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Adaptation to Sexual Dysfunction in Patients with Chronic Renal Failure Akhyarul Anam; Lestari Sukmarini; Agung Waluyo
Jurnal Keperawatan Indonesia Vol 23, No 2 (2020): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i2.582

The prevalence of chronic renal failure in Indonesia tends to increase in the lower age group (45–54 years). Chronic renal failure may lead to impaired sexual function. A descriptive phenomenology study with in-depth interviews was carried out with 12 participants, and thematic content analysis was applied. Six themes were revealed, as follows: 1) adaptation process to sexual dysfunction experienced, 2) sexual dysfunction experience, 3) importance of fulfilling sexuality needs, 4) behavior in dealing with sexual dysfunction, 5) perception of the cause of sexual dysfunction, and 6) participants’ expectation of health service related to sexual function. The experience of adapting to sexual dysfunction became a meaningful process through partner involvement. Similar research involving more heterogeneous samples would benefit further discourse. Abstrak Adaptasi Terhadap Disfungsi Seksual Pada Pasien Gagal Ginjal Kronis. Prevalensi gagal ginjal kronis di Indonesia cenderung meningkat pada kelompok usia lebih muda (45-54 tahun). Gagal ginjal kronis sering menyebabkan gangguan fungsi seksualitas (disfungsi seksual). Penelitian ini bertujuan mendapatkan gambaran mendalam tentang pengalaman proses adaptasi pasien gagal ginjal kronis yang mengalami disfungsi seksual. Desain penelitian menggunakan deskriptif fenomenologi dengan wawancara mendalam. Dua belas partisipan diperoleh dengan teknik purposive sampling. Hasil penelitian ini teridentifikasi enam tema yaitu 1) proses adaptasi terhadap disfungsi seksual yang dialami partisipan, 2) disfungsi seksual yang dialami, 3) makna pentingnya pemenuhan kebutuhan seksualitas, 4) perilaku dalam menghadapi disfungsi seksual, 5) persepsi tentang penyebab disfungsi seksual, dan 6) harapan partisipan terhadap pelayanan kesehatan terkait fungsi seksualitas. Proses adaptasi yang dialami partisipan merupakan pengalaman yang sangat bermakna karena melibatkan dirinya sendiri dan hubungan interpersonal dengan pasangannya. Penelitian sejenis dengan sampel lebih heterogen diperlukan untuk memperkaya keilmuan. Kata Kunci: disfungsi seksual, gagal ginjal kronis, pengalaman proses adaptasi pasien

Mengatasi Konstipasi Pasien Stroke dengan Masase Abdomen dan Minum Air Putih Hangat Dameria Ginting; Agung Waluyo; Lestari Sukmarini
Jurnal Keperawatan Indonesia Vol 18 No 1 (2015): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i1.394

Perawat memiliki peranan yang penting mengatasi konstipasi pada pasien stroke selama perawatan di rumah sakit. Penelitian ini bertujuan untuk mengetahui perbedaan masase abdomen dengan masase abdomen dan minum air putih hangat pada pasien stroke yang mengalami konstipasi terhadap proses defekasi di Kota Medan. Penelitian kuasi eksperimen dengan dua kelompok intervensi dan satu kelompok kontrol menggunakan pendekatan purposive sampling dengan total empat puluh tujuh responden,Â masing-masing empat belas responden kelompok masase abdomen, enam belas responden kelompok masase abdomen dan minum air putih hangat, dan tujuh belas responden intervensi standar diobservasi setiap hari selama tujuh hari. Proses defekasi terhadap ketiga kelompok dilihat dari waktu terjadinya defekasi antara kelompok intervensi I dan II dengan nilai p= 0,015, dan dari frekuensi defekasi antara kelompok intervensi II dan kelompok kontrol dengan nilai p= 0,000. Hasil penelitian ini diharapkan dapat menjadi evidence based practice dalam asuhan keperawatan medikal bedah dalam memberikan intervensi keperawatan terhadap pasien stroke yang mengalami konstipasi sehingga perawatan terapi komplementer di bidang keperawatan dapat dikenal dan memberikan manfaat sebagai pencegahan dan pengobatan alami.Â AbstractÂ Overcoming Constipation on Stroke Patient with Abdominal Massage and Drinking Warm Plain Water. Nurses had an important role to overcome constipation of stroke patient during the treatment in hospital. This study was aimed to find out the difference of abdominal massage and abdominal massage with dringking warm plain water to defecation process of stroke patient in Medan. This quasi experimental study used two intervention groups and one group as a control,Â this purposive sampling approach had 47 respondents, they were 14 respondents in the abdominal massage intervention group, 16 respondents in the abdominal massage with drinking warm plain water intervention group and 17 respondents in standard intervention Â group. Defecation process was observed everyday for seven days. Defecation process of the three groups were analyzed from the time of significant defecation between the first and the second intervention group (p= 0.015), and the time of significant defecation between the second intervention and control group (p= 0.00). The results of this study are expected to be as evidence-based practice in medical-surgical nursing care in the nursing interventions in stroke patients who experience constipation so that complementary therapies in the field of nursing care can be known and provide to be used as a preventative and natural medicine.Â Keywords: constipation, abdominal massage, drinking warm plain water, defecation process, stroke

