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Analisis Karakteristik Penderita Restless Legs Syndrome pada Pasien Chronic Kidney Disease di Ruang Hemodialisa Gusri Rahayu; Hema Malini; Elvi Oktarina
Jurnal Endurance Vol. 4 No. 3 (2019): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar

Hemodialysis is one of the management of Chronic Kidney Disease (CKD. Hemodialysis can cause various complications, such is Restless Legs Syndrome (RLS). RLS conditions occur due to increased uremic toxic, causing complaints in the form of pain in the upper or lower extremities, burning sensation, movement that can not be controlled or numbness.The purpose of this study was to determine the characteristics of patients with Restless Legs Syndrome in Chronic Kidney Disease patients in the Hemodialysis Room.The design of this study was descriptive with a purposive sampling. The subjects in this study were 32 respondents. The results showed that the characteristics of RLS sufferers are on average in the late adult age range, most genders are male, most High School educators, the average length of dialysis undergoing above 4 years, many RLS sufferers do not work, most comorbidities are diabetes mellitus and hypertension and the average urea level of respondents 105 gr / dl. RLS condition identification needs to be done so that it can be known early so that the severity of RLS can be corrected immediately Hemodialisismerupakan salah satu penanganan penyakit ginjal kronik atau Chronic Kidney Disease (CKD. Hemodialisis dapat menimbulkan berbagai komplikasi salah satunya adalah Restless Legs Syndrome (RLS). Kondisi RLS terjadi diakibatkan uremic toxic yang meningkat sehingga menimbulkan keluhan berupa rasa nyeri pada ekstremitas atas maupun bawah, rasa terbakar, terjadi pergerakan yang tidak dapat dikontrol maupun rasa kebas. Tujuan penelitian ini adalah untuk mengetahui karakteristik penderita Restless Legs Syndrome pada pasien Chronic Kidney Disease di Ruang Hemodialisa. Desain penelitian ini adalah deskriptif dengan teknik pengambilan sampel yaitu purposive sampling.Subjek dalam penelitian ini berjumlah 32 responden. Hasil penelitian menunjukkan bahwa karakteristik penderita RLS rata-rata berada dalam rentang usia dewasa akhir, jenis kelamin terbanyak yaitu laki-laki, pendidilkan terbanyak Sekolah Menengah Atas (SMA), rata-rata lama menjalani HD terbanyak diatas 4 tahun, penderita RLS banyak yang tidak bekerja, penyakit penyerta terbanyak yaitu diabetes melitus dan hipertensi dan rata-rata kadar ureum responden 105 gr/dl. Identifikasi kondisi RLS perlu dilakukan sehingga dapat diketahui lebih dini dengan demikian keparahan RLS dapat segera diperbaiki.

Effect of Nurse-Led Education on Knowledge and Self-Management in Patients with Acute Coronary Syndrome and Type 2 Diabetes Sila Dewi Anggreni; Suhaimi Suhaimi; Lina Erlina; Harmilah Harmilah; Efyra Efyra; Zolla Amely Ilda; Elvi Oktarina; Yosi Suryarinilsih
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1046

Patients with acute coronary syndrome (ACS) and type 2 diabetes mellitus (T2DM) require effective self-management to reduce complications and recurrent cardiovascular events. However, evidence regarding the effectiveness of structured nurse-led education during hospitalization remains limited. This study evaluated the effect of a structured nurse-led heart and diabetes education program on knowledge and self-management among hospitalized patients with ACS and T2DM. A quasi-experimental one-group pretest–posttest study without a control group was conducted at Dr. M. Djamil General Hospital, Padang, Indonesia, between October and November 2024. Fifty eligible patients participated in a two-session nurse-led educational intervention. Knowledge and self-management were assessed at baseline and seven days after the intervention using validated instruments. Data were analyzed using paired t-tests with 95% confidence intervals and effect size estimation. Knowledge scores increased significantly from 19.96 ± 3.69 to 22.68 ± 1.70 (mean difference = 2.72; 95% CI: 2.02–3.42; p < 0.001; Cohen’s d = 0.94), indicating a large educational effect. Self-management scores also improved significantly from 98.38 ± 15.30 to 100.48 ± 13.32 (mean difference = 2.10; 95% CI: 0.79–3.41; p = 0.002), although the effect size was small (Cohen’s d = 0.15). These findings suggest that structured nurse-led education effectively improves disease-related knowledge and promotes early self-management among hospitalized patients with ACS and T2DM. Integrating structured educational interventions into routine discharge planning may strengthen transitional cardiometabolic care, although randomized controlled trials with longer follow-up are needed to confirm the sustainability of these outcomes.

