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Cognitive function and related factors in patients with heart failure Arseda, Astuti; Pahria, Tuti; Kurniawan, Titis
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 1 (2024): Volume 7 Number 1
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i1.216

Abstract

Background: Impaired cognitive function is associated with poor outcomes, frequent hospitalization, and high mortality in HF. Purpose: To determine the prevalence of cognitive function in HF and what factors contribute. Method: This study was an observational analysis with cross-sectional. Study subjects: HF patients at the Cardiac Polyclinic of Dr. M. Haulussy Hospital, Ambon, Indonesia from August to September 2023, with Inclusion criteria: aged 40-65 years; able to communicate well; not having a stroke or other neurological disorders (Parkinson's disease, Alzeimer's disease, Multiple Sclerosis) or other cognitive function disorders (such as due to injury or substance abuse); can read and write. Exclusion criteria: worsening of physical condition such as loss of consciousness and worsening of symptoms such as severe shortness of breath, inability to communicate, inability to complete the questionnaire, and worsening of symptoms that do not improve after being rested when data collection is carried out. Results: HF patients were male (56.2%), had ≥ 12 years of education (72.4%), were not actively working (56.9%), suffered from HF with NYHA class II functional status (49.1%), had Coronary Artery Disease (CAD) comorbid only (49.2%), had experienced hospitalization (64.6%), and were obese (51.54%). Respondents had an average age of 57.08 ± 6.78 years, a duration of HF of 3.96 ± 4.35 years, an average body mass index of 25.65 ± 4.5 Kg/m2, normal blood pressure with an average systole of 122.73 ± 17.21 mmHg, and an average diastole of 77.44 ± 10.11 mmHg. HF patients who experienced impaired cognitive function were 87.69% with mild cognitive impairment 73.1%, moderate cognitive impairment 13.1%, and severe cognitive impairment 1.5%. The maximum score of MoCA sub-domains of executive function was 46.2%; visuospatial 35.4%; attention 37.7%, naming and language 20%; abstraction 33.8%, delayed memory 3.8% and orientation 86.9%. There was a significant correlation between cognitive function and age (ρ = 0.000; r = -0.324), education level (ρ = 0.000; r = 0.327), and New York Heart Association functional status (ρ = 0.021; r = -202). Conclusion: There is a high prevalence of impaired cognitive function in chronic HF patients accompanied by a global decline in cognitive function subdomains.  Factors that may contribute to HF cognitive function include age, education level, not actively working, New York Heart Association functional status, comorbidities, and obesity.
TINGKAT RISIKO DIABETES MELITUS TIPE 2 PADA MAHASISWA FAKULTAS KEPERAWATAN Andini, Nathania Putri; Kurniawan, Titis; Pratiwi, Sri Hartati; Nursiswati, Nursiswati
Jurnal Ilmiah Kesehatan Keperawatan Vol 20, No 2 (2024): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v20i2.1370

Abstract

Diabetes melitus tipe 2 (DMT2) merupakan penyakit kronis dengan komplikasi dan dampak negatif yang serius. Banyaknya pola hidup sehat yang tidak di kalangan pelajar, prevalensi DMT2 tidak hanya mengancam kelompok usia lanjut. Oleh karena itu, pemeriksaan tingkat risiko pada siswa menjadi sangat penting. Kepentingan tersebut menjadi lebih tinggi dilakukan pada mahasiswa kedokteran yang merupakan calon tenaga kesehatan dan salah satu panutan bagi masyarakat. Penelitian ini bertujuan untuk mengidentifikasi tingkat risiko DMT2 pada mahasiswa fakultas kedokteran. Penelitian deskriptif ini melibatkan 240 mahasiswa yang diperoleh dengan proporsional stratified random sampling dari 602 mahasiswa aktif di fakultas kedokteran suatu Universitas di Indonesia. Data penelitian ini dikumpulkan menggunakan Finnish Diabetes Risk Score-Bahasa Indonesia (FINDRISC-BI). Tingkat risiko DMT2 menunjukkan bahwa 71,3% pelajar termasuk dalam kategori risiko rendah, 20% pada tingkat risiko sedikit meningkat, 5,8% berisiko sedang, dan 2,9% berisiko tinggi mengalami DMT2 dalam 10 tahun ke depan. Parameter risiko yang paling berisiko ditemukan pada parameter konsumsi sayur dan buah. Sebagian kecil pelajar muda berisiko tinggi bahkan sedang mengalami DMT2 pada 10 tahun mendatang. Menjadi penting bagi pihak fakultas untuk merancang program promosi kesehatan kampus dan menjalankan program penyaringan serta deteksi dini secara berkala sebagai bagian pencegahan DMT2 sekaligus upaya peningkatan derajat kesehatan mahasiswa.
Hubungan Antara Usia, Kemampuan Akademik dan Bahasa dengan Pengetahuan Terkait Evidence-Based Practice Fa'izah, Bella Nadia; Harun, Hasniatisari; Sari, Eka Afirma; Nursiswati, Nursiswati; Kurniawan, Titis
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 1 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i1.2704

