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Factors Contributing to Intradialytic Hypertension in Hemodialysis Patients Armiyati, Yunie; Hadisaputro, Suharyo; Chasani, Shofa; Sujianto, Untung
South East Asia Nursing Research Vol 3, No 2 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.2.2021.73-80

Abstract

Intradialytic hypertension (IDH) is the most common complication of hemodialysis patients in Indonesia. It must be controlled, to maintain the patient's quality of life and prevent worsening conditions. Some factors affecting IDH include predialysis fluid overload characterized by excessive interdialytic weight gain (IDWG), low adherence to fluid restriction and increased ultrafiltration during haemodialysis. The study aims to identify contributing factors of IDH. A case-control design was used in this study. A purposive sampling technique was used to recruit 92 samples at two centres of dialysis in Semarang, which was divided into case group (n=46) and control group (n=46). Data were analyzed using the Chi-square test by calculating Odds Ratios (OR). The finding showed that excessive IDWG (p=0,000, OR=16.95, 95% CI:5,56-51,65), low fluid adherence (p=0,001, OR=4,41, 95% CI:1,82-10,68) and excessive ultrafiltration (p=0,000, OR = 29,52, 95% CI:9,23-94,46) showed significant result. However, the incidence of IDH was not correlated with sex, age and length of haemodialysis. A greater increase in interdialytic weight requires lower fluid and higher ultrafiltration factors must be controlled precisely because those are considered as the risk factors for the high incidence of IDH. Excessive ultrafiltration is the most dominant risk factor in the high incidence of IDH.
NATURAL RESTORATIVE ENVIRONMENT TERHADAP KECEMASAN PADA PASIEN CHRONIC KIDNEY DISEASES: Natural Restorative Environment on Anxiety on Patients With Chronic Kidney Diseases Purnomo, Purnomo; Maksum, Maksum; Sujianto, Untung; Johan, Andrew; Miftakhul Nizar, Angga; Fitriani, Evi Tunjung
Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban Vol. 5 No. 1 (2023): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v5i1.212

Abstract

Chronic Kidney Disease (CKD) is a condition in which kidneys don’t function properly resulting in the accumulation of metabolic remnants. Hemodialysis therapy causes common psychological disorders, is anxiety due to changes in health status, self-acceptance, life threats, stress, and depression. Natural Restorative Environment (NRE) is an intervention that can use to reduce anxiety in patients. This study aimed to analyze the effect Natural Restorative Environment on anxiety in CKD patients on hemodialysis. The method in this research was a quasi-experiment with a pretest-posttest with a control group design. The sampling technique was carried out using cross-sectional sampling, namely 48 patients each with an intervention group and control group. Before and after the intervention, patients in the intervention group and the control group pre-test and post-test about the level of anxiety during hemodialysis therapy. Data analysis used Paired t-test, Wilcoxon-test, and Mann-Whitney U-test. The results showed a decrease in anxiety levels intervention group indicated by a p-value<0.001. Natural Restorative Environment (NRE) can be reducing anxiety in patients with CKD on hemodialysis Keywords: Anxiety; Chronic Kidneys Disease; Natural Restorative Environment
Manajemen Nyeri Non-Farmakologis dalam Mengurangi Nyeri pada Pasien HIV/AIDS: Scoping Review Pratiwi, Annisa; Sujianto, Untung; Muniroh, Muflihatul
Jurnal Keperawatan Vol 16 No 3 (2024): Jurnal Keperawatan: September 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i3.1868

