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Interdialytic Exercise Reduces Fatigue in Chronic Kidney Failure Patients: Systematic Literature Review Wayunah Wayunah; Wiwin Nur Aeni; Aulia Faturrohman; Muhammad Saefulloh
HealthCare Nursing Journal Vol. 5 No. 2 (2023): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i2.3768

Hemodialysis therapy that is carried out for a long time can cause physical stress in the form of fatigue and have an impact on the patient’s quality of life. Giving intradialytic exercise intervention is believed to reduce the level of fatigue. The purpose of this study was to determine the effect of intradialytic exercise on the level of fatigue in chronic kidney failure patients undergoing hemodialysis. This study used a systematic literature review method based on data from Google Schoolar, Garuda, Science Direct, and the Directory of Open Access Journal (DOAJ), by including key words are fatigue, chronic kidney failure, hemodialysisi, and intradialytic exercise. Article were selected through screening according to inclusion criteria, including publications within the last 10 years (2011 – 2022), original articles, Indonesian and English, descriptive analytic study types, and quasi experiments. The results show that Intradialytic exercises applied include breathing exercise, Range of Motion (ROM), slow deep breathing, Progressive Muscle Relaxation (PMR), Pursed Lip Breathing and Physical Exercise. Based on the 9 articles found that intradialytic exercise has an effect on the level of fatigue. The average p-value <0.05, the average post-test fatigue score is smaller than the pre=test, the smaller the average value fatigue score then the level of fatigue decreases. In conclusion, Intradialytic exercise affects the fatigue level of chronic kidney failure patients undergoing hemodialysis. Suggestions are given to HD nurses to be able to implement an intradialytic exercise intervention in patients undergoing hemodialysis to reduce fatigue.

Decreased Foot Sensitivity as a Predictor of Diabetic Foot Ulcers Wayunah Wayunah; Wiwin Nur Aeni; Martin Kuncoro; Muhammad Saefulloh
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.550

Introduction: Diabetic foot ulcers are a complication that often occurs in people with diabetes mellitus. This complication begins with a decrease in foot sensitivity which leads to neuropathy, resulting in frequent trauma to the feet. Decreased foot sensitivity in the form of decreased sensation of heat, cold, and pain is a dangerous complaint because it has a very high risk of causing foot ulcers or neuropathic foot ulcers. Objective: This study aimed to determine the relationship between the level of foot sensitivity and the incidence of dibetic foot ulcers in diabetes mellitus patients. Method: The type of research is a descriptive correlation with a cross-sectional approach. The population, all DM pstients at Internal Medicine Clinic 1 and 2 Indramayu District Hospital. The sample was 48 people taken by accidental sampling. Data collection tools used observation sheets and 10 G monofilament, while data analysis techniques used the Chi-square test. Result: The research results obtained from 44 respondents showed that 22 respondents (%) experienced neuropathy. Of these, 21 (95.5%) had ulcers. Meanwhile, of the 26 respondents who did not have neuropathy, 21 (80.8%) did not have ulcers. The results of further analysis obtained a p-value of 0.000 and an OR value of 88.2. Conclusion: The conclusion from this study is that there is a relationship between the level of sensitivity and the incidence of diabetic foot ulcers. DM patients who experience neuropathy are 88.2 times more likely to develop ulcers than those who do not experience neuropathy. Suggestions are given to nurses to continue making efforts to prevent diabetic foot ulcers by checking the sensitivity of the patient's feet regularly, at least once a year.

Quick of Blood Sebagai Salah Satu Faktor yang Mempengaruhi Tercapainya Adekuasi Hemodialisa Wayunah, Wayunah; Prabowo , Ridho Kunto; Fatimah , Imah; Saefulloh , Muhammad
HEALTHY BEHAVIOR JOURNAL Vol 1 No 2 (2023): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v1i2.1171

Introduction. Hemodialysis therapy is a kidney replacement therapy that functions to remove metabolic waste resulting from kidney damage. The hemodialysis dose is adjusted to the patient's needs. One of the factors that influence the achievement of adequacy is quick blood flow (Qb). The higher the Qb, the more adequacy will be achieved, but it is not yet known how much Qb speed influences the achievement of hemodialysis adequacy. This research aims to determine the relationship between quick blood flow and hemodialysis adequacy. Method. This research uses descriptive analytical methods with a cross-sectional approach. The population in this study was 133 patients undergoing hemodialysis at the Indramayu District Hospital and a sample of 44 respondents using a purposive sampling technique. This research instrument uses an observation sheet and data is analyzed using the chi-square test. Result. The average quick of blood for patients was 270.57 ml/minute. A total of 24 (54.5%) respondents had Qb ≤ 270.57 ml/minute and 24 (54.5%) respondents achieved adequacy. The results of further analysis obtained a p-value of 0.029 (α < 0.05), meaning that there was a relationship between quick blood flow and hemodialysis adequacy in chronic kidney failure patients in the Hemodialysis Room at Indramayu District Hospital. Conclusion. Quick of blood is related to hemodialysis adequacy. Suggestions are aimed at nurses to adjust Qb according to the patient's dose, namely a minimum of 270 ml/minute so that adequacy is achieved.

Quick of Blood Sebagai Salah Satu Faktor yang Mempengaruhi Tercapainya Adekuasi Hemodialisa Wayunah, Wayunah; Prabowo , Ridho Kunto; Fatimah , Imah; Saefulloh , Muhammad
HEALTHY BEHAVIOR JOURNAL Vol. 1 No. 2 (2023): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v1i2.1171

Introduction. Hemodialysis therapy is a kidney replacement therapy that functions to remove metabolic waste resulting from kidney damage. The hemodialysis dose is adjusted to the patient's needs. One of the factors that influence the achievement of adequacy is quick blood flow (Qb). The higher the Qb, the more adequacy will be achieved, but it is not yet known how much Qb speed influences the achievement of hemodialysis adequacy. This research aims to determine the relationship between quick blood flow and hemodialysis adequacy. Method. This research uses descriptive analytical methods with a cross-sectional approach. The population in this study was 133 patients undergoing hemodialysis at the Indramayu District Hospital and a sample of 44 respondents using a purposive sampling technique. This research instrument uses an observation sheet and data is analyzed using the chi-square test. Result. The average quick of blood for patients was 270.57 ml/minute. A total of 24 (54.5%) respondents had Qb ? 270.57 ml/minute and 24 (54.5%) respondents achieved adequacy. The results of further analysis obtained a p-value of 0.029 (? < 0.05), meaning that there was a relationship between quick blood flow and hemodialysis adequacy in chronic kidney failure patients in the Hemodialysis Room at Indramayu District Hospital. Conclusion. Quick of blood is related to hemodialysis adequacy. Suggestions are aimed at nurses to adjust Qb according to the patient's dose, namely a minimum of 270 ml/minute so that adequacy is achieved.

Diabetic Foot Exercises as an Effective Effort to Reduce Blood Glucose Levels in Diabetes Patients Wayunah, Wayunah; Kenanga Purbasary, Eleni; Hardianti, Rina; Saefulloh, Muhammad
HealthCare Nursing Journal Vol. 7 No. 1 (2025): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i1.5912

Diabetes mellitus (DM) is a global health issue with a rising prevalence. One effective intervention for managing blood glucose levels is diabetic foot exercises, which enhance blood circulation and insulin sensitivity. The purpose of this study is to determine the effect of diabetic foot exercises on blood glucose levels. This study employed a quasi-experimental design with a control group pretest-posttest approach. The sample consisted of 30 respondents divided into intervention and control groups. The intervention group performed diabetic foot exercises twice a week for four weeks. Data were analyzed using the Independent T-test. The intervention group showed a significant decrease in mean blood glucose levels, from 245.40 mg/dL to 204.93 mg/dL, with a difference of 40.47 mg/dL. Conversely, the control group experienced an increase in mean blood glucose levels, from 258.46 mg/dL to 305.80 mg/dL, with a difference of 47.34 mg/dL. Statistical analysis indicated a significant difference between the intervention and control groups, with a p-value of 0.000 (p < 0.05). Diabetic foot exercises effectively lower blood glucose levels in type 2 DM patients. This intervention can serve as an additional therapy for diabetes management, particularly for patients at risk of diabetic neuropathy. Education and widespread implementation of diabetic foot exercises are recommended as an accessible and efficient diabetes control strategy.

Pendidikan kesehatan tentang menarche pada siswi kelas 4 di SDN 1 Cilolohan Neni nuraeni; Sri mulyanti; Hani Handayani; Ida Herdiani; Asep Setiawan; Indra Gunawan; Muhammad Saefulloh; Nita Nuriwyani; Hilma Putri Maulinda
Balarea: Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2023): Balarea: Jurnal Pengabdian Masyarakat
Publisher : Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/balarea.v2i2.3711

Remaja yang mengalami menarche biasanya mengalami ketakutan dan kecemasan. Datangnya haid pertama membuat remaja merasakan kebingungan kesedihan, cemas, stres, sampai dengan mudah marah dan emosional bahkan tertekan dan menolak terkait datangnya menstruasi. Kegiatan penyuluhan ini bertujuan unutk meningkatkan pengetahuan tentang menarche dan juga meningkatkan kesiapan siswi kelas 4 SD Negeri 1 Cilolohan dalam mengahdapi menarche pertama. Metode yang digunakan dalam pelatihan ini dengan pendekatan partisipasif dan komunikasi individual, artinya siswi diajak untuk memahami teori, kemudian dilakukan pendekatan secara person dan didampingi untuk mendukung pelaksanaan praktik. Pengabdian ini dilakukan di SDN 1 Cilolohan pada siswi kelas 4 berjumlah 40 siswa di Kota Tasikmalaya. Hasil yang didapat bahwa terdapat perubahan antara pengetahuan siswi tentang menarche di SDN 1 Cilolohan Kota Tasikmalaya sesudah diberikan pnyuluhan. Dapat disimpulkan bahwa penyuluhan kesehatan tentang menarche efektif untuk meningkatkan pengetahuan siswi untuk menigktakn kesiapan mereka menjelang menarche. Kegiatan ini memperoleh respon yang positif dari pihak sekolah dan juga para siswi yang sangat antusias selama kegiatan berlangsung. Disarankan guru melakukan Pendidikan kesehatan tentang menarche yang berkala kepada siswi yang akan menjelang menarche pertama

A Descriptive Study of Adolescent Lifestyle and Cardiovascular Disease Risk in Senior High School Wayunah, Wayunah; Anwar Huda, Syaefunnuril; Saefulloh, Muhammad
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 1 (2025): Jurnal Kesehatan (April 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i1.816

Introduction: Common adolescent behaviors such as consuming fast food, high-sugar beverages, lack of physical activity, and excessive screen time are major contributing factors to the emergence of CVD among youth. Early detection of risk factors during adolescence is essential to prevent the progression of CVD later in life. Objective: This study aims to describe CVD risk factors among high school students. Method: A descriptive design, data were collected through questionnaires distributed to 162 twelfth-grade students at a public senior high school in Tasikmalaya, using accidental sampling. Data were analyzed using descriptive statistics (frequency and percentage). Result: The average age was 17 years, with the majority being female (63%). A total of 89.5% of respondents lived in urban areas, 63% showed a tendency toward light physical activity, 58.6% consumed junk food 1–2 times per week, 18.5% had a smoking habit, and 63% experienced significant stress. Conclusion: These findings indicate that adolescents' current lifestyle is prone to CVD risk factors. Integrated interventions through health education in school and family environments are necessary to raise awareness of the importance of a balanced diet, adequate physical activity, and effective stress management to prevent the future development of CVD.

Pengaruh Kultur Pesantren Terhadap Kepribadian Santri Pendidikan Diniyah Formal Ulya Kelas XII di Pondok Pesantren Al-Mubaarak Wonosobo Sintia, Devi; Fatkhurrohman, Fatkhurrohman; Saefulloh, Muhammad
Alphateach (Jurnal Profesi Kependidikan dan Keguruan) Vol 5 No 1 (2025): ALPHATEACH (JURNAL PROFESI KEPENDIDIKAN DAN KEGURUAN)
Publisher : Fakultas Ilmu Tarbiyah dan Keguruan, Universitas Sains Al-Qur'an (UNSIQ) Jawa Tengah di Wonosobo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/alphateach.v5i1.7222

Tujuan penelitian ini adalah : 1) untuk mengetahui kultur pesantren di Pondok Pesantren Al-Mubaarak Manggisan Wonosobo, 2) untuk mengetahui kepribadian santri Pendidikan Diniyah Formal (PDF) Ulya Kelas XII di Pondok Pesantren Al-Mubaarak Manggisan Wonosobo, 3) pengaruh kultur pesantren terhadaap kepribadin santri Pendidikan Diniyah Formal (PDF) Ulya di Pondok Pesantren Al-Mubaarak Manggisan Wonosobo. Penelitian ini merupakan penelitian kausal dengan pendekatan kuantitatif. Teknik pengumpulan data dalam penelitian ini menggunakan metode angket atau kuesioner, wawancara, observasi, dan dokumentasi. Sumber data dalam penelitian ini diperoleh dari data primer dan data sekunder (buku-buku terkait dengan kultur pesantren dan kepribadian santri, skripsi terdahulu, jurnal, artikel-artikel, dan situs internet). Teknik penentuan sampel dalam penelitian ini menggunakan teknik simple rndom sampling atau acak. Sedangkan untuk analisis data peneliti menggunkan uji regresi linier sederhana, uji F (analisis variabel regresi), uji produt moment da uj koefisien determinasi. Hasil penelitian menunjukan bahwa: 1) Kultur pesantren di Pondok Pesantren Al-Mubaarak Manggisan Wonosobo pada Tahun 2023/2024 termasuk dalam kategori baik 2) Kepribadian santri Pendidikan diniyah Formal (PDF) Ulya Kelas XII di Pondok Pesantren Al-Mubaarak Manggisan Wonosobo termasuk dalam kategori baik. 3) Kultur pesantren memiliki pengaruh terhadaap kepribadian santri Pendidikan Diniyah Formal (PDF) Ulya Kelas XII di Pondok Pesantren Al-Mubaarak Wonosob

Factors affecting hemodialysis adequacy in patients undergoing hemodialysis: a cross-sectional study Wayunah Wayunah; Muhammad Saefulloh; Yanganto Yanganto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Hemodialysis is the most preferred renal replacement therapy for patients with chronic kidney failure worldwide. The indicator of the success of hemodialysis therapy is the fulfillment of the adequacy of the hemodialysis dose as measured by Kt/V. Many factors affect the adequacy of hemodialysis, including internal factors and external factors of the patient. This study aimed to analyze the factors that affect the adequacy of hemodialysis in patients undergoing hemodialysis at Indramayu Hospital. Research design using a cross-sectional approach. The sample in this study was 44 respondents who were taken based on purposive sampling. The result showed that the average Kt/V was 1.71 with the lowest Kt/V value being 0.76 and the highest Kt/V being 2.33. Of 44 respondents, 24 (54.5 %) found adequacy achieved, and 20 (45.5 %) respondents did not achieve adequacy. Factors related to hemodialysis adequacy are gender (p=0.000; OR=4.0), dry weight (p=0.006; OR=7.286), dialyzer reuse (p=0.005; OR=8.000), and quick of blood (p=0.38; OR=4.5). Suggestions for hemodialysis nurses to be able to evaluate, especially the use of dialyzer reuse no more than 4 times, and maintain a quick blood speed of at least 250 ml/minute to achieve adequacy. Abstrak: Hemodialisa merupakan terapi pengganti ginjal yang paling banyak dipilih untuk penderita gagal ginjal kronik di seluruh dunia. Indikator keberhasilan terapi hemodialisa adalah terpenuhinya kecukupan dosis hemodialisa yang diukur dengan Kt/V. Ada banyak faktor yang mempengaruhi adekuasi hemodialisa, diantaranya faktor internal dan factor eksternal pasien. Tujuan penelitian ini adalah untuk menganalisis factor-faktor yang mempengaruhi adekuasi hemodialisa pada pasien yang menjalani hemodialisa di RSUD Indramayu. Desain penelitian menggunakan pendekatan cross-seksional. Sampel dalam penelitian ini berjumlah 44 responden yang dipilih berdasarkan purposive sampling. Hasil penelitian diketahui rata-rata Kt/V adalah 1,71 dengan nilai Kt/V terendah adalah 0,76 dan Kt/V tertinggi adalah 2,33. Dari 44 responden ditemukan sebanyak 24 (54,5 %) responden adekuasi tercapai, dan 20 (45,5 %) responden adekuasi tidak tercapai. Faktor yang berhubungan dengan adekuasi hemodialisa adalah faktor jenis kelamin (p=0,000; OR 4,0), berat badan kering (p=0.006; OR 7.286), dialyzer reuse (p=0.005; OR=8.000), dan quick of blood (p=0.38; OR=4.5). saran ditujukan untuk perawat hemodialisa agar dapat melakukan evaluasi terutama penggunaan dializer reuse tidak lebih dari 4 kali, serta mempertahankan kecepatan quick of blood minimal 250 ml/menit agar adekuasi tercapai

Decreased Foot Sensitivity as a Predictor of Diabetic Foot Ulcers Wayunah, Wayunah; Nur Aeni, Wiwin; Kuncoro, Martin; Saefulloh, Muhammad
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.550

Introduction: Diabetic foot ulcers are a complication that often occurs in people with diabetes mellitus. This complication begins with a decrease in foot sensitivity which leads to neuropathy, resulting in frequent trauma to the feet. Decreased foot sensitivity in the form of decreased sensation of heat, cold, and pain is a dangerous complaint because it has a very high risk of causing foot ulcers or neuropathic foot ulcers. Objective: This study aimed to determine the relationship between the level of foot sensitivity and the incidence of dibetic foot ulcers in diabetes mellitus patients. Method: The type of research is a descriptive correlation with a cross-sectional approach. The population, all DM pstients at Internal Medicine Clinic 1 and 2 Indramayu District Hospital. The sample was 48 people taken by accidental sampling. Data collection tools used observation sheets and 10 G monofilament, while data analysis techniques used the Chi-square test. Result: The research results obtained from 44 respondents showed that 22 respondents (%) experienced neuropathy. Of these, 21 (95.5%) had ulcers. Meanwhile, of the 26 respondents who did not have neuropathy, 21 (80.8%) did not have ulcers. The results of further analysis obtained a p-value of 0.000 and an OR value of 88.2. Conclusion: The conclusion from this study is that there is a relationship between the level of sensitivity and the incidence of diabetic foot ulcers. DM patients who experience neuropathy are 88.2 times more likely to develop ulcers than those who do not experience neuropathy. Suggestions are given to nurses to continue making efforts to prevent diabetic foot ulcers by checking the sensitivity of the patient's feet regularly, at least once a year.

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