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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 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.
Co-Authors Agung Waluyo Allenidekania Allenidekania Chloranyta, Shanty Dikha Ayu Kurnia Dikha Ayu Kurnia Elviera Djuma Hafan Sutawardana, Jon Katarina Windhi Anggita Sari Krisna Yetti Kurnia, Dikha Ayu Maria, Riri Masfuri - 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 Yona, Sri