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All Journal Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Keperawatan Raflesia Indonesian Journal of Global Health research An Idea Health Journal Nursing Information Journal Quality : Jurnal Kesehatan DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
Yulia Yulia
Fakultas Ilmu Keperawatan Universitas Indonesia
Humanities Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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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 | DOI: 10.54832/nij.v5i2.1248

Abstract

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.
The Effectiveness of Relaxation Therapy on Symptoms and Quality of Life in Hemodialysis Patients: A Literature Review Rabiatul Addawiah; Yulia Yulia; Sri Yona
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4448

Abstract

Hemodialysis (HD) is the main therapy for patients with end-stage renal disease (ESRD) in Indonesia, but the patients' quality of life is lower than other methods due to the physical and psychological effects of HD. One of the therapies that can be used to reduce the effects of HD is relaxation therapy. Objective: This review aims to analyse the effectiveness of relaxation therapy in managing physical and psychological symptoms to improve the quality of life of HD patients. Method: A literature review using databases such as Pubmed, Science Direct, Scopus, Sage Journal and Proquest to search for relevant articles within the period 2020-2024. Results: A review of twelve articles shows that relaxation therapy is effective for pain, fatigue, stress, depression, anxiety, sleep quality and patient quality of life. Conclusions: Relaxation therapy can be integrated into routine care and is feasible for nurses to provide because of its simplicity so that patients can do it themselves at home. Nurses also need to conduct further research into other non-pharmacological therapies that are widely effective for patients with ESRD.
Effectiveness of Various Chlorhexidine-Based Insertion Site Protocols in Preventing CRBSI among Hemodialysis Patients: A Systematic Review and Synthesis Without Meta-analysis (SWiM) Sri Hariyanti; Yulia Yulia; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2012

Abstract

Chronic Kidney Disease (CKD) is a global health issue affecting 10–15% of the world's population, often progressing to End-Stage Renal Disease (ESRD). Hemodialysis (HD) is the primary renal replacement therapy; however, the use of a Central Venous Catheter (CVC) for vascular access increases the risk of Catheter-Related Bloodstream Infections (CRBSI). Skin pathogens such as Staphylococcus aureus account for 40–80% of CRBSI cases, contributing to increased morbidity and mortality. The use of chlorhexidine (Chlorhexidine Gluconate/CHG) at the insertion site aims to inhibit extraluminal bacterial colonization. However, the effectiveness of various CHG protocols remains a subject of debate due to the risk of contact dermatitis and cost-effectiveness. This systematic review aims to evaluate the effectiveness of various chlorhexidine-based insertion site care protocols in preventing CRBSI events in hemodialysis patient. This systematic review was conducted in accordance with the PRISMA 2020 guidelines, using the “Synthesis Without Meta-analysis” approach, and is registered with PROSPERO 2026 under CRD420261368887. A search was conducted in the EBSCO, PubMed, Sage Journals, ScienceDirect, Scopus, and Wiley databases using the keyword “chlorhexidine-based catheter insertion care for the prevention of CRBSI.” Articles published between 2010 and 2025 were searched, resulting in a total of 1,412 articles identified from the initial database search.. A total of 7 articles meeting the inclusion criteria, consisting of RCTs and quasi-experimental studies. The outcomes analyzed included catheter-related infections such as CRBSI, CLABSI, and CRI. The direction of effects was analyzed narratively, and study quality was assessed using RoB 2 and JBI. Four studies showed a reduction in the incidence of infection, while three studies showed no significant difference. No increased risk of infection was found in any of the studies. Most studies used chlorhexidine sponges or patches (4 studies, 57%); 28% used chlorhexidine-impregnated dressings; and the remainder used chlorhexidine solution. Most studies were of moderate to good quality, with some potential for bias. Three studies showed p-values < 0.05. Chlorhexidine-based care protocol interventions show a tendency to reduce catheter-related infections in hemodialysis, but results remain inconsistent. The implementation of evidence-based nursing practices, particularly tailored to tunneled and non-tunneled catheters, is necessary to optimize infection prevention.
Associations of Fatigue with Quality of Life and Self-Efficacy in Adolescents with Type 1 Diabetes Mellitus: A Cross-Sectional Study Nur Agustini; Allenidekania Allenidekania; Yulia Yulia
An Idea Health Journal Vol 6 No 03 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i03.761