Kualitas Hidup Pasien Gagal Ginjal yang Menjalani Hemodialisis Dengan Metode Single-use dan Reuse di RSPAD Gatot Subroto dan RS PGI Cikini Jakarta Moh. Fuad Almubarok; Lestari Sukmarini
Ners Jurnal Keperawatan Vol 12, No 2 (2016)
Publisher : Fakultas Keperawatan Universitas Andalas

Abstract Haemodialysis may impact on various aspects of patients, including: their daily activities, social roles and psychological aspects. The application of re-use and single-use methods of haemodialysis could be resulting in different quality of life of haemodialysis patients. This study aimed to explore quality of life of kidney failure patients undergoing haemodialysis with single-use and re-use methods. This descriptive study used cross sectional approach, recruited 70 kidney failure patients undergoing haemodialysis by consecutive sampling technique. Data collecting used KDQOL-SF 36 questionnaires and medical record, analysis used univariat and bivariate: T-test and chi-square test to determine the relating factors of quality of life. The result revealed that there were 45,7% respondents with single-use method had good quality of life and 34,30% respondents with re-use method had good quality of life. The related factors of quality of life were adequacy (P: 0,001), Hb (P: 0,003), albumin (P: 0,001), blood pressure (P: 0,002), and periode of haemodialysis (P: 0,030). The quality of life among those patients (single-use and re-use method) mostly were poor. It is necessary to evaluate quality of life on these patients regularly and consistently, thus initiate to develop nursing management to increase their quality of life. Keywords : Kidney Failure Patients, Single-use and Re-use Haemodialysis Methods, Quality of Life Abstrak Hemodialisis (HD) dengan metoda single-use dan re-use berdampak terhadap aktivitas harian, peran sosial dan aspek psikologis. Pemakaian metoda ini dapat menghasilkan kualitas hidup yang berbeda pada pasien gagal ginjal. Penelitian ini bertujuan untuk mengetahui kualitas hidup pasien gagal ginjal yang menjalani hemodialisis dengan metoda single-use dan re-use. Penelitian ini menggunakan desain deskriptif cross sectional dan melibatkan 70 pasien gagal ginjal yang dipilih dengan teknik consecutive sampling. Pengumpulan data dilakukan dengan kuesioner KDQOL-SF 36 dan catatan rekam medik. Analisa data menggunakan univariat dan bivariat: T-test dan Chisquare untuk melihat hubungan beberapa faktor dengan kualitas hidup. Terdapat 45,70% responden dengan metoda single-use yang memiliki kualitas hidup yang baik dan 34,30% responden dengan metoda re-use yang memiliki kualitas hidup yang baik. Faktor yang berhubungan dengan kualitas hidup adalah: adekuasi (P value 0,001), Hb (P value 0,003), albumin (P value 0,001), tekanan darah (P value 0,002) dan lama menjalani hemodialisis (P value 0,030). Responden yang berkualitas hidup baik masih rendah jumlahnya, maka perlu melakukan evaluasi penilaian kualitas hidup secara reguler dan konsisten untuk selanjutnya menjadi tolok ukur mengupayakan manajemen keperawatan dalam meningkatkan kualitas hidup pasien. Kata kunci : Pasien Gagal Ginjal, Metoda HD single-use dan re-use, Kualitas Hidup

PRAKTIK BERBASIS BUKTI: MASASE INTRADIALISIS UNTUK MENGURANGI KRAM OTOT PADA PASIEN HEMODIALISIS Dhian Luluh Rohmawati; Krisna Yetti; Lestari Sukmarini
Media Keperawatan:Politeknik Kesehatan Makassar Vol 11, No 1 (2020): Media Keperawatan: Politeknik Kesehatan Makassar
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Makassar

