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PENERAPAN AROMATHERAPY LAVENDER UNTUK MENGURANGI KECEMASAN PADA PASIEN YANG MENJALANI HEMODIALISA DI RUMKIKT TK II dr. SOEDJONO MAGELANG Ainnur Rahmanti; endro haksara
JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA Vol. 5 No. 1 (2023): Januari : Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jufdikes.v5i1.203

Hemodialisa merupakan tindakan yang digunakan untuk menangani pasien CKD. Tindakan ini dapat mempengaruhi psikologis pasien CKD karena harus dilakukan suumur hidup, pasien menjadi ketergantungan pada mesin yang pelaksanaannya rumit dan membutuhkan waktu yang lama serta memerlukan biaya yang relative besar. Sehingga pasien menjadi bosan, malas menjalani hemodialisa, kualitas hidup menurun dan bisa berakibat kematian. Kecemasan ini salah satu hal yang dikeluhkan oleh pasien-pasien hemodialisa. Penerapan aromatherapy lavender sebanyak 0.6 ml selama 1 x 30 menit merupakan salah satu terapi nonfarmakologi yang aman untuk mengurangi tingkat kecemasan pada pasien yang akan menjalani hemodialisa. Penelitian ini bertujuan untuk mengetahui gambaran penerapan aromatherapy lavender dapat menurunkan tingkat kecemasan pasien CKD yang akan menjalani hemodialisa di Rumkit Tk. II dr. Soedjono Magelang. Jenis penelitian yang digunakan deskriptif dengan metode pendekatan studi kasus. Subjek yang digunakan sebanyak 2 orang dengan kriteria pasien hemodialisa, pasien yang tidak mempunyai riwayat alergi terhadap aromatherapy lavender, pasien sadar dan dapat berkomunikasi, pasien yang bersedia menjadi responden, pasien yang menjalani tingkat kecemasan sedang dengan lembar penilaian HRS-A (score 21-27). Berdasarkan analisa data didapatkan hasil bahwa subyek I mengalami penurunan dari score kecemasan 27 (sedang) menjadi 19 (ringan) dan subyek II dari score kecemasan 24 (sedang) menjadi 17 (ringan). Kesimpulan penerapan aromatherapy lavender efektif untuk menurunkan tingkat kecemasan pada pasien yang akan menjalani hemodialis. Penerapan aromatherapy lavender direkomendasikan untuk menurunkan tingkat kecemasan pasien yang menjalani hemodialisa.

Pengaruh Kepatuhan Diet Pasien Terhadap Perkembangan Asites Pasien Gagal Ginjal Di Unit Hemodialisis RS Tk. II dr. Soedjono Magelang Endro Haksara; Ainnur Rahmanti; Margiyati Margiyati; Indah Septiyani Triabadi
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 2 (2023): Mei : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1326

The patients with chronic kidney failure, if they do not limit their intake of fluids, food and an appropriate daily diet, it will cause malnutrition and accumulation of fluid in parts of the body, including the face, hands and feet. Fluid buildup can also occur in the abdominal area or what is usually called ascites. Ascites is an important problem and often occurs in patients undergoing hemodialysis. Ascites will cause stomach enlargement and excess weight gain. The aim of this study was to determine the effect of patient diet compliance on the development of ascites in kidney failure patients in the hemodialysis unit at Tk Hospital. II dr. Soedjono Magelang. This type of research is descriptive analytic using a cross-sectional method. The sampling technique used the Purposive Sampling method with a sample size of 46 respondents. Statistical analysis uses the chi-square test. The results of this study showed p=0.002, which means there is an influence between diet compliance and the incidence of ascites in the Hospital Hemodialysis Unit. Kindergarten II dr. Soedjono Magelang. The more patient compliance with a nutritional diet will have a better impact on the development of ascites.