Abstract

Permasalahan fisik yang paling sering dilaporkan penderita HIV/AIDS adalah nyeri. Dampak dari nyeri yaitu dapat mengganggu aktivitas, pola tidur, pekerjaan, suasana hati, dan menyebabkan penurunan kualitas hidup. Manajemen nyeri non-farmakologis dapat mengurangi nyeri, meningkatkan penyesuaian dan membuat pasien percaya bahwa pasien dapat mengendalikan rasa sakit. Tujuan dari scoping review ini adalah mengetahui manajemen nyeri non-farmakologis yang digunakan untuk mengurangi nyeri pada pasien HIV/AIDS. Metode: Sumber literatur diperoleh melalui pencarian dengan menggunakan database PubMed, Scopus, Sciencedirect, Proquest, dan Google Scholar. Kata kunci yang digunakan dalam pencarian yaitu HIV/AIDS, manajemen non farmakologi, dan nyeri. Persamaan pencarian diterapkan tanpa batasan, dengan mempertimbangkan judul, abstrak, intervensi, dan metode yang digunakan. Artikel yang telah didapatkan selanjutnya dianalisis perbedaan serta adanya duplikasi. Bagan untuk representasi visual tentang bagaimana pencarian dan pemilihan artikel dibuat PRISMA-SR flow diagram. Ekstraksi data dilakukan dengan membuat tabel. Hasil: manajemen nyeri non-farmakologis yang dapat dilakukan pada pasien HIV/AIDS yaitu perawatan profesional non-farmakologi (pijat, akupuntur/akupresur, terapi fisik, stimulator tulang belakang, kiropraktik, biofeedback dengan provider), mind-body treatment (latihan/exercise, meditasi, yoga), perawatan mandiri non-farmakologis (biofeedback, stimulasi saraf elektrik transkutan/TENS, hot/cold, gosok/pijat titik tubuh), hipnosis, latihan dan pendidikan dengan metode peer-led, pendidikan nyeri, dan terapi fisik. Simpulan penelitian ini adalah Manajemen nyeri non-farmakologis tersebut dapat menurunkan nyeri, meningkatkan kualitas hidup, dan mendukung pemulihan pasien HIV/AIDS secara holistik.
ONLINE APPLICATION BASED ON KING INTERACTION SYSTEM THEORY TO INCREASE TREATMENT ADHERENCE AND CLINICAL INDICATORS IN TB CHILDREN Sari, Ethyca; Nur Kristina, Tri; Sujianto, Untung; Suhartono; Sakti, Hastaning
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.369-380

Abstract

Introduction:  Non-adherence to treatment among TB children in Indonesia varied 40.5%-57.2%. An innovative method of education might improve treatment adherence and clinical recovery of TB children. The aims of this study were to compare the treatment adherence and clinical indicators of TB children who received an intervention using an online application based on King's theory with a conventional method. Methods: This is a quasi-experimental study to educate 55 TB school-age children using a validated online application based on King's interaction system theory, compared with the conventional method in 55 TB children as the control group. The medication regularity and control discipline were observed four times in weeks 2, 4, 6, and 8. Measurements of acid-fast bacilli (AFB) smear sputum examination, TB scoring, chest X-ray examination, level of Hb, and nutritional status were done twice in pre- and post-intervention. Data analysis used chi-square, paired t-test, independent t-test, Mann Whitney, McNemarᵇ. or Wilcoxon test. Results: The results of this study revealed that the intervention group was significantly successful compared to the control group in several indicators, such as increasing treatment adherence (p=0.001), controlling discipline (p=0.001), reducing AFB positive (p=0.001), TB scoring (p=0.001), infiltrate in chest X-ray examination ((p=0.013), and increasing Hb levels (p=0.001). Meanwhile, nutritional status could not be compared because, from the beginning of the study, the nutritional status was unbalanced and benefited the intervention group. Conclusion: The online application based on King's theory has succeeded in increasing medication adherence and clinical improvement of pulmonary TB in children.
Penurunan Nyeri Post Sectio Caesarea Melalui Teknik Relaksasi Benson dan Natural Sounds Berbasis Audio Visual Anggrayeni Purba; Anggorowati Anggorowati; Untung Sujianto; Muflihatul Muniroh
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.422 KB) | DOI: 10.31539/jks.v4i2.1808

