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Hubungan Dukungan Keluarga dengan Kepatuhan Pasien yang Menjalani Program Perawatan Hemodialisis di RSUD Jampangkulon Priatna, Heri; Danismaya, Irawan; Safariyah, Erna; Hamzah, Amir
Malahayati Nursing Journal Vol 7, No 10 (2025): Volume 7 Nomor 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i10.20656

Abstract

ABSTRACT Patients undergoing hemodialysis require high adherence to schedules, diet, fluid restrictions, and medications. Family support is considered a crucial factor in enhancing patients' adherence to this therapy, which in turn can improve their quality of life and extend life expectancy. This study aims to determine the relationship between family support and patient adherence to hemodialysis treatment at RSUD Jampangkulon. This study used a quantitative design with a cross-sectional approach, involving 30 patients undergoing regular hemodialysis at RSUD Jampangkulon. Data were collected through closed-ended questionnaires on family support and patient adherence, and analyzed using the Chi-Square test. The results show that the majority of patients (76.7%) received good family support, and most patients (76.7%) were also highly adherent to hemodialysis treatment. The Chi-Square statistical test revealed a significant relationship between family support and patient adherence (p-value = 0.001). This indicates that patients who receive family support tend to be more adherent to hemodialysis treatment compared to those without such support. Based on these findings, it is recommended that hospitals enhance educational programs for patients' families to strengthen the role of family support in hemodialysis therapy, in order to improve patient adherence to the prescribed treatment. Keywords: Family Support, Adherence, Hemodialysis, Chronic Kidney Disease Patients  ABSTRAK Pasien yang menjalani terapi hemodialisis memerlukan kepatuhan yang tinggi terhadap jadwal, diet, pembatasan cairan, dan pengobatan. Dukungan keluarga dianggap memiliki peran yang sangat penting dalam meningkatkan kepatuhan pasien terhadap terapi ini, yang pada gilirannya dapat memperbaiki kualitas hidup dan memperpanjang usia harapan hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara dukungan keluarga dengan kepatuhan pasien yang menjalani program perawatan hemodialisis di RSUD Jampangkulon. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional dan melibatkan 30 pasien yang menjalani terapi hemodialisis secara rutin di RSUD Jampangkulon. Data dikumpulkan melalui kuesioner tertutup mengenai dukungan keluarga dan kepatuhan pasien, yang kemudian dianalisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa sebagian besar pasien (76,7%) mendapatkan dukungan keluarga yang baik, dan mayoritas pasien (76,7%) juga menunjukkan kepatuhan yang baik dalam menjalani terapi hemodialisis. Uji statistik Chi-Square menunjukkan adanya hubungan yang signifikan antara dukungan keluarga dengan kepatuhan pasien (p-value = 0,001). Hal ini menandakan bahwa pasien yang mendapat dukungan keluarga cenderung lebih patuh dalam menjalani terapi hemodialisis dibandingkan mereka yang tidak mendapatkan dukungan tersebut. Berdasarkan temuan ini, disarankan agar pihak rumah sakit meningkatkan program edukasi bagi keluarga pasien untuk memperkuat peran dukungan keluarga dalam terapi hemodialisis, guna meningkatkan kepatuhan pasien terhadap perawatan yang diberikan. Kata Kunci: Dukungan Keluarga, Kepatuhan, Hemodialisis, Pasien Gagal Ginjal Kronik
Pengaruh Penyuluhan Kesehatan Media Leaflet Terhadap Pengetahuan Pasien TB Paru di RS Kartika Kasih Sukabumi Laura Cahya Kamilah; Irawan Danismaya; Egi Mulyadi
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 1 (2024): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i1.2964

