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Multidimensional Symptom Burden among Patients with Hemodialysis in Indonesia Hinin Wasilah; Dhea Natashia; Chen- Hui Huang; Hsing- Mei Chen; Miaofen Yen
Jurnal Keperawatan Padjadjaran Vol. 9 No. 2 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i2.1660

Abstract

Background: Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzed the symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptom assessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden. Purpose: The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively. Methods: This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruited from the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto Mangunkusumo National Hospital). Indonesian Version of Chronic Kidney Disease – Symptom Burden Index (CKD-SBI) was used. For the data analysis, descriptive analysis was used. Results: Total 320 subjects were collected. This study found that lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%), severity (mean = 4.28, SD = 3.08), distress (mean = 4.42, SD = 3.09), and frequency (mean = 4.41, SD = 3.27). Furthermore, decreased interest in sex was the highest psychological symptom burden under for dimensions: occurrence 210 (65.6%), severity (mean = 3.39, SD = 3.38), distress (mean = 2.92, SD = 2.99), frequency (mean = 3.70, SD = 3.65). Conclusion: Lack of energy and decreased interest in sex were consistently the highest symptom burden among patients with hemodialysis. Creating appropriate interventions and managing the symptoms experienced by patients with hemodialysis comprehensively is very important to improve their quality of life.  
Fatigue Dan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis Dengan Terapi Hemodialisa Dhea Natashia; Diana Irawati; Fajar Hidayat
Jurnal Keperawatan Muhammadiyah Vol 5, No 2 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v5i2.6540

Abstract

Objective: The aim of this study was to investigate the relationship of fatigue to the quality of life among patients who undergo hemodialysisMethods: A descriptive correlative study with purposive sampling technique was applied in this study. Data obtained from direct observation using the FACIT-F questionnaire and WHOQOL BREF. A total of 80 respondents was recruited.Results:   The results of the study showed the average age of the subject were 47 years, 56% of them were male, and the majority had a high school educational background. Most of the patients had a length of hemodialysis for more than two years. Hemodialysis patients were experienced fatigue with a mean value of 26,50 (SD = 7.07). Among domains of quality of life, the social domain had the lowest score (9.38). Multivariate analysis showed there was a consistent correlation between fatigue and four domains of quality of life.Conclusion:   Fatigue is a major problem experienced by the patient’s hemodialysis and influences their quality of life. The researchers suggest the health services can improve promotive and preventive efforts through education, training, related to fatigue to promote quality of life for clients who undergo hemodialysis, especially female, older age, and lower educational status. Further research is expected to examine the other variables such as social support and environment
Pengaruh Akupresur terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2 di Persadia RS Islam Jakarta Cempaka Putih Jumari Jumari; Agung Waluyo; Wati Jumaiyah; Dhea Natashia
Journal of Telenursing (JOTING) Vol 1 No 1 (2019): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (574.574 KB) | DOI: 10.31539/joting.v1i1.536

Abstract

This study aimed to identify the effect of acupressure on blood glucose levels in type 2 diabetes mellitus patients. This study used a quasi-experimental design with a pre-post test design approach. The results showed a significant difference in blood glucose levels between the intervention group and the control group (t = 4.22; p = 0.001). In conclusion, acupressure is an effective intervention to reduce blood glucose levels in patients with type 2 diabetes mellitus. Keywords: Acupressure, Type 2 Diabetes Mellitus, Blood Glucose Levels
Hubungan Tingkat Spiritualitas dengan Kualitas Hidup Pasien Gagal Ginjal Kronik selama Masa Pandemi Covid-19 dewi adnan; Dewi Gayatri; Dhea Natashia; Wati Jumaiyah; Kustiyuwati Kustiyuwati
Jurnal Kesehatan Komunitas Vol 8 No 2 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss2.1178

