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SELF-EFFICACY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS Leli Herawati; Fahrizal Alwi; Mery Silvia Harahap; Sri Wahyuni; Amel Amel
Jurnal Penelitian Keperawatan Medik Vol. 8 No. 2 (2026): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v8i2.2952

Abstract

Patients with chronic kidney disease (CKD) undergoing lifelong hemodialysis often experience declines in quality of life across physical, psychological, social, and environmental domains. The demanding treatment schedule may also lead to fatigue and reduced motivation. Self-efficacy is considered an important factor influencing patients’ ability to adapt to chronic illness. This quantitative study used a descriptive correlational design with a cross-sectional approach. The population consisted of 388 patients undergoing hemodialysis, with 80 respondents selected using purposive sampling. Data were collected using the WHOQOL-BREF and General Self-Efficacy (GSE) questionnaires. Statistical analysis was performed using the chi-square test. The findings showed a statistically significant relationship between self-efficacy and quality of life (p = 0.001; p < 0.05). Patients with higher self-efficacy tended to report better quality of life across measured domains. Self-efficacy plays a crucial role in shaping patients’ health behaviors and their ability to cope with long-term treatment demands. Strengthening self-efficacy may contribute to improved overall well-being in patients undergoing hemodialysis.
Perceptions of Islamic Religiuos Figures on the Development of the Role of Exclusive Breastfeeding Ambassadors in Premarital Education as An Effort to Prevent Stunting Herawati Harahap; Guslaini Permata Intan Pan Harahap; Nila Handayani; Rika Apripan; Dewi Arjuna Putri Pan; Rosmainun Rosmainun; Fahrizal Alwi; Wiwi Wardani Tanjung
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.v8i4.2465

Abstract

Stunting remains a public health problem in Padangsidimpuan City, with a prevalence reaching 30.3%. Stunting prevention needs to begin premarital by improving literacy among prospective brides and grooms. Islamic religious leaders are trusted figures in the community and have the potential to act as ambassadors for exclusive breastfeeding in premarital education. This study aims to explore the perceptions of Islamic religious leaders regarding the development of their role as exclusive breastfeeding ambassadors in premarital education as an effort to prevent stunting in Padangsidimpuan City. The study used a qualitative approach with a phenomenological design. Six informants were purposively selected, consisting of Islamic religious leaders involved in premarital counseling. Data were collected through in-depth interviews using a semi-structured interview guide and analyzed thematically. The analysis yielded five themes: 1) religious leaders' understanding of stunting and exclusive breastfeeding; 2) perceptions of developing their role as exclusive breastfeeding ambassadors; 3) readiness and capacity building needs; and 4) expectations for model development. Religious leaders demonstrated positive perceptions and expressed a willingness to act as exclusive breastfeeding ambassadors, with support from training, modules, educational media, standard operating procedures (SOPs), and cross-sector collaboration. Islamic religious leaders have significant potential to be empowered as exclusive breastfeeding ambassadors in premarital education. Developing a model supported by capacity building and cross-sector collaboration is expected to improve literacy among prospective brides and grooms and contribute to stunting prevention in Padangsidimpuan City.
Effectiveness of Breastfeeding Corners in Evacuation Camps During Disasters Eva Yusnita Nasution; Maryam Latifah; Juliana Lubis; Wiwi Wardani Tanjung; Fahrizal Alwi; Mery Silvia Harahap
Indonesian Journal of Global Health Research Vol. 9 No. 1 (2027): Indonesian Journal of Global Health Research: February 2027
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v9i1.2908

Abstract

Breastfeeding is essential for reducing infant morbidity and mortality, particularly in disaster evacuation camps. However, overcrowding and limited privacy may discourage breastfeeding and negatively affect maternal psychological well-being. Providing designated breastfeeding corners may help create a more comfortable and supportive environment for breastfeeding mothers. To evaluate the effectiveness of breastfeeding corners in maintaining breast milk production among breastfeeding mothers in disaster evacuation camps. A quantitative quasi-experimental study was conducted using a pretest–post-test control group design. Sixty breastfeeding mothers in South Tapanuli Regency, Indonesia, were recruited through purposive sampling and allocated to an intervention group (n = 30) and a control group (n = 30). Data were collected using questionnaires and observation sheets. Within-group and between-group differences were analysed using paired-samples and independent-samples t-tests, respectively. Logistic regression was used to further examine the association between the provision of breastfeeding corners and the continuity of breast milk production. The findings demonstrated statistically significant differences in post-test scores and changes in scores between the intervention and control groups (p < 0.001). These results suggest that providing breastfeeding corners was more effective than usual evacuation-camp conditions in improving the continuity of breast milk production. Breastfeeding corners may serve as a practical intervention to support the continuity of breast milk production among mothers affected by disasters. Integrating dedicated breastfeeding spaces into evacuation-camp facilities may help create a more supportive environment for breastfeeding.