Muhamad Nurmansyah
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FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA HIPOTENSI INTRADIALISIS PADA PASIEN GAGAL GINJAL KRONIK DI RUANGAN HEMODIALISIS MELATIRSUP PROF DR. R. D. KANDOU MANADO Natalia Nova Tampah; Gresty Masi; Muhamad Nurmansyah
JURNAL KEPERAWATAN Vol. 11 No. 1 (2023): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jkp.v11i1.48473

Abstract

Backgroud One of the most frequent complications in patients with hemodialysis is an intradialysis hypotension. Some conditions of patients who can trigger a drop in blood pressure during hemodialysis: age, gender, comorbidities such as diabetes and cardiomyopathy, anemia, weight gain and the use of antihypertensive drugs. Aim: this study aim to identify factors that affect the intradialysis hypotension of chronic kidney failure patients with hemodialysis. Method the uses the kind of quantitative with a cross-sectional study design, total sample of 296 hemodialysis patients. Data analysis using chi square test and coefficient correlation. Results showed a correlation between age and cardiovascular history with the incidence of intradialysis hypotension and while gender have nothing to do with the incidence of intradialysis hypotension. Conclusion monitoring needs to be improved while the patient is undergoing hemodialysis so as not to cause intradialysis hypotension which threatens the health and safety of the patient while undergoing hemodialysis.  Keywords: Chronic Kidney Diseases; Hemodialysis; Intradialysis Hypotension
EFEKTIVITAS SELF-INSTRUCTIONAL MODULE (SIM) DALAM PENINGKATAN PENGETAHUAN PASIEN DIABETES MELLITUS TIPE II Abd. Gani Baeda; Rizqi Wahyu Susanti Kedua; Sri Yulianti; Muhamad Nurmansyah
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 18 No 1 (2023): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : POLITEKNIK KESEHATAN KEMENKES PALEMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v18i1.1569

Abstract

Latar Belakang: Rendahnya pengetahuan penderita diabates mellitus berdampak pada rendahnya self care management dan kemungkinan terjadinya peningkatan komplikasi penyakit. Salah satu media untuk meningkatkan pengetahuan pasien diabetes mellitus adalah dengan memberikan informasi melalui self instructional