pondok Pesantren Salafiyah Tarbiyah Islamiyah Batang Kabung Kecamatan Koto Tangah Kota Padang Sovia Susianty; Fitri Mailani; Bunga Permata Wenny; Tiurmaida Simandalahi; Dewi Murni
Warta Pengabdian Andalas Vol 29 No 4 (2022)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.29.4.519-524.2022

Abstract

It is still rare to provide counselling to students regarding handling health problems in Islamic boarding schools, so there is still much incorrect knowledge among students about handling health problems that often occur in Islamic boarding schools. This service aims to form a Poskestren (Islamic boarding school health post) at the Salafiyah Tarbiyah Islamiyah Islamic Boarding School in Batang Kabung, accompanied by the formation of a cadre of students. The method for carrying out this activity was the socialization of the formation of the Poskestren, which was carried out for teachers at Islamic boarding schools which was carried out on June 21, 2022, followed by training of Poskestren cadres and providing Poskestren rooms and helping to provide simple tools and medicines on July 19, 2022. Poskestren cadre training activities were carried out for 30 students and female students related to first aid handling, fever management, PHBS, and several infectious diseases that often occur in Islamic boarding schools. This training should be carried out continuously so the Poskestren can perform its functions properly.
Pengaruh Pemberian Virgin Coconut Oil secara Oles terhadap Kelembaban Kulit pada Pasien yang Menjalani Terapi Hemodialisa Yuza Olsi Rahmi; Nelwati Nelwati; Fitri Mailani
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 13 No 4 (2023): Jurnal Ilmiah Permas: jurnal Ilmiah STIKES Kendal: Oktober 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v13i4.1366

Abstract

Pasien yang menjalani hemodialisis memiliki masalah yang kompleks salah satunya manifestasi pada sistem dermatologi yaitu penurunan kelembaban kulit. Kulit kering jika terus dibiarkan maka dapat memicu terjadinya gatal yang dapat menyebabkan gangguan kenyamanan. Salah satu perawatan yang dapat diberikan untuk mengatasi permasalahan kulit tersebut dengan memberikan bahan yang mengandung emmolient alami. Emollient alami terkandung pada buah kelapa yang diolah menjadi VCO yang dipercayai dapat mengatasi permasalahan kulit kering. Tujuan penelitian ini adalah membuktikan pengaruh VCO terhadap kelembaban kulit pasien hemodialisis. Penelitian quasi eksperimen dengan pre-test dan post-test control group design. Pada penelitian ini sebanyak 18 orang kelompok intervensi dan 18 orang kelompok kontrol yang diambil dengan teknik convenience sampling. Intervensi pemberian VCO secara oles pagi dan sore hari selama 14 hari. Kelembaban kulit menggunkan alat ukur skin moisture analyzer. Data dianalisa secara univariat dan bivariat menggunakan uji independent T test. Terdapat pengaruh yang signifikan pemberian VCO secara oles terhadap kelembaban kulit  pada pasien yang menjalani hemodialisis di RSUP Dr M djamil Padang  (p value=0.000). Disarankan institusi pelayanan agar melakukan intervensi VCO untuk meningkatkan kelembaban kulit pada pasien PGK yang menjalani hemodialisis.
Pengaruh Pemberian Edukasi Kesiapsiagaan Bencana Gempa Bumi Pada Lansia Di Kelurahan Parupuak Tabing Kota Padang Fitri Mailani; Fadilah Lukvianti; Yuanita Ananda
JINTAN: Jurnal Ilmu Keperawatan Vol. 3 No. 02 (2023): Edisi Juli 2023
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jintan.v3i02.518

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The elderly are one of the most vulnerable groups during a disaster. The vulnerability of this group is caused by physical and mental changes in the elderly. These changes can cause the elderly to become victims of a disaster. To reduce the impact for disaster of elderly fatalities, it is necessary to educate them on how to save themselves when a disaster occurs. The purpose of this nursing care is to increase the knowledge of the elderly in self-rescue during an earthquake. Nursing care was carried out with a quasi-experimental pretest-posttest on 15 elderly people in RW 17 Parupuak Tabing Village. Nursing care will be carried out from November to December 2022 by providing earthquake preparedness education using pamphlets. The result of providing nursing care was an increase in the knowledge of the elderly after being given education about disaster preparedness, with an average pre-test score of 2.27 and a post-test average score of 7.13. The increase in the average pre-test and post-test was 4.86 with a value (p value = 0,000). This means that there is an educational influence on the knowledge of the elderly about how to save themselves when an earthquake occurs. It is hoped that the BPBD will develop plans and activities focused on increasing knowledge to respond to disaster risks by providing education and training for the elderly.
Self-Efficacy and Compliance Fluid Intake Restrictions in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-Sectional Study Fitri Mailani; Mahathir Mahathir; Annisa Rahma Yuni
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 3 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i3.475

