Dwi Retno Sulistyaningsih
Universitas Islam Sultan Agung Semarang

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Gambaran Lama Terdiagnosa dan Kadar Glukosa Darah Sewaktu terhadap Nefropati Diabetik pada Penderita Diabetes Mellitus Maulidan Nurun Nabila; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/af9jw396

Abstract

Diabetic nephropathy remains a major microvascular complication contributing to morbidity among patients with diabetes mellitus, particularly in relation to prolonged disease duration and poor glycemic control. This study aimed to describe the distribution of diabetes duration and random blood glucose levels among patients with diabetic nephropathy. A retrospective descriptive design was applied using medical record data of diabetic nephropathy patients treated at Sultan Agung Islamic Hospital, Semarang, in 2025. A total of 97 patients were selected using the Taro Yamane formula. Data on duration of diabetes diagnosis and random blood glucose levels were analyzed using univariate analysis and presented as frequency and percentage distributions. The findings indicate that most patients with diabetic nephropathy had been diagnosed with diabetes for more than one year and exhibited elevated random blood glucose levels, reflecting sustained metabolic stress. These patterns support the concept that cumulative exposure to hyperglycemia over time plays a critical role in the development of renal microvascular damage. The study highlights the clinical relevance of early glycemic monitoring and long-term disease management to mitigate the progression of diabetic nephropathy.
Pengaruh Kombinasi Pemberian Massage Effleurage dengan Nigella Sativa Oil Terhadap Penurunan Risiko Terjadinya Ulkus Dekubitus Siti Karomah; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/7m2cke55

Abstract

Pressure ulcers are conditions characterized by damage to the anatomical structure and normal function of the skin caused by continuous external pressure on prominent bony areas. This study was conducted to determine the effect of a combination of effleurage massage and Nigella sativa oil on reducing the risk of pressure ulcer development. Pressure ulcers are a common nursing problem, particularly among individuals with limited mobility and those undergoing prolonged bed rest. This study employed a quantitative approach using a quasi-experimental one-group design with post-intervention measurement. The sample consisted of 18 respondents who met the inclusion criteria and were determined using the Federer formula. All respondents received an intervention in the form of a combination of effleurage massage and Nigella sativa oil in accordance with established procedures. The risk of pressure ulcer development was assessed after the intervention using a standardized risk assessment instrument. The data were analyzed using appropriate statistical tests. The results showed a statistically significant reduction in the risk of pressure ulcer development after the intervention, with a p-value of 0.003. This study concludes that the combination of effleurage massage and Nigella sativa oil has a significant effect on reducing the risk of pressure ulcers.
Hubungan Komorbid dan Adekuasi Hemodialisis dengan Survival Rate pada Pasien Hemodialisis di Rumah Sakit Islam Sultan Agung Semarang Siti Naili Baroroh; Dwi Retno Sulistyaningsih; Indah Sri Wahyuningsih
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/nr29hy18

Abstract

Hemodialysis is the primary therapy for patients with chronic kidney disease to maintain survival. The success of hemodialysis therapy is influenced by several factors, including comorbidities and hemodialysis adequacy. Comorbid conditions may increase the risk of complications, while hemodialysis adequacy plays an important role in determining therapeutic effectiveness and patient prognosis. This study aimed to determine the relationship between comorbidities and hemodialysis adequacy with survival rates among hemodialysis patients at Sultan Agung Islamic Hospital, Semarang. This quantitative study employed a cross-sectional design. A total of 175 hemodialysis patients were selected using purposive sampling. Survival analysis was performed using the Kaplan–Meier method to evaluate differences in survival rates based on comorbidities and hemodialysis adequacy. The results showed that most respondents had diabetes mellitus as a comorbidity (64.6%), adequate hemodialysis adequacy (58.9%), and were alive during the observation period (65.1%). Kaplan–Meier analysis demonstrated no significant difference in survival rates based on comorbidities, whereas a significant difference in survival rates was observed based on hemodialysis adequacy. Comorbidities were not associated with survival rate, while hemodialysis adequacy was significantly associated with survival rate among hemodialysis patients. Adequate hemodialysis is essential to improve patient survival.
Faktor-Faktor yang Berhubungan dengan Terjadinya Insiden Keselamatan Pasien di Ruang Kamar Bedah Filda Mayang Sari; Dwi Retno Sulistyaningsih; Erna Melastuti
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/wtyraw75

Abstract

The operating room is a hospital unit with a high risk to patient safety; therefore, the implementation of patient safety is a crucial indicator of healthcare quality. However, patient safety incidents continue to occur and are influenced by factors such as communication, leadership, knowledge, attitudes, motivation, and incident reporting practices. This study aimed to analyze the factors affecting patient safety incidents in the operating room of RS Sari Asih Ciputat. This research employed a quantitative correlational analytic design with a cross-sectional approach. The sample consisted of 35 nurses selected using total sampling. Research instruments included questionnaires on incident perception, reporting attitudes, work motivation, leadership based on the Leader–Member Exchange model, and incident reporting aligned with the International Patient Safety Goals. The results showed that most respondents were aged 17–25 years, female, held a diploma degree, had less than five years of work experience, and were permanent employees. Most respondents demonstrated poor perceptions and negative attitudes, while motivation and leadership were generally rated as good. Statistical analysis revealed a significant relationship between perception, attitude, motivation, and leadership and patient safety incidents in the operating room, with a p-value of 0.000.