Abstract

Patients with chronic kidney disease who undergo hemodialysis are very susceptible to COVID-19 infection. The level of spirituality has a very important role in alleviating suffering and also has an influence on health outcomes in order to maintain the quality of life of patients with CKD. This study aims to identify the relationship between Spirituality and Quality of Life of patients with CKD during the COVID-19 pandemic. This research method uses descriptive analytic with cross sectional approach. The sample of this study were 154 patients with Chronic Kidney Failure who were at the Islamic Hospital Jakarta Pondok Kopi. The measurement instrument uses a Spirituality Level scale that adapts the daily spiritual experience scale (DSES) and a quality of life scale that adapts kidney disease and quality of life (KDQOL-36TM). Data collection using google form is carried out for ± 1 month, data processing using SPSS version 25. Results Statistical test using binary logistic regression analysis found a significant relationship between spirituality level and quality of life (B: 1.513. p = 0.001, OR: 4.539, 95% CI: 1.880; 10.963). The conclusion is that the quality of life of patients with CKD during the COVID-19 pandemic can be maintained by increasing the patient's spirituality level after being controlled by social support, Hb value, length of illness and comorbidities. This study recommends the need for nurses to increase the level of spirituality in patients with chronic kidney failure in order to improve their quality of life.
Hubungan spiritualitas dengan kesejahteraan psikologis pasien positif Covid-19 di RS Islam Jakarta Dede Kurniati; Dewi Gayatri; Dhea Natashia
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 18, No 2 (2022): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.2444

Abstract

Corona virus menimbulkan dampak bagi kesehatan fisik,ekonomi,sosial,kesehatan mental sehingga mempengaruhi kesejahteraan psikologis. Tujuan mengetahui hubungan antara spiritualitas dengan kesejahteraan psikologis pada pasien yang terkonfirmasi positif Covid-19. Desain cross-sectional dan 216 responden terkonfirmasi Covid-19 menggunakan google form dengan analisis regresi logistik ganda. Skala kesejahteraan psikologis mengadaptasi PWBS, skala spiritualitas mengadaptasi DSES. HasiI adanya hubungan bermakna antara spiritualitas dengan kesejahteraan psikologis, adapun individu yang mempunyai spiritualitas tinggi 2,8 kali lebih besar mempunyai kesejahteraan psikologis baik dibandingkan dengan individu yang memiliki spiritualitas rendah setelah dikontrol oleh pernikahan, pendidikan, pekerjaan, pendapatan, komorbiditas, stadium penyakit, lama masa perawatan, frekuensi pemeriksaan swab, komorbiditas, dukungan sosial.
PERUBAHAN FISIK DAN PSIKOSOSIAL MEMPENGARUHI KUALITAS HIDUP PASIEN HEMODIALISIS: Physical and Psychosocial Changes Affect the Quality of Life of Hemodialysis Patients Diana Irawati; Slametiningsih; Rizki Nugraha; Dhea Natashia; Asri Narawangsa; Nyimas Heny Purwati; Roswati Handayani
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 1 (2023): JIKep | Februari 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i1.1426

