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Hubungan Kepatuhan Menjalani Terapi Hemodialisa dengan Kualitas Hidup Pasien Chronic Kidney Disease Elsa Revina Agsari; Rif’atul Fani; Shinta Wahyusari
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 2 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss2.2531

Abstract

Chronic Kidney Disease (CKD) merupakan penyakit kronis yang ditandai dengan penurunan fungsi ginjal secarra progresif sehingga pasien memerlukan terapi pengganti ginjal, salah satunya hemodialisis, untuk mempertahankan kelagsungan hidup. Terapi hemodialisis dilakukan secara jangka Panjang sehingga kepatuhan pasien dalam menjalani terapi menjalani faktor penting yang dapat memengaruhi kualitas hidup. Ketidakpatuhan terhadap jadwal dialysis dan anjuran terapi berpotensi meningkatkan komplikasi serta memperburuk kondisi fisik dan psikologis pasien.penelitian ini bertujuan untuk menganal,isis hubungan kepatuhan menujalani terapi hemodialisis dengan kualitas hidup pasien CKD di RSUD R.T. Notopuro Sidoarjo. Penelitian ini menggunakan desain kuantitatif korelasi dengan pendekatan cross-sectional. Sampel penelitian berjumlah 194 responden yang dipilih menggunakan Teknik purposive sampling. Data kepatuhan terapi dikumpulkan menggunakan kuesioner ESRD-AQ, sedangkan kualitas hidup diukur menggunakan instrument KDQOL-36. Analisis data dilakukan dengan uji statistic Mann-Whitney. Hasil penelitian menunjukkan bahwa Sebagian besar responden memiliki tingkat kepatuhan terapi yang tinggi, yaitu sebesar 79,1%. Analisis statistic menunjukkan terdapat perbedaan kualitas hidup yang signifikan pada domain Effect of Kidney Disease (p=0,002), Burden of Kidney Disease (p=0,001). Namun, pada domain Sympton Problem List tidak ditemukan perbedaan yang signifikan (p=0,550). Kesimpulan penelitian menunjukkan bahwa kepatuhan menjalani terapi hemodialisa berhubungan dengan kualitas hidup pasien CKD, terutama pada aspek dampek penyakit, beban penyakit, serta komponen fisik dan mental.
The Relationship between the Level of Dependence and Duration of Gadget Use with Anxiety in Adolescents Rusni Bano; Rif’atul Fani
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) - July 20
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i3.9304

Abstract

The increasing use of gadgets among adolescents may affect mental health, particularly anxiety levels. This study aimed to determine the relationship between gadget dependency levels and anxiety among adolescents at SMA Negeri 1 Wonosari. This study employed a quantitative analytic design with a cross-sectional approach. The sample consisted of 60 respondents selected using a total sampling technique. The instruments used were the Smartphone Addiction Scale (SAS) and the Generalized Anxiety Disorder-7 (GAD-7). Data were analyzed using the Chi-Square test with a significance level of 0.05. The results showed that most respondents had moderate levels of gadget dependency and anxiety. Statistical analysis revealed a significant relationship between gadget dependency and anxiety levels among adolescents (p < 0.05). Adolescents with higher levels of gadget dependency tended to experience higher anxiety levels. Excessive gadget use may negatively affect emotional balance, sleep quality, and social interaction among adolescents. In conclusion, gadget dependency is associated with anxiety levels among adolescents. Therefore, adolescents are expected to use gadgets wisely to reduce the risk of mental health problems.
Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Penderita Skizofrenia di Wilayah Kerja Puskemas Ilung Rahmida Agustina; Rif'atul Fani
Health Research Journal of Indonesia Vol 4 No 5 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i5.1160

Abstract

Skizofrenia merupakan gangguan jiwa kronis yang membutuhkan pengobatan jangka panjang dan kepatuhan minum obat untuk mencegah kekambuhan. Salah satu faktor yang memengaruhi kepatuhan minum obat pada penderita skizofrenia adalah dukungan keluarga. Dukungan keluarga yang baik dapat membantu pasien menjalani pengobatan dengan lebih teratur dan meningkatkan keberhasilan terapi. Penelitian ini bertujuan untuk mengetahui hubungan antara dukungan keluarga dengan kepatuhan minum obat pada penderita skizofrenia di wilayah kerja Puskesmas Ilung. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Jumlah partisipan dalam penelitian ini sebanyak 44 responden dengan teknik pengambilan sampel menggunakan total sampling. Variabel dukungan keluarga diukur menggunakan kuesioner yang telah diuji validitas dan reliabilitas, sedangkan kepatuhan minum obat diukur menggunakan metode pill count. Analisis data dilakukan menggunakan uji Chi-Square melalui program IBM SPSS Statistics. Hasil penelitian menunjukkan nilai p-value sebesar 0,004 (p < 0,05), yang berarti terdapat hubungan yang signifikan antara dukungan keluarga dengan kepatuhan minum obat pada penderita skizofrenia. Dukungan keluarga yang baik berperan dalam meningkatkan kepatuhan pasien dalam menjalani pengobatan secara teratur. Oleh karena itu, diperlukan keterlibatan aktif keluarga dalam mendukung proses pengobatan pasien skizofrenia untuk meningkatkan keberhasilan terapi dan menurunkan risiko kekambuhan.
Hubungan status Fungsional dengan kualitas Hidup Pasien Diabetes Melitus di Puskesmas Mantangai Andri Andri; Rif'atul Fani
Health Research Journal of Indonesia Vol 4 No 5 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i5.1203