Abstract

This study aims to research the results of the last ten years related to the effectiveness of Benson's relaxation and natural sounds against the decline in Post Sectio Caesarea pain. The method used in preparing this review literature is using several articles through nursing journals, Google Scholar, Science Direct, PubMed, Ebsco. The results of a review of several pieces of the study indicate that 78% of standard care using Benson's effective relaxation intervention in reducing post section Caesarea and 62% treatment by combining natural sounds is proven to be effective in reducing pain. In conclusion, Benson's relaxation intervention, and natural sounds are non-pharmacological therapies that are proven effective in reducing the pain of post section Caesarea. Keywords: Natural Sounds, Pain, Benson Relaxation, Caesarea Sectio
The Influence Of Spiritual Emotional Freedom Technique On Cortisol Levels in Ischaemic Stroke Patients Nurahman Hendra Kusuma, Aria; Pudjonarko, Dwi; Sujianto, Untung
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 13 Number 2 November 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v13i2.688

Abstract

Background: Ischaemic stroke patients experience an increase in cortisol of 38% over 90 days. The spiritual emotional freedom technique (SEFT) provides manual stimulation of acupuncture points, which makes the muscles feel relaxed so that they can control cortisol. This study set out to assess how SEFT affected the cortisol levels in patients who had suffered an ischaemic stroke. Methods: A control group and pre- and post-test measures were part of the quasi-experimental research design. There were seventy-one patients in the research population of the study. The sample was measured using the Slovin formula, and the sampling strategy used was purposeful sampling. Over the course of three months, the intervention group had 12 sessions of SEFT once a week, whereas the control group received regular spiritual treatment from RSUD Dr. Moewardi Surakarta, an outpatient nurse. The ELISA method was used to measure cortisol levels. The Kolmogorov-Smirnov test was used to assess normality, and the Levene test was used to test for homogeneity in bivariate data. The Mann-Whitney method was used to analyze the data. Results: The mean cortisol before intervention was 119.63, and the mean cortisol after intervention was 99.23. SEFT affects cortisol levels in patients who have had an ischaemic stroke, according to a statistically significant (p<0.05) p-value of zero. Conclusion: Patients with ischaemic stroke experienced a significant drop in cortisol levels after using the SEFT. Furthermore, it is necessary to study the dominant factors that influence the cortisol hormone and the need for a multi-religious approach in an effort to develop spiritual-based interventions.
The Effect of Physical Exercise on Quality of Life of Breast Cancer Survivors: A Systematic Review Jadmiko, Arief Wahyudi; Kristina, Tri Nur; Sujianto, Untung; Prajoko, Yan Wisnu; Dwiantoro, Luky; Widodo, Aris Puji
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.337 KB) | DOI: 10.26911/theijmed.2021.6.4.441

Abstract

Background: Exercise generally improves the quality of life (QoL) in adult populations especially for patients with chronic health problems such as breast cancer. The purpose of this study was to investigate the effect of physical exercise/activity on the quality of life of breast cancer survivors. Subjects and Method: This was a systematic review study that used articles from online data­bases, such as  PubMed, Science Direct, ProQuest dan Medline, which was published from 2000 to 2021. The author used keywords of “physical exercise”, “physical activity”, “quality of life”, “breast cancer survivor”. The dependent variable was quality of life. The independent variable was physical exercise/ activity. As many as 5 articles were selected for this study from 837 articles located in South Korea, Iran, Malaysia, and China.Results: Moderate or high levels of physical activity had positive relationship on the quality of life related to overall physical health among breast cancer survivors.Conclusion: Moderate to high physical activity improve the quality of life among breast cancer survivors.Keywords: physical exercise, physical activity, quality of life, breast cancer survivor Correspondence: Arief Wahyudi Jadmiko. Nursing Department, Faculty of Health, Universitas Pembangunan Nasional Veteran Jakarta. Jl. Raya Limo Depok 16515 West Java, Indonesia Email: ariefw­jadmiko­@gmail.com. Mobile: 085647213628. ORCID ID https://orcid.org/0000-0002-9691-0986.Indonesian Journal of Medicine (2021), 06(04): 377-386https://doi.org/10.26911/theijmed.2021.06.04.03
Peningkatan Kesehatan bagi Pasien Diabetes Melitus Tipe 2 melalui Latihan Yoga: Scoping Review Agustina Saputri; Untung Sujianto; Fitria Handayani
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 2 (2022): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (409.42 KB) | DOI: 10.20527/jdk.v10i2.34