Abstract

Pendahuluan : Hemodialisis (HD) merupakan intervensi yang paling banyak dipilih oleh pasien End Stage Renal Disease (ESRD). Terapi ini dilakukan sepanjang hidup pasien sehingga dapat menyebabkan perubahan fisik dan psikologis. Perubahan yang kompleks dapat menjadi pemicu munculnya kondisi yang dapat mempengaruhi kualitas hidup pasien. Tujuan: Mengidentifikasi hubungan perubahan fisik dan psikososial pasien ESRD yang menjalani HD dengan kualitas hidupnya. Metode: Desain cross-sectional. Sebanyak 117 pasien di unit HD Rumah Sakit Islam Jakarta Cempaka Putih terlibat sebagai partisipan dalam penelitian ini. Hasil: Perubahan fisik berhubungan dengan kualitas hidup (PCS) pasien dengan HD (t = -2.061, p value = 0.042). Perubahan psikologis berhubungan dengan kualitas hidup pasien dengan HD pada komponen PCS dan MCS. Analisis multivariat menunjukan ansietas sebagai prediktor kualitas hidup pada aspek fisik (? = - .252, p = .038), sedangkan lama HD merupakan prediktor kualitas hidup pada aspek psikososial (? = .235, p = .006) Kesimpulan: Perubahan fisik dirasakan oleh pasien dengan frekuensi dan tingkat keparahan yang bervariasi. Berkaitan dengan indikator psikososial, kecemasan merupakan gangguan yang paling banyak dialami oleh pasien yang menjalani HD. Kualitas Hidup Komponen Fisik (PSC) lebih rendah dari Kualitas Hidup Komponen Mental (MCS) sebagai indikator Kualitas Hidup Penyakit Ginjal (KDQOL). Kecemasan dan Durasi HD adalah prediktor potensial Kualitas Hidup Pasien dengan HD
KESIAPAN IBU DALAM MERAWAT ANAK DENGAN PNEUMONIA PASCA HOSPITALISASI: Readiness of Mothers in Treating Children with Pneumonia Post Hospitalization Nyimas Heny Purwati; Dhea Natashia; Anita Apriliawati; Emmy Putri Wahyuni
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 1 (2023): JIKep | Februari 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i1.1427

Abstract

Pendahuluan : Pneumonia merupakan salah satu masalah kesehatan dan penyumbang terbesar penyebab kematian balita di dunia. Upaya perlu dilakukan untuk menyiapkan keluarga dalam asuhan maupun pemberian informasi sebagai persiapan pulang kepada keluarga tentang cara perawatan anak dengan pneuomonia. Hal tersebut menjadi dasar bagi keluarga menindaklanjuti pelaksanaan perawatan dan cara pencegahan pneumonia di rumah secara mandiri. Tujuan: Penelitian ini bertujuan untuk menilai kesiapan ibu dalam merawat anak dengan pneumonia pasca hospitalisasi. Metode: Desain penelitian ini adalah deskriptif analitik dengan metode cross-sectional, dengan sampel dalam penelitian ini adalah ibu yang memiliki balita pneumonia usia 2 sampai dengan 59 bulan. Hasil: Hasil analisis uji fisher exact didapatkan p value < 0,05 yang artinya ada hubungan yang bermakna antara pengetahuan, persepsi, dan psikomotor/keterampilan ibu dalam merawat balita dengan pneumonia pasca hospitalisasi. Hasil analisis juga didapatkan nilai OR yang bermakna ibu dengan pengetahuan dan sikap rendah memiliki risiko 88,0 kali lebih besar untuk tidak siap merawat anak dengan pneumonia, dan ibu yang tidak terampil berisiko 16,0 lebih besar untuk tidak siap merawat anak dengan pneumonia pasca hospitalisasi. Kesimpulan: Sehingga penting dilakukannya edukasi kepada orang tua terutama ibu saat berada di rumah sakit untuk meningkatkan pengetahuan, sikap, dan keterampilan dalam rangka kesiapan merawat anak dengan pneumonia pasca hospitalisasi
The Relationship Between the Application of Spiritual Care and Social Support with the Spirituality Level of Patients Confirmed Positive for Covid-19 Marni Marni; Dewi Gayatri; Dhea Natashia; Wati Jumaiyah
Jurnal Keperawatan Vol 14 No 3 (2022): Jurnal Keperawatan: September 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.044 KB)