Abstract

Evidence-based practice (EBP) merupakan salah satu kompetensi yang diperlukan oleh perawat dalam menerapkan asuhan keperawatan. Meskipun demikian, suatu studi menemukan bahwa perawat memiliki tingkat pengetahuan dan praktik EBP yang rendah. Oleh karena itu, pemahaman faktor-faktor yang mempengaruhi pengetahuan EBP mahasiswa keperawatan dapat menjadi salah satu strategi untuk meningkatkan kompetensi EBP mahasiswa keperawatan. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara usia, kemampuan akademik dan bahasa Inggris dengan pengetahuan terkait evidence-based practice pada mahasiswa program profesi ners. Penelitian kuantitatif korelasional ini dilakukan di salah satu universitas di Jawa Barat dengan menggunakan total sampling sebanyak 106 partisipan. Responden diberikan kuesioner EBPQ untuk mengukur tingkat pengetahuan EBP. Data dianalisis secara univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan uji Chi-square dengan nilai α = 0,05. Hasil penelitian menunjukkan bahwa sebagian besar mahasiswa program profesi ners memiliki pengetahuan EBP yang baik. Usia, IPK sarjana, IPK program profesi ners, dan kemampuan bahasa Inggris tidak memiliki hubungan dengan pengetahuan EBP, sedangkan nilai pada mata kuliah keperawatan medikal bedah memiliki hubungan yang signifikan dengan pengetahuan EBP pada program profesi ners dengan nilai p (0,024) > 0,05. Dari penelitian ini, kami menemukan bahwa partisipan dalam penelitian ini masih memiliki pemahaman yang kurang terkait konsep evidence-based practice. Dengan demikian, fakultas keperawatan dapat menyelenggarakan program pelatihan EBP komprehensif bagi mahasiswa keperawatan dalam mata kuliah keperawatan medikal bedah.
KEYAKINAN MAHASISWA PROGRAM PROFESI NERS TERKAIT PENERAPAN EVIDENCE-BASED PRACTICE Yutantri, Savitri Kartika; Kurniawan, Titis; Sari, Eka Afrima; Harun, Hasniatisari; Nursiswati, Nursiswati
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 1 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i1.2721

Abstract

Evidence-Based Practice (EBP) atau praktik berbasis bukti merupakan pendekatan proses pengambilan keputusan klinis berbasis bukti untuk mewujudkan pelayanan kesehatan yang berkualitas tinggi. Keyakinan individu terhadap EBP dapat secara langsung memengaruhi implementasi EBP. Keyakinan perawat terhadap nilai EBP sangat penting untuk dapat meningkatkan kualitas hasil layanan kesehatan penelitian ini bertujuan untuk melihat tingkat keyakinan mahasiswa program profesi ners terkait penerapan EBP. Penelitian deskriptif kuantitatif ini melibatkan 140 mahasiswa Program Profesi Ners di Universitas Padjadjaran dengan menggunakan teknik total sampling. Data dikumpulkan menggunakan Evidence-Based Practice Belief Scale yang terdiri atas empat domain, 16 item pertanyaan, dengan Cronbach alpha 0,90 dan kemudian data dianalisis secara deskriptif. Dalam keempat domain yang diteliti dalam penelitian ini, Domain dengan tingkat keyakinan terhadap kemampuan mencari sumber EBP memiliki skor yang paling rendah dan domain yang meyakini bahwa EBP itu mudah memiliki nilai yang paling tinggi. Dengan demikian, penting bagi program studi Profesi Ners untuk memperbaiki metode pembelajaran EBP lebih lanjut, terutama untuk memperbaiki domain keyakinan terhadap kemampuan mencari sumber.
Skill and performance to formulate evidence-based practice among nursing students: A qualitative study Nugroho, Carissa Muthia Putri; Kurniawan, Titis; Harun, Hasniatisari; Nursiswati, Nursiswati; Sari, Eka Afrima
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i8.13392

