Suparmi, CB, Sr. Lucilla
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Hubungan Tingkat Kecemasan Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Terapi Hemodialisa di Rumah Sakit Panti Rapih Yogyakarta Arum Agvensi Anggraeni, Maria Vianney; Pujiastuti, Tatik; Suparmi, CB, Sr. Lucilla
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 3 No 1 (2022): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v3i1.159

Abstract

ABSTRAK Latar belakang: Penyakit gagal ginjal kronik dan terapi hemodialisa merupakan peristiwa yang dapat menimbulkan respons psikologis berupa cemas, yang apabila tidak diolah dengan baik berdampak pada penurunan kualitas hidup pasien hemodialisa. Tujuan : Penelitian ini bertujuan mengetahui hubungan tingkat kecemasan dengan kualitas hidup pasien hemodialisa. Metode: Penelitian ini merupakan penelitian korelasi dengan pendekatan cross sectional. Sampel penelitian berjumlah 163 responden diambil secara random semua pasien hemodialisa di Rumah Sakit Panti Rapih Yogyakarta. Pengumpulan data dengan kuesioner. Analisis data menggunakan analisis presentasi univariat dan bivariat dengan uji korelasi spearman. Hasil: Gambaran karakteristik responden paling banyak usia >60 tahun sejumlah 46,6%, berjenis kelamin laki-laki 60,1%, tingkat pendidikan sarjana 36,2%,pensiunan 30,1%,lama menjalani hemodialisa <5 tahun sejumlah 81,6% dengan penyebab tertinggi hipertensi 50,9%.Gambaran tingkat kecemasan 31,3% responden tidak mengalami kecemasan, 27% ringan, sedang 17,2%, 22,7% berat, dan kecemasan berat sekali 1,8%. Gambaran kualitas hidup, paling banyak responden memiliki kualitas hidup sedang sebanyak 38%, baik 32,5%,16,6% kurang baik, sangat baik 12,3%,dan paling sedikit kualitas hidup buruk 0,6%. Simpulan: Mengingat kecemasan berhubungan dengan kualitas hidup, maka perawat perlu meningkatkan layanan dialisa melalui terapi modalitas secara holistik dengan melibatkan pasien dan keluarga sehingga dapat terus mendukung peningkatan kualitas hidup yang lebih baik bagi para pasien hemodialisa.
Perbedaan Tekanan Darah Sebelum dan Sesudah Exercise Intradialysis Pada Pasien Hemodialisis di Unit Hemodialisis Rumah Sakit Panti Rahayu Gunung Kidul Murni Yuliastuti, Christina; Pujiastuti, Th.Tatik; Suparmi, CB, Sr. Lucilla
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 2 No 2 (2021): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v2i2.196

Abstract

ABSTRACT Background:Hemodialysis defines as a process of cleaning the blood from waste substances through a filtering process outside the body. Patients with chronic renal failure undergoing hemodialysis often experience complications including hypotension. Several references state an alternative intervention to prevent complications of hypotension in hemodialysis patients with an Intradialytic exercise. Intradialytic exercise is a planned and gradual form of exercise that includes various stages of flexibility exercise, strengthening exercise and cardiovascular exercise performed during hemodialysis. Intradialytic exercise is aimed to improve the work of the heart, respiration and improve hemodialysis regulation for the better. Objective:This study was aimed to determine the difference in blood pressure before and after intradialytic exercise in patients undergoing hemodialysis. Methods:This research design used a quasi-experimental design with pre-test and post-test with control design. The samples were 38 respondents who taken by total sampling at the Hemodialysis Unit of Panti Rahayu Hospital. The samples were divided into the intervention group who undertook intradialytic exercise for 4 weeks, each respondent experiences twice a week, while the control group who did routine hemodialysis and independent exercise. Results:The results showed that the distribution of the characteristics of the respondents was 51-54 years old (18.41%) the sex was mostly male (63.2%) Most of them (55.3%) underwent hemodialysis for less than 2 years. Statistically, it was known that there was no significant difference in blood pressure before and after intradialytic exercise inside patient’s body of the control and intervention groups. There was no significant difference in blood pressure between the intervention group compared to the control group, but there was a dynamic difference in blood pressure in patients who did intradialytic exercise. Conclusion:There was dynamics of differences in blood pressure in patients undergoing intradialytic exercise, it is recommended that hemodialysis nurses at Panti Rahayu Hospital take care patients during hemodialysis so that these interventions are routinely carried out.