Kram otot sering dialami oleh pasien hemodialisis yang menyebabkan ketidaknyamanan, waktu perawatan yang diperpendek dan dosis dialisis yang tidak adekuat. Kram sering menyebabkan kualitas tidur yang buruk, kecemasan, hingga kualitas hidup yang menurun. Penerapan EBN menggunakan critical review dan pelaksanaannya menggunakan model Stetler. Berdasarkan hasil bukti ilmiah, masase intradialisis adalah terapi modalitas yang dapat diterapkan untuk mengurangi skala kram otot pada pasien hemodialisis. Penerapan EBN ini bertujuan untuk mengidentifikasi keefektifan masase intradialisis pada kejadian kram otot pada pasien hemodialisis. Penelitian penerapan EBN dilaksanakan dengan jumlah sampel 14 orang pasien hemodialisis. Hasil penerapan EBN menunjukkan bahwa masase intradialisis efektif dalam mengurangi skala kram otot pada pasien hemodialisis (p<0,005). Masase intradialisis dapat diaplikasikan perawat sebagai intervensi manajemen non farmakologi untuk mengurangi skala kram otot.

TRANSCUTANEOUS ELECTRIC NERVE STIMULATION (TENS) IN TYPE II DIABETES MELLITUS PATIENT WITH COMPLICATION OF PAINFUL DIABETIC NEUROPATHY (PDN) Aris Nur Ramdhani; Lestari Sukmarini
NurseLine Journal Vol 1 No 2 (2016): November 2016
Publisher : Faculty of Nursing, Universitas Jember

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

Complication that can occur in type II diabetes mellitus is painful diabetic neuropathy (PDN). The impact of untreated PDN is an increased risk of amputation. PDN is assessed by using a valid and reliable instrument of neuropathic pain, namely Douleur Neuropathique en 4 questions (DN4) questionnaire. One of nursing interventions for PDN is Transcutaneous Electrical Nerve Stimulation (TENS) which can help reduce pain and increase the ability to feel touch/light pressure of the lower extremities. This research aimed to analyze the nursing intervention of TENS in diabetic patients with symptoms of PDN. This research used experimental method applied to one patient with type II diabetes who has PDN symptom. TENS was applied for 5 days with the duration of 30 minutes for each day. The results showed decrease in Visual Analogue Scale (VAS) from 5 to 2 (0-10) and an increased ability in feeling touch/light pressure to the lower extremities. Therefore TENS intervention is highly recommended to be applied in nursing care, especially for patients with type II diabetes mellitus.

The Deferences of Xylitol Chewing Gum and Mouthwash on Xerostomia in Chronic Renal Failure Patients Hendra Adi Prasetya; Ratna Sitorus; Lestari Sukmarini
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): November 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.131 KB)

Increased blood urea or uremic levels often experienced by patients with Chronic Renal Failure can lead to decreased salivary secretion and xerostomia. Xerostomia is a common symptom of difficulty in chewing, swallowing, decreased taste, speaking, increased oral mucosal lesions, and limited tolerance of dentures. This problem will have an impact on increasing thirst sensations that affect the patient to increase fluid intake that leads to an increase Interdialytic Weight Gain and lead to decreased Quality of Life patients. The aim of this research was to know the effect of chewing gum xylitol and mouthwash on xerostomia in chronic renal failure patients. The design was quasi experiment involving 30 respondents selected by consecutive sampling technique and divided into two groups. Xerostomia measured four times in each session of hemodialysis. The results of study showed there was no differences in the four xerostomia measurements in both intervention groups with p-value> 0.05. However, it is seen from the patient's development chart that the xylitol gum intervention reduced xerostomia faster than the mouthwash intervention. The conclusion of this research was xylitol chewing gum and mouthwash had same effect to reduce xerostomia in patients with chronic renal failure. The results of this study can be recommended to be applied as an intervention to resolve xerostomia in chronic renal failure patients.

THE RELATION BETWEEN PATIENTS' PERCEPTION OF CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) AND SELF-EFFICACY IN PATIENTS WITH CAPD Yohanes Gamayana; Yulia Yulia; Lestari Sukmarini
JURNAL KEPERAWATAN CIKINI Vol. 2 No. 1 (2021): Jurnal Keperawatan Cikini
Publisher : JURNAL KEPERAWATAN CIKINI

Background: CAPD is one of a few therapy that can be used to replace the kidney function. A good patient perception of CAPD can increase the self-efficacy of patients undergoing CAPD. The majority of CAPD patients are HD patients who have a perceived experience of both physical and psychological discomfort. The research objective was to determine the relation between perceptions of CAPD measures and self-efficacy in patients undergoing CAPD. Methods: This study used a cross-sectional approach. The number of samples of 75 respondents was selected by consecutive sampling technique. Results: The logistic regression test results show that there is a relation between perceptions of CAPD measures and self-efficacy in patients undergoing CAPD with the confounding variable that affected by social support. Conclusions: Nurses need to improve their abilities when assessing patient perceptions and increasing the role of social support, so that the information obtained becomes the basis for increasing self-efficacy in patients undergoing CAPD.