Abstract

The COVID-19 pandemic has had a major impact on physical, economic, social and mental health so that it can affect the level of spirituality in humans. This study aims to determine the relationship between implementation and social support with spirituality levels in patients who are confirmed positive for Covid-19. This study used a cross sectional design on 138 confirmed Covid-19 patients at the Jakarta Islamic Hospital and used a questionnaire in the form of a google form with the analysis used, namely multiple logistic regression. The spirituality level scale adapts the daily spiritual experience scales (DSES), the spiritual care implementation scale adapts the Nursing Spiritual Care Therapeutics Scale (NSCTS) and social support adapts the Enrich Social Support Instrument (ESSI). This study shows the results of a significant relationship between the application of Spiritual Care with Spirituality Level (p=0.001) OR 3.919, and social support with spirituality level is very significant with a value (p=0.000/OR 4.167) while the dominant variable, namely social support has a high level of social support. high spirituality OR 3,580 times greater than having good social support compared to individuals who have low social support and the variable of implementing spiritual care OR 3,334 times higher than respondents having low spiritual care after being controlled by gender, age, religion, education and profession. This study recommends the need for nurses to increase spirituality values ​​in confirmed Covid-19 patients to be able to increase patient spirituality.
Pemberdayaan Keluarga dalam Merawat Anak Balita dengan Pneumonia Pasca Hospitalisasi Nyimas Heny Purwati; Dhea Natashia; Anita Apriliawati; Dewi Purnamawati; Emmy Putri Wahyuni; Tri Imrotun; Yuniarsih Yuniarsih
Jurnal Pengabdian Masyarakat Saga Komunitas Vol. 2 No. 2 (2023): Jurnal Pengabdian Masyarakat Saga Komunitas
Publisher : Sagamedia Indo Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jpmsk.v2i2.95

Abstract

Background: Pneumonia is an acute respiratory infection that attacks the lungs. Pneumonia causes symptoms of difficulty breathing which if left untreated will lead to death. Families with problems with family members who experience illness or disease often make the family unable to meet health care needs or experience powerlessness which worsens the health condition of family members who experience health problems. Nursing intervention is needed to overcome the problem of family powerlessness. Objectives: This community service aims to increase mothers' knowledge and perceptions of caring for toddlers with pneumonia after being hospitalized at Pasar Rebo Hospital. Methods: The method used consists of identifying problems and needs, assessing problems, formulating plans, providing health education, and monitoring the ability of mothers to care for toddlers with pneumonia after being hospitalized. This community service was carried out for four months from June to September 2022. The health education activity was carried out for one day in the children's care room at Pasar Rebo Hospital. The target of this community service activity is mothers who have toddlers with pneumonia who are treated at Pasar Rebo Hospital as many as 10 people. Results: The results of the evaluation show that the average value of knowledge is post-test> pre-test and the average value of attitude is post-test> pre-test. Conclusion: There is an increase in the knowledge and attitude of mothers in caring for children under five with pneumonia after hospitalization. Health education needs to be carried out on an ongoing basis for mothers who have children under five with post-hospitalization pneumonia so they can carry out optimal care and prevent repeated treatments.
HUBUNGAN PENGETAHUAN DAN SIKAP IBU DENGAN KEJADIAN PNEUMONIA PADA BALITA Nyimas Heny Purwati; Dhea Natashia; Sefa Aryanti
Husada Mahakam Vol 13 No 1 (2023): Mei 2023
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v13i1.385

Abstract

Penyakit pneumonia pada balita merupakan salah satu masalah kesehatan yang belum dapat terselesaikan, dan juga merupakan penyebab kematian balita terbesar di Indonesia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap ibu dengan kejadian pneumonia pada balita di Puskesmas Kecamatan Koja. Desain penelitian menggunakan cross sectional. Sampel penelitian ini balita dengan keluhan batuk atau sukar bernapas yang berobat di Puskesmas Kecamatan Koja dengan jumlah 103 responden yang diambil secara purposive sampling. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukan ada hubungan yang signifikan antara pengetahuan ibu dengan kejadian pneumonia pada balita (p- value = 0,004) dan ada hubungan yang signifikan antara sikap ibu dengan kejadian pneumonia pada balita di Puskesmas Kecamatan Koja (p-value = 0,001). Perawat di pelayanan kesehatan tingkat dasar diharapkan dapat meningkatkan pemberian pendidikan kesehatan tentang pneumonia kepada ibu yang memiliki balita, sehingga kejadian pneumonia pada balita dapat dicegah.