Abstract

Diabetes melitus merupakan penyakit metabolik kronis yang dapat memengaruhi berbagai aspek kehidupan penderitanya, termasuk kemandirian fisik dan kualitas hidup secara menyeluruh. Ketidakmampuan dalam mengelola penyakit dapat menurunkan status fungsional pasien.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas hidup dan status fungsional pada pasien diabetes melitus. Jenis penelitian ini adalah kuantitatif dengan desain analitik korelasional melalui pendekatan cross-sectional. Sampel penelitian berjumlah 50 responden yang diambil menggunakan teknik consecutive sampling pada periode Maret hingga April 2026. Instrumen penelitian menggunakan kuesioner kualitas hidup dan kuesioner status fungsional Barthel Index. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa karakteristik responden didominasi oleh kelompok usia 46–55 tahun (40%), jenis kelamin perempuan (84%), dan tingkat pendidikan SMA (34%). Hasil analisis univariat menunjukkan bahwa mayoritas responden memiliki kualitas hidup kategori kurang (70%) dan status fungsional kategori ketergantungan sebagian (70%). Hasil uji bivariat melalui Chi-Square menunjukkan nilai p-value sebesar 0,005 (p < 0,05), yang berarti terdapat hubungan yang signifikan antara kualitas hidup dengan status fungsional pada pasien diabetes melitus. Terdapat hubungan yang bermakna antara kualitas hidup dan status fungsional. Pasien dengan kualitas hidup yang baik cenderung memiliki tingkat kemandirian yang lebih tinggi dalam menjalani aktivitas sehari-hari.
Survey Of Socio-Demographic, Behavioral, and Clinical Factors Associated with Stroke in The Elderly in Indonesia Nadia Rahmi Amelia Pratiwi; Yuni Asri; Rif&#039;atul Fani; Dion Kunto Adi Patria
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8054

Abstract

Stroke is the leading cause of death and disability throughout the world, with a higher burden in low- and middle-income countries, including Indonesia. As the elderly population grows, identifying factors linked to stroke is essential for prevention and policy-making. This study aims to examine the association between sociodemographic, behavioral, and clinical factors and stroke among Indonesians aged ? 60 years using data from the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia/SKI). This study employed a cross-sectional design using secondary data from a nationally representative survey. A total of 97,339 older adults were included in the analysis. Stroke status was based on self-reported physician-diagnosed status. Independent variables included age, sex, education, marital status, employment, residence, hypertension, heart disease, smoking, and alcohol consumption. Data were analyzed using complex survey analysis with sampling weights, utilizing descriptive statistics and Chi-square tests to examine associations between variables. Analyses were conducted using IBM SPSS Statistics version 27.0.1, adjusting stratification and clustering in the survey design. The prevalence of stroke was 3.2%. Significant associations were found between stroke and age, gender, education, occupation, place of residence, hypertension, heart disease, smoking habits, and alcohol use (all p0.05). Stroke was more common among individuals with hypertension, heart disease, lower educational attainment, those who were unemployed, and those living in urban areas. Stroke in older Indonesians is strongly influenced by modifiable factors, particularly hypertension and lifestyle behaviors. Targeted prevention, early detection, and lifestyle interventions are critical to mitigating the stroke burden in Indonesia’s aging population.
Hubungan Kebiasaan Mencuci Tangan Menggunakan Air Bersih dan Sabun dengan Kejadian Demam Typoid Naufal Kurniawan , M. Zaidan; Fani, Rif'atul
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i2.1497

Abstract

Typhoid fever is a systemic infectious disease that continues to pose a public health challenge in Indonesia, including Jember Regency. Its transmission is strongly linked to individual hygiene practices, particularly the habit of washing hands with clean water and soap. Although effective handwashing has been proven to reduce the risk of fecal-oral disease transmission, this practice has not been fully adopted as a routine behavior within the community. This study aimed to determine the relationship between handwashing habits using clean water and soap and the incidence of typhoid fever. An observational analytical study with a cross-sectional design was conducted involving 30 respondents selected through purposive sampling based on predefined inclusion criteria. The independent variable was handwashing habits, while the dependent variable was the incidence of typhoid fever obtained from medical records. Univariate analysis was used to describe the frequency distribution, and bivariate analysis was performed using the Chi-Square test with a significance level of 0.05. The results showed that most respondents with poor or moderate handwashing habits experienced typhoid fever (85.7%), whereas those with good habits mostly did not (85.7%). The Chi-Square test indicated a significant relationship between handwashing habits and typhoid fever incidence. The study concludes that proper handwashing using clean water and soap is significantly associated with a lower incidence of typhoid fever. Strengthening health education and promoting clean and healthy living behaviors (PHBS) are essential to reducing the burden of typhoid fever.
Pengaruh Program Tutor Sebaya Melalui Home Visit Terhadap Kepatuhan Berobat pada Pasien Diabetes Mellitus Daud, Vebriyanti; Fani, Rif'atul; Nawangwulan, Tama Mega
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i2.1576