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Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. As is the case with patients at the Kartika Kasih Sukabumi Hospital, there are patients who are readmitted to the hospital for treatment because they do not regularly take anti-tuberculosis medication so they experience complaints again that really disrupt their daily quality of life. Leaflet media, as a simple and easy to carry tool, is still an option in health promotion. Objective: This research was conducted to determine the effect of health education through leaflet media on the knowledge of pulmonary TB patients at Kartika Kasih Hospital, Sukabumi. Research Method: using Quasi Experimental with One Group Pre and Post Test design with purposive sampling technique. The samples taken in this research were 15 people. Data analysis used the Paired t test. This research conducted health education about pulmonary TB using leaflet media. Results: obtained after counseling there was an increase in the average knowledge from a score of 6.87 to 10.47. Conclusion: there is a significant influence of health education through leaflet media on the knowledge of pulmonary TB patients at Kartika Kasih Hospital Sukabumi. Suggestion: respondents are advised to increase their knowledge in order to maintain their health so that complications do not occur.
Pengaruh Progressive Muscle Relaxation Dengan Pursed Lips Breathing Terhadap Fatigue dan Depresi Danismaya, Irawan
Cindoku : Jurnal Keperawatan dan Ilmu Kesehatan Vol. 1 No. 1 (2024): Pebruari
Publisher : PT. Alahyan Publisher Sukabumi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61492/cindoku.v1i1.181

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COPD is one of the chronic diseases that can cause fatigue, depression and respiratory system disorders. One of the efforts to overcome anxiety and depression in similar chronic diseases to reduce fatigue is by using the Progressive Muscle Relaxation (PMR) method. Another effort to increase the oxygen supply to the alveoli is through breathing exercises, one of which is Pursed Lips Breathing (PLB). Objective: To analyze the relationship between progressive muscle relaxation and purshed lips breathing on Depression Score, Fatigue Score and respiratory function in COPD patients. Research Design: Quantitative research, with experimental design through the pretest-posttest randomized control group design approach. In the experimental study, random assignment was carried out into groups where the researcher made a comparison between the intervention group and the control group. Sampling technique by Consercutive sampling. Data collection using the FACIT-T, BDI II questionnaire, was analyzed using paired t-tests. Results: There was an effect of progressive muscle relaxation with pursed lips breathing on the decrease in fatigue score and depression score with a p value of 0.000 while for respiratory function there was no effect with a p value of 0.191. Suggestion: PMR with PLB can be used as one of the interventions in treatment to prevent fatigue and depression taught to COPD patients during control in the pulmonary polyclinic room which can be used as a preventive measure and as one of the interventions in discharge planning for patients who will go home in the inpatient room.
Pengaruh Terapi Rebusan Daun Sirsak Terhadap Penurunan Kadar Kolesterol pada Penderita Hiperkolesterolemia di Wilayah KP Tipar Tahun 2022 Siti Aisah; Irawan Danismaya; Bambang Suryadi
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 1 (2024): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i1.2782

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Hypercholesterolemia is a disorder of cholesterol metabolism caused by cholesterol levels in the blood that exceed normal limits. Hypercholesterolemia can be caused by an unbalanced lifestyle and diet. From high cholesterol levels, therapy is needed, one of which is soursop leaf decoction therapy. Purpose: this study was to determine the therapy of soursop leaf decoction in hypercholesterolemia sufferers in the Kp.Tipar Karangtengah area, Cianjur in 2022. Methods: This type of research is quantitative with a quasy experimental approach, non-equivalent pretest-posttest with control group design. The sampling technique used is non-random sampling. The instruments used are tools and materials. Statistical test using the Wilcoxon test.Results: The study showed a p-value of 0.000 <0.005, which means that there is an effect of soursop leaf decoction therapy on hypercholesterolemic sufferers in the Kp.Tipar Karangtengah area, Cianjur in 2022. Suggestion: Based on the results of the study, it is hoped that for the Kp Tipar Region, Hegarmanah Village can provide advice to hypercholesterolemia sufferers to consume soursop leaf decoction as an alternative to drugs to lower cholesterol levels.
What factors affect the recurrence of gastritis in adolescents: A case study of students at State Senior High School 1 Surade Saepul Alamsah, Mustopa; Safariyah, Erna; Danismaya, Irawan; Hamzah, Amir
Science Midwifery Vol 12 No 3 (2024): August: 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.v12i3.1636

