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Studi Fenomenologi Pengalaman Pasien Penyakit Ginjal Kronik dalam Menjalani Hemodialisis Risa Nurhayati; Sri Wahyuni; Bayhakki Bayhakki; Nurul Huda; Erika Erika
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.55799

Abstract

Introduction: Each patient has a different experience undergoing hemodialysis, depending on individual perceptions, social support, and self-care abilities. This study aims to explore the experiences of chronic kidney disease patients undergoing hemodialysis. Methods: This is a qualitative study with a phenomenological approach. The researcher used a purposive sampling technique to select eight informants for the participants, and analyzed using Colaizzi thematic analysis. Data validity was tested to increase trustworthiness through triangulation, member checking, dependability, confirmability, and transferability. Results: This study yielded three themes: 1) initial response to hemodialysis, 2) the process of accepting hemodialysis, and 3) motivation for regular hemodialysis. Conclusion: Nurses need to actively introduce coping strategies, involve families, and integrate medical and psychological aspects to support patient compliance and resilience
Gambaran Persepsi Pasien Hemodialisis Dalam Penerapan Prosedur Continuity of Care Pada Penyakit Ginjal Kronis Dona Armelia Putri; Bayhakki Bayhakki; Rismadefi Woferst
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.718

Abstract

Penyakit Ginjal Kronis (PGK) merupakan kondisi progresif yang memerlukan terapi hemodialisis jangka panjang sehingga penerapan Continuity of Care penting untuk menjamin kesinambungan pelayanan, meningkatkan manajemen diri, dan mencegah komplikasi, yang tercermin dari persepsi pasien terhadap pelayanan yang terkoordinasi dan berkelanjutan. Penelitian ini bertujuan untuk menggambarkan persepsi pasien dalam penerapan prosedur Continuity of Care pada penyakit ginjal kronis yang menjalani hemodialisis. Metode penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional. Sampel berjumlah 53 responden yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan adalah kuesioner Patient Continuity of Care Questionnaire (PCCQ) digunakan untuk mengukur variabel Continuity of Care. Data dianalisis menggunakan analisis univariat dan disajikan dalam bentuk distribusi frekuensi dan persentase. Hasil penelitian menunjukkan bahwa mayoritas responden memiliki persepsi baik terhadap penerapan prosedur Continuity of Care yaitu sebanyak 36 responden (67,9%), sedangkan 17 responden (32,1%) memiliki persepsi yang buruk. Kesimpulannya, gambaran persepsi pasien dalam penerapan prosedur Continuity of Care pada pasien penyakit ginjal kronis di RSUD Arifin Achmad tergolong baik.
Effectiveness of Physical Exercise Program on Reducing Blood Pressure in Hypertension Patients Kina Hutajulu; Bayhakki Bayhakki; Reni Zulfitri
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.v6iS6.5166

Abstract

Hypertension is a chronic disease, called the silent killer. WHO data shows that the number of people with hypertension continues to increase. In Riau Province, the prevalence of hypertension increased from 20.9% (2013) to 29.1% (2018). Hypertension will cause various complications such as encephalopathy, heart disease, hemorrhagic stroke, kidney failure, heart failure, and others. Action needs to be taken to reduce the increasing number of hypertension cases. Objective: This study examines the effectiveness of a physical exercise program in reducing blood pressure in hypertension patients at the Pangkalan Kuras II Health Center. Method: It used a pre-test and post-test experimental design involving 101 hypertensive patients, primarily aged 46-64 years (85.1%) and mostly female (86.14%). The program included walking three times a week and exercising twice a week for three weeks. Blood pressure was measured using a manual device. The majority of participants had grade II hypertension. Result: The Wilcoxon Signed Rank Test showed significant reductions in both systolic (4.72 mmHg) and diastolic (3.13 mmHg) blood pressure, with a p-value of 0.000. Conclusions: This numbers indicates that regular physical exercise, such as walking and exercise, effectively lowers blood pressure in hypertensive patients.
The Effect of Peer Group Education on Blood Pressure Control in Patients with Hypertension: Literature Review Masri Rahayu Putri; Reni Zulfitiri; Bayhakki Bayhakki
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2082

Abstract

Hypertension is a chronic disease with a high prevalence and is a major cause of global morbidity and mortality. Low medication adherence and inadequate patient knowledge are the main factors contributing to uncontrolled blood pressure. Peer group–based education has become one of the effective approaches to improving understanding, motivation, and health behavior changes among patients with hypertension. This review aims to comprehensively examine the effect of peer group education on hypertension control, including blood pressure, medication adherence, and lifestyle changes in patients with hypertension. This literature review used the PRISMA 2020 approach. Article searches were conducted through online databases including PubMed, ScienceDirect, and Google Scholar within the 2020–2025 publication period. The inclusion criteria comprised randomized controlled trials (RCTs), quasi-experimental, and experimental studies investigating peer group education interventions in adult patients with hypertension. A total of 7 articles published between 2022–2025 that met the inclusion criteria were critically appraised and analyzed descriptively and narratively to identify the effectiveness of peer group education interventions among patients with hypertension. The findings showed that peer group education significantly contributed to reducing blood pressure, improving medication adherence, and enhancing health behaviors such as dietary patterns, physical activity, and self-management. This intervention also improved patients' knowledge, motivation, and self-efficacy in managing hypertension. Peer group education is an effective intervention for hypertension control because it can improve adherence, promote healthier lifestyles, and reduce blood pressure.
Optimizing Environmental Sanitation Management at The Perawang Container Terminal to Achieve A Healthy Port Resty Indria; Sofyan Husein Siregar; Bayhakki Bayhakki
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.570

