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All Journal Media Keperawatan Indonesia Jurnal Ners Indonesian Journal of Global Health research Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta
Kristini, Puji
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Baby Oil as Evidence-Based Nursing for Uremic Pruritus in Chronic Kidney Disease Patients Handika, Bintang Viga; Kristinawati, Beti; Kristini, Puji
Media Keperawatan Indonesia Vol 6, No 3 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.3.2023.191-197

Abstract

One of the effects that occur in chronic kidney failure can cause metabolic waste not to be eliminated by the kidneys and accumulate on the skin, which causes itching or commonly known as pruritus. Treatments to reduce pruritus can use emollient oil or baby oil that can keep the skin moist. This implementation aims to determine the effectiveness of baby oil in chronic kidney disease (CKD) patients with uremic pruritus. This implementation is based on the results of previous research using experimental, pretest and posttest design. The population was CKD patients undergoing hemodialysis (HD) with uremic pruritus. This sample determination is based on the inclusion and exclusion criteria that have been built and the sample size was 22 HD patiens. Results showed that pruritus score was decreased up to 2,72. It shows the effectiveness of baby oil on uremic pruritus in CKD patients undergoing HD treatment.
Efek Virgin Coconut Oil untuk Mengurangi Xerosis Kulit pada Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis Fakhrana, Dina; Maliya, Arina; Kristini, Puji
Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta 2023: Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (Profesi Ners XXVI)
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Latar Belakang: Kulit kering termasuk dalam peringkat pertama yang muncul pada pasien gagal ginjal kronis pada hemodialisis. Di dalam tubuh pasien yang menjalani hemodialisis, masih terjadi penumpukan zat-zat sisa metabolisme berupa toksin uremik yang akan menyebabkan sindrom uremia. Salah satu manifestasi sindrom uremik adalah kulit kering (xerosis). Xerosis terjadi karena akumulasi racun uremik di kulit pasien. Akumulasi racun uremik di kulit menyebabkan atrofi kelenjar sebaceous, gangguan fungsi sekresi eksternal, dan gangguan hidrasi stratum korneum dengan berkurangnya kelembaban karena hilangnya lipid dan faktor pelembab alami di lapisan korneum yang mengakibatkan kulit kering. Kondisi yang sedang berlangsung akan menyebabkan permukaan kulit retak yang mengakibatkan iritasi dan peradangan. Xerosis adalah gejala yang sering muncul pada pasien dengan terapi dialisis yang terjadi antara 50-100% pada ekstremitas bawah dan lengan bawah. Tujuan: untuk menentukan efek Virgin Coconut Oil pada xerosis kulit pada pasien yang menjalani perawatan hemodialisis. Metode: jenis penelitian kualitatif deskriptif dengan metode studi kasus. Instrumen penelitian ini menggunakan ODSS (Over-all Dry Skin Score). Hasil: Sebelum diberikan VCO, responden R1, R4, R5 mengalami xerosis kulit grade 1, responden R2 mengalami xerosis kulit grade 3, responden R3, R6, R7 mengalami xerosis kulit grade 2. Setelah diberikan terapi VCO xerosis kulit pada responden R1 menjadi grade 0, responden R3, R4, R5, R6, R7 menjadi grade 1, dan responden R2 menjadi grade 2. Kesimpulan : Terdapat pengaruh pemberian VCO terhadap tingkat xerosis kulit pada pasien Gagal Ginjal Kronis yang menjalani hemodialisis.
Penatalaksanaan Pengolesan Minyak Zaitun Untuk Mengatasi Pruritus Pada Pasien Hemodialisa Case Study Sari, Afifah Dian; Sonia, Ekky Puspita; Ashar, Burhanudin; Vatanjani, Yossina; Maliya, Arina; Kristini, Puji
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41393

