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All Journal KOMUNITAS: INTERNATIONAL JOURNAL OF INDONESIAN SOCIETY AND CULTURE Midwifery and Nursing Research (MANR) Nutrix Journal Jurnal Jendela Inovasi Daerah Journal of Applied Nursing and Health Juru Rawat. Jurnal Update Keperawatan Innovation in Health for Society Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)
Bambang Sarwono
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Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Association Between Discontinuation of Antihypertensive Medication and Perceived Side Effects Among Hypertensive Patients at Kaliangkrik Public Health Center Kusumaningsih, Faiza Windiari; Sarwono, Bambang; sunarmi, sunarmi
Midwifery and Nursing Research Vol. 7 No. 2 (2025): SEPTEMBER 2025
Publisher : Poltekkes Kemenkes Semarang

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Abstract

Background: Hypertension is a chronic disease that requires long-term management through pharmacological treatment and lifestyle modifications. Consistency in taking antihypertensive medication is essential to prevent complications. However, this contrasts with some patients who discontinue medication due to assumptions about experienced side effects. This study aims to examine the relationship between discontinuation of antihypertensive medication and assumptions about side effects among hypertensive patients at Kaliangkrik Public Health Center.Methods: This research employed a quantitative method with a cross-sectional approach. Sampling was conducted using accidental sampling with a total of 100 respondents. The instrument used was a questionnaire consisting of respondent characteristics, assumptions about medication side effects, and decisions to continue or stop taking the medication. Univariate analysis was used to describe the data distribution, while bivariate analysis employed the Chi-Square test.Results: The majority of respondents (81%) reported having assumptions of experiencing side effects, with most assuming they experienced headaches (86%). A total of 55 respondents had stopped taking their medication. There was a significant relationship between assumptions about side effects and the decision to stop medication, with a p-value of 0.005 (p < 0.05). The Odds Ratio (OR) value of 4.6 indicates that respondents who assumed they experienced side effects were 4.6 times more likely to stop taking the medication. The Relative Risk (RR) value of 2.3 shows that these respondents had a 2.3 times higher risk of stopping medication compared to those without such assumptions.Conclusion: Negative assumptions about medication side effects influence patients’ decisions to discontinue antihypertensive medication. Education regarding medication use and potential side effects should be provided to hypertensive patients during consultations and at the time of medication dispensing.
PENGARUH MANAJEMEN KESEIMBANGAN CAIRAN BERBASIS SMARTPHONE TERHADAP KEMAMPUAN SELF-CARE PASIEN PENYAKIT GINJAL KRONIS DENGAN HEMODIALISIS DI RST dr. SOEDJONO MAGELANG Solehan, Fandi; supriyatno, Heru; sunarmi, sunarmi; Sarwono, Bambang
Juru Rawat. Jurnal Update Keperawatan Vol 5 No 2 (2025): Desember 2025
Publisher : Prodi Keperawatan Tegal Program Diploma III Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v5i2.13193

Abstract

Chronic kidney disease (CKD) is a global health issue with a steadily increasing prevalence. One of the main challenges for hemodialysis patients is the increase in interdialytic weight gain (IDWG) due to fluid imbalance. Effective fluid management is crucial for improving patients' self-care abilities, one of which is through the use of smartphone technology. The objective of this study was to determine the effect of using a smartphone based self-care management application on improving self-care management skills in maintaining Interdialytic Weight Gain (IDWG) in patients with chronic kidney disease undergoing hemodialysis at RST dr. Soedjono Magelang.The study design was quasi-experimental with a pretest-posttest design and a control group. The study was conducted at dr. Soedjono General Hospital in Magelang with a total of 56 participants, divided into two groups: 28 in the experimental group and 28 in the control group. The sample was selected using purposive sampling. The intervention involved the use of a smartphone-based fluid management app over a specific period. Data analysis was performed using a paired t-test.The results showed a significant improvement in self-care ability after the app intervention, with a p-value of 0.000 (p < 0.05). This indicates that the use of a smartphone app effectively supports fluid management in CKD patients.In conclusion, smartphone-based self-care applications have a positive effect on improving the self-care abilities of PGK patients undergoing hemodialysis. The use of smartphone-based fluid management self-care applications needs to be promoted.
Co-Authors Adi Isworo, Adi Ali Roatib Ari Murti Widigdo, Dwi Ashar Nurahman, Novema Dwi Ari Murti Widigdo Erawati, Erna Giri Kriwoyo, Pramono Hastuti, Anung Puji Heru Supriyatno Kusumaningsih, Faiza Windiari Noor Faidah, Noor Novela, Nona Ringgi Nur Faizah, Kartika Nur Izzati, Aisyah Pramono Giri Kriswoyo Rachmawati, Asa Diah Rojabtiyah, Rojabtiyah Safira, Ekatiara Siva Solehan, Fandi Suharsono Suharsono Sunarko Sunarko Sunarmi Sunarmi Triredjeki, Hermani Yeni Yulistanti