Pengaruh Edukasi Terintegrasi Terhadap Gangguan Mineral Dan Tulang Pada Penyakit Ginjal Kronik Di Rumah Sakit Dr. Soedjono Magelang Endro Haksara; Ainnur Rahmanti; Seftian Hidayati; Indra Bayu Woro
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 1 No. 4 (2023): Oktober : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v1i4.177

This study aims to evaluate the positive influence of Integrated Education on body mineral balance and bone health in sufferers of Chronic Kidney Disease (CKD). An experimental research design with a control group was used. The research subjects involved sufferers of stage 3-4 CKD, who were divided into an intervention group (receiving Integrated Education) and a control group (no intervention). Research parameters include levels of calcium, phosphorus, parathormone, bone mineral density, as well as patient knowledge and behavior. Findings: Increased Knowledge: The intervention group experienced a significant increase in knowledge related to CKD management compared to the control group, Positive Behavioral Changes: Patients who took part in the integrated education program showed more positive behavioral changes, including medication adherence, a healthy diet, and a healthy lifestyle, Improvement in Mineral and Bone Disorder Parameters: The intervention group showed significant improvement in calcium, phosphorus and parathormone levels. Bone mineral density also increased significantly. Clinical Implications: The results of the study suggest that Integrated Education can be an effective approach in improving CKD management, with a positive impact on the body's mineral balance and bone health. Conclusion: Integrated education has a significant influence on knowledge, behavior and mineral and bone balance parameters in CKD sufferers. Implementation of this program can improve CKD management and prevent complications related to mineral and bone disorders. Recommendation: Further research could explore the long-term effects of Integrated Education, consider variations in individual responses, and involve a wider sample group.

PENERAPAN TERAPI RENDAM KAKI DENGAN AIR JAHE HANGAT TERHADAP PENURUNAN NYERI PADA PASIEN ARTHRITIS GOUT DI PUSKESMAS MUNGKID KABUPATEN MAGELANG Endro Haksara; Ainnur Rahmanti
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 2 No. 1 (2022): MARET : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v2i1.463

Gouty arthritis is a disease caused by a buildup of uric acid in the joints of the body. Gouty arthritis that is not treated effectively can develop into chronic gout, form tofus, and can lead to severe kidney function impairment, and decreased quality of life. The purpose of the case study was to describe the application of foot soak therapy with warm ginger water to reduce pain in gout arthritis patients at Mungkid Public Health Center, Magelang Regency. This type of research is descriptive using a case study approach. The subjects in this study were two patients diagnosed with gouty arthritis. Data collection was carried out by observing pain scales in patients based on Standard Operating Procedures for measuring patient pain scales before and after warm ginger foot soak therapy. The results of the case study showed that after the implementation of diabetic foot exercises, it was found that there was a decrease in pain levels in subjects I and II. In subject I there was a decrease in the pain scale from a pain scale of 8 (severe) to a mild scale of 3 and in subject II there was a decrease in the pain scale of 7 (moderate) to a scale of 2 (mild). The conclusion of the case study is that the application of foot bath therapy with warm ginger water is effective in reducing pain levels in gouty arthritis patients. Recommendations need to apply foot soak therapy with warm ginger water to reduce pain levels in patients with diabetes arthritis gout.

Clinical Features of End Stage Renal Disease yang Menjalani Hemodialisis di RS Tk.II dr. Soedjono Magelang Endro Haksara; Ainnur Rahmanti; Margiyati Margiyati; Indah Septiyani Triabadi
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 3 (2024): September: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i3.707

Clinical Features of End Stage Renal Disease (ESRD) will appear if urea blood levels is more than 200 mg/dl. Uremia can cause malfunctioning of all organ systems, such as; disorder of fluid and electrolyte balance, endocrine- metabolic, neuromuscular, cardiovascular and lung, skin, gastrointestinal, hematology and immunology systems. The objective of this study was to determine the clinical features of patients with ESRD that undergoing hemodialysis at RS Tk.II dr. Soedjono Magelang. This was a descriptive observational method based on secondary data obtained from medical records. Samples included all patients with ESRD underwent hemodialysis at RS Tk.II dr. Soedjono Magelang in 2023 who were fulfilled inclusion criteria, with total 104 samples. Data were analyzed by using univariate analysis. The study showed that patients with ESRD were mostly at ranged 40 to 60 years (62.5%) and predominantly men (59 patients, 56.7%). The most clinical features of the patient were moderate nutritional status (94.2%), with Hb concentration 7-10g/dl (68.3%), conjunctival anemia (62.5%), peripheral edema (53.8%), stage 1 hypertension (32.7%), weakness and tired (30.8%), and nausea (12,7%). The conclusion is the most common clinical features of the patients with ESRD undergoing hemodialysis at RS Tk.II dr. Soedjono Magelang were anemia, with first stage hypertension, moderate nutritional status and peripheral edema.

