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Understanding Barriers to Continuous Ambulatory Peritoneal Dialysis: A Qualitative Study from Health Professionals’ Perspectives Mailani, Fitri; Huriani, Emil; Zulfiqar, Yevri; Rahmiwati; Setiawan
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22856

Abstract

The declining number of end-stage renal disease (ESRD) patients who opt for Continuous Ambulatory Peritoneal Dialysis (CAPD) as a renal replacement therapy is influenced by several factors, including high infection rates, limited patient and family knowledge, and restricted access to CAPD services. However, research exploring the perspectives of healthcare professionals, such as dialysis nurses and nephrologists, on this phenomenon remains limited. This study aimed to explore the perspectives of dialysis nurses and nephrologists regarding barriers to CAPD utilization. A qualitative descriptive design was employed, using semi-structured interviews with 12 participants, including 10 dialysis nurses and 2 nephrologists at a tertiary hospital in West Sumatra, Indonesia. Data were analyzed using Colaizzi’s seven-step method. Five major themes emerged: (1) Weak coordination, unsupportive policies, and limited expertise; (2) Infection risk as the primary challenge in CAPD; (3) Ineffective patient and family education in CAPD care; (4) Psychological barriers to accepting CAPD therapy; and (5) Determinants of patient decision-making in choosing CAPD, and 15 Sub-themes. This study highlights the barriers that patients face when choosing CAPD as a renal replacement therapy. Unsupportive policies, increased infection risks, and inadequate educational systems were identified as key challenges that require urgent evaluation and improvement. Strengthening these aspects is crucial to ensure optimal care for patients who opt for CAPD. Keyword: Indonesia, Nephrologist, Nurse Perspective, Peritoneal Dialysis, Qualitative Study  
Community-Based Approach to Hypertension Screening through Cholesterol, BMI, and Physical Activity Assessment Merdawati, Leni; Mailani, Fitri; Huriani, Emil; Malini, Hema; Lenggogeni, Devia Putri; Muthia, Rahmi; Afriyanti, Esi; Oktarina, Elvi; Rahman, Dally; Simandalahi, Tiurmaida; Krisdianto, Boby Febri; Muliantino, Mulyanti Roberto; Fatmadona, Rika; Gusty, Reni Prima
Warta Pengabdian Andalas Vol 32 No 4 (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.32.4.520-526.2025

Abstract

Hypertension remains a major public health concern worldwide, largely driven by unhealthy lifestyles such as poor diet, physical inactivity, and excess body weight. Early identification of modifiable risk factors, including cholesterol levels, body mass index (BMI), and physical activity, is crucial for preventing hypertension. This community-based screening activity was conducted on 7 August 2025, at SMA Negeri 9 Padang, targeting teachers, administrative staff, and food vendors. A total of 80 adults participated in the study using convenience sampling. The activity included health education followed by individual health screenings, which consisted of blood pressure measurement, BMI calculation, cholesterol testing using portable point-of-care devices, and physical activity assessment using structured questionnaires. The results showed that 45% of participants were classified as prehypertensive, 83.8% had high cholesterol levels, and 66.3% were overweight or obese. Most participants (72.5%) reported moderate physical activity levels, which fell short of the World Health Organization’s recommendations. These findings indicate a high risk of hypertension among adults in the school community, particularly related to elevated cholesterol, excess body weight, and insufficient physical activity. We identified hypertension risk factors and provided health education and individualized screening feedback to raise awareness of cardiovascular risks and emphasize the importance of regular screening.
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 Rahmiwati 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 Setiawan S Sovia Susianty Susmiati Susmiati Tiurmaida Simandalahi Vebby Fitri Nur'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 Zulfiqar, Yevri