Abstract

Aims: Good self-efficacy will encourage patients to behave assertively and adhere to medication, diet, and fluid restrictions in patients with chronic kidney disease undergoing hemodialysis. However, nowadays, patient non-compliance with fluid restrictions is still high, which results in increased complications experienced by patients. The study aimed to determine the relationship between self-efficacy and adherence to fluid intake restrictions in chronic kidney patients undergoing hemodialysis at RSUP Dr. M. Djamil Padang. Methods: This study used a correlation study design and a cross-sectional method. The total sample was 81 respondents. Using purposive sampling with inclusion criteria, patients routinely undergo HD > 3 months, are over 18 years old, and can communicate well. The instruments used were the Self-Efficacy for Managing Chronic Disease (SEMCD) questionnaire and the Fluid Intake Restriction Adherence questionnaire—data analysis using the Spearman correlation test. Result: The results revealed a significant relationship between self-efficacy and adherence to fluid intake restrictions (p = <0.001) with a value (r = 0.703) which means the correlation for both variables is firmly in positive relation. Conclusion: Nurses in the HD room are expected to be able to provide self-efficacy training to patients to increase patient compliance, the higher the self-efficacy, the more compliant the patient with fluid intake restrictions. Keywords: Adherence, Fluid,  Hemodialysis, Self-Efficacy.
Psychological Changes in Post Kidney Transplant Recipients: Phenomenology Study Aisya Rahmadhanty; Yevri Zulfiqar; Devia Putri Lenggogeni; Meri Neherta; Emil Huriani; Fitri Mailani; Susmiati Susmiati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 3 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i3.535

Abstract

Aims: Kidney transplantation can have a big impact on recipients, so they must be able to adapt to many changes, including psychological changes. Psychological changes are the most complained about by post- kidney transplant recipients. Psychological changes including feelings of anxiety and worry after kidney transplantation, these feelings arise due to post-transplant complications, feelings of guilt and fear of rejection, treatment regimens and uncertainty about the future. Therefore, recipients must be able to deal with psychological changes after kidney transplantation. Objective: To explore the psychological changes of post-kidney transplant recipients. Methods: A qualitative study using a phenomenological approach. This study was conducted on 6 participants who were undergone kidney transplantation. Purosive sampling was performed and data was collected through 35 to 60 min. Data collection in this study was carried out through in-depth interviews, audio recording and field notes.  The data analysis technique uses the Collaizi method (1978). Result: This study obtained results including: psychological adaptation transitions and post-transplant anxiety control strategies. Conclusion: Kidney transplant provide better psychological changes if the recipients can implement strategies to control emotions. Therefore, it is important to have family, social and nurses support in controlling the psychological changes of post-kidney transplant recipients.
The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention Emil Huriani; Fitri Mailani
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.49987

Abstract

Background: Percutaneous coronary intervention (PCI) for myocardial infarction patients has been shown to provide outstanding results, yet research has shown that patient quality of life varies. However, few studies have been done on the physical and emotional symptoms that impact health-related quality of life (HRQoL) of patients who have undergone PCI.Purpose: This study aimed to identify physical (fatigue, angina, dyspnea) and emotional (stress, anxiety, depression) symptoms related to HRQoL of myocardial infarction patients after PCI.Methods: This study used a cross-sectional approach. A total of 154 patients, who were recruited using a purposive sampling method, participated in this study. The Fatigue Assessment Scale (FAS), the Seattle Angina Questionnaire-7 (SAQ-7), the Dyspnea scale (modified MRC score), the Depression, Anxiety, Stress Scale 21 (DASS-21), and the MacNew Quality of Life Questionnaire were all used to collect the data. Linear regressions were used to analyze the data.Results: The mean of the global HRQoL score was 5.11(0.90). Results on physical symptoms showed that a total of 49.4% of participants reported fatigue; the mean angina score was 69.6(12.06), and the mean score of dyspnea level was 0.63(0.92). Emotional symptoms reported that stress was at an average level (83.1%), anxiety was at a moderate level (63%), and depression was at a standard level (72.7%). The multiple linear regression analyses revealed fatigue (β=-0.22), angina (β=0.30), and anxiety (β=-0.32) as the factors related to HRQoL.Conclusion: Despite having a PCI after an acute myocardial infarction, the patients’ HRQoL was above the middle score. It was discovered that anxiety, angina, and fatigue predicted HRQOL in patients with myocardial infarction after PCI.
Pemeriksaan Kesehatan dan Pembentukan Kader Lansia Melati di Nagari Sungai Buluh Selatan, Padang Pariaman Fitri Mailani; Rahmi Muthia; Emil Huriani; Elvi Oktarina; Vebby Fitri Nur’arita
Warta Pengabdian Andalas Vol 30 No 4 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.4.780-788.2023

