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BEBAN DAN PSYCHOLOGICAL WELL BEING PADA KELUARGA PASIEN YANG MENJALANI HEMODIALISIS Ashar Prima; Amzal Mortin Andas; Fauziah H Wada; Indah Puspitasari; Maratun Shoaliha; Asmiana Saputri Ilyas
Jurnal Ilmiah Keperawatan IMELDA Vol. 9 No. 1 (2023): 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.v9i1.1196

Abstract

The psychological needs of the family as caregivers are often ignored and not fulfilled by health workers, this is because caregivers are not fully planned in patient care management. This can have a negative impact on the treatment process for HD patients. There is still little information about the burden and phychological well-being of HD patients in Indonesia because some studies only focus on the burden on HD patients. Therefore this study focuses on assessing the burden and psychological well-being of caregivers of hemodialysis patients. This study aims to assess the burden and psychological well-being and its relationship with the demographic characteristics of hemodialysis patients. This study used a cross-sectional and analytic descriptive design involving 197 family caregivers of hemodialysis patients. Data collection was carried out at two hemodialysis centers in the city of Bekasi, from July to August 2022. A consecutive sampling technique was used to select research respondents. Data collection used a demographic characteristic questionnaire, Zarit Burden Interview (ZBI) and Ryff's Psychological Well-Being Scale – 18 Items (RPWB-18). Demographic characteristics data is presented in the form of frequency, mean percentage and standard deviation. Spearman rank test is used to see the correlation of variables. The results showed that the average ZBI score was 47.87 ± 12.16 and the PWB score was 70.20 ± 10.37, the correlation coefficient was -0.756, the P-value was 0.0001, indicating that there is a significant negative correlation between family burden and psychological well-being, which means that the greater the score family burden, the lower the psychological well-being score. Based on the results of this study, the needs of the family as caregivers need to be one of the focuses of providing nursing care by nurses.
Penerapan Buerger Allen Exercise terhadap Nilai Capillary Refill Time (CRT) pada Klien Diabetes Melitus Tipe 2 Silvia Saputri; Asih Minarningtyas; Indah Puspitasari
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2411

Abstract

Peripheral artery disease is more common in people with diabetes. This chronic complication leads to disruption of peripheral blood vessel flow, thus raising the problem of the ineffectiveness of peripherial tissue perfusion Epidemiological evidence suggests a link between diabetes mellitus and an increased prevalence of perifer arterial disease. Capillary refill time (CRT) is performed quickly on the base area of the nail to monitor dehydration and the amount of blood flow to the tissue.  Objectives The study of this case study to obtain an overview of the Buerger Allen Exercise Movement on Capillary Refill Time (CRT) values in patients with type 2 diabetes. Research design used with a case study approach (single case) by expressing the results of observations and documentation on the value of Capilarry Refill Time after the client performed the Buerger Allen Exercise. Subject in this case study there are 5 patients with diabetes mellitus type 2 who do not have foot injuries and are willing to do buerger movement allen exercise in the work area of UPTD Puskesmas Bekasi Jaya. After the client performed the Buerger Allen exercise for 6 days in a row for 18 minutes each day, the result of the change occurred before and after the Buerker Allen exercise, the capillary refill time was shortened in the type 2 diabetes client. For patients with type 2 diabetes mellitus can perform buerger allen exercise independently and effectively against the effectiveness of peripheral tissue perfusion showing changes in capillary refill time values. (CRT).