STUDI FENOMENOLOGI PRAKTIK KLINIK MAHASISWA PROFESI NERS DI YELLOW ZONE COVID-19 Dally Rahman; Elvi Oktarina; Hema Malini
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 6, No 3 (2021)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v6i3.361

Tingginya kasus Covid-19 berdampak pada proses pendidikan praktik klinik profesi ners yang mengakibatkan beberapa siklus mahasiswa melakukan praktik di yellow zone Covid-19. Pasien pada zona ini belum diketahui positif COVID-19 atau tidak, sehingga berisiko menularkan kepada mahasiswa. Penelitian terdahulu mengemukakan masih rendahnya kemampuan mahasiswa dalam pencegahan infeksi Covid-19. Tujuan: Penelitian ini bertujuan untuk mengetahui pengalaman praktik klinik mahasiswa profesi ners di yellow zone Covid-19. Metode: Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi. Wawancara mendalam (in depth interview) dilakukan kepada 5 orang mahasiswa yang sudah praktik di di yellow zone Covid-19 pada tanggal 5–30 Juli 2021. Selanjutnya hasil wawancara diolah dengan menggunakan teknik Colaizzi. Hasil: Penelitian ini menghasilkan lima tema utama, yaitu (1) emosi yang ambivalen, (2) perilaku protektif, (3) dilema pelayanan praktik klinik, (4) harapan untuk didukung, dan (5) mekanisme koping sebagai solusi adaptasi. Diskusi: Praktik di ruangan yellow zone Covid-19 menimbulkan respon emosi yang ambivalen sehingga menghambat proses praktik dalam memberikan pelayanan pada pasien Covid-19. Hal ini terlihat dari ungkapan partisipan yang mengharapkan untuk mendapatkan dukungan dari pihak pendidikan dan rumah sakit. Kesimpulan: Hasil penelitian menunjukkan beberapa hambatan dan harapan mahasiswa di yellow zone Covid-19 sehingga diharapkan kepada instansi pendidikan dan pelayanan untuk dapat meningkatkan persiapan dan memberikan dukungan dalam bentuk pelatihan dan bimbingan kepada mahasiswa praktik profesi ners di yellow zone Covid-19

Gambaran Kesiapsiagaan Perawat dalam Manajemen Bencana di Puskesmas Kota Padang: Nurses' Preparedness in Disaster Management at Health Centers in Padang City Elvi Oktarina; Fiziola; Fitri Mailani
NERS Jurnal Keperawatan Vol. 20 No. 1 (2024): NJK Volume 20, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v20i1.44

Nurses at public health centers play a crucial role in mitigating the impact of disasters, but their preparedness for handling emergency situations is often not optimal. In Padang City, a study was conducted to assess the level of preparedness among nurses in disaster management. Using a quantitative approach, data were collected from 138 nurses working in 24 public health centers through a stratified random sampling method. The results showed that 58% of the nurses had a high level of preparedness. More specifically, 58% had good knowledge of disaster management, 74.6% displayed a positive attitude, and 68.8% practiced good disaster management techniques. These findings indicate that public health center nurses in Padang City are generally well-prepared in terms of knowledge, attitude, and practice. However, further improvement is still needed. Increasing the number of trained nurses and providing regular disaster management training are recommended to enhance preparedness in disaster response.

Menggali Kesiapsiagaan Keluarga dalam Perencanaan Tanggap Darurat Bencana bagi Penyandang Disabilitas Mental di Indonesia: Exploring Family Preparedness in Response Planning Disaster Emergency for People with Mental Disabilities in Indonesia Rika Sarfika; Ainul Fitri; Elvi Oktarina
NERS Jurnal Keperawatan Vol. 19 No. 2 (2023): NJK Volume 19, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i2.60

Indonesia, as an archipelagic nation, faces a significant level of disaster vulnerability, with 3,721 natural disasters recorded in 2019. Vulnerable groups are one of the groups with the highest risk that need to be managed and given special attention in society, namely the disabled group. Disaster preparedness is an activity to minimize disaster risk, where preparedness is owned by anyone everywhere covering responding to disaster events quickly and effectively. The purpose of this study was to explore the preparedness of families with mental disabilities in disaster emergency response planning. A qualitative study was prepared using a phenomenological approach. A total of four participants who had family members with mental disabilities in Patient Nan Tigo Village participated in this study. Each participant was interviewed in depth to gather information regarding the participant's disaster emergency response plan for their family members with mental disabilities. The research results obtained 2 themes, namely: 1) Evacuation planning, and 2) Planning for family assistance and rescue. The results of this study provide recommendations that the family is the closest and trusted person for persons with mental disabilities, so that the ability and role of the family in disaster emergency response planning is very important to improve.