Abstract

Background: Fatigue is a common concern among adolescents with Type 1 Diabetes Mellitus (T1DM) and may affect their quality of life and disease management. However, the relationship between fatigue, quality of life, and self-efficacy remains insufficiently understood. This study aimed to examine the relationship between fatigue and quality of life and self-efficacy among adolescents with T1DM. Methods: A cross-sectional correlational study was conducted with 110 adolescents aged 10–19 years with T1DM. Diabetes-related quality of life was assessed using the PedsQL Diabetes Module, fatigue using the Short Fatigue Scale, and self-efficacy using the Pediatric Rating of Chronic Illness Self-Efficacy (PRCISE) scale. Spearman correlations and Chi-square tests were used for analysis. Results: The results showed that 82.7% of participants experienced fatigue, with 17.3% categorized as having severe fatigue. Fatigue was moderately negatively correlated with quality of life (r = −0.547, p < 0.001) and self- efficacy (r = −0.475, p < 0.001). A significant association was also found between gender and fatigue level (p = 0.029), with severe fatigue reported more frequently among females (24.2%) than males (8.3%). Conclusion: Fatigue among adolescents with T1DM is associated with lower quality of life, lower self-efficacy, and gender differences. Self-efficacy may play an important role in reducing fatigue and supporting adolescent well-being.
Penggunaan telehealth dalam meningkatkan kemandirian pasien gagal ginjal kronis dengan peritoneal dialysis (PD): A systematic review Yengsi Mei Karmita Br Pasaribu; Yulia Yulia; Agung Waluyo; Masfuri Masfuri
Hik Vol. 18 No. 12 (2025): Volume 18 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i12.695

Abstract

  Background: As the number of chronic kidney failure patients increases, the use of peritoneal dialysis (PD) is increasingly promoted because it has several advantages over the use of hemodialysis. Apart from several advantages of PD, there are complications that often occur such as peritonitis and lack of knowledge so that remote monitoring is needed to increase patient independence in carrying out treatment thereby increasing the satisfaction and quality of life of PD patients. Purpose: To determine the use of telehealth in increasing the independence of chronic kidney failure patients with peritoneal dialysis. Method: Qualitative research systematic literature review on the use of Telehealth in increasing the independence of chronic kidney failure patients on peritoneal dialysis. Article search sources used the Pubmed, Sage Journal, Scopus, Science Direct, and ProQuest databases. The total number of articles that entered the screening stage was 373 articles, and there were 10 articles that were categorized as eligible based on the inclusion criteria for this research. Results: Based on research and reviews of 10 selected articles, the results showed that Mobile Health or eHealth increases patient independence based on knowledge, the patient's ability to carry out PD treatment independently at home, increases compliance, satisfaction and improves the quality of life of chronic kidney failure patients with PD. Conclusion: The use of telehealth is effective in helping early detection of complications, such as peritonitis, as well as improving patient quality of life by reducing stress and feelings of isolation. However, the success of telehealth implementation is highly dependent on technological readiness, patient digital literacy, and data security and privacy. Suggestion: The use of Telehealth/Mobile Health is recommended as a non-pharmacological intervention that is easy to implement to increase the independence of chronic kidney failure patients with PD at home   Keywords: Mobile Health; Peritoneal Dialysis; Self Management; Telehealth   Pendahuluan: Peningkatan jumlah pasien gagal ginjal kronis semakin meningkat, penggunaan dialisis peritoneal (PD) semakin dipromosikan karena memiliki beberapa keuntungan dari pada penggunaan hemodialisis. Selain beberapa keuntungan PD, terdapat komplikasi yang sering terjadi seperti peritonitis dan pengetahuan yang kurang sehingga diperlukan pemantauan jarak jauh untuk meningkatkan kemandirian pasien dalam melakukan perawatan sehingga meningkatkan kepuasan dan kualitas hidup pasien PD. Tujuan: Untuk mengetahui penggunaan telehealth dalam meningkatkan kemandirian pasien gagal ginjal kronis dengan peritoneal dialysis. Metode: Penelitian kualitatif tinjauan literatur sistematis tentang penggunaan Telehealth dalam meningkatkan kemandirian pasien gagal ginjal kronis dengan dialisis peritoneal. Sumber pencarian artikel menggunakan database Pubmed, Sage Journal, Scopus, Science Direct, dan ProQuest. Total artikel yang masuk tahap screening sebanyak 373 artikel, dan artikel yang dikategorikan eligible berdasarkan kriteria inklusi penelitian ini diperoleh sebanyak 10 artikel Hasil: Berdasarkan telaah dan review dari 10 artikel pilihan, didapatkan hasil bahwa Mobile Health atau eHealth meningkatkan kemandirian pasien berdasarkan dari pengetahuan, kemampuan pasien melakukan perawatan PD secara mandiri dirumah, peningkatan kepatuhan, kepuasan serta peningkatan kualitas hidup pasien gagal ginjal kronis dengan PD. Simpulan: Penggunaan telehealth efektif dalam membantu deteksi dini komplikasi, seperti peritonitis, serta meningkatkan kualitas hidup pasien dengan mengurangi stres dan rasa isolasi. Meski demikian, keberhasilan implementasi telehealth sangat bergantung pada kesiapan teknologi, literasi digital pasien, serta keamanan dan privasi data. Saran:  Penggunaan Telehealth/Mobile Health direkomendasikan sebagai salah satu intervensi non farmakologi yang mudah diterapkan untuk meningkatkan kemandirian pasien gagal ginjal kronis dengan PD di rumah.   Kata Kunci: Dialisis Peritoneal.; Kemandirian Pasien; Mobile Health; Telehealth.
Efektivitas virtual reality (VR) terhadap kecemasan, depresi, dan nyeri pada pasien yang menjalankan hemodialisa: A systematic review Azriwi Wahyuni; Krisna Yetti; Yulia Yulia; Agung Waluyo
Hik Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.764