Pengaruh Behavioral Relaxation Training terhadap Nyeri Kanulasi (Av-Shunt) pada Pasien Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit TK.II Dr. Soedjono Magelang Endro Haksara; Ainnur Rahmanti; Dian Pratama; Yesi Puspitasari
Jurnal Kesehatan Amanah Vol. 8 No. 2 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i2.733

Cannulation pain during hemodialysis procedures is a common complaint among patients with chronic kidney failure. Behavioral Relaxation Training (BRT) can be a non-pharmacological intervention to manage this pain. The objective of this study is to analyze the effect of BRT on cannulation pain levels in hemodialysis patients. Method: This study is quasi-experimental with a pre-post test design involving 60 patients divided into intervention and control groups. Pain measurement was performed using the Numerical Rating Scale (NRS). Results: Statistical tests showed a significant reduction in cannulation pain in the intervention group compared to the control group (p<0.05).Conclusion: Behavioral Relaxation Training is effective in reducing cannulation pain in chronic kidney failure patients undergoing hemodialysis.

Penerapan Aplikasi Mobile Berbasis Edukasi dan Self-Care dalam Meningkatkan Kualitas Hidup Pasien CKD Stage V di RS Tk.II dr. Soedjono Endro Haksara; Ainurr Rahmanti; Margiyati Margiyati; Sheikha Raissa; Mareta Sukma
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 2 (2025): The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i2.849

Stage V chronic kidney disease (CKD) is a serious health challenge in Indonesia due to its increasing prevalence and high cost of treatment. Educational efforts and the implementation of digital technology-based self-care, particularly through mobile applications, are considered to have the potential to improve patients' quality of life. This study aims to evaluate the effectiveness of educational and self-care-based mobile applications on the quality of life, knowledge, self-efficacy, and medication adherence of stage V CKD patients undergoing treatment at Dr. Soedjono Class II Hospital. The study used a quasi-experimental design with a pretest–posttest control group approach. From a population of 185 patients, 140 respondents were divided into intervention (n=70) and control (n=70) groups. The intervention included the use of a mobile application equipped with health education features, medication reminders, symptom monitoring, and communication with medical personnel. The results showed that the intervention group experienced significant improvements compared to the control group, including quality of life (+12.6 vs +4.2; p<0.01), knowledge (+16.5 vs +5.7; p<0.001), self-efficacy (+9.3 vs +3.1; p<0.01), and medication adherence (+1.2 vs +0.4; p<0.01). Furthermore, the frequency of application use at least four times per week was positively associated with improved quality of life (r=0.41; p<0.01). These findings demonstrate that mobile applications can be an effective and cost-effective strategy to support the management of stage V CKD patients in Indonesia.

PENERAPAN TERAPI RENDAM KAKI DENGAN AIR JAHE HANGAT TERHADAP PENURUNAN NYERI PADA PASIEN ARTHRITIS GOUT DI PUSKESMAS MUNGKID KABUPATEN MAGELANG Endro Haksara; Ainnur Rahmanti
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 2 No. 1 (2022): MARET : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v2i1.463

Gouty arthritis is a disease caused by a buildup of uric acid in the joints of the body. Gouty arthritis that is not treated effectively can develop into chronic gout, form tofus, and can lead to severe kidney function impairment, and decreased quality of life. The purpose of the case study was to describe the application of foot soak therapy with warm ginger water to reduce pain in gout arthritis patients at Mungkid Public Health Center, Magelang Regency. This type of research is descriptive using a case study approach. The subjects in this study were two patients diagnosed with gouty arthritis. Data collection was carried out by observing pain scales in patients based on Standard Operating Procedures for measuring patient pain scales before and after warm ginger foot soak therapy. The results of the case study showed that after the implementation of diabetic foot exercises, it was found that there was a decrease in pain levels in subjects I and II. In subject I there was a decrease in the pain scale from a pain scale of 8 (severe) to a mild scale of 3 and in subject II there was a decrease in the pain scale of 7 (moderate) to a scale of 2 (mild). The conclusion of the case study is that the application of foot bath therapy with warm ginger water is effective in reducing pain levels in gouty arthritis patients. Recommendations need to apply foot soak therapy with warm ginger water to reduce pain levels in patients with diabetes arthritis gout.

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