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Gambaran Kesiapsiagaan Perawat dalam Manajemen Bencana di Puskesmas Kota Padang: Nurses' Preparedness in Disaster Management at Health Centers in Padang City Elvi Oktarina; Fiziola; Fitri Mailani
NERS Jurnal Keperawatan Vol. 20 No. 1 (2024): NJK Volume 20, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v20i1.44

Abstract

Nurses at public health centers play a crucial role in mitigating the impact of disasters, but their preparedness for handling emergency situations is often not optimal. In Padang City, a study was conducted to assess the level of preparedness among nurses in disaster management. Using a quantitative approach, data were collected from 138 nurses working in 24 public health centers through a stratified random sampling method. The results showed that 58% of the nurses had a high level of preparedness. More specifically, 58% had good knowledge of disaster management, 74.6% displayed a positive attitude, and 68.8% practiced good disaster management techniques. These findings indicate that public health center nurses in Padang City are generally well-prepared in terms of knowledge, attitude, and practice. However, further improvement is still needed. Increasing the number of trained nurses and providing regular disaster management training are recommended to enhance preparedness in disaster response.
Kewaspadaan Terhadap Kanker pada Perempuan Keturunan Pasien Kanker Payudara: Cancer Vigilance in Female Offspring of Breast Cancer Patients Boby Febri Krisdianto; Fitri Mailani
NERS Jurnal Keperawatan Vol. 19 No. 1 (2023): NJK Volume 19, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i1.56

Abstract

Genetic factors play an essential role in causing breast cancer, especially in children who have mothers with breast cancer. Such children possess a two times greater chance of suffering breast cancer. Rarely did studies use qualitative methods to explore the experience of children from mothers diagnosed with cancer in cancer awareness and prevention. Therefore, this research used qualitative research by means of a phenomenological approach. Interviews were conducted for 15 days by means of a purposive sampling data collection technique. Data were taken from in-depth interviews with women at risk of breast cancer, whose mothers were diagnosed with breast cancer. At the end of data collection, data saturation occurred for the 10th participant. After the data was analyzed using the Collaizi technique, it was extracted, then it was classified into 3 themes as follows: 1) Lack of knowledge in recognizing signs and symptoms of breast cancer, 2) The positive role of husband's support, 3) Anxiety in early detection of breast cancer. This research emphasizes the importance of a woman who is at risk of breast cancer from her mother getting counselling and health education about cancer awareness by reflecting on her mother diagnosed with breast cancer. It is proved that educating the husband probably affects the prevention of breast cancer.
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

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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

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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.
Risk Factors for Intradialytic Hypotension in Chronic Kidney Disease Patients Undergoing Hemodialysis Faizah Ramadhani; Fitri Mailani; Devia Putri Lenggogeni
NERS Jurnal Keperawatan Vol. 21 No. 2 (2025): NJK Volume 21, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i2.357

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Intradialytic hypotension (IDH) is one of the most common complications of hemodialysis therapy experienced by hemodialysis patients, with a prevalence of 8–40%. IDH carries important clinical consequences, including reduced dialysis adequacy and interruption of treatment sessions. Several factors are known increase the occurrence of IDH. This study aimed to identify risk factors influencing the occurrence of intradialytic hypotension in patients with chronic kidney disease undergoing hemodialysis. This study used a quantitative method with a cross-sectional design. The study was conducted in the hemodialysis unit of a government hospital in Padang City. The sampling technique was purposive sampling with a sample size of 104 respondents with inclusion and exclusion criteria, between April and May 2025. Data analysis used the Chi-Square test and the Mann-Whitney U test. The results showed that gender, dialysate temperature, and meals during hemodialysis were not associated with intradialytic hypotension (p > 0.05). However, hemoglobin and Interdialytic Weight Gain (IDWG) were related to the occurrence of intradialytic hypotension (p < 0.05). Based on the results of this study, nurses can monitor and evaluate anemia status and IDWG, which can influence the incidence of intradialytic hypotension. The role of nurses in improving dietary compliance and fluid restriction is crucial in preventing intradialytic hypotension.
Nursing intervention using ice gel pack for pain reduction during femoral sheath removal after cardiac catheterization Wendo Davris; Fitri Mailani; Devia Putri Lenggogeni
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2125