Abstract

Background: The PICO framework is frequently applied to formulate question for conducting literature searching in the evidence-based practices (EBPs) development. However, students experienced challenges in fitting the clinical questions into PICO's format. In Indonesia, the EBP was mostly taught conventionally through lectures and discussions. There was no specific evaluation for assessing the accuracy of the PICO formula. Previous studies indicated that incorporating visual art in learning effectively improves students' observation skills, self-confidence, communication skills, and promotes transformational learning.Purpose: To describe the implementation of the PICO game and visual art as an EBP learning method and evaluate the accuracy of the PICO formula and the visual art created by nursing students, including their perspectives on the applied EBP learning method.Method: This descriptive study was conducted at a secondary hospital in Sumedang District, West Java-Indonesia, in July 2023. Totally 53 nursing profession program (NPP) students of a University in Indonesia were voluntarily recruited as participants. They divided into 9 groups and received a description of how to play the PICO game and visual art for developing the PICO formula question. Each group required to develop PICO questions from the PICO trigger pictures and keywords on the PICO worksheets and to draw at least one visual art illustration from the developed PICO question. At the end of those sessions, they were also required to provide opinions on this EBP learning approach. The PICO question accuracy was assessed using the PICO formula observation sheet, while the visual art compatibility was measured using the visual art observation sheet. Quantitative data were analyzed descriptively and the students’ perspectives on the EBP learning processes were analyzed by identifying the topic mostly described.Results: There were 63 PICO formulas and 18 visual art illustrations. Most of the PICO formulas (93.7%) were identified as accurate. However, more than one-third (41.3%) of the PICO formula did not include the C (comparison) component. More than half of the developed visual art illustrations (61%) were inappropriately describing the developed PICO formula. Participants reported that using PICO Games and visual art was an interesting and fun approach that enhanced their comprehension of the PICO question formula, EBP, and improved their teamwork capacity.Conclusion: The PICO game and visual art learning method facilitates high accuracy of the PICO question formula and is perceived as an effective and interesting EBP learning method. However, as the “C” (comparison) is the PICO component mostly found uncompleted, it is important to elaborate more on this issue in the EBP learning session. It is also important to extend the duration of the EBP learning method to facilitate students drawing the expected visual art appropriately. Further studies are needed to further confirm and follow up on the findings of this study.
Pola Asuh Pintar, Generasi Unggul: Upaya Optimalisasi dan Pemberdayaan Peran Perempuan di Desa Sukamulya Firdaus, Rose Maryana; Aushaf, Inka Fadilla Nur; Wijayanti, Niken Ayu; Sunandari, Nissa Fauziyah; Nentika, Rindayu Bidara Caela; Santoso, Nilam Cahya Ressawati; Salwa, Tetalia; Putri, Nova Belinda; Muta'aliyah, Hikmah; Yudiana, Zahra Haurannisa; Dewi, Rahma; Musyaffa, Najwa Aufa; Reyza, Muhammad Fakhrul; Silmi, Reina Zahira; Virssyani, Khansa Auliya; Kurniawan, Titis
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 4 (2025): Volume 8 No 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i4.18833