Perbedaan Kecemasan dan Koping Mahasiswa Program A dan Program B dalam Penyelesaian Skripsi: Differences in Anxiety and Coping of Program A and Program B Students in Thesis Completion Esi Afriyanti; Dira Chika Vidrianta; Elvi Oktarina
NERS Jurnal Keperawatan Vol. 20 No. 2 (2024): NJK Volume 20, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v20i2.64

In completing their theses, students from Program A and Program B often face various obstacles that can lead to anxiety. One approach to managing this anxiety is through coping strategies, which vary among students depending on their individual anxiety levels. This study aimed to determine the differences in coping strategies based on anxiety levels between students in Program A and Program B during their thesis completion. The research utilized a comparative, cross-sectional study design. The population consisted of 99 students from the nursing faculty across both programs. Data were collected using the Taylor Manifest Anxiety Scale (TMAS) and a coping strategies questionnaire. The analysis was conducted using frequency distribution, chi-square, and Mann-Whitney tests, with a significance level of p < 0.05 and a 95% confidence interval. The results showed that both Program A and Program B students experienced moderate anxiety, with 69.4% and 59.5%, respectively. Students in Program A predominantly used emotion-focused coping (53.2%), while students in Program B primarily employed problem-focused coping (81.1%). The chi-square test revealed no significant relationship between anxiety levels and coping strategies in Program A (p-value 0.459), whereas a significant relationship was found in Program B (p-value 0.001). Additionally, there was a significant difference in coping strategies and anxiety levels between students in both programs (p < 0.05). Based on these findings, it is recommended that students utilize effective coping strategies problem focused coping to manage anxiety, thereby facilitating timely thesis completion.

Hubungan Kadar Ureum terhadap Restless Legs Syndrome pada Pasien Chronic Kidney Disease: Relationship between Ureum Level and Restless Legs Syndrome in Patients with Chronic Kidney Disease Gusri Rahayu; Hema Malini; Elvi Oktarina
NERS Jurnal Keperawatan Vol. 15 No. 2 (2019): NJK Volume 15, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v15i2.179

Chronic Kidney Disease (CKD) is a condition where the body fails to maintain metabolism and fluid and electrolyte balance to cause uremia. Chronic Kidney Disease requires renal replacement therapy in the form of dialysis and kidney transplantation. The aim of this study is to prove the relationship the ureum level value with Restless Legs Syndrome in Chronic Kidney Disease Patients. Long-term hemodialysis and uremia can cause various neurological complications such as Restless Legs Syndrome (RLS). The instrument used in this research measured the severity RLS using The International Restless Legs Syndrome Questioner. This study is a correlation analysis using a cross sectional study design with a sampling technique that is purposive sampling of 16 hemodialysis patients. Data were analyzed using pearson correlation test. The results showed that there was a correlation between urea level and severity of Restless Legs Syndrome in Chronic Kidney Disease patients with p value (0,028). There is a need for training and monitoring of urea levels in an effort to improve the severity of RLS.

Studi Fenomenologi Tentang Pengalaman Pasien Hipertensi Terhadap Perawatan Dirinya Di Wilayah Kerja Puskesmas Andalas Padang Tahun 2017: Phenomenological Study of Hypertension Patient Experience Toward Self-care in the Andalas Padang Health Center Working Area in 2017 Elvi Oktarina; Hayatunnupus Haqiqi; Esi Afrianti
NERS Jurnal Keperawatan Vol. 14 No. 1 (2018): NJK Volume 14, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i1.184

Uncontrolled hypertension causes heart attacks, Cardiomegali, Heart Failure, Stroke, Kidney Failure, Blindness, and Cognitive Impairment. It requires proper strategy to maintain blood pressure in patients with hypertension called self management which consist of medication compliance, normal weight maintanance, low sodium consumption, physical activity, alcohol restriction and smoking cessation.. This research aimed to explore a deep understanding about the experience of Hypertension patients in carrying out self management. This research used qualitative method with descriptive phenomenology. Four people are selected by puposive sampling technique. Technique of data collection in this research with in-depth interviews. The data finding of this research were analyzed using Collaizi's method. The finding of data analyze is found eight theme: (1) the response to the disease suffered high blood pressure (2) first experience of hypertension (3) controlling (4) to cope with drug (5) maintain the health of the body (6) dietary changes (7) not smoking and drinking alcohol(8 ) family support. In this research, This research sugested the healthcare provider to contribute to improve information and knowledge of hypertension patients related to self management such as light exercise activities at home, salt consumption controlling, dietary recommendation and dietary restriction.