Abstract

Diabetes mellitus is a metabolic condition marked by increased blood glucose levels resulting from a gradual reduction in insulin production. This research seeks to assess the impact of a peer tutoring program conducted via home visits on medication adherence and blood glucose levels in diabetes mellitus patients in the hamlet of Bube, Suwawa district. This research used a one-group pretest-posttest pre-experimental design including 30 diabetes patients who were purposively chosen due to their prior non-adherence to treatment. Blood glucose levels were quantified using a glucometer, and patient adherence was evaluated by pre- and post-test questionnaires. Data were analyzed using the McNemar test for adherence and paired t-test for blood glucose. Results showed a significant increase in adherence, from 13 (43.3%) to 27 (90%), and a decrease in mean blood glucose from 244.03 mg/dL to 220.97 mg/dL (t = 2.77; df = 29; p < 0.05) after the intervention. These findings indicate that the peer tutor home visit program effectively improves adherence and reduces blood glucose, providing a feasible community-based strategy for diabetes management.
Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat Pasien dengan Halusinasi Nani, Mohamad Iswanto; Fani, Rif'atul; Cahyaningrum, Putri
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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

Abstract

Schizophrenia with hallucinations is a chronic mental disorder that requires long-term treatment, but medication non-compliance remains a major problem, increasing the risk of relapse. In primary healthcare, family support plays a crucial role as the closest support system influencing patient adherence. This study aims to analyze the relationship between family support and medication adherence in patients with hallucinations undergoing outpatient care at the Suwawa Community Health Center, Bone Bolango, Gorontalo. The study used a quantitative approach with a cross-sectional correlational design. A sample of 30 respondents was selected using a convenience sampling technique. Data were collected through a structured questionnaire and analyzed using the Spearman Rank correlation test. The results showed a significant and positive relationship between family support and medication adherence, with a p-value of 0.009 and a correlation coefficient of r-value of 0.471, indicating a moderate relationship. These findings emphasize the importance of the family's role in improving medication adherence in patients with mental disorders in primary healthcare  
Peran Dukungan Keluarga dalam Pengendalian Kadar Glukosa Darah pada Lansia Diabetes Melitus Matindas, Felicia; Fani, Rif'atul; Maharani, Ananda Sagita
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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

Abstract

Diabetes mellitus is a chronic disease with a rapidly increasing prevalence among older adults. Poor glycemic control in the elderly increases the risk of complications, reduces quality of life, and leads to greater health care utilization. Beyond pharmacological treatment, family support is an important non-pharmacological factor that may influence diabetes self-management and blood glucose control, particularly in primary health care settings. This study aimed to examine the role of family support in controlling blood glucose levels among older adults with diabetes mellitus. A quasi-experimental study with a pre-test and post-test control group design was conducted among 40 older adults with diabetes mellitus in the working area of Tadoy Primary Health Care Center, North Sulawesi, Indonesia. Participants were assigned to an intervention group (n = 20) receiving structured family support in addition to routine care, or a control group (n = 20) receiving routine care only. Blood glucose levels were measured before and after the intervention and analyzed using paired and independent t-tests. The intervention group showed a significant reduction in blood glucose levels (p = 0.000), whereas the control group showed no significant change (p = 0.087). The reduction was significantly greater in the intervention group than in the control group (p = 0.000). Family support significantly improves blood glucose control among older adults with diabetes mellitus. Integrating family-based approaches into primary health care is recommended to enhance diabetes management in elderly populations.
Hubungan Kepatuhan Minum Obat dengan Tekanan Darah pada Pasien Hipertensi di Puskesmas Mangaran Mangundap, Lavenia Yeane; Fani, Rif'atul; Cahyaningrum, Putri
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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

Abstract

Hypertension is a chronic health problem with a high prevalence and risk of serious complications if not optimally managed, making medication adherence a crucial factor in blood pressure control. This study aims to analyze the relationship between adherence to antihypertensive medication and blood pressure status in hypertensive patients at the Mangaran Community Health Center. The study used a quantitative observational design with a correlational approach and a cross-sectional design. The study population was all hypertensive patients undergoing routine treatment, with a total sampling technique and a total of 30 respondents. Adherence data were collected using a standardized Morisky Medication Adherence Scale (MMAS-8) questionnaire, while blood pressure was measured directly according to clinical procedures. Data were analyzed univariately and bivariately using the Chi-Square Test. The results showed a significant relationship between medication adherence and blood pressure status, where higher adherence is associated with better blood pressure control. These findings provide practical implications for primary health care in strengthening education and monitoring adherence, and contribute theoretically to strengthening the concept of adherence as a major determinant of the success of hypertension therapy