Abstract

  Perubahan gaya hidup merupakan elemen penting dalam pengelolaan diabetes mellitus tipe 2. Studi sebelumnya tentang yoga memiliki komponen dan manfaat yang berbeda untuk pasien diabetes tipe 2. Tujuan yaitu untuk mengidentifikasi komponen yoga dan manfaatnya terhadap kondisi kesehatan pasien diabetes tipe 2. Metode pencarian menggunakan database elektronik Scopus, Science Direct, ProQuest, PubMed dan Google Schollar dengan publikasi tahun 2017 hingga 2021. Pencarian termasuk istilah kunci "yoga" dan "diabetes tipe 2". Hasil review dari 12 artikel didapatkan bahwa komponen yoga terdiri dari doa, pemanasan, teknik pernapasan, salam matahari, postur fisik, dan meditasi. Peningkatan kesehatan yang dicapai yaitu penurunan kadar gula darah, profil lipid, tekanan darah, kecemasan, dan depresi. Kesimpulan: yoga terbukti efektif untuk manajemen diabetes tipe 2 dan memberikan manfaat yang komprehensif bagi pasien DM tipe 2 baik secara fisik maupun psikologis.  
NATURAL RESTORATIVE ENVIRONMENT TERHADAP KECEMASAN PADA PASIEN CHRONIC KIDNEY DISEASES: Natural Restorative Environment on Anxiety on Patients With Chronic Kidney Diseases Maksum, Maksum; Sujianto, Untung; Johan, Andrew; Miftakhul Nizar, Angga; Fitriani, Evi Tunjung; Purnomo, Purnomo
Jurnal Penelitian Vol 5 No 1 (2023): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v5i1.212

Abstract

Chronic Kidney Disease (CKD) is a condition in which kidneys don’t function properly resulting in the accumulation of metabolic remnants. Hemodialysis therapy causes common psychological disorders, is anxiety due to changes in health status, self-acceptance, life threats, stress, and depression. Natural Restorative Environment (NRE) is an intervention that can use to reduce anxiety in patients. This study aimed to analyze the effect Natural Restorative Environment on anxiety in CKD patients on hemodialysis. The method in this research was a quasi-experiment with a pretest-posttest with a control group design. The sampling technique was carried out using cross-sectional sampling, namely 48 patients each with an intervention group and control group. Before and after the intervention, patients in the intervention group and the control group pre-test and post-test about the level of anxiety during hemodialysis therapy. Data analysis used Paired t-test, Wilcoxon-test, and Mann-Whitney U-test. The results showed a decrease in anxiety levels intervention group indicated by a p-value<0.001. Natural Restorative Environment (NRE) can be reducing anxiety in patients with CKD on hemodialysis Keywords: Anxiety; Chronic Kidneys Disease; Natural Restorative Environment
Model spiritual care with an adaptation theory approach Callista Roy on cortisol levels Kusuma, Aria Nurahman Hendra; Pudjonarko, Dwi; Sujianto, Untung; Susanto, Hardhono; Ibrahim, Kusman; Dwidiyanti, Meidiana
JHeS (Journal of Health Studies) Vol. 9 No. 2 (2025): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.4283

