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Pengalaman Pasien Diabetes Mellitus yang Tinggal Sendiri dalam Melakukan Manajemen Diri: The Experience of Diabetes Mellitus Patients Who Live Alone in Performing Self-Management Sovia Susianty; Mahathir; Fitri Mailani; Hema Malini; Chong Mei Chan
NERS Jurnal Keperawatan Vol. 17 No. 2 (2021): NJK Volume 17, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v17i2.137

Abstract

Self-management is an important component that will be integrated into the daily activity patterns of people with Diabetes Mellitus (DM) to regulate blood glucose levels, reduce symptoms, and prevent complications. DM patients who live alone will face challenges and self-efficacy in self-management. The purpose of this study was to explore the experience of diabetes mellitus patient living alone in self management performance. Qualitative research design, a phenomenological study was used in this study. The number of participants was six, namely solitaire DM who have been diagnosed with DM for more than 1 year, able to communicate well. The technique of taking participants was using purposive sampling according to inclusion criteria. The main instrument is the researcher himself. Collecting data with in-depth interviews, observations and field notes. Data analysis using Colaizzi's method begins with making transcripts, determining categories, formulating sub-themes and themes. This study generaten 6 themes, namely diet management, experience of antidiabetic treatment, herbal treatment as the main choice, modification of physical activity around the house, blood sugar monitoring and personal wisdom in controlling blood sugar. proper use of antidiabetic drugs and herbal remedies. Implementation of home visits for DM sufferers who live alone can increase understanding of the use of antidiabetic drugs and appropriate herbal remedies
Hubungan Spiritual Well-Being dengan Kualitas Hidup pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis: Studi Korelasi: The Relationship of Spiritual Well-Being with Quality of Life in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Correlational Study Fitri Mailani; Natasha Melani Ardian; Rahmi Muthia
NERS Jurnal Keperawatan Vol. 20 No. 2 (2024): NJK Volume 20, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v20i2.155

Abstract

The quality of life in patients with chronic kidney disease undergoing hemodialysis needs to be improved due to the psychological pressure and adaptation to new lifestyle habits required by these patients. High levels of spiritual well-being are one of the strategies to enhance the quality of life in patients undergoing hemodialysis. This study aims to examine the relationship between spiritual well-being and quality of life in patients with chronic kidney disease undergoing hemodialysis. A correlational research design with a cross-sectional approach was employed in this study. A total of 111 respondents were selected using an accidental sampling technique. The instruments used in this study included a demographic questionnaire, the Spiritual Well-Being Scale, and the kidney disease and Quality of Life-36 questionnaire. Data were processed using descriptive statistics and Pearson correlation tests. The results indicated an average score of 97.39±8.32 for spiritual well-being, which falls within the moderate category, while quality of life was also in the moderate category with an average score of 48.05±7.90. A significant positive correlation with moderate strength was found between spiritual well-being and quality of life in patients with chronic kidney disease undergoing hemodialysis (p=0.000; r=0.417). It is recommended that nurses provide education and interventions such as writing therapy and involve the patients' families in the care process to provide emotional support, thereby improving spiritual well-being and quality of life in patients undergoing hemodialysis.
Hubungan Intake Cairan dengan Tekanan Darah pada Pasien Gagal Ginjal Kronik (GGK) yang Menjalani Hemodialisa: Relationship between Fluid Intake and Blood Pressure in Patients Chronic Kidney Failure (CKD) Patients Undergoing Hemodialysis Fitri Mailani; Ginza Johanda
NERS Jurnal Keperawatan Vol. 14 No. 2 (2018): NJK Volume 14, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i2.211