Abstract

ABSTRAK Pola asuh keluarga merupakan salah satu faktor yang berperan dalam proses tumbuh kembang anak. Pendidikan bagi perempuan, terutama yang berada di usia produktif, sangat berpengaruh terhadap kualitas hidup dan perkembangan keluarga. Namun, di banyak daerah, perempuan usia produktif hanya memiliki akses pendidikan yang terbatas. Salah satu dampak negatif yang sering muncul adalah rendahnya kesadaran tentang pentingnya pola makan bergizi dan perawatan kesehatan anak sehingga berdampak pada permasalah gizi buruk, seperti stunting. Stunting merupakan masalah jangka panjang pada perkembangan fisik dan kognitif anak. Program "PAGAR UNGGUL: Pola Asuh Pintar, Generasi Unggul”, menjadi salah satu kunci dalam meningkatkan peran perempuan dalam mengatasi permasalahan kesehatan, pendidikan, dan lingkungan di desa. Program ini menggunakan metode ceramah (lecture), praktik umum (general practicum), dan praktik khusus (specific practicum). Program ini berhasil meningkatkan pengetahuan peserta yang ditunjukkan oleh rata-rata peningkatan skor post-test pada setiap pertemuan. Melalui pendekatan yang komprehensif, program ini tidak hanya memberikan pengetahuan tentang pola asuh yang baik, kesehatan reproduksi, dan gizi seimbang, tetapi juga membekali peserta dengan keterampilan praktis seperti memasak makanan sehat, mengelola sampah, dan merawat diri. Tim Pagar Unggul melakukan pemberdayaan kepada posyandu remaja dan memberikan informasi yang tercantum pada modul pembelajaran kurikulum Generasi Emas yang berisikan informasi terkait edukasi 10 kegiatan yang telah dilaksanakan selama kegiatan "PAGAR UNGGUL: Pola Asuh Pintar, Generasi Unggul” berlangsung. Kata Kunci: Pola Asuh, Pemberdayaan Perempuan, Tumbuh Kembang Anak, Desa Sukamulya, Pendidikan Kesehatan  ABSTRACT Family parenting patterns were one of the factors that play a role in the process of child development. Education for women, especially those in their productive age, significantly impacts the quality of life and family development. However, in many regions, women of productive age had limited access to education. One of the negative impacts that often arise is the lack of awareness regarding the importance of balanced nutrition and child healthcare, which leads to issues like malnutrition, such as stunting. Stunting is a long-term problem affecting both physical and cognitive development in children. The program "PAGAR UNGGUL: Smart Parenting, Superior Generation" became one of the keys in enhancing the role of women in addressing health, education, and environmental issues in villages. This program utilized lecture methods, general practicum, and specific practicum. This program has successfully increased participants' knowledge, as evidenced by the average improvement in post-test scores after each session. Through a comprehensive approach, this program provided knowledge about good parenting patterns, reproductive health, and balanced nutrition but also equipped participants with practical skills such as cooking healthy meals, waste management, and self-care. The Pagar Unggul team carried out empowerment activities for adolescent posyandu and provided information outlined in the curriculum module of the Golden Generation, which contained details about 10 activities carried out during the "PAGAR UNGGUL: Smart Parenting, Superior Generation" program. Keywords: Parenting, Women's Empowerment, Child Growth and Development, Sukamulya Village, Health Education
INTERVENSI KEPERAWATAN PRE DAN POST OPERASI PADA PASIEN DEWASA DENGAN BUERGER DISEASE DAN ANEMIA STUDI KASUS Puspaningrum, Sepdian; Platini, Hesti; Kurniawan, Titis
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 4 (2024): SENTRI : Jurnal Riset Ilmiah, April 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i4.2514

