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Analisis Multifaktor yang Berhubungan dengan Self-Management pada Pasien Diabetic Foot Ulcer (DFU) Nurul Maulidya; Maria Komariah; Nursiswati Nursiswati
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (392.909 KB) | DOI: 10.31539/jks.v6i1.4811

Abstract

This study aims to analyze self-management factors in Diabetic Foot Ulcer (DFU) patients. This research uses the literature review method with keywords in EBSCO Host, Willey, Pubmed, Science Direct, and Research Gate databases. The study results obtained that the stress factor is the factor that most influences self-management in diabetic patients. Stress can be overcome by having a good level of spirituality in patients, as encouragement and motivation in carrying out good self-management. External support factors and the support of those closest to them can also motivate DFU patients to carry out self-management. Cultural and spiritual factors also influence DFU patients in carrying out and undergoing self-management in everyday life. In conclusion, stress factors, education, foot care self-care behavior, duration of DM, culture, and spirituality have a relationship to self-management of diabetic foot ulcer patients (DFU). Keywords: Diabetic Foot Ulcer, Self Management
Career anxiety and covid-19 phobia in students of the faculty of nursing of Universitas Padjadjaran Ofni Stephany Lumban Raja; Ati Surya Mediawati; Theresia Eriyani; Maria Komariah; Iwan Shalahuddin
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (748.728 KB) | DOI: 10.30604/jika.v8i1.1345

Abstract

Covid-19 is a global pandemic that is still happening today, the spread of the virus affects aspects of education that are closely related to students. Nursing students are one of the individuals affected by Covid-19, especially professional students who are undergoing clinical practice education. Professional students can experience problems such as career anxiety and  phobia of Covid-19 which can trigger career anxiety. This study aimed to discover the description of career anxiety and Covid-19 Phobia among professional students of class 41 and 42 of the Faculty of Nursing, Universitas Padjadjaran during the Covid-19 pandemic era. The design of this study is quantitative descriptive using hypothetical statistical data analysis and sampling technique using the total sampling (n=176). The instruments used in this study were Career Anxiety Scale (CAS) and Covid-19 Phobia Scale (C19P-S). The results showed that the description of career anxiety and Covid-19 Phobia among professional students of class 41 and 42 of the Faculty of Nursing, Universitas Padjadjaran during the Covid-19 pandemic era was in the moderate category (49.4%) and (55.1%). The conclusion in this study is professional students of class 41 and 42, experience career anxiety and Covid-19 Phobia in the moderate category. Therefore the results of this study may be used as advice for educational institutions to pay attention to students who experience career anxiety and Covid-19 Phobia and support students to reduce anxiety disorders by designing special programs such as counseling and career guidance.
Self-Esteem Pasien Gagal Ginjal Kronis di Unit Hemodialisis RSUD Welas Asih Jawa Barat Afina Chairunnisa; Maria Komariah; Eka Afrima Sari
Malahayati Nursing Journal Vol 8, No 2 (2026): Volume 8 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i2.24304