Aplikasi Modern Wound Care pada Perawatan Luka Infeksi di RS Pemerintah Kota Padang : Application of Modern Wound Care in Infection Wound Care in Padang City Government Hospital Rika Fatmadona; Elvi Oktarina
NERS Jurnal Keperawatan Vol. 12 No. 2 (2016): NJK Volume 12, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v12i2.269

Using modern wound care dressings began to flourish in Indonesia. The change can be seen from the previous majority of caregivers believe the best make up wound healing environment remains dry wound began to turn into wound care with moisture balance method. This activity aims to share knowledge with the nurses in Surgical department Dr. M. Djamil Hospital Padang on the basis of modern wound care and everyday applications. This activity lasted for one day in the form of seminars and workshops attended by 60 people a surgical nurse. Materials provided not only on the basis of modern wound care, but also about the hospital regulation and health insurance (BPJS) regulations governing the use of the dressing method. Discussion and demontsrasi method used, so that nurses can better understand about modern wound care applications. In the future, need to be arranged procedural clear and an agreement from the medical and hospital pharmacy to use this method in treating injured patients, so the quality of service can be better.

Analisis Karakteristik Penderita Restless Legs Syndrome pada Pasien Chronic Kidney Disease di Ruang Hemodialisa Gusri Rahayu; Hema Malini; Elvi Oktarina
Jurnal Endurance Vol. 4 No. 3 (2019): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar

Hemodialysis is one of the management of Chronic Kidney Disease (CKD. Hemodialysis can cause various complications, such is Restless Legs Syndrome (RLS). RLS conditions occur due to increased uremic toxic, causing complaints in the form of pain in the upper or lower extremities, burning sensation, movement that can not be controlled or numbness.The purpose of this study was to determine the characteristics of patients with Restless Legs Syndrome in Chronic Kidney Disease patients in the Hemodialysis Room.The design of this study was descriptive with a purposive sampling. The subjects in this study were 32 respondents. The results showed that the characteristics of RLS sufferers are on average in the late adult age range, most genders are male, most High School educators, the average length of dialysis undergoing above 4 years, many RLS sufferers do not work, most comorbidities are diabetes mellitus and hypertension and the average urea level of respondents 105 gr / dl. RLS condition identification needs to be done so that it can be known early so that the severity of RLS can be corrected immediately Hemodialisismerupakan salah satu penanganan penyakit ginjal kronik atau Chronic Kidney Disease (CKD. Hemodialisis dapat menimbulkan berbagai komplikasi salah satunya adalah Restless Legs Syndrome (RLS). Kondisi RLS terjadi diakibatkan uremic toxic yang meningkat sehingga menimbulkan keluhan berupa rasa nyeri pada ekstremitas atas maupun bawah, rasa terbakar, terjadi pergerakan yang tidak dapat dikontrol maupun rasa kebas. Tujuan penelitian ini adalah untuk mengetahui karakteristik penderita Restless Legs Syndrome pada pasien Chronic Kidney Disease di Ruang Hemodialisa. Desain penelitian ini adalah deskriptif dengan teknik pengambilan sampel yaitu purposive sampling.Subjek dalam penelitian ini berjumlah 32 responden. Hasil penelitian menunjukkan bahwa karakteristik penderita RLS rata-rata berada dalam rentang usia dewasa akhir, jenis kelamin terbanyak yaitu laki-laki, pendidilkan terbanyak Sekolah Menengah Atas (SMA), rata-rata lama menjalani HD terbanyak diatas 4 tahun, penderita RLS banyak yang tidak bekerja, penyakit penyerta terbanyak yaitu diabetes melitus dan hipertensi dan rata-rata kadar ureum responden 105 gr/dl. Identifikasi kondisi RLS perlu dilakukan sehingga dapat diketahui lebih dini dengan demikian keparahan RLS dapat segera diperbaiki.

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