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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS TIDUR PASIEN HEMODIALISIS Arta Marisi Dame; Yuni Shanti Ritonga; Paskah Rina Situmorang; Noradina Noradina; Meriani Siahaan; Bernita Silalahi
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1959

Abstract

Background: Sleep quality is defined as a state where a person is satisfied with their sleep so that they do not show signs of sleep disorders. Patients undergoing hemodialysis are 25% more likely to experience sleep disorders than normal adults. Objective: This study aims to determine the factors associated with sleep quality in hemodialysis patients. Method: This study is a quantitative study with an analytical survey design through a cross-sectional approach. The sampling technique in this study was accidental sampling. The sample in this study were patients who underwent hemodialysis regularly at least 2 times a week. Data collection used the Pittsburgh Sleep Quality Index (PSQI) questionnaire in Indonesian, a physical activity questionnaire and a Fatigue Severity Scale (FSS) questionnaire with a total of 58 hemodialysis patients at RSU Imelda Pekerja Indonesia. Data analysis used bivariate data analysis with the chi-square test. Results: This study showed that there was no significant relationship between age (p=0.956), gender (p=0.225), employment status (p=0.462), duration of hemodialysis (p=0.559) and sleep quality of hemodialysis patients at Imelda Buruh Indonesia Hospital. There was a significant relationship between comorbidities (p=0.001), smoking habits (p=0.026), coffee consumption (p=0.003), physical activity (p=0.000) and fatigue levels (p=0.000). Conclusion: Lifestyle factors (smoking habits, coffee consumption), comorbidities, physical activity and fatigue levels are related to sleep quality of hemodialysis patients. Suggestion: Future researchers should examine the sleep quality of hemodialysis patients with different methods and research designs.
FENOMENOLOGI IBU BEKERJA DALAM PEMBERIAN ASI EKSKLUSIF DI RSU IMELDA MEDAN Bernita Silalahi; Fronika Harahap; Paskah Rina; Meriani Herlina; Noradina Noradina; Arta Marisi Dame
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2132

Abstract

Exclusive breastfeeding is the provision of breast milk for the first 6 months of a baby's life without other food or drink except vitamins, medicines and oralit. The function of breast milk is to meet the baby's nutritional intake, strengthen the immune system, and reduce infant mortality and morbidity. The purpose of this study was to determine the Experience of Working Mothers in Providing Exclusive Breast Milk at the Imelda Buruh Indonesia General Hospital, Medan. The research method used is a qualitative research type with a descriptive phenomenological approach. The location of this research was carried out at the Imelda Buruh Indonesia General Hospital, Medan. The time of this research was carried out from March to August 2024. The number of participants in this study was 5 people. Research data were collected through in-depth interviews with participants and analyzed thematically. The results of the study consisted of 4 themes, namely: 1 (Working Mothers' Anxiety regarding the Fulfillment of Exclusive Breast Milk for Babies), 2 (Practices and Strategies in Pumping and Storing Breast Milk for Working Mothers), 3 (Support from Husband and Family in the Success of Working Mothers in Providing Exclusive Breast Milk), 4 (Benefits of Breast Milk for Maternal and Infant Health). The conclusion of this study shows that working mothers face various challenges in ensuring exclusive breastfeeding for their babies, especially related to concerns about the schedule and quality of breast milk, breast milk management, and the important role of family support. Consistency in breast milk expression scheduling and appropriate storage strategies are essential to maintain adequate breast milk supply. In addition, support from husbands and families, as well as supporting facilities at the workplace, play an important role in the success of exclusive breastfeeding, which has a significant positive impact on maternal and infant health.
PENINGKATAN PENGETAHUAN PASIEN DAN KELUARGA MELALUI PENYULUHAN TENTANG FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS TIDUR PENDERITA PGK YANG MENDAPATKAN TERAPI HEMODIALISIS Ratna Dewi; Deddy Sepadha Putra Sagala; Sarmaida Siregar; Christina Magdalena Tampubolon; Rostinah Manurung; Nixson Manurung; Arta Marisi Dame; Syahrul Handoko Nainggolan; Ali Sabela Hasibuan
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 5 No. 2 (2026): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jisomba.v5i2.2246

Abstract

Pendahuluan: Salah satu komplikasi yang kerap dialami oleh penderita penyakit ginjal kronik (PGK) stadium 5 adalah gangguan tidur, yang apabila berlangsung dalam jangka panjang dapat menurunkan kualitas tidur. Gangguan tidur ini dipengaruhi oleh berbagai faktor, dimana ada kesenjangan antara tingginya kejadian gangguan tidur pada pasien PGK yang menjalani hemodialisis dengan masih terbatasnya pengetahuan pasien dan keluarga mengenai faktor-faktor yang memengaruhi kualitas tidur, sehingga diperlukan edukasi kesehatan sebagai upaya peningkatan pengetahuan dan pencegahan gangguan tidur. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk mengkaji pengaruh penyuluhan kesehatan terhadap peningkatan pengetahuan pasien dan keluarga terkait faktor – faktor yang berhubungan dengan kualitas tidur pada penderita PGK stadium 5. Metode: Pengabdian kepada masyarakat ini dilaksanakan di Rumah Sakit Umum Imelda Pekerja Indonesia Medan pada bulan Februari – April 2026. Metode pelaksanaan kegiatan meliputi : observasi serta penyuluhan melalui ceramah dan sesi tanya jawab yang melibatkan 25 partisipan. Hasil evaluasi menunjukkan adanya peningkatan tingkat pengetahuan dengan mayoritas peserta memiliki kategori pengetahuan baik setelah kegiatan dilakukan. Kesimpulannya, penyuluhan kesehatan mengenai faktor – faktor yang berhubungan dengan kualitas tidur pada pasien yang menjalani hemodialisis dapat meningkatkan pengetahuan keluarga sehingga mendukung tercapainya derajat kesehatan yang optimal, baik secara fisik, mental, maupun sosial pada pasien dan keluarga PGK yang menjalani hemodialisis.