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All Journal NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Kesehatan Tambusai
Widiyanto, Purnomo
Unknown Affiliation
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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PENERAPAN KOMBINASI DEEP BREATHING RELAXATION DAN DZIKIR UNTUK MENURUNKAN KECEMASAN PASIEN HEMODIALISA Fajrin, Nurul; Haris , Fahni; Widiyanto, Purnomo
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45787

Abstract

Chronic Kidney Disease (CKD) merupakan suatu gejala klinis yang menandakan ginjal mengalami gangguan fungsi atau abnormalitas struktur dimana terjadi lebih dari 3 bulan, dimana memerlukan terapi dialisis (HD). Salah satu dampak psikologis yang ditimbulkan akibat HD  adalah kecemasan. Salah satu intervensi nonfarmakologis untuk mengatasi kecemasan yaitu dengan terapi deep breathing relaxation dan dzikir. Penelitian ini bertujuan untuk meninjau penurunan tingkat kecemasan pasien yang menjalani HD setelah diberikan intervensi berupa kombinasi terapi deep breathing relaxation dan dzikir. Desain studi menggunakan studi kasus (case study) dengan metode desktriptif. Subyek yang digunakan sebanyak 2 responden yang mengalami kecemasan dan sedang menjalani HD di dr. RSUD Tjitrowardojo Purworejo kurang dari 12 bulan. Analisa kecemasan diukur sebelum dan sesusah intervensi mengunakan Hamilton Anxiety Rating Scale (HARS). Pada responden I menunjukkan skor HARS sebesar 22 (pre-test) dan skor HARS menjadi 9 (post-test) yang menunjukkan pasien tidak lagi mengalami kecemasan. Sementara itu, responden II didapatkan skor HARS  19 (pre-test), lalu kemudian menurun menjadi 11 (post-test) setelah intervensi artinya tidak lagi mengalami kecemasan. Penerapan kombinasi terapi deep breathing relaxation dan dzikir mampu menurunkan tingkat kecemasan pasien yang menjalani HD di RSUD dr. Tjitrowardojo Purworejo.
PERBANDINGAN KOMPRES HANGAT DAN KOMPRES DINGIN TERHADAP NYERI INSERSI AVF PADA PASIEN YANG MENJALANI HEMODIALISIS Atunnisah, Mira; Haris, Fahni; Widiyanto, Purnomo
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2609

Abstract

Chronic Kidney Disease (CKD) requires long-term hemodialysis therapy which often causes pain due to needle insertion in Arteriovenous Fistula (AVF). This pain can interfere with patient comfort and compliance with therapy. This study aims to compare the effectiveness of warm and cold compresses in reducing AVF insertion pain in hemodialysis patients. The study used a quasi-experimental pretest and posttest design without a control group with a case study approach. The study was conducted in the hemodialysis room of dr. Tjitrowardojo Hospital on April 28–May 10, 2025. Three respondents were selected purposively according to the inclusion criteria. The variables observed were the level of pain before and after the intervention using the Numeric Rating Scale (NRS). Warm (43°C) and cold (11°C) compresses were given for 10 minutes before the procedure. Analysis using paired sample t-test. Both interventions reduced pain, but cold compress was significantly more effective (p = 0.020) than warm compress (p = 0.130). Cold compress is more effective as a non-pharmacological method in reducing AVF insertion pain. This intervention can be considered by health workers because it is simple, inexpensive, and effective.
Efektivitas Minyak Zaitun dalam Mengatasi Pruritus pada Pasien Hemodialisis Puspari, Titik; Haris, Fahni; Widiyanto, Purnomo
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2610

Abstract

Chronic kidney disease (CKD) causes a progressive decline in renal function, necessitating lifelong hemodialysis (HD) as a replacement therapy. However, HD often leads to complications, including uremic pruritus, which negatively impacts patients' comfort, sleep quality, and overall well-being. Effective management strategies are essential to alleviate these symptoms. This study evaluates the efficacy of olive oil as a non-pharmacological intervention for managing uremic pruritus in HD patients. A case study approach was employed, involving four participants who applied olive oil (2–3 mL) three times daily for three consecutive days. Pre- and post-intervention assessments were conducted using the 5-D itch scale. Findings showed an average reduction in pruritus severity (n=4) by 3.5 (p < 0.001). Responses to the 5-D itch scale indicated improvements in skin hydration, wound healing, and sleep quality. Olive oil effectively reduced pruritus severity from severe to moderate, and from moderate to mild. Participants reported increased skin moisture, faster healing of scratch-induced lesions, reduced itching sensations, and enhanced sleep quality. Based on these findings, olive oil can be recommended as a safe and effective therapeutic option for CKD patients. Integrating olive oil application into nursing practice may help manage uremic pruritus and improve patient comfort by mitigating skin-related complications.
Co-Authors Atunnisah, Mira Haris , Fahni Haris, Fahni Nurul Fajrin Puspari, Titik