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Journal : Indonesian Journal of Health Development

HUBUNGAN LAJU FILTRASI GLOMERULUS DENGAN KADAR HEMOGLOBIN DAN KALSIUM PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS Fiora Ladesvita; lilis mulyani
Indonesian Journal of Health Development Vol 3 No 2 (2021): IJHD
Publisher : Fakultas Ilmu kesehatan UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52021/ijhd.v3i2.101

Abstract

Chronic Kidney Disease (CKD) didefinisikan sebagai kerusakan ginjal dengan penurunan Glomerular Filtration Rate (GFR) kurang dari 60 ml/menit/1,73 m2 yang terjadi selama lebih dari tiga bulan. Penurunan fungsi ginjal dapat menyebabkan produksi hormon eritropoietin yang berfungsi untuk memproduksi sel darah berkurang sehingga dapat menyebabkan penurunan kadar hemoglobin. Selain itu, kerusakan ginjal dapat menyebabkan penurunan aktivasi vitamin D yang dapat menyebabkan penyerapan kalsium di usus berkurang. Tujuan dari penelitian ini adalah untuk mengetahui hubungan GFR dengan kadar hemoglobin dan kadar kalsium pada pasien CKD yang menjalani hemodialisis. Penelitian ini menggunakan desain cross sectional dengan pendekatan retrospektif menggunakan rekam medis pasien CKD yang menjalani hemodialisis dari bulan Januari sampai Desember 2020. Penelitian ini dilakukan pada 95 sampel dengan metode consecutive sampling. Uji korelasi pearson menunjukkan nilai p 0,000 dan nilai r 0,974 untuk korelasi antara GFR dan kadar hemoglobin. Juga pengujian menunjukkan nilai p 0,000 dan nilai r 0,950 untuk korelasi antara GFR dan kadar kalsium. Kesimpulannya, ada hubungan yang signifikan antara GFR dengan kadar hemoglobin dan kadar kalsium. Kata kunci: Penyakit Ginjal Kronis, Laju Filtrasi Glomerulus, Hemoglobin, Kalsium
PERBANDINGAN KUALITAS HIDUP PASIEN YANG MENJALANI TERAPI HEMODIALISA BERDASARKAN AKSES VASKULAR Fiora Ladesvita; nanda syifa
Indonesian Journal of Health Development Vol 4 No 2 (2022): IJHD
Publisher : Fakultas Ilmu kesehatan UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52021/ijhd.v4i2.106

Abstract

In patients CKD undergoing hemodialysis, it will have an impact on the psychological and physical conditions which will result in a decrease in the patient's quality of life. Hemodialysis requires long-lasting vascular access with minimal complications. Because vascular access has a risk of complications that will worsen the patient's life situation. So it is necessary to choose vascular access for hemodialysis so that it can improve the patient's quality of life. This study aims to compare the quality of life of patients undergoing hemodialysis based on vascular access. This study used a quantitative research design and a cross sectional research method with the Mann Whitney test to determine the differences in the specified variables. The sample collection technique used is probability sampling as many as 101 respondents. The instrument used in this study was Kidney Disease Quality of Life (KDQOL-SF36). The results showed that there were differences in 3 domains of quality of life between AVF and CDL, namely the symptom and problem domains, burden due to kidney disease, SF-12 physical health (p-value: 0.040; 0.050; 0.008 which means P<0.05). In addition, the mean quality of life in AVF is greater than in CDL. This research is expected to add and increase knowledge about the quality of life of patients undergoing hemodialysis therapy based on vascular access. Keywords: Vascular access, Quality of life, Hemodialysis.
ACTIVITY DAILY LIVING DAN QUALITY OF LIFE PASIEN KANKER YANG MENJALANI KEMOTERAPI Fiora Ladesvita; Selvy Juwita Sari
Indonesian Journal of Health Development Vol 5 No 1 (2023): IJHD
Publisher : Fakultas Ilmu kesehatan UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52021/ijhd.v5i1.115

Abstract

Kanker merupakan penyakit akibat keganasan sel yang ditandai dengan pembelahan sel yang abnormal, terjadi terus menerus dan tidak terkontrol. Salah satu terapi pengobatan penyakit kanker yaitu kemoterapi yang bertujuan untuk menekan pertumbuhan sel kanker menjadi lebih ganas. Dampak kemoterapi menyebabkan penurunan kemampuan aktivitas hidup pasien yang berakibat pada kualitas hidup. Tujuan penelitian untuk menganalisis hubungan aktivitas kehidupan sehari-hari dengan kualitas hidup penderita kanker. Penelitian kuantitatif ini menggunakan desain korelasional dengan pendekatan cross sectional dengan jumlah sampel sebanyak 63 orang melalui teknik purposive sampling. Data yang diambil diperoleh dari data primer dengan insturmen kualitas hidup dan kemampuan aktivitas. Hasil penelitian melalui uji korelasi Spearman, diperoleh bahwa ada hubungan antara aktivitas hidup sehari-hari dengan kualitas hidup penderita kanker (p value = 0,014). Efek samping yang terjadi akibat kemoterapi akan mempengaruhi kualitas hidup pasien kanker.
FAMILY SUPPORT SYSTEM AND THE BODY IMAGE OF BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY IN JAKARTA Wijayanti, Sekar; Ladesvita, Fiora
Indonesian Journal of Health Development Vol 5 No 2 (2023): IJHD
Publisher : Fakultas Ilmu kesehatan UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52021/ijhd.v5i2.126

Abstract

Background: Cancer and its treatment can trigger pressure on breast cancer patients which can cause health problems both physically, psychologically, physiologically and socially in breast cancer patients. The purpose of this study was to analyze the relationship between family support and body image of breast cancer patients undergoing chemotherapy. Method: The methode in this quantitative research is using a cross sectional design. The sampling technique used was accidental sampling with a total sample of 33 people. Results: the average age of the respondents was 49 years with the majority being female (97%), the last education was high school (66.7%) and the majority were housewives (63.6%), the most common cancer stage was stage II (48, 5%) with an average length of chemotherapy 4 and 5 cycles (27.3%). A total of 19 (57.6%) had good family support and 14 (42.4%) had poor family support. As many as 21 (63.6%) had body image disturbances and 12 (36.4%) did not experience body image disturbances. Conclusion: It can be concluded that there is a significant relationship between family support and body image of breast cancer patients undergoing chemotherapy using the chi-square correlation test with a p-value of 0.003 (<0.05) and OR = 5.6.Recommendation: Increasing family support for breast cancer patients who experience body image problems should be a concern among nurses. Further studies are required by taking into account other risk factors that have a significant impact on body image of breast cancer patients.