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All Journal Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Jurnal Keperawatan Raflesia Nursing Information Journal Quality : Jurnal Kesehatan DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Malahayati International Journal of Nursing and Health Science

Yulia Yulia

Fakultas Ilmu Keperawatan Universitas Indonesia

Author-ID : 3309912

Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

Published : 8 Documents Claim Missing Document

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Articles

Pengaruh Rehabilitasi: Jalan Kaki Enam Menit terhadap Peningkatan Kadar Hemoglobin pada Pasien Sindroma Koroner Akut Mutarobin Mutarobin; Yulia Yulia; Masfuri Masfuri
Quality : Jurnal Kesehatan Vol. 13 No. 2 (2019): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Abstrak Sindroma Koroner Akut adalah gabungan gejala klinik yang menandakan iskemia miokard akut akibat ketidakseimbangan demand dan supply oksigen. Hemoglobin yang rendah dikaitkan dengan mortalitas penyakit arteri koroner dan biomarker yang berguna bagi penyakit arteri koroner. Kondisi ini mengakibatkan perubahan pada berbagai aspek, baik fisik, psikologis, maupun sosial. Ada beberapa rehabilitasi jantung yang digunakan pada fase 3 (maintenance phase), yaitu Six Minute Walk Test, shuttle-walk test stair climbing, cardiopulmonary exercise test, detection of exercise-induced asthma dan cardiac stress test. Saat ini di Amerika Rehabilitasi Jalan Enam Menit menjadi pilihan rehabilitasi yang paling sederhana serta praktis yang dapat digunakan dalam meningkatkan hemoglobin pada pasien kelainan jantung. Rehabilitasi Jalan Enam Menit bukan hanya mengevaluasi kapasitas fungsional jantung saja tetapi juga dapat menilai sistem pernafasan, kardiovaskuler, kadar hemoglobin, neuromuskuler, serta metabolisme. Tujuanya membuktikan pengaruh Rehabilitasi Jalan Kaki Enam Menit terhadap peningkatan haemoglobin pada pasien Sindroma Koroner Akut dengan quasi experiment, pre-post with control group. Teknik consecutive sampling digunakan untuk merekrut 57 responden yang terbagi menjadi 29 kelompok kontrol dan 28 kelompok intervensi. pengukuran dengan menggunakan Hb Sahli Hemometer. Hasil pengukuran terdapat perbedaan signifikan p value < 0.05. Berdasarkan hasil penelitian tersebut, Rehabilitasi Jalan Kaki Enam Menit dapat digunakan sebagai terapi modalitas keperawatan bagi pasien Sindroma Koroner Akut setelah keluar dari rumah sakit. Kata Kunci: sindroma koroner akut, Rehabilitasi Jalan Kaki Enam Menit, hemoglobin

Social Support in Patient Adherence on Hypertension Management Sapto Haryatmo; Ratna Sitorus; Yulia Yulia
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 4 (2020): Oktober 2020
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.163 KB)

Patient compliance with hypertension management is important because non-adherence can lead failure to control blood pressure. This study aims to identify demographic factors and social support in relation to hypertension management adherence. This research is a non-experimental cross sectional analytic study to a population of hypertensive patients in the Temanggung region. Sampling used concecutive sampling with 100 respondents. The Adherence variable was measured using a Medical Outcomes Study (MOS) Measures of Patient Adherence and social support was measured using the Multidimensional Scale of Perceived Social Support. Data were analyzed univariately, bivariately and multivariately to determine the significance and strength of variable correlation. Research result shows a significant relationship between education level (p value = 0.014) and social support (p value = 0.013) with adherence. There was no significant correlation between age (p value = 0.982), gender (p value = 0.435) and financing (p value = 0.521) with adherence. Multivariate test results showed that social support was significantly related to adherence with p value = 0.028 at α = 0.05. Social support has an odds ratio of 5.8, which means patients with good social support have a 5.8 times chance to be more obedient.

Kepuasan Self Monitoring Blood Glucose dengan Kualitas Hidup pada Pasien Diabetes Tipe 2 Shanty Chloranyta; Yulia Yulia; Masfuri Sodikin
JURNAL KEPERAWATAN RAFLESIA Vol 1 No 2 (2019): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu
Publisher : Poltekkes Kemenkes Bengkulu

Self monitoring blood glucose (SMBG) is an integral part of diabetes self management. SMBG is effective in improving the quality of life there is a 40.6% increase in physical and emotional functioning of patients, and 39.13% confidence. SMBG is not effective in improving the quality of life of patients experiencing frustration, depression and suffering. The purpose of this study was to analyze SMBG satisfaction with quality of life. Cross sectional research design. The population of this study were 51 type 2 diabetes patients with purposive sampling technique. The instruments used were Glucose Monitoring Satisfaction Survey (GMSS), Diabetes Quality of Life Brief (DQoL Brief), Diabetes Self Management Questionnaire (DSMQ). Data analysis used Pearson test. The results showed respondents (78.4%) were female, (58.8%) had hypertension complications, (84.3%) financial support using BPJS, (62.7%) using insulin binding 32. The average age of 50.73 years, SMBG satisfaction 49.43, quality of life 49.84 , diabetes self management 28. There was a significant relationship between SMBG satisfaction and quality of life (p = 0.000). Satisfaction of SMBG improves quality of life in patients with type 2 diabetes.

