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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.
Optimalisasi Manajemen Konflik Berbasis Teori Imogene King Terhadap Kepuasan Kerja Perawat Dan Bidan Pelaksana Di Rsia X Tangerang Selatan Siti Ropiah; Tutiany Tutiany; Emiliana Tjitra
Aksara: Jurnal Ilmu Pendidikan Nonformal Vol 9, No 1 (2023): January 2023
Publisher : Magister Pendidikan Nonformal Pascasarjana Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/aksara.9.1.339-354.2023

Abstract

Konflik dalam memberikan pelayanan keperawatan tidak bisa dihindari, tetapi konflik dapat di kelola. Perlu adanya optimalisasi manajemen konflik, agar konflik yang terjadi menjadi konstruktif, meningkatkan kepuasan kerja, produktivitas kerja dan pelayanan yang bermutu. Penelitian ini bertujuan untuk menganalisis optimalisasi manajemen konflik berbasis teori Imogene King terhadap kepuasan kerja perawat dan bidan pelaksana di RSIA X Tangerang Selatan. Metode penelitian ini menggunakan mix method. Desain penelitian kualitatif adalah focus group discussion (FGD), kepada 8 kepala ruangan, sedangkan desain penelitian kuantitatif adalah quasi eksperiment menggunakan pendekatan pre and post test without control group. Sampel penelitian ditetapkan dengan cara total sampling, sebanyak 75 perawat dan bidan pelaksana. Hasil FGD menggunakan analisis tematik metode Colaizzi, menghasilkan tema yaitu gap proses interaksi dan komunikasi belum efektif. Hasil penelitian menunjukan tidak terdapat perbedaan kepuasan kerja sebelum dan sesudah optimalisasi manajemen konflik dengan p value 0,902>0,05. Secara simultan terdapat hubungan yang signifikan karakteristik dan manajemen konflik dengan kepuasan kerja dengan p value 0,001<0,05. Rekomendasi peneliti sebaiknya perawat/ bidan di berikan penyegaran dan bimbingan manajemen konflik berbasis Teori Imogene King secara konsisten untuk meningkatkan kepuasan kerja.
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.