Abstract

Gastritis is very disruptive to daily activities, so it can result in decreased quality of life, and less productive. If gastritis is not treated properly, it will have an impact on the patient. Preventing gastritis should be done by reducing the factors that influence the occurrence of the disease. The purpose of this study was to determine the factors that influence gastritis recurrence in adolescents at SMAN I Surade. As for the type of research used is correlation descriptive observation. This study uses total sampling technique. The sample used in this study amounted to 40 adolescents who had gastritis or ulcer pain. This study used a questionnaire. The analysis method used is statistical test using Chi Squere. The results showed that there was a relationship between dietary factors with the frequency of gastritis recurrence of 0.035 <0.05, with a closeness of 0.453 in the moderate category. There is a relationship between stress factors with the frequency of gastritis recurrence of 0.021 <0.05, with a closeness of 0.473 in the moderate category. There is a relationship between dietary factors with the frequency of gastritis recurrence of 0.002 <0.05, with a tightness of 0.483 in the moderate category with the most influential factor on gastritis recurrence is the drug consumption factor.
Karakteristik Perawat Sebagai Pendidik Klinik Keperawatan (Clinical Instructor) dalam Proses Pembelajaran Klinik Sukaesih, Nunung Siti; Pramajati, Hikmat; Sopiah, Popi; Setiadi, Diding Kelana; Rahman, Aam Ali; Danismaya, Irawan; Safariyah, Erna; Tsurayya, Shafa Aghniya
Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Vol. 6 No. 1 (2023): LENTERA: Jurnal Ilmiah Kesehatan dan Keperawatan
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sukabumi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37150/jl.v6i1.1812

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ABSTRAK Latar belakang. Pembelajaran klinik atau lapangan adalah kegiatan pembelajaran yang diselenggarakan di lingkungan klinik termasuk di dalamnya adalah rumah sakit, klinik, rumah bersalin, puskesmas dan masyarakat. Pendidikan keperawatan sangat berkaitan erat antara pembelajaran di kelas dan pembelajaran di klinik, karena pembelajaran di klinik merupakan elemen yang sangat penting dalam pendidikan keperawatan. Pembelajaran klinik memfasilitasi peserta didik agar terpapar oleh berbagai macam aspek social, kultural, biologis, psikologis dan mental dalam merawat pasien. Pendidik klinik mempunyai tanggung jawab penting dalam memberikan motivasi untuk meningkatkan percaya diri mahasiswa. Tujuan. Memperoleh gambaran demografi pendidik klinik keperawatan dan memperoleh gambaran kepuasan pendidik klinik sebagai pendidik klinik keperawatan secara secara subjektif. Metodologi. Penelitian ini menggunakan metode penelitian deskriptif yang akan memberikan gambaran secara akurat mengenai karakteristik demografi pendidik klinik keperawatan dan tingkat kepuasannya sebagai pendidik klinik keperawatan. Subjek penelitian adalah pendidik klinik atau dalam keperawatan lebih dikenal dengan clinical instructor (CI) yang pernah atau sedang melaksanakan proses bimbingan klinik baik di rumah sakit ataupun di puskesmas dengan teknik total sampling yaitu sebanyak 60 responden. Hasil penelitian. Terdapat karakteristik clinical instructor yang bervariasi jumlah terbanyak adalah perempuan pada rentang usia >40- 50 tahun, mempunyai latar belakang pendidikan rata-rata S1 Keperawatan+Ners dengan pengalaman kerja pada rentang >5-10 tahun. Skala kepuasan pada rentang tinggi sehingga dapat disimpulkan mempunyai kepuasan yang tinggi pula. Kesimpulan. Mengingat pentingnya peran Clinical Instructor maka sangat perlu untuk diperhatikan kualifikasi clinical instructor yang terstandar. Dalam hal ini perlu di buat standar misalnya mengacu pada pendidikan di luar negeri bahwa clinical instructor harus ditentukan kualifikasi pendidikan, kemudian pengalaman bekerja sesuai dengan keahlian yang dimilikinya, dan mempunyai kemampuan untuk mengajar Kata kunci: Pendidik klinik; Clinical instructor; pembelajaran klinik ABSTRACT Background. Clinical or field learning is a learning activity that is held in the clinic environment including hospitals, clinics, maternity homes, health centres and community. Nursing education is closely linked to classroom learning and clinical learning, as clinical learning is a very important element of nursing education. Clinical learning facilitates learners to be exposed to a wide range of social, cultural, biological, psychological and mental aspects of caring for patients. Clinic educators play an important role in motivating students to increase their confidence. Purpose. Obtain a demographic picture of a nursing clinic educator and gain a subjective view of the clinical educator as a nursing clinic educator. Methodology. This study uses a descriptive research method that will provide an accurate picture of the demographic characteristics of a nursing clinic educator and its level of satisfaction as a nursing clinic educator. The research subjects were clinical educators or in nursing better known to clinical instructors (CI) who have been or are currently conducting clinical guidance in the hospital or the health centres with a total sampling technique of 60 respondents. The results of the research. There are clinical characteristics of the most varied instructors are women in the age range> 40-50, with a mean educational background of Bachelor of Nursing with work experience in the range> 5-10 years. Satisfaction scales at high ranges can be concluded to have high satisfaction. Conclusion. Given the importance of the Clinical Instructor's role then it is important to note that the clinical instructor's qualifications are up to date. In this case, it is necessary to set standards such as referring to overseas education that the clinical instructor should be determined by educational qualification, then experience working b his / her expertise, and ability to teach Keywords: Clinical educator; Clinical instructor; Clinical learning
Life Skills Development Training: Adaptation to New Habits and First Aid of Emergency on SLB Bhakti Pertiwi Safariyah, Erna; Irawan Danismaya; Amir Hamzah; Ria Andriani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): 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.v7iSpecial Edition.266