The Six-Minute Walking Exercise on The Fatigue Levels in Hemodialysis Patients Yohanes Gamayana Trimawang Aji; Krisna Yetti; Lestari Sukmarini
PUINOVAKESMAS Vol. 1 No. 1 (2020): April
Publisher : Pusat Unggulan Iptek (PUI) Poltekkes Kemenkes Yogyakarta

Patients undergoing routine hemodialysis are often experiencing fatigue. One of the interventions was made to minimize the level of fatigue through the six-minute walking exercise. This study aims at investigating the effectiveness of the six-minute walking exercise on the decreasing level of fatigue in patients undergoing hemodialysis. The method used is quasi-experiment with pretest-posttest control group design. Sixteen HD patients were recruited into two groups: the exercise training group (n= 8) and the control group (n= 8). The six-minutes walking was conducted in March - April 2017 in the hemodialysis room of Fatmawati Hospital Jakarta. Results indicated a significant decrease in fatigue level in the intervention group after four six-week walking exercises over a 2-week period. This is evidenced in the intervention group, there is a decrease in fatigue level from the category of moderate fatigue to mild fatigue. Six-minute walking exercise can be applied and developed by nurses as a part of a health education program to decrease fatigue levels in patients undergoing hemodialysis.

Kepatuhan Diet dengan Kejadian Rawat Inap Ulang Pasien Pascalaparoskopi Kolesistektomi Rif'atul Fani; Debie Dahlia; Lestari Sukmarini
Jurnal Keperawatan Vol 7 No 2 (2022): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v7i2.1042

Kepatuhan diet pasien pascalaparoskopi kolesistektomi penting dilakukan karena pasien tidak lagi memiliki kandung empedu yang berfungsi dalam pencernaan lemak. Kepatuhan diet rendah lemak merupakan indikator keberhasilan perawatan di rumah. Jika pasien tidak patuh, dapat menyebabkan kejadian gastritis,diare, mual, dan muntah yang menjadi alasan pasien menjalani rawat inap ulang. Tujuan penelitian untuk mengetahui hubungan kepatuhan diet dengan kejadian rawat inap ulang pada pasien pascalaparoskopi kolesistektomi. Penelitian ini menggunakan desain cross-sectional dengan pendekatan retrospektif. Jumlah sampel 80 responden yang didapatkan dengan tehnik consecutive sampling. Metode pengumpulan data dengan kuesioner dan lembar pengumpulan data. Analisis hasil penelitian menggunakan uji korelasi Spearman. Hasil penelitian didapatkan nilai p = 0,0001 (α < 0,05) yang menunjukkan ada hubungan signifikan antara kepatuhan diet dengan kejadian rawat inap ulang pasien pascalaparoskopi kolesistektomi. Hubungan kepatuhan diet dengan kejadian rawat inap ulang menunjukkan kekuatan hubungan sedang (r=0,465) dan berpola positif yang artinya semakin tidak baik kepatuhan diet maka kecenderungan untuk terjadi rawat inap ulang akan lebih tinggi dibandingkan pasien dengan kepatuhan diet yang baik. Edukasi tentang diet rendah lemak harus menjadi perhatian perawat untuk menurunkan kejadian rawat inap ulang.

The Deferences of Xylitol Chewing Gum and Mouthwash on Xerostomia in Chronic Renal Failure Patients Hendra Adi Prasetya; Ratna Sitorus; Lestari Sukmarini
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): July-December 2020
Publisher : Global Health Science Group

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

Increased blood urea or uremic levels often experienced by patients with Chronic Renal Failure can lead to decreased salivary secretion and xerostomia. Xerostomia is a common symptom of difficulty in chewing, swallowing, decreased taste, speaking, increased oral mucosal lesions, and limited tolerance of dentures. This problem will have an impact on increasing thirst sensations that affect the patient to increase fluid intake that leads to an increase Interdialytic Weight Gain and lead to decreased Quality of Life patients. The aim of this research was to know the effect of chewing gum xylitol and mouthwash on xerostomia in chronic renal failure patients. The design was quasi experiment involving 30 respondents selected by consecutive sampling technique and divided into two groups. Xerostomia measured four times in each session of hemodialysis. The results of study showed there was no differences in the four xerostomia measurements in both intervention groups with p-value> 0.05. However, it is seen from the patient's development chart that the xylitol gum intervention reduced xerostomia faster than the mouthwash intervention. The conclusion of this research was xylitol chewing gum and mouthwash had same effect to reduce xerostomia in patients with chronic renal failure. The results of this study can be recommended to be applied as an intervention to resolve xerostomia in chronic renal failure patients.

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