Abstract

Excessive fluid intake in patients with chronic kidney failure will cause complications that lead to death. This study aims to determine the relationship between fluid intake and blood pressure in patients with chronic renal failure undergoing hemodialysis at Rs. Tk III Dr. Reksodiwiryo Padang. This type of research was descriptive correlation, with a sample of 49 respondents taken by consecutive sampling technique. Data collection and research was carried out on March 15 to July 4, 2018. The method of collecting data with observation sheets and questionnaires. Univariate analysis was carried out by presenting data in the form of the mean, standard deviation, minimum, and maximum while bivariate analysis used a correlation test with Rank Spearman. The results of the univariate study of Sistole Blood Pressure from 49 patients obtained a minimum value of 0 mmHg, and the maximum value was 60 mmHg, the standard deviation was 12.69, the mean value was 16.33 mmHg. Whereas in the Diastole Blood Pressure the minimum value is -20mmHg (reduced by 20mmHg), and the maximum value is 30, the mean value is 9.18 mmHg. The fluid intake minimum value is 825.7 ml, maximum is 2216.7 ml, and mean is 882 ml. Bivariate results showed that there was a relationship between fluid intake and systolic blood pressure (p = 0.032) and diastolic blood pressure (p = 0, 013). It is hoped that collaboration between patients, families and nurses in monitoring the patient's fluid intake to prevent complications due to fluid buildup.
Kualitas Hidup Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis: Systematic Review: Quality of Life of Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review Fitri Mailani
NERS Jurnal Keperawatan Vol. 11 No. 1 (2015): NJK Volume 11, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v11i1.275

Abstract

Quality of life is one indicator of the success of hemodialysis therapy. The purpose sistematic reviewwasto analysis the quality of life of patients chronic kidney disease undergoing hemodialysis. The method used iselectronic data base of journals published by ProQuest, CINAHL, and Springerlink. The results of a review of 15journals that have been expressed the quality of life patients chronic kidney disease who undergo hemodialysis.Instrument most widely used the Kidney Disease Quality of Life Short Form 36 (SF KDQOL 36) (n = 11). Factorsthat affect the quality of life of patients with chronic kidney disease who undergo hemodialysis are sociodemographic factors such as gender, age, education level, marital status, employment status or economic status.Other factors of depression, severity / stage renal disease, the presence of comorbidities, length of hemodialysis,does not adhere to treatment, high body mass index, social support, adequacy of hemodialysis, and interdialitycweight gain (IDWG), urine output, and hemoglobin values. Conclusion, a very important quality of life assessmentis done, and the selection of appropriate instruments will affect the quality of life assessment results are moreobjective. Collaborative team is need to increase the quality of life of patients with chronic kidney diseaseundergoing hemodialysis.
Edukasi Kesehatan Terhadap Kecemasan Pasien Pra-Kateterisasi dengan Diagnostik Jantung Koroner Wendo Davris; Fitri Mailani; Mulyanti Roberto Muliantino
JIK-JURNAL ILMU KESEHATAN Vol 7, No 2 (2023): JIK-Oktober Volume 7 Nomor 2 Tahun 2023
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v7i2.724