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Aims : People with disabilities are one of the groups that are vulnerable to contracting COVID-19. They have different self-isolation techniques from non-disabled people. So, it requires adjusting the needs and conditions of different disabilities. This effort also requires support from the surrounding, including schools. SLB Bhakti Pertiwi is one of the special schools located in Kecamatan Kadudampit, Kabupaten Sukabumi. The SLB has 34 students and 11 teachers. When other schools carry out online learning during the pandemic of COVID-19, SLB had its own obstacles to adapt because students with disabilities had difficulties following. To overcome this obstacle, the teacher visited each student’s home. However, this situation put the teachers or students at risk. To continue the learning process, efforts need to be made to help students and teachers adapt to new habits. In addition, teachers need to have first aid skills because persons with disabilities have several conditions that require appropriate and immediately treatment. As the special group community, SLB students become targets in this community service. This community service aims to develop basic skills in adapting to new habits as an effort to prevent COVID-19 and also handle emergencies. Design : This community service focus on life skills development training: adaptation to new habits and first aid of emergency on SLB Bhakti Pertiwi students and teachers. Methods : The methods used are counseling, simulation, watching video and fun games. Counseling and simulation are carried out on teachers in developing first aid skills in emergencies, while students are approached by watching videos and doing fun games. Results : The results showed that  80% students have started be able to simulate how to wash hands, wear masks and keep a distance. The teachers are able to re-simulate the first aid steps if a student has a seizure, drowns or experiences external bleeding due to a fall. However, not all students participated in this activity due to poor health conditions. Conclusions : Community service activities in the form of Life Skills Development Training: Adaptation of New Habits and Emergency First Aid have been carried out well within 8 meeting periods. This activity also received a good response from students and teachers. Students and teachers seemed enthusiastic in participating in this activity
Pengaruh Edukasi dengan Aplikasi Telenursing Berbasis Mobile terhadap Kualitas Hidup Pasien Diabetes Mellitus Tipe II Safariyah, Erna; Danismaya, Irawan; Az-Zahra, Fathia Frazna; Hamzah, Amir; Oktaviana, Marcella; Dayana, Resti Dwi; Permana, Restu Gede
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 04 (2025): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v14i04.3883