Perbedaan Frekuensi Pemberian Enteral Feeding terhadap Toleransi Feeding dan Kadar Glukosa Darah Dewi Siti Oktavianti; Yulia Yulia; Riri Maria
JURNAL KEPERAWATAN RAFLESIA Vol 3 No 1 (2021): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu
Publisher : Poltekkes Kemenkes Bengkulu

Medical nutrition therapy is one of the interventions to provide sufficiently nutrition and to optimize glycemic controls in meeting the body metabolic needs. An Enteral Feeding is an alternative feeding method when there are obstacles to fulfill patients nutrition orally. This study aims to determine feeding tolerances and blood glucose controls in Type2 Diabetes Mellitus patients with different Enteral Feeding frequencies-three and six times preserving. This research is a quasi-experimental design study involving 26 patients admitted in a hospital. The results of the study on respondents with enteral feeding of a frequency 3x/24 hours found that 2respondents (15.4%) were tolerant with enteral feeding given and as many as 3respondents (23.1%) had normal blood glucose, while the results of the study for respondents with enteral feeding of a frequency 6x / 24 hours, 12 respondents (92.3%) were tolerant with enteral feeding given and as many as 12 respondents (92.3%) had normal blood glucose. The results showed that there was a statistically difference between the three times and six times Enteral Feeding with feeding tolerance (p = 0.005). There was a difference between the frequency of enteral feeding six times and three times in the blood glucose level (p = 0.005). Results of this study will assist in controlling blood glucose by regulating the timing of feeding in patients with type 2 diabetes mellitus.

Psyhological Response and Ntritional Status of Type 2 Diabetes Mellitus Patients Rizki Andriani; Yulia Yulia; Riri Maria
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 1 (2022): Dunia keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

The application of nutrient guidelines into daily menu challenges the majority of type 2 diabetes mellitus (T2DM) patients as it needs time to change their dietary habit that has been previously formed. It is common for patients to experience boredom and stress due to their diet program that has to be implemented for the rest of their lives. Psychological response has a great influence in T2DM patients in their effort to control their diet. This research aims to analyze psychological response and nutritional status, also to observe their relationship in T2DM patients. This research uses cross sectional design. It is applied on three type A hospitals in Jakarta by consecutive sampling, with 260 type 2 diabetes mellitus patients as respondents. Questionnaire is used to collect the data. There is a significantly related between psychological response and nutritional status (p = 0.000, OR =4.944) that is not influenced by confounding variable such as anti-diabetic medication, food intake, and age. Respondents with diabetes distress psychological response have 4,944 times higher risk of experiencing abnormal nutritional status compared to respondents without diabetes distress. Regular meeting is needed at least once every four weeks to fulfill psychological needs concerning diabetes.

Use of medium cut-off membrane dialyzer compared to high flux membrane dialyzer in improving the clearance of middle to large molecule uremic toxins: A Systematic Review Wasal Desrial Siregar; Krisna Yetti; Agung Waluyo; yulia yulia
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.934

Background: The loss of kidney function in patients with kidney disease leads to the accumulation of dissolved substances known as uremic toxins, which can negatively impact patient health. Membranes with a high number of pores, such as those in high-flux dialyzers, allow some medium-sized molecules like beta-2 microglobulin to pass through. However, these membranes are less effective at filtering out larger dissolved substances. Larger medium-sized molecules (>25 kD) need to be removed either by convection or through the use of highly permeable membranes such as Medium Cut-Off (MCO) membranes. Therefore, it is important to understand the improvement in uremic toxin clearance when using MCO dialyzers compared to high-flux dialyzers. Purpose: To evaluate and compare the effectiveness of using medium cut-off (MCO) membrane dialyzer with high flux membrane dialyzer. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Patients with chronic kidney disease undergoing hemodialysis, I: Use of dialyzers with medium cut-off (MCO) membrane, C: Use of dialyzer with high flux membrane, O: Increased clearance of uremic toxins of middle to large molecules, such as β2-microglobulin, kappa and lambda free light chains, S: Randomized controlled trials. The article search was conducted systematically using the keywords: "Medium cut-off dialyzer" AND "High flux dialyzer" AND "Uremic toxins" AND "Middle molecules" AND "Large molecules" AND "Clearance Hemodialysis". Results: The use of MCO membranes was more effective in eliminating medium-to-large uremic toxins while maintaining safety and regulation comparable to conventional hemodialysis with high-flux dialyzers. MCO membranes were also more effective even with low blood flow, without significantly increasing albumin loss. Additionally, MCO membranes contributed to reducing inflammation and allowed for shorter recovery times post-hemodialysis treatment. Conclusion: Given its comparable safety to high-flux dialyzers, the use of MCO membranes can be expanded in clinical practice at hemodialysis centers, including those in resource-limited settings.