Abstract

Latar belakang: Buerger disease adalah penyakit inflamasi progresif, nonaterosklerotik, yang sering menyerang arteri kecil dan menengah pada ekstremitas atas dan bawah. Anemia adalah kondisi kurangnya Hb yang berfungsi mengedarkan oksigen ke seluruh tubuh. Pengobatan penyakit Buerger tujuan utamanya adalah untuk meningkatkan sirkulasi pada ekstremitas, namun pada kasus yang parah, amputasi menjadi pilihan bagi pasien. Pada dewasa, tindakan operasi sering kali memunculkan berbagai masalah, sehingga diperlukan asuhan keperawatan untuk mengatasi masalah-masalah tersebut Kasus: seorang wanita berusia 65 tahun dirawat dengan keluhan nyeri dan kehitaman pada kaki kanan dan diagnosa medis gangren pedis ec. Buerger disease dan anemia, klien direncanakan untuk menjalani tindakan amputasi. Masalah keperawatan pada klien seperti kecemasan, kurang pengetahuan, nyeri, gangguan integritas kulit. Metode: Metode penelitian yang dilakukan merupakan case study dimana studi kasus dilakukan dengan melakukan asuhan keperawatan secara komprehensif dari mulai pengkajian hingga evaluasi Rencana perawatan: rencana asuhan keperawatan menggunakan standar SDKI, SIKI dan SLKI dengan intervensi utama berupa reduksi ansietas, manajemen nyeri, edukasi kesehatan dan perawatan luka. Kesimpulan: proses pemberian asuhan keperawatan pada kasus ini berfokus pada fase pre operasi dan post operasi, dengan intervensi pre operasi berfokus pada reduksi ansietas, dan edukasi. Sementara intervensi post operasi berfokus pada perawatan luka, pencegahan infeksi dan manajemen nyeri.
EFFECT OF VISUAL ART AND PICO GAME ON EVIDENCE-BASED PRACTICE COMPETENCY AMONG NURSING PROFESSIONAL PROGRAMME STUDENTS Haruni, Hasniatisari; Kurniawan, Titis; Sari, Eka Afrima; Nursiswati, Nursiswati; Heliani, Yusshy Kurnia
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.656

Abstract

Introduction Most nursing students in Indonesia require specialized competency training to implement evidence-based practice (EBP) in the clinical setting. Some literature revealed that art and game-based learning methods can improve students' skills and self-efficacy on the topics studied. Therefore, this study was conducted to evaluate the application of visual art plus the PICO game in improving EBP competence in nursing students.Methods: This study used a quantitative experimental design with a pretest-posttest one-group design approach. The study was conducted on 50 students at one of the nursing education institutions in Bandung, West Java, Indonesia, with a purposive sampling technique. The visual art plus PICO game intervention was given for 25 minutes by implementing drawing activities and card games. The EBP questionnaire consisting of eight questions was used as a research instrument to obtain data on students' EBP competence at the pretest and posttest. Demographic data was analyzed by descriptive statistical analysis, and the difference in EBP competence between the pretest and posttest was analyzed by independent t-test.Results: The data analysis results showed a significant difference in students' EBP competence before and after being given the visual art plus PICO game intervention (p<0.00). The mean score of students' EBP competence increased from 38.22 in the pretest to 41.56 in the posttest. Gender, grade point average, and learning style of students also influenced the results obtained in this study.Conclusion: Visual art and PICO game interventions were effective learning methods to improve students' EBP competence. Visual art plus the PICO game can be one of the options for learning methods to improve students' EBP competence.
Surgical hand preparation metode handscrub dan handrub berbasis antiseptik: A scoping review Olivia, Claudia; Ibrahim, Kusman; Kurniawan, Titis
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.925