Abstract

ABSTRACT Patients with chronic kidney disease (CKD) undergoing hemodialysis face not only physical burdens, but also psychological, social, and spiritual challenges. One of the psychological impacts often experienced is a decline in self-esteem due to dependence on dialysis machines, changes in body image, and limitations on social activities. Low self-esteem can affect compliance with therapy and impact the patient's quality of life. This study aims to determine the level of self-esteem in CKD patients undergoing hemodialysis at Welas Asih Regional General Hospital in West Java. This study uses a quantitative descriptive design with a cross-sectional approach. The data used were secondary data from a study by lecturers at the Faculty of Nursing, Padjadjaran University, entitled “Harmony in Health: The Intersection of Natural Resources and Well-Being,” which was conducted in September–October 2024. The research instrument used was the Rosenberg Self-Esteem Scale (RSES) and was analyzed using univariate analysis. The results showed that most CKD patients undergoing hemodialysis were in the low self-esteem category (66.67%). Low self-esteem was more prevalent among female respondents, those who were married, had a secondary education, were unemployed, had undergone hemodialysis for ≥12 months, and had a history of comorbidities such as hypertension. This study indicates that low self-esteem remains a prominent psychological issue among CKD patients undergoing hemodialysis at Welas Asih Regional General Hospital in West Java. These findings emphasize the importance of addressing psychological aspects as part of nursing care, particularly in supporting patients' self-acceptance and adaptation to chronic illness. Keywords: Chronic Kidney Disease, Hemodialysis, Self-Esteem.  ABSTRAK Pasien gagal ginjal kronis (GGK) yang menjalani hemodialisis tidak hanya menghadapi beban fisik, tetapi juga tantangan psikologis, sosial, dan spiritual. Salah satu dampak psikologis yang sering dialami adalah penurunan self-esteem akibat ketergantungan pada mesin dialisis, perubahan citra tubuh, serta keterbatasan aktivitas sosial. Rendahnya self-esteem dapat memengaruhi kepatuhan terhadap terapi dan berdampak pada kualitas hidup pasien.  Penelitian ini bertujuan untuk mengetahui gambaran tingkat self-esteem pada pasien GGK yang menjalani hemodialisis di RSUD Welas Asih Jawa Barat. Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional. Data yang digunakan merupakan data sekunder dari penelitian dosen Fakultas Keperawatan Universitas Padjadjaran dengan judul “Harmony in Health: The Intersection of Natural Resources and Well-Being” yang dilaksanakan pada bulan September–Oktober 2024. Instrumen penelitian yang digunakan adalah Rosenberg Self-Esteem Scale (RSES) dan dianalisis menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa sebagian besar pasien GGK yang menjalani hemodialisis berada pada kategori self- esteem rendah (66.67%).Self-esteem rendah lebih banyak ditemukan pada responden perempuan, menikah, tingkat pendidikan menengah,tidak bekerja, yang menjalani hemodialisis ≥12 bulan, serta dengan riwayat penyakit penyerta seperti hipertensi.Penelitian ini menunjukkan bahwa self-esteem rendah masih menjadi masalah psikologis yang menonjol pada pasienGGK yang menjalani hemodialisis di RSUD Welas Asih Jawa Barat. Temuan ini menegaskan pentingnya perhatian terhadap aspek psikologis sebagai bagian dari asuhan keperawatan, khususnya dalam mendukung penerimaan diri dan adaptasi pasien terhadap penyakit kronik Kata Kunci: Gagal Ginjal Kronis, Hemodialisis, Self-Esteem.
Application of 30° Upper Extremity Elevation for Edema Reduction in Patients with Hypervolemia: A Case Study Sandra Mariska Sukma; Maria Komariah; Nita Fitria
Multidisciplinary Journals Vol. 3 No. 2 (2026): 2026
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mj.v3i2.1547

Abstract

Patients with Diabetes Mellitus (DM) and hypertension are at high risk of impaired renal function and fluid retention, leading to hypervolemia and peripheral edema. This condition reduces comfort and physical function. Non-pharmacological interventions, such as limb elevation, are important nursing actions to reduce interstitial fluid accumulation. This case study aimed to analyze the effect of 30° hand elevation on reducing edema grade in a patient with hypervolemia due to chronic disease. A qualitative descriptive case study design was used with a single subject (Mrs. E, 53 years old) in the inpatient ward of RSUD Welas Asih. The intervention was performed for 15 minutes, four times daily, over three days, alongside collaborative therapy including furosemide infusion and fluid restriction. Results showed a progressive reduction in edema from grade 4 to grade 2 by the third day, indicating improved venous and lymphatic return. These findings suggest that 30° hand elevation is a simple, safe, and effective independent nursing intervention to reduce upper extremity edema in hypervolemic patients and can be integrated with pharmacological therapy under proper supervision.
Gambaran Kualitas Hidup Berdasarkan Karakteristik Klinis dan Sosiodemografi Pasien Penyakit Ginjal Kronis Stadium Akhir di RSUD Welas Asih Erwin Ferdiansyah Mursidi; Maria Komariah; Sri Hartati Pratiwi
Malahayati Nursing Journal Vol 8, No 6 (2026): Volume 8 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i6.25221