Efektivitas Intradialytic Cycling terhadap Status Fungsional Fisik dan Psikologis pada Pasien Hemodialisis : Telaah Literatur Sistematis Katarina Windhi Anggita Sari; Yulia Yulia; Chiyar Edison Sunarya; Agung Waluyo
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49862

Intradialytic cycling is a form of aerobic exercise performed during hemodialysis sessions. Several studies have investigated its impact on both physical and psychological functional status, utilizing various parameters such as frequency, duration, exercise intensity, and with differing outcomes. The aim of this systematic review is to examine the effects of intradialytic cycling on physical and psychological functional status in patients undergoing hemodialysis.This systematic review was conducted in accordance with the PRISMA guidelines. Literature was sourced from databases including Scopus, ProQuest, SAGE Journals, SpringerLink, Taylor & Francis, and Cochrane, using keywords based on the PICO framework and combined with Boolean operators “AND” and “OR.” Inclusion criteria for the articles were: publication between 2010 and 2025, studies involving hemodialysis patients aged ≥18 years, research designs including randomized controlled trials (RCTs), quasi-experimental studies, and cohort studies, and publications in English. A total of 10 articles were included in the analysis. Intradialytic cycling demonstrated enhancing physical function and reducing depressive symptoms in hemodialysis patients. This non-pharmacological intervention proved to be effective both as a standalone therapy and in combination with other modalities, such as resistance training, music therapy, and cognitive approaches. However, further research is warranted to develop and adapt intradialytic cycling protocols that align with clinical practice settings in Indonesia

The Effectiveness Of Yoga Therapy And Exercise Therapy On Sleep Quality In Patients With Chronic Kidney Disease: A Systematic Review Puteri Hirika Reptes; Yulia Yulia; Chiyar Edison; Sri Yona
Nursing Information Journal Vol. 5 No. 2 (2026): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Sleep disturbances are highly prevalent among patients with Chronic Kidney Disease (CKD), occurring both in the pre-dialysis stage and among individuals undergoing hemodialysis or peritoneal dialysis. These disturbances can significantly impair overall quality of life. Various factors contribute to sleep disorders in CKD patients, including the accumulation of uremic toxins, pain, pruritus, dyspnea, anxiety, and the side effects associated with dialysis therapy itself. Physical activity-based interventions, such as aerobic exercise and yoga, have shown substantial potential in improving sleep quality. The objective of this systematic review is to evaluate the effects of yoga and aerobic exercise interventions on sleep quality in patients with CKD. A comprehensive literature search was conducted using databases including ProQuest, PubMed, Scopus, the International Journal of Health Sciences and Research, Springer, and the Iranian Journal of Nursing and Midwifery Research. Only full-text articles published in English between 2019 and 2024 were included. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Thirteen studies were identified: 11 Randomized Controlled Trials (RCTs), 1 quasi-experimental study, and 1 qualitative study. Analysis of the 11 RCTs revealed that various interventions—particularly yoga, aerobic exercise, and cognitive behavioral therapy (CBT) were employed to improve sleep quality. Among these, yoga and aerobic exercise were found to significantly enhance sleep quality in CKD patients, especially those undergoing hemodialysis, with aerobic exercise demonstrating more consistent benefits. Conversely, CBT did not produce significant improvements in sleep quality compared to the control group, though it did show limited effects on reducing depressive symptoms and dysfunctional beliefs. The quasi-experimental study examined the impact of yoga exercise and found it to be a contributing factor to improved quality of life, including better sleep. The qualitative study employed a phenomenological approach to explore the subjective experiences of CKD patients with fatigue caused by poor sleep, aligning with the study's aim of understanding this phenomenon from the patient’s perspective.

Co-Authors Agung Waluyo Chiyar Edison Sunarya Chloranyta, Shanty Hafan Sutawardana, Jon Katarina Windhi Anggita Sari Krisna Yetti Maria, Riri Masfuri - Mutarobin Mutarobin Oktavianti, Dewi Siti Puteri Hirika Reptes Ratna Sitorus Riri Maria Rizki Andriani S., Chiyar Edison Sapto Haryatmo Sri Yona Wasal Desrial Siregar

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