Abstract

Background: Healthcare-associated infections (HAIs) are complications of healthcare that can increase morbidity, mortality, length of hospitalization, and additional costs, including surgical site infections (SSIs) caused by various factors such as microorganisms from the surgical environment. One important step in preventing SSIs is surgical hand preparation using antimicrobial soap or alcohol-based fluids which aims to reduce microorganisms, prevent infection, and increase the success of surgical procedures according to WHO and CDC guidelines. Purpose: To determine the effectiveness of implementing surgical hand preparation using antiseptic-based hand washing and hand rubbing methods. Method: Scoping review with article sources from PubMed, Scopus, and ScienceDirect published in the last 6 years in the period 2018-2024. The keywords used are "surgical team" or surgical staff or surgical procedures, "surgical hand preparation" or surgical cleaning or surgical rubbing, "bacteria" or microorganisms. Article assessment uses guidelines from The PRISMA Extension for Scooping Review (PRISMA-ScR). Results: The most widely used type of antiseptic fluid in the operating room area is chlorhexidine gluconate with concentrations of 1%, 3%, and 5% for the handrub method, and a concentration of 4% for the handwash-scrub method. The amount of antiseptic needed for handrub is 6-10 ml and for handwash-scrub 20 ml; and the surgical handwash and surgical handrub methods are equally effective in reducing the number of germs on the hands. Conclusion: Surgical handwash-scrub and surgical handrub are equally effective in reducing the number of bacteria on the hands, but surgical handrub with alcohol-based antiseptic and chlorhexidine is the main choice recommended by WHO and CDC because it is more practical, efficient, and effective than surgical handwash.   Keywords: Antiseptic; Handscrub; Handrub; Surgical Hand Preparation.   Pendahuluan: Health care–associated infections (HAIs) adalah komplikasi pelayanan kesehatan yang dapat meningkatkan morbiditas, mortalitas, durasi rawat inap, dan biaya tambahan, termasuk infeksi daerah operasi (IDO) yang disebabkan oleh berbagai faktor seperti mikroorganisme dari lingkungan operasi. Salah satu langkah penting dalam pencegahan IDO adalah persiapan tangan bedah menggunakan sabun antimikroba atau cairan berbasis alkohol yang bertujuan mengurangi mikroorganisme, mencegah infeksi, dan meningkatkan keberhasilan prosedur bedah sesuai pedoman WHO dan CDC. Tujuan: Untuk meyelidiki tentang efektivitas dari pelaksanaan surgical hand preparation metode handscrub dan handrub berbasis antiseptik. Metode: Scoping review dengan sumber artikel berasal dari pubMed, Scopus, dan ScienceDirect yang diterbitkan 6 tahun terakhir pada rentang 2018-2024. Kata kunci yang digunakan yaitu “surgical team” or surgical staff or surgical procedures, “surgical hand preparation” or surgical scrubbing or surgical rubbing, “bacteria” or microorganism. Penilaian artikel menggunakan panduan dari The PRISMA Extension for Scooping Review (PRISMA-ScR). Hasil: Jenis cairan antiseptik area kamar operasi yang paling banyak digunakan adalah chlorhexidine gluconate konsentrasi 1%, 3%, dan 5% untuk metode handrub, konsentrasi 4% untuk metode handwash-scrub. Jumlah antiseptik yang diperlukan untuk handrub 6-10 ml dan untuk handwash-brush 20 ml; dan metode surgical handwash dan surgical handrub sama-sama efektif dalam menurunkan jumlah kuman ditangan. Simpulan: Surgical handwash-scrub dan surgical handrub sama-sama efektif dalam menurunkan jumlah bakteri di tangan, tetapi surgical handrub dengan antiseptik berbasis alkohol dan chlorhexidine, menjadi pilihan utama yang direkomendasikan WHO dan CDC karena lebih praktis, efisien, dan efektif dibandingkan surgical handwash.   Kata Kunci: Antiseptik; Handscrub; Handrub; Surgical Hand Preparation.
The Relationship between Health Literacy, Illness Perception, and Self-Management Adherence among Hemodialysis Patients in Indonesia Pratiwi, Sri Hartati; Sari, Eka Afrima; Kurniawan, Titis
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.401

Abstract

Hemodialysis patients' self-management is critical for maintaining their quality of life and minimizing complications. Patients' health literacy and perception of the disease are essential for their acceptance of the condition and treatment. However, the relationship between these variables and self-management among hemodialysis patients remains unclear. This study aims to identify the relationship between health literacy, perception of disease, and self-management among hemodialysis patients. This correlational study was cross-sectional design, with 129 hemodialysis patients consecutively recruited from a hemodialysis unit of a tertiary hospital in West Java, Indonesia. Data were collected using the Brief-Illness Perception Questionnaire (Brief-IPQ), the European Health Literacy Survey Questionnaire (HLS-EU-Q47), and the End Stage Renal Disease Adherence Questionnaire (ESRD-AQ). The data were analyzed using Pearson correlation analysis. Most of the patients had sufficient or excellent health literacy (74.4%), negative illness perception (50.4%), and low self-management practices (71.3%). Pearson’s correlation analysis revealed a positive correlation was found between health literacy and self-management practices (r = .189; ρ=0.032). Additionally, there was a negative correlation between illness perception and health literacy (r = -.27; ρ= .002) as well as between illness perception and self-management practices (r = -.762; ρ= .000). Positive illness perception and better self-management practices correlate with a higher level of health literacy. These findings highlight the importance for healthcare staff to facilitate positive illness perceptions and self-management practices, and to consider these factors as vital aspects in developing self-management education programs for ESRD patients.