Abstract

Proses menunggu pelaksanaan prosedur tindakan kateterisasi jantung sering menimbulkan rasa cemas pada pasien. Kecemasan pada pasien pra-katetrisasi harus diatasi karena dapat menimbulkan peningkatan frekuensi nadi dan tekanan darah yang mungkin akan menghambat prosedur tindakan kateterisasi jantung sehingga dibutuhkan intervensi pemberian edukasi kepada pasien pra-katetrisasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh edukasi kesehatan terhadap kecemasan pasien pra-kateterisasi dengan diagnostik jantung koroner di RSUP Dr.M.Djamil Padang. Penelitian ini dilakukan dari bulan September 2022 sampai Febuari 2023 dengan desain penelitian pra-experiment dengan one group pretest-posttest design dengan sampel 39 responden dipilih secara accidental sampling yang memenuhi kriteria. Alat pengumpulan data yang digunakan yaitu kuesioner State Trait Anxiety Inventory (STAI) Form-Y1. Hasil penelitian menunjukkan bahwa terdapat pengaruh edukasi kesehatan terhadap kecemasan pada pasien pra-kateterisasi dengan diagnostik jantung koroner dengan menggunakan uji analisa paired t-test dengan nilai p-value <0,001, dengan rerata kecemasan sebelum diberikan edukasi kesehatan sebesar 57,82 dan setelah diberikan edukasi kesehatan sebesar 35,82. Pemberian edukasi kesehatan dapat diterapkan di rumah sakit sebagai salah satu intervensi untuk membantu mengurangi kecemasan pasien saat akan menghadapi pra-kateterisasi jantung dan perawat dapat meningkatkan perannya sebagai edukator kepada pasien untuk memberikan informasi yang tepat kepada pasien pra-kateterisasi jantung.
Enhancing Adolescent Awareness of Chronic Disease Through Community-Based Education and Health Assessment Fitri Mailani; Tiurmaida Simandalahi; Hema Malini; Emil Huriani; Devia Putri Lenggogeni; Boby Febri Krisdianto; Leni Merdawati; Rahmi Mutia
Warta Pengabdian Andalas Vol 32 No 2 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.2.201-207.2025

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Adolescents are increasingly vulnerable to chronic diseases such as hypertension, diabetes mellitus, and heart disease, largely due to unhealthy lifestyles and poor dietary habits. This community service initiative aimed to improve adolescents’ knowledge and awareness regarding chronic disease prevention. The program was implemented at SMAN 9 Padang, involving 58 students, and comprised health education through lectures and individual health assessments—including measurements of weight and height, and family medical history screening. Results indicated that 34.5% of students were classified as underweight based on their body mass index (BMI), while 20.7% were overweight. Identified risk behaviors included smoking (22.3%), physical inactivity (35.5%), and a family history of hypertension (43.1%). The educational intervention led to a significant improvement in students' knowledge, with the average score increasing from 6.74 (pre-test) to 7.82 (post-test) on a 10-point scale. This school-based education and health screening initiative effectively enhanced adolescent awareness of chronic disease prevention and underscored the importance of early interventions to foster healthier lifestyles among youth.
Factors Related to Fatigue among Chronic Kidney Disease Patients on Hemodialysis Mailani, Fitri; Mansur, Arif Rohman; Rifdatunnisa, Aisyah; Chan, Chong Mei
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.59980

Abstract

Background: Fatigue is a common and distressing symptom among patients with chronic kidney disease (CKD) undergoing hemodialysis, significantly impacting their daily functioning and quality of life. Despite its prevalence, the contributing factors to fatigue remain unclear and underexplored in specific populations.Purpose: This study aimed to identify factors associated with fatigue among CKD patients undergoing hemodialysis.Methods: A cross-sectional study was conducted in two hemodialysis centers. A total of 164 patients were recruited using convenience sampling, with sample size determined through power analysis. Data were collected using the FACIT-Fatigue Scale, a health literacy questionnaire, and an observation sheet for hemoglobin (Hb), blood pressure, and interdialytic weight gain (IDWG). Patient characteristics were also recorded. T-tests and ANOVA were used to examine differences in fatigue levels across groups, while Spearman correlation and multiple linear regression were employed to analyze associations between fatigue and clinical variables.Results: The mean fatigue score was 28.23(SD=7.46). Fatigue was significantly associated with age, education level, employment status, comorbidities, duration of hemodialysis, systolic blood pressure, HB, IDWG, and health literacy (p<0.05). Multiple linear regression identified employment status and hemoglobin levels as the strongest predictors of fatigue.Conclusion: Fatigue is a prevalent issue among CKD patients undergoing hemodialysis and is influenced by a range of demographic, clinical, and behavioral factors. Employment status and hemoglobin levels were the most significant contributors. Interventions promoting physical activity, a healthy diet, and fluid adherence, alongside routine monitoring of hemoglobin levels, may help reduce fatigue and improve quality of life in this population.
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

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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