Abstract

The causes of diseases in the elderly come from within the body (endogenous), as this occurs due to a decline in the function of various organs inside the body, resulting in reduced production of hormones, enzymes, and substances needed for the immune system. Providing related activities in the form of health checks for older people and the formation of elderly cadres is expected to impact improving the health of older people. This activity aims to provide community service by conducting health checks and forming Melati elderly cadres in the Sungai Buluh Selatan Village. The method of this activity is to perform health checks, including blood pressure, blood sugar levels, cholesterol, and uric acid checks, followed by providing education related to the examination results and the formation of Melati elderly cadres. The results of this activity showed that 22 (33.3%) of the elderly had prehypertension in systolic blood pressure, 19 (28.8%) of the elderly had hypertension in diastolic blood pressure, 11 (16.7%) of the elderly had blood sugar levels >200 mg/dL, 22 (33.3%) of the elderly had uric acid levels >7 mg/dL, and 40 (60.6%) of the elderly had cholesterol levels >200 mg/dL. To organize social activities and as peer educators for the elderly, five older adults were selected as cadres in the MELATI elderly community. Health examination activities for older people will continue as a routine activity and improve the quality of training for cadres.
PEMERIKSAAN KESEHATAN SEBAGAI UPAYA DETEKSI RISIKO PENYAKIT STROKE PADA MASYARAKAT Fitri Mailani; Hema Malini; Rahmi Muthia; Elvi Oktarina; Dally Rahman; Tiurmaida Simandalahi; Emil Huriani; Devia Putri Lenggogeni; Vebby Fitri Nur&#039;arita
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 3 (2024): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i3.22350

Abstract

Abstrak: Stroke merupakan suatu penyakit yang menyebabkan kematian nomor dua setelah penyakit jantung iskemik dan merupakan penyebab kecacatan di seluruh dunia. Peningkatan angka kejadian penyakit stroke dapat dipengaruhi oleh faktor yang dapat dimodifikasi dan yang tidak dapat dimodifikasi, namun masih banyak masyarakat yang tidak mengetahui pentingnya untuk menentukan faktor risiko dan mengetahui upaya yang perlu dilakukan untuk menurunkan risiko terjadinya stroke. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk melakukan pemeriksaan kesehatan, mengidentifikasi faktor risiko dan menentukan tingkat risiko penyakit stroke pada masyarakat di Nagari Sungai Buluh Selatan, Padang Pariaman, Sumatera Barat, sebanyak 78 orang. Metode pelaksanaan kegiatan pengabdian masyarakat meliputi pemeriksaan kesehatan, penentuan tingkat risiko penyakit stroke, dan edukasi individual mengenai cara menurunkan risiko terjadinya penyakit stroke. Intrumen yang digunakan untuk penentuan tingkat risiko penyakit stroke adalah Stroke Risk Scorecard. Hasil evaluasi dilakukan menggunakan lembar kuisioner yang langsung diberikan kepada masyarakat setelah dilakukan pemeriksaan kesehatan. Hasil skrining penyakit stroke menggunakan Stroke Risk Scorecard didapatkan hampir seluruh masyarakat memiliki risiko rendah terkena stroke yaitu sebanyak 83,3% dan sebagian kecil masyarakat memiliki risiko tinggi terkena stroke sebanyak 16,7%. Diharapkan tindak lanjut puskesmas untuk melakukan skrining tingkat risiko dan edukasi pengurangan risiko penyakit stroke kepada masyarakat dalam pencegahan dan penurunan risiko stroke.Abstract: Stroke is a disease that causes death second only to ischemic heart disease and is a cause of disability throughout the world. The increase in the incidence of stroke can be influenced by factors that can be modified and cannot be modified. However, there are still many people who do not know the importance of determining risk factors and understanding the efforts that need to be made to reduce the risk of stroke. This community service activity aims to carry out health checks, identify risk factors, and determine the level of risk of stroke in the community in Nagari Sungai Buluh Selatan, Padang Pariaman, West Sumatra, with as many as 78 people. Methods for implementing community service activities include health checks, determining the risk of stroke, and educating individuals on how to reduce the risk of stroke. The stroke risk scorecard is the instrument used to determine the stroke risk level. The evaluation results were carried out using a questionnaire sheet immediately given to the public after a health examination. The results of stroke screening using the Stroke Risk Scorecard showed that almost all people had a low risk of stroke, namely 83.3%, and a small percentage of people had a high risk of stroke, 16.7%. It is hoped that follow-up at the community health center will carry out risk-level screening and education on reducing the risk of stroke to the community in preventing and reducing the risk. 
Co-Authors Abdul Malik Abdullah, Khatijah Lim Agus Sri Banowo Ainal Jannata Purnama Aisya Rahmadhanty 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 Marza, Wirdhatul Vier 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 Rahmi Mutia Rahmiwati Rahmiwati Ramadhani, Faizah Ramadini, Indri Ranita, Nada Dwi Refnandes, Randy Reni Prima Gusty Rifdatunnisa, Aisyah Rika Fatmadona Rika Sarfika Rika Syafitri Risti Kurnia Dewi Safitri, Dea Anggun Saifudin, I Made Moh. Yanuar Salsabilla, Ghina Selvi Marcellia 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 Yanti, Delvi Yevri Zulfiqar Yolanda Sukarma Yuanita Ananda Yunita, Amanda Rahma Yuza Olsi Rahmi Zikri, Rahmi