Abstract

ABSTRACT Patients with end-stage chronic kidney disease (CKD) often experience physical and psychological effects, as well as limitations in activities of daily living and social interactions. This condition requires patients to undergo lifelong renal replacement therapy such as hemodialysis. Dependence on this long-term therapy affects physical and psychological conditions and functional status, which significantly impacts patients' quality of life. This study aims to identify the quality of life based on the clinical and sociodemographic characteristics of end-stage chronic kidney disease patients at RSUD Welas Asih. This study is a quantitative descriptive survey using secondary data from the study ‘Harmony in Health: The Intersection of Natural Resources and Well-Being’. The study population consisted of patients diagnosed with end-stage CKD undergoing routine therapy at the hemodialysis unit of RSUD Welas Asih. The sample consisted of 111 respondents selected using convenience sampling according to the inclusion criteria. The quality-of-life measurement instrument used the WHOQOL-BREF questionnaire, which has been tested for validity and reliability. Data analysis used univariate analysis. The results showed that, in general, the quality of life of patients was in the good category (60.4%). Based on the domains, the quality of life in the psychological, social, and environmental domains tended to be good, but most respondents had a poor quality of life in the physical domain (65,8%). Good quality of life was predominantly found in younger age groups, those with higher education levels, those without comorbidities, and those who had undergone hemodialysis for ≥1 year. The conclusion of this study is that although the quality of life of patients was generally good, the physical domainon was still the most affected aspect, requiring nursing interventions focused on the management of physical complaints. Keywords: Chronic Kidney Disease, Hemodialysis, Quality of Life, WHOQOL-BREF. ABSTRAK Pasien penyakit ginjal kronis stadium akhir sering kali merasakan dampak fisik, psikologis, serta keterbatasan dalam aktivitas sehari-hari (Activities of Daily Living) dan interaksi sosial. Kondisi ini mengharuskan pasien menjalani terapi pengganti ginjal seumur hidup seperti hemodialisis. Ketergantungan pada terapi jangka panjang ini memengaruhi kondisi fisik, psikologis, dan status fungsional yang berdampak signifikan terhadap kualitas hidup pasien. Penelitian ini bertujuan untuk mengidentifikasi gambaran kualitas hidup berdasarkan karakteristik klinis dan sosiodemografi pasien penyakit ginjal kronis stadium akhir di RSUD Welas Asih. Penelitian ini merupakan penelitian survei deskriptif kuantitatif menggunakan data sekunder dari penelitian “Harmony in Health: The Intersection of Natural Resources and Well-Being”. Populasi penelitian adalah pasien dengan diagnosa penyakit ginjal kronis stadium akhir yang menjalani terapi rutin di instalasi hemodialisis RSUD Welas Asih. Sampel berjumlah 111 responden yang diambil menggunakan teknik convenience sampling sesuai kriteria inklusi. Instrumen pengukuran kualitas hidup menggunakan kuesioner WHOQOL-BREF yang telah teruji validitas dan reliabilitasnya. Analisis data menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa secara umum kualitas hidup pasien berada pada kategori baik (60,4%). Berdasarkan domain, kualitas hidup pada domain psikologis, sosial, dan lingkungan cenderung baik, namun sebagian besar responden memiliki kualitas hidup buruk pada domain kesehatan fisik (65,8%). Kualitas hidup yang baik dominan ditemukan pada kelompok usia muda, tingkat pendidikan tinggi, tidak memiliki penyakit penyerta, dan telah menjalani hemodialisis ≥1 tahun. Simpulan penelitian ini adalah meskipun secara umum kualitas hidup pasien baik, domain fisik masih menjadi aspek yang paling terdampak sehingga memerlukan intervensi keperawatan yang berfokus pada manajemen keluhan fisik. Kata Kunci: Penyakit Ginjal Kronis, Hemodialisis, Kualitas Hidup, WHOQOL-BREF.