Abstract

Background: Chronic kidney disease is one of the leading causes of mortality in the 21st century. Hemodialysis is a life-saving treatment for patients with end-stage renal disease; however, the procedure can cause pain, discomfort, anxiety, and depression, ultimately leading to a lower quality of life. Purpose: To examine the effects of virtual reality on anxiety, depression, and pain in patients undergoing hemodialysis. Method: Systematic review with randomized controlled trial (RCT) design. Articles were searched using 5 databases, namely Pubmed, Sage Journal, Springerlink, Proquest, and ScienceDirect published from January 2014 to December 2024. Results: Shows that there are 6 articles that meet the criteria and most of the studies reported that virtual reality interventions are effective in reducing levels of anxiety, depression, and pain in patients undergoing hemodialysis. Conclusion: Virtual reality interventions can be considered as adjunctive or alternative therapy to reduce anxiety, depression, and pain in patients undergoing hemodialysis.   Keywords: Anxiety; Depression; Hemodialysis; Pain; Virtual Reality.   Pendahuluan: Penyakit ginjal kronis merupakan salah satu penyebab kematian paling banyak di abad ke-21 ini. Hemodialisis adalah pengobatan yang dapat menyelamatkan jiwa bagi penderita penyakit ginjal stadium akhir, meskipun begitu, proses ini dapat menyebabkan rasa nyeri dan ketidaknyamanan,cemas dan depresi, sehingga mengakibatkan kualitas hidup menjadi lebih rendah. Tujuan: Untuk mengetahui efek virtual reality (VR) terhadap kecemasan, depresi dan nyeri pada pasien yang menjalankan hemodialisa. Metode: Systematic review dengan desain randomized controlled trial (RCT). Pencarian artikel menggunakan 5 database yaitu Pubmed, Sage Journal, Springerlink, Proquest, dan ScienceDirect yang terbit dari Januari 2014 hingga Desember 2024. Hasil: Menunjukkan bahwa terdapat 6 artikel yang memenuhi kriteria dan sebagian besar studi melaporkan bahwa, intervensi virtual reality efektif dalam menurunkan tingkat cemas, depresi, dan nyeri pada pasien yang menjalankan hemodialisa. Simpulan: Intervensi VR dapat dijadikan terapi pendamping atau pengganti untuk menurunkan tingkat kecemasan, depresi, dan nyeri pada pasien yang menjalankan hemodialisis.   Kata Kunci: Depresi; Hemodialisis; Kecemasan; Nyeri; Virtual Reality.
Co-Authors Agung Waluyo Allenidekania Allenidekania Azriwi Wahyuni Chloranyta, Shanty Dikha Ayu Kurnia Dikha Ayu Kurnia Elviera Djuma Jon Hafan Sutawardana Katarina Windhi Anggita Sari Krisna Yetti Krisna Yetti Kurnia, Dikha Ayu Masfuri Masfuri Mutarobin Mutarobin Nur Agustini Oktavianti, Dewi Siti Puteri Hirika Reptes Rabiatul Addawiah Ratna Sitorus Riri Maria Rizki Andriani Rohmah, Assyfa Siti S., Chiyar Edison Sapto Haryatmo Sri Hariyanti Sri Yona Thurayya Abdulwahid Eid Wasal Desrial Siregar Wendy Abigail Yengsi Mei Karmita Br Pasaribu