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Cardiac catheterization is performed to reduce mortality risk from vascular stenosis. Following the procedure, femoral sheath removal often resulted in mild to severe pain. This study aimed to describe nursing care through the application of an ice gel pack as a nonpharmacological method to reduce pain during femoral sheath removal in post–cardiac catheterization patients at RSUP Dr. M. Djamil Padang. A case study design was applied, which included assessment, nursing diagnoses, intervention, implementation, and evaluation. The ice gel pack was applied over the sheath site for 20 minutes before sheath removal. Evaluation showed that pain intensity decreased from a scale of 5 to 3 after the intervention. Theapplication of an ice gel pack effectively reduced pain and is recommended for inclusion in hospital standard procedures
Overview of patient responses to pain stimuli based on glasgow coma scale (GCS) scores Abdul Malik; Emil Huriani; Fitri Mailani
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2155

Abstract

Decreased consciousness is a clinical condition that requires rapid and accurate assessment. One method used is the application of nail bed pressure pain stimulation to elicit a response from the patient. This study aims to determine the consistency of responses from patients with decreased consciousness when given pain stimulation based on the Glasgow Coma Scale (GCS) score in the emergency department of Dr. M. Djamil Hospital in Padang. This was a quantitative descriptive study with 70 respondents selected using purposive sampling. Consciousness levels were measured twice. Data were collected in July 2025 using the GCS assessment format, then analyzed descriptively and cross-tabulated using frequency distribution, percentages, means, standard deviations, and correlations. The nail bed pressure technique produced an average GCS score of 6.01 ± 0.625 on the first assessment and 6.04 ± 0.711 on the second assessment. Most scores were in the range of 6–7. The nail bed pressure technique provided an inconsistent picture of changes in GCS responses in patients with decreased consciousness.
The Effect of Energy Conservation Management on Fatigue in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Quasi-Experimental Study Fitri Mailani; Mia Cahyati; Yevri Zulfiqar; Emil Huriani
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.15582

Abstract

Fatigue is the most common complaint among patients with chronic kidney disease (CKD) undergoing hemodialysis. Energy conservation management involves modifying daily activities to reduce energy expenditure and alleviate fatigue. This study examines the impact of energy conservation management on fatigue levels in patients undergoing hemodialysis. This quasi-experimental study involved 52 hemodialysis patients who were randomly assigned to either the intervention or control group. The study was conducted in a hemodialysis unit at a public hospital in West Sumatra, Indonesia, from July to September 2024. The intervention group received energy conservation management training over a six-week period, comprising 12 sessions. Fatigue levels were assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire. Data analysis was performed using paired and independent t-tests. The results showed a significant reduction in fatigue in the intervention group (p < 0.001). The mean (SD) fatigue score decreased from 28.92 (6.14) at baseline to 22.04 (4.41) after the 12 intervention sessions. Furthermore, a statistically significant difference in fatigue scores was observed between the intervention and control groups (p < 0.001). Effective energy conservation management reduces fatigue in hemodialysis patients. Nurses can teach this strategy to help patients manage fatigue in daily life
Co-Authors Abdul Malik 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 Chung-Ying Lin Dafris, Wendo Dally Rahman Danny Hidayat Davris, Wendo Deivy Andhika Permata Dewi Murni Donny Eros Dwi Novrianda Eli Ratni Emil Huriani Esi Afriyanti Esthika Ariani Maisa Fachry Abda El Rahman Fadilah Lukvianti Faizah Ramadhani Fatin, Atikah Febriyana, Indah Ferry Efendi Fitri, Nera Fitri, Tiya Rama Fiziola Fiziola Fiziola Ginza Johanda Hema Malini, Hema Heni Pujiastuti Herien, Yelly Inka Selvia Januar Ramadhan Jauharry, Jauharry Khatijah Lim Abdullah Krisdianto, Boby Febri Lenggogeni, Devia Putri Leni Merdawati Mahathir, Mahathir Maisa, Esthika Ariany Mia Cahyati Muliantino, Mulyanti Roberto Muthmainah Muthmainah Muthmainah Muthmainah Muthmainnah Muthmainnah Natasha Melani Ardian Neherta, Meri Nelwati Nelwati Nofrizon Nofrizon Nurikhsani, Nadiya Oktarina, Elvi Permata, Putri Indah Qorifa Azzahra Rahayu, Siski Rahmi Muthia Rahmi Muthia Rahmiwati Rahmiwati Rahmiwati 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 Wendo Davris Wenny, Bunga Permata Wijaya, Nindy Eka Wirdhatul Vier Marza Yanti, Delvi Yevri Zulfiqar Yolanda Sukarma Yuanita Ananda Yuza Olsi Rahmi Zikri, Rahmi