Ni Luh Widani
STIK Sint Carolus Jakarta

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EFFECTIVE PSYCHEDUCATION TO REDUCE ANXIETY AND INCREASE COMPLIANCE OF LIQUID DIETS IN CHRONIC KIDNEY DISEASE PATIENTS DURING HEMODIALYSIS Meylani Dewi Wowor; Ni Luh Widani; Emiliana Tjitra
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (790.278 KB) | DOI: 10.47718/jpd.v7i1.803

Abstract

Background: Chronic kidney failure (chronic renal failure) is a chronic disease that causes disruption of kidney function, so it requires kidney replacement therapy with long-term hemodialysis that must comply with fluid diets and can cause anxiety. Aims: Research to assess the effect of nursing psychoeducation on reducing anxiety levels and adherence to fluid diets in chronic renal failure patients with hemodialysis. Methods: The study was conducted in April-July 2018 in three private hospitals in Tomohon and Manado. This research is a quantitative study with a quasi-experimental pre-post test design with a control group of 112 respondents (82 in the intervention group and 30 in the control). Psychoeducation interventions are given according to the education module for 4 weeks, 2 times a week for a total of 8 meetings. Anxiety was assessed using the Beck Anxiety Inventory (BAI) questionnaire and adherence was assessed by the End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) before and after the study and weight observations at each visit. Results: Wilcoxon test results showed significant differences in anxiety levels (p <0.005) and fluid diet compliance (p <0.005) before and after the intervention. Mann Whitney test results showed no significant difference in decreasing anxiety level (p = 0.456) and increasing levels of fluid diet compliance (p = 0.495) between the intervention and control groups. The results of the ordinal logistic regression test, psychoeducation reduced anxiety levels by an OR of 6.5 times compared to the control group. The results of the binary logistic regression test, psychoeducation increased the level of adherence to the liquid diet with an OR value of 2.4 times compared to the control group. Conclusion: Psychoeducation can help reduce the level of anxiety and adherence to the fluid diet of patients with chronic renal failure with hemodialysis.
Relationship Level of Education, Work Period, and Knowledge of Nurses With Implementation of Discharge Planning at X Hospital South Jakarta Triarti Astuti; Stefanus Andang Ides; Ni Luh Widani
Healthy-Mu Journal Vol. 8 No. 1 (2024)
Publisher : MBUnivPress

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/hmj.v8i1.871

Abstract

study aims to analyze the relationship between education, years of service, and knowledge of nurses with the implementation of discharge planning in the Inpatient Room of Hospital X. The research method used is a quantitative method with an analytical approach and a cross-sectional study design. Respondents in this study were nurses working in the Inpatient Room of X Hospital. Data were collected through questionnaires and analyzed using descriptive statistical techniques and regression analysis. The results showed that there was a positive relationship between nurse education (D3 Nursing), years of service (1-5 years), and knowledge of nurses with the implementation of discharge planning. This shows that nurses with D3 Nursing education have a better understanding regarding discharge planning, as well as nurses who have had 1-5 years of work experience. This research provides important implications for nursing management at X Hospital to improve the discharge planning process through a better understanding of the role of nurses in this process. In addition, nursing education institutions can also consider the results of this study as teaching materials that support curriculum development.
EFFECTIVE PSYCHEDUCATION TO REDUCE ANXIETY AND INCREASE COMPLIANCE OF LIQUID DIETS IN CHRONIC KIDNEY DISEASE PATIENTS DURING HEMODIALYSIS Meylani Dewi Wowor; Ni Luh Widani; Emiliana Tjitra
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v7i1.803