Abstract

Ischemic stroke is a cause of physical disability. These defects result in impaired biopsychosociospiritual adaptation in stroke patients. The inability to adapt will cause an anxiety reaction which triggers an increase in cortisol levels. The spiritual care model helps patients find meaning and purpose in life as well as an optimistic attitude so that they have better adaptability. This type of research is Quasy Experimental with a pretest-posttest control group design. The study population was ischemic stroke patients in the Outpatient Department of Dr. Regional General Hospital. Moewardi Surakarta. The total sample consisted of 60 respondents, divided into 30 control group respondents and 30 intervention group respondents, who received a spiritual care model intervention in the outpatient room of Dr RSUD. Moewardi Surakarta. The research results show the influence of the Spiritual Care Model Using Callista Roy's Adaptation Theory Approach on Cortisol Levels in Ischemic Stroke Sufferers with a significance value of 0.043 < 0.05. The Spiritual care model influences the amygdala, which stimulates the hypothalamus through the hypothalamic-pituitary-adrenal (HPA) axis, thereby inhibiting the excretion of corticotropin-releasing factor (CRF). The pituitary gland then stimulates adrenocorticotropic hormone (ACTH), which reduces cortisol. This research has a contribution that spiritual care interventions can improve the adaptability of biopsychosocial rehabilitation of stroke patients. This research has a contribution that spiritual care interventions can improve the ability to adapt biopsychosocial rehabilitation of stroke patients.
Co-Authors - Anggorowati Abd. Rasyid Syamsuri Achmad Zulfa Juniarto Afriyanti, Yati Agung Waluyo Agustina Saputri Akbar, M. Agung Amirudin, Ikhwan Anak Agung Gede Sugianthara Andrew Johan Anggrayeni Purba Ani Margawati Annisa Pratiwi, Annisa Anton Suhendro Aria Nurahman Hendra Kusuma Ariawan Soejoenoes Arief Wahyudi Jadmiko Aris Nurkohilal Aris Puji Widodo Astuti Yuni Nursasi Avin Maria Bambang Edi Warsito Basuki Supartono Billy, Roland Chandra Bagus Ropyanto Chandra Bagus Ropyanto Dewi Gayatri DEWI WIJAYANTI Dian Ayubi Dina Indrati Dyah Sulistyowati Dwi Hastuti, Yuni Dwi Lestari Dwi Pudjonarko Dwi Pudjonarko Dwi Pudjonarko Dwi Retnaningsih, Dwi Dwi Saptarini, Swastika Dwi Susilawati Dwi Susilawati Dwi Susilawati Dwiantoro, Luky Elfira Husna, Elfira Elly Nurachmah Ethyca Sari Fatma Lestari Fauzi Ashra Fitria Handayani FITRIA HANDAYANI Fitriani, Evi Tunjung Gede Arya Bagus Arisudhana Handayani, Fitria Hani Andriyana Hardhono Susanto harun, sigit Hastaning Sakti Henni Kusuma Henni Kusuma I Gede Putu Darma Suyasa Indri Khizba Dini, Indri Khizba Irena Intania Israfil Israfil Ita Riniatsih Jerau, Emiliani Elsi Kimin, Amelia Kusman Ibrahim Liza, Fera Madya Sulisno Madya Sulisno Maksum Maksum Mardiyono Mardiyono Mardiyono, Mardiyono MARIA BINTANG Megah Andriany Meidiana Dwidiyanti Meira Erawati Miftakhul Nizar, Angga Muchlis Achsan Udji Muchlis Achsan Udji Sofro Muflihatul Muniroh Muhamad Thohar Arifin Muhammad Nur Muhammad Nur Mukhamad Musta&#039;in Munawaroh, Khoirunnisa’ Muniroh, Muflihatul Nana Rochana Naufal Raihan Alfarisi Ni Luh Putu Inca Buntari Agustini Nico L Kana Niken Safitri Dyan Kusumaningrum Nila Putri Purwandari Nining Puji Astuti NUR HASANAH Nur Kristina, Tri Nurjazuli Nurjazuli Purnomo Purnomo Purnomo Purnomo Puspa Siwi Wulandari Putri, Arcellia Farosyah Rahayu, Sisri Rendi Editya Darmawan Richal Grace Zefanya Uly Richal Grace Zefanya Uly Ropyanto, Chandra Selano, Maria Karolina Setyaningrum, Niken Sevana Christina Mayaut Shofa Chasani Shofa Chasani Soeharyo Hadisaputro Sri Achadi Nugraheni Sri Hananto Ponco Nugroho Sri Temu Suhartini Suhartini Ismail Suhartini Suhartini Suhartini Suhartini Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Sukesi . Susana Widyaningsih Susana Widyaningsih Susanti, Brigitta Ayu Dwi Sutopo Patria Jati Teguh Santoso Teguh Santoso Teguh Santoso Temu, Sri Tri Nur Kristina Visia Hevy Prasetyaningtyas Wahyu Hidayati Warih Trimulyanto Yan Wisnu Prajoko Yayan Kurniawan Yuhendri Putra Yuni Dwi Hastuti Yunie Armiyati Yunie Armiyati Yunita Yudaningsih