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Diabetes mellitus merupakan salah satu penyakit metabolik kronik dan salah satu penyakit penyebab kematian di Indonesia. Pilar penatalaksanaan DM tipe 2 meliputi aspek edukasi, latihan jasmani dan intervensi farmakologis. Tujuan dari penelitian ini adalah mengembangkan edukasi terhadap penderita Diabetes mellitus tipe II melalui pendekatan teknologi dan informasi berupa telenursing berbasis mobile. diharapkan dengan pengembangan edukasi ini dapat meningkatkan Kualitas hidup pasien DM Tipe II. Desain pada penelitian ini adalah Kuasi Eksperimen Pretest-Postest Control Group Design. Dengan populasi penelitian seluruh pasien DM Tipe II yang sedang melakukan pengobatan di Puskesmas Lembursitu. sampel pada kelompok eksperimen dan pada kelompok kontrol masing-masing berjumlah 18 orang. Cara pengambilan sampel dengan teknik purposive sampling. Kualitas hidup pasien DM tipe II sebelum diberikan intervensi edukasi dengan aplikasi telenursing berbasis mobile pada kelompok intervensi rata-rata sebesar 82,82 dengan kualitas hidup sedang, dan sesudah diberikan intervensi rata-rata sebesar 85,76 dengan kualitas hidup tinggi. Uji Paired Samples Test menunjukkan P value 0,030 < 0,05, dimana dapat disimpulkan bahwa terdapat pengaruh strategi edukasi dengan aplikasi telenursing berbasis mobile terhadap kualitas hidup pasien diabetes mellitus tipe II pada kelompok intervensi. Hasil penelitian ini menunjukkan pengaruh positif pada kualitas hidup pasien, sehingga aplikasi ini bisa dijadikan sebagai salah satu bagian dari program perawatan rutin untuk pasien diabetes.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP MASYARAKAT TENTANG DEMAM BERDARAH DENGUE DI KELURAHAN SITUMEKAR KOTA SUKABUMIKELURAHAN SITUMEKAR KOTA SUKABUMI Fakhir fathurrahman; Irawan Danismaya; Arfatul makiyah
Jurnal Media Akademik (JMA) Vol. 3 No. 2 (2025): JURNAL MEDIA AKADEMIK Edisi Februari
Publisher : PT. Media Akademik Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62281/v3i2.1598

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Demam Berdarah Dengue (DBD) merupakan penyakit yang ditularkan oleh nyamuk Aedes aegypti. Infeksi DBD diakibatkan oleh virus dengue. Tujuan: umum dari penelitian ini yaitu untuk mengetahui hubungan tingkat pengetahuan dengan sikap masyarakat tentang demam berdarah dengue di Kelurahan Situmekar Kota Sukabumi. Metode: Jenis penelitian yang digunakan adalah korelasional dengan 48 sampel di pilih melalui cluster random sampling. Hasil:  penelitian menunjukkan bahwa sebagian besar Tingkat pengetahuan responden adalah kurang yaitu sebanyak 19 (39,6%) responden dan sebagian lainnya memiliki tingkat pengetahuan yang baik sebanyak 16 (33,3%) dan cukup dengan jumlah yaitu sebanyak 13 (27,1%) responden. Responden dengan Sikap yang baik dan kurang berjumlah sama yaitu masing-masing sebanyak 19 (39,6%) responden dan sebagian kecil responden dengan skor sikap yang cukup berjumlah sebanyak 10 (20,8%) responden. uji statistik dengan menggunakan Uji Chi-Square diperoleh nilai P-Value = 0,000 berarti < 0.05. berdasarkan penolakan hipotesis maka Ho ditolak, ini menyatakan bahwa terdapat hubungan tingkat pengetahuan dengan sikap masyarakat tentang demam berdarah dengue di Kelurahan Situmekar Kota Sukabumi.
HUBUNGAN PENGETAHUAN KEPALA KELUARGA DENGAN UPAYA PENCEGAHAN TB PARU DI WILAYAH KERJA PUSKESMAS BAROS KOTA SUKABUMI Sopiyudin, Moh; Danismaya, Irawan; Basri, Burhanudin
Jurnal Ilmu Psikologi dan Kesehatan (SIKONTAN) Vol. 2 No. 2 (2023): Jurnal Ilmu Psikologi dan Kesehatan
Publisher : Lafadz Jaya Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/sikontan.v2i2.1494

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Tuberculosis (TB) is an infectious disease that is a major cause of health problems, one of the 10 highest causes of death in the world and the leading cause of death from a single infectious agent (ranking above HIV/AIDS). Lack of family knowledge about pulmonary tuberculosis can lead to a lack of awareness of the consequences that can be caused by tuberculosis, making people's knowledge and understanding of checking phlegm as an effort to prevent tuberculosis still lacking with the alibi being that they are embarrassed and worried about being diagnosed with pulmonary tuberculosis. The method used in this research is the analytical descriptive method with a cross-sectional approach. The number of samples in this study was 50 respondents. Based on the results of statistical tests with chi-square, the resulting P value is 0.001 < 0.05. It can be concluded that there is a relationship between the knowledge of the head of the family and efforts to prevent pulmonary TB.