Abstract

Background: Chronic kidney failure (chronic renal failure) is a chronic disease that causes disruption of kidney function, so it requires kidney replacement therapy with long-term hemodialysis that must comply with fluid diets and can cause anxiety. Aims: Research to assess the effect of nursing psychoeducation on reducing anxiety levels and adherence to fluid diets in chronic renal failure patients with hemodialysis. Methods: The study was conducted in April-July 2018 in three private hospitals in Tomohon and Manado. This research is a quantitative study with a quasi-experimental pre-post test design with a control group of 112 respondents (82 in the intervention group and 30 in the control). Psychoeducation interventions are given according to the education module for 4 weeks, 2 times a week for a total of 8 meetings. Anxiety was assessed using the Beck Anxiety Inventory (BAI) questionnaire and adherence was assessed by the End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) before and after the study and weight observations at each visit. Results: Wilcoxon test results showed significant differences in anxiety levels (p <0.005) and fluid diet compliance (p <0.005) before and after the intervention. Mann Whitney test results showed no significant difference in decreasing anxiety level (p = 0.456) and increasing levels of fluid diet compliance (p = 0.495) between the intervention and control groups. The results of the ordinal logistic regression test, psychoeducation reduced anxiety levels by an OR of 6.5 times compared to the control group. The results of the binary logistic regression test, psychoeducation increased the level of adherence to the liquid diet with an OR value of 2.4 times compared to the control group. Conclusion: Psychoeducation can help reduce the level of anxiety and adherence to the fluid diet of patients with chronic renal failure with hemodialysis.
Latihan Fleksibilitas terhadap Kelelahan dan Tekanan Darah pada Pasien Hemodialisis: Kajian Literatur [FLEXIBILITY EXERCISE ON DECREASED FATIGUE AND BLOOD PRESSURE IN CHRONIC KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS: LITERATURE REVIEW] Marischa Wanti Esterlise Nainggolan; Ni Luh Widani
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.7868

Abstract

Chronic kidney failure is a noncommunicable disease that has a rising incidence rate annually. This disease poses a worldwide challenge due to the intricacy of its treatment. This condition can progress in stages 1-5. Patients in Stage 5 need to receive either hemodialysis or kidney transplants. Hemodialysis has the potential to impact the patient's level of weariness and blood pressure. The purpose of the literature review is to examine the impact of intradialytic flexibility training on fatigue and blood pressure. This activity is a non-pharmacological technique that enhances patient weariness and blood pressure. The research methodology employs literature evaluation utilizing three databases: Google Scholar, PubMed, and ResearchGate. The process of selecting publications followed the PRISMA protocol standards for identification, screening, and determining eligibility. As a result, a total of 11 papers were analyzed. The inclusion criteria for this study were as follows: respondents who were undergoing hemodialysis, a sample size of more than 20 respondents, a quantitative research design, full text articles available in both Indonesian and English, and a maximum year of article publication above 2014. Scientists gathered and examined published articles regarding the advantages of flexibility exercise on fatigue and blood pressure in individuals undergoing hemodialysis. Various studies in the literature review yield inconsistent results, nevertheless, a significant number of researchers demonstrate that therapies involving flexibility training can have an impact on fatigue and blood pressure. In conclusion, flexibility training enhances fatigue and blood pressure in hemodialysis patients by reducing peripheral vascular resistance, hence minimizing blood vessel rigidity and weariness resulting from insufficient physical activity during blood cleansing.BAHASA INDONESIA Gagal ginjal kronis merupakan penyakit tidak menular yang angka kejadiannya meningkat setiap tahun. Penyakit ini merupakan masalah global karena kompleksnya pengobatan. Penyakit ini dapat memburuk dari stadium 1-5.Stadium 5 pasien harus menjalani hemodialisis atau transplantasi ginjal . Hemodialisis dapat mempengaruhi kelelahan dan tekanan darah pasien.Tujuan penelitian ini untuk menganalisa pengaruh latihan flexibility intradialyticterhadap kelelahan dan tekanan darah. Latihanini merupakan intervensi non farmakologis yang memperbaiki kelelahan dan tekanan darah pasien.Metode penelitian inimenggunakan literaturereview dengan menggunakan 3 database yaitu Google Scholar, Pubmed dan ResearchGate. Penyeleksian artikel menggunakan panduan protokol(PRISMA) dari identification, screening, eligibility dan menghasilkan 11 artikel yang dianalisa. Kriteria inklusi yaitu responden menjalani hemodialisis dengan jumlah sampel lebih dari 20 responden,desain penelitian kuantitatif, fulltext bahasa Indonesia maupun bahasa Inggris,maksimal tahun terbit artikel tahun 2014 -2024. Peneliti mengumpulkan dan menganalisis artikel yang telah terbit tentang manfaatlatihan flexibilityterhadap kelelahan dan tekanan darah pada pasien hemodialisis. Hasil dari literaturereview bervariasi namun banyak peneliti menunjukkan bahwa intervensi latihan flexibilitydapat berpengaruh terhadap kelelahan dan tekanan darah.Kesimpulannya latihan flexibilitymenurunkan kelelahan dan tekanan darah pasien hemodialisis akibat resistensi pembuluh darah perifer sehingga mencegah kekakuan pembuluh darah serta kelelahan karena kurangnya aktivitas fisik saat cuci darah.