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PENGARUH COGNITIVE THERAPY TERHADAP TINGKAT ANSIETAS PADA PASIEN YANG AKAN MENJALANI HEMODIALISA DI RS PANTI WILASA CITARUM SEMARANG Theodora Rosaria Geglorian; Ismonah -; M. Syamsul Arief
Jurnal Ilmu Keperawatan dan Kebidanan Vol 3, No 3 (2018): Juni 2018
Publisher : Jurnal Ilmu Keperawatan dan Kebidanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.471 KB)

Abstract

Gagal ginjal kronik merupakan hilangnya fungsi ginjal yang berlangsung dalam kurun waktu lama. Pada pasien yang menderita gagal ginjal kronik kualitas dari nefron mengalami penurunan. Sehingga diperlukan tindakan untuk mengeluarkan zat-zat yang berlebih di dalam tubuh pasien. Salah satu tindakan yang dapat dilakukan adalah hemodialisa. Di Indonesia data dari PERNEFRI tahun 2012 jumlah pasien GGK dengan hemodialisa baru dan pasien hemodialisa aktif dari tahun 2007-2012 mengalami peningkatan. Masalah yang sering dialami oleh pasien yang akan menjalani hemodialisa adalah ansietas. Upaya untuk mencegah ansietas dapat dilakukan cognitive therapy. Penelitian ini bertujuan untuk mengetahui pengaruh cognitive therapy terhadap tingkat ansietas pada pasien yang akan menjalani hemodialisa di RS Panti Wilasa Citarum Semarang. Rancangan pada penelitian ini menggunakan quasi eksperimental dengan desain penelitian one groups pre-post test design. Jumlah sampel pada penelitian ini sebanyak 30 responden dengan teknik pengambilan sampel menggunakan purposive sampling. Uji statistik yang digunakan adalah uji wilcoxon. Hasil penelitian menunjukkan bahwa pemberian cognitive therapy terbukti memberi pengaruh terhadap penurunan tingkat ansietas dengan p value = 0.000. Rekomendasi hasil penelitian ini adalah agar perawat menerapkan cognitive therapy kepada pasien hemodialisa yang mengalami ansietas sebelum dilaksanakan hemodialisa.
Edukasi Program (Toss TBC) di Dukuh Grogolan Desa Jatimulya Kabupaten Tegal Ramadhan Putra Satria; Theodora Rosaria Geglorian; Jumrotun Ni’mah; M. Aldi Nur Diansyah
Jurnal Pengabdian Masyarakat Sains dan Teknologi Vol. 3 No. 2 (2024): Juni : Jurnal Pengabdian Masyarakat Sains dan Teknologi
Publisher : Fakultas Teknik Universitas Cenderawasih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58169/jpmsaintek.v3i2.466

Abstract

Helping the government to solve TB disease, the community service team organized community service activities by providing material about TBC Toss. The activity was carried out on May 27, 2024 in Grogolan Hamlet, Jatimulya Village, Suradadi District, Tegal Regency. This activity provides education to the public related to the Toss TBC program from the government so that people avoid TB disease. The activity is to expose TBC Toss material, lung examination, and correct cough Ethics. The enthusiasm of the community was very pronounced, shown by the many people who asked the dedication team. With this education, it is expected that the incidence of tuberculosis in Tegal Regency can decrease.
Transformational Leadership Caregiver In Caring To Hemodialysis Patient: Literature Review Theodora Rosaria Geglorian; Sri Hidayati; Ani Ratnaningsih; Arifin Dwi Atmaja
MULTIPLE: Journal of Global and Multidisciplinary Vol. 2 No. 6 (2024): Juni
Publisher : Institute of Educational, Research, and Community Service

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Abstract

End stage chronic kidney disease ranks 16th as a cause of death according to the Global Burden of Disease data from 2017. Patients with end-stage chronic kidney disease experience various impacts, such as depression, fatigue, cramps, nausea, vomiting, and a range of other physical, psychological, and social disorders. As a result, patients are highly dependent on their families. However, under these conditions, families often feel afraid to touch and talk to the patient during hemodialysis. This causes stress in the family, which can affect the patient's condition, such as a decrease in coping mechanisms. To enhance the patient's coping mechanisms, families can apply transformational leadership. The goal of this literature review is to identify transformational leadership in the care of hemodialysis patients. This study utilized articles and books accessible through Ebsco, Pro Quest, Pubmed, Emerald Insight, and Science Direct, from 2008 to 2024. The keywords used were transformational leadership, nursing, family care, and coping in hemodialysis patients. The findings indicate that transformational leadership can create comfort between patients and their families, improve communication, reduce stress, and enhance coping mechanisms in hemodialysis patients. Additionally, emotional aspects can be improved with this type of leadership. In conclusion, transformational leadership can be applied in the care of hemodialysis patients and can enhance constructive coping in these patients, thereby reducing morbidity and mortality among hemodialysis patients.
LATIHAN “PROGRESIF INTRADIALISIS RESISTANCE” PADA PASIEN PENYAKIT GINJAL KRONIK DENGAN HEMODIALISIS DI TEGAL Ani Ratnaningsih; Theodora Rosaria Geglorian; Sri Hidayati
PAKDEMAS : Jurnal Pengabdian Kepada Masyarakat Vol 4 No 2 (2025): April
Publisher : Fakultas Pertanian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/pakdemas.v4i2.359

Abstract

Chronic Kidney Disease (CKD) in Tegal City was among the ten most common diagnoses in 2021. Hemodialysis is a lifelong kidney replacement therapy performed on CKD patients to maintain metabolic, fluid, and electrolyte balance. Complaints of fatigue and cramps are commonly reported by patients during the hemodialysis process. This condition causes patients to reduce their daily activities and increases their dependence on family, which can lead to a decreased quality of life. Education on "progressive intradialysis resistance" exercises was provided to patients to improve their knowledge and skills in managing fatigue and enhancing their quality of life. The education was conducted through lectures and demonstrations, using leaflets as supporting materials. Patients’ understanding of the exercises was evaluated through cognitive and psychomotor assessments. Patients were able to re-explain the knowledge about hemodialysis and the exercises, as well as practice the steps involved in the exercises.