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Determinants of Fluid Restriction Adherence among Hemodialysis Patients: A Single-Center Cross-Sectional Study Yulianti, Yeni; Tresnawan, Teten
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.498

Abstract

Fluid restriction compliance refers to a patient's adherence to the prescribed limit of fluid intake to maintain optimal health. This compliance is influenced by factors such as age, education level, family support, and knowledge. The purpose of this study was to explore how these factors impact fluid restriction adherence among hemodialysis patients. This correlational research used a cross-sectional design with a sample of 155 hemodialysis patients from Jampangkulon Regional Hospital, selected through proportional random sampling. Data were collected via a questionnaire and analyzed using chi-square and logistic regression. The study found that a majority of patients were compliant with fluid restrictions (71.0%), and most possessed good knowledge on the topic (80.6%). Bivariate analysis identified significant effects of age (p=0.030), education (p=0.041), family support (p=0.015), and knowledge (p=0.001) on compliance. After controlling for all factors in a logistic regression model, knowledge emerged as the sole statistically significant predictor of compliance (p=0.028). In conclusion, while age, education, family support, and knowledge were all correlated with adherence, knowledge was the most significant factor in predicting compliance. It is recommended that Jampangkulon Regional Hospital enhance educational programs and involve families in patient care to improve compliance.
Influence of dietary patterns and stress on gastritis among adolescents in Sukabumi Yulianti, Yeni; Tresnawan, Teten; R. Bayu Kusumah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).29-43

Abstract

Background: : Gastritis, characterized by inflammation of the stomach lining, poses a significant health challenge among adolescents, often exacerbated by modifiable risk factors including unhealthy dietary patterns, chronic stress, limited health literacy, and insufficient family support. In urban settings like Sukabumi City, Indonesia, adolescents face heightened vulnerability due to lifestyle shifts, academic pressures, and irregular eating habits, leading to prevalent symptoms such as epigastric pain, nausea, and dyspepsia. Despite its commonality, few studies have systematically analyzed the interplay of these factors in this demographic, underscoring the need for targeted correlational research to inform preventive strategies in nursing education and public health. Objectives: This study aimed to analyze the factors influencing gastritis incidence among adolescents in Sukabumi City, with a focus on diet, stress, health knowledge, and family support. Methods: Employing a correlational design with a cross-sectional approach, the research involved 105 adolescents aged 12-18 years, selected via proportionate random sampling from local schools. Data were gathered using a validated questionnaire assessing dietary habits (e.g., meal frequency and food choices), stress levels (via perceived stress scales), knowledge of gastritis prevention, and family support metrics. Statistical analysis included chi-square tests and logistic regression to determine associations (p<0.05 significance). Results: Approximately 65% of respondents exhibited gastritis symptoms, with psychosocial factors—particularly high stress (OR=2.8, p=0.002) and irregular eating (OR=3.1, p<0.001)—emerging as significant predictors. Family support and health knowledge showed no statistically significant impact (p>0.05). Conclusions: Stress and poor dietary habits are primary drivers of gastritis in adolescents. Nursing-led interventions, including school-based education on stress management and nutrition, are crucial for mitigation
Strategi Edukasi Keluarga dalam Pencegahan Gagal Ginjal : Meningkatkan Kesadaran Melalui Pendekatan FGD berbasis keluarga di RSUD R. Syamsudin SH Yulianti, Yeni; Astia, Dina; Tresnawan, Teten
Jurnal SOLMA Vol. 15 No. 1 (2026)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v15i1.21936

Abstract

Background: Gagal ginjal kronis (GGK) meningkat tiga kali lipat pada usia muda di Sukabumi. Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan 60 keluarga pasien GGK tentang risiko makanan-minuman tidak sehat di RSUD R. Syamsudin SH (3 Februari–8 Maret 2025). Metode: Kegiatan dilaksanakan melalui empat tahap: koordinasi, pre-test dan penyuluhan visual (4 batch × 15 orang), FGD berbagi pengalaman GGK, serta post-test dan refleksi komitmen. Materi fokus bahaya minuman berpemanis kemasan, mie instan, keripik MSG, dan minuman energi yang memicu diabetes, hipertensi, kerusakan ginjal. Hasil: Median skor pengetahuan meningkat signifikan dari 4,5 menjadi 13,0 (p=0,000, uji Wilcoxon Signed-Rank). Peningkatan tertinggi terjadi pada pemahaman risiko minuman manis kemasan (+55,8%) dan makanan tinggi garam (+52,9%). Sebanyak 85% peserta sebelumnya rutin mengonsumsi teh manis atau mie instan harian; pasca-intervensi, mereka berkomitmen mengganti mie dengan nasi sayur, dan membawa tumbler air putih. Peningkatan terbesar ini mencerminkan perubahan sikap terhadap kebiasaan konsumsi harian paling berisiko bagi ginjal. Kesimpulan: FGD partisipatif efektif tingkatkan literasi kesehatan ginjal dan pencegahan primer keluarga menghadapi tren GGK usia muda Sukabumi