Abstract

Gagal ginjal kronis (Chronic Kidney Disease/CKD) merupakan kondisi progresif yang dapat menurunkan kualitas hidup pasien, terutama dengan munculnya pruritus uremik pada pasien yang menjalani hemodialisis. Pruritus yang tidak tertangani dapat menyebabkan gangguan tidur, ketidaknyamanan, serta peningkatan risiko infeksi kulit. Penelitian ini bertujuan untuk mengevaluasi efektivitas minyak zaitun dalam mengatasi pruritus pada pasien hemodialisis. Metode penelitian menggunakan studi kasus dengan pendekatan pretest-posttest tanpa kelompok kontrol, melibatkan enam responden yang dipilih menggunakan teknik purposive sampling. Tingkat pruritus diukur menggunakan instrumen 5-D Itch Scale sebelum dan setelah intervensi. Hasil penelitian menunjukkan bahwa pengolesan minyak zaitun selama tiga hari berturut-turut secara signifikan menurunkan tingkat pruritus dari kondisi berat menjadi sedang dan ringan. Minyak zaitun diketahui meningkatkan kelembapan kulit, mengurangi rasa gatal, serta memperbaiki kualitas tidur pasien. Dengan demikian, minyak zaitun dapat menjadi intervensi non-farmakologis yang aman dan efektif dalam mengatasi pruritus pada pasien hemodialisis. Diharapkan penelitian ini dapat menjadi dasar bagi tenaga medis dalam memberikan perawatan suportif bagi pasien CKD yang mengalami pruritus.
The Relationship Between Physical Activity and Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialysis Nurlaili, Zulfiana; Rosyid, Fahrun Nur; Kristini, Puji
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4939

Abstract

Patients undergoing hemodialysis often report lower quality of life. Many factors cause this decline, and physical exercise is one of them. Doing physical activity helps patients live a better life. This study aimed to analyze the relationship between physical activity and the quality of life of CKD patients undergoing hemodialysis at Pandan Arang Hospital, Boyolali. This research method uses a descriptive correlative design with a cross-sectional approach. The sample of this study consisted of 121 respondents selected using accidental random sampling techniques. Data were collected using the WHOQOL-BREF questionnaire to measure quality of life and IPAQ to measure physical activity, and bivariate test data analysis was performed using the Spearman statistical test. With a significance of alpha = 0.05. The results showed that most patients had high levels of physical activity (69.4%) and high quality of life (66.1%). Physical activity and quality of life were significantly correlated (p-value <0.001), meaning patients' quality of life improved with increased physical activity. A good correlation exists between the quality of life and the physical activity level of hemodialysis patients with chronic kidney disease. Therefore, therapy that emphasizes enhancing the patient's physical activity is strongly advised as part of comprehensive care to improve the quality of life for patients receiving hemodialysis. Health workers should support rehabilitation and physical education programs to achieve the best results.
The Relationship between Fatigue and Activities of Daily Living in Chronic Kidney Failure Patients Undergoing Hemodialysis Khoirunnisa, Zahra; Rosyid, Fahrun Nur; Kristini, Puji
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4940

Abstract

Patients with chronic kidney failure undergoing hemodialysis often experience decreased ability to perform activities of daily living. Fatigue is a common symptom that could influence the reduction of these activities. This study aims to analyze the relationship between fatigue and the level of independence of daily living activities in chronic kidney failure patients undergoing hemodialysis. This study used a descriptive correlative design and a cross-sectional approach with a population of 175 hemodialysis patients, which then obtained a sample of 121 people using the accidental random sampling technique. Data was collected using the FACIT Fatigue Scale and Katz index questionnaires, while the correlation test used Rank Spearman. The results showed a significant positive relationship between fatigue and the level of independence of daily living activities with a p-value = 0.001. The higher the fatigue value, the higher the level of dependence of a person on performing daily living activities. Early identification is needed to assess the fatigue status experienced by hemodialysis patients as a strategy to increase independence, which ultimately impacts quality of life.
Co-Authors Arina Maliya Ashar, Burhanudin Beti Kristinawati Fahrun Nur Rosyid Fakhrana, Dina Handika, Bintang Viga Khoirunnisa, Zahra Nurlaili, Zulfiana Sari, Afifah Dian Sonia, Ekky Puspita Vatanjani, Yossina