Abstract

Environmental sanitation management in port areas has become increasingly important amid the growing intensity of global logistics activities. Perawang Container Terminal (PCT), one of the major ports in Riau Province, continues to face several unresolved sanitation issues, including the absence of a waste segregation system, temporary waste storage facilities that do not meet technical standards, irregular monitoring of clean water quality, management of hazardous and toxic waste (Bahan Berbahaya dan Beracun [B3]) without the required permits, and the absence of a disease vector control program. These conditions indicate a gap between current practices and healthy port standards as stipulated in Indonesian Ministry of Health Regulation No. 44 of 2014. This study aimed to assess the existing condition of environmental sanitation management at PCT, identify supporting and inhibiting factors, and formulate optimization strategies to achieve a sustainable healthy port. A qualitative case study approach was employed, involving 10 key informants selected through purposive sampling from PCT management, the Class I Health Quarantine Office of Pekanbaru, and the surrounding port community. Primary data were collected through observations using the Healthy Port Self-Assessment Form, semi-structured interviews, and document review, while secondary data were obtained from relevant institutional records. Existing conditions were analyzed descriptively, followed by SWOT analysis and the Analytic Hierarchy Process (AHP) to determine priority optimization strategies. These strategies were integrated with the Triple Bottom Line framework, encompassing environmental, social, and economic dimensions, to support the development of a sustainable healthy port.
NURSES' EXPERIENCE IN CARRYING OUT NURSING CARE DOCUMENTATION USING ELECTRONIC MEDICAL RECORD (EMR) Dewi Susanna Ginting; Wan Nisfha Dewi; Widya Lestari; Bayhakki Bayhakki; Erika Erika
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2266

Abstract

The development of information and communication technology has led to significant changes in the provision of nursing care. This study examines nurses' experiences with using Electronic Medical Records (EMRs) for nursing care documentation. This study aims to explore the experiences of nurses using EMR in documenting nursing care. This qualitative study uses a phenomenological approach involving 10 nurses, including the head of the room, team leader, and implementing nurses. Participants were selected using purposive sampling techniques, with the following criteria: nurses who perform nursing care documentation using an Electronic Medical Record (EMR), nurses working in inpatient, outpatient, emergency (IGD), and intensive care units, nurses with a work experience of at least 2 years, and nurses who are willing to participate. The study was conducted at a private hospital in Pekanbaru. Data were collected through interviews and analysed using thematic analysis, employing the Colaizzi method. Result: The analysis revealed three themes: the benefits of Electronic Medical Records (EMR) in nursing services, supporting factors for the implementation of EMR, and inhibiting factors for the implementation of EMR. Based on the study results, it can be concluded that nurses feel the effectiveness and efficiency of EMR in documenting. However, during its implementation, there are still obstacles that require attention from hospital management. Thus, providing health services becomes optimal and efficient for patients and health workers.
THE EXPERIENCE OF HEALTHCARE WORKERS AND PATIENTS IN THE IMPLEMENTATION OF DISCHARGE PLANNING FOR HEART FAILURE PATIENTS Amoy Amelia Sanusi; Wan Nishfa Dewi; Bayhakki Bayhakki; Sri Wahyuni; Nurul Huda; Erika Erika
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2283

Abstract

Ineffective discharge planning results in discontinuity of patient care at home. This condition worsens patient outcomes, leading to patients returning to health services with the same medical history or with new and more severe complications. This study aims to explore the experience of healthcare workers and patients in implementing discharge planning for heart failure patients. This study employed a phenomenological design with a qualitative, interpretative approach. The participants consisted of 17 individuals: ten health workers from a private hospital in Pekanbaru, two heart specialists, three nurses, two pharmacists, three nutritionists, and seven patients with heart failure who were planning to return home. Participant recruitment was conducted using a purposive sampling method. Data collection was through in-depth interviews, and data analysis used the Colaizzi analysis stages. Four themes are interrelated with the studied phenomena: the information received by patients regarding discharge planning, specific education for heart failure patients, the challenges faced by healthcare workers in completing the discharge planning form, and the important components of discharge planning for heart failure patients. The experiences of healthcare workers and patients in implementing discharge planning in this study reveal that there are still inadequacies that concern both healthcare workers and patients. The themes identified in this study can contribute to the development of discharge planning forms for heart failure patients. Therefore, this study on healthcare services suggests that it may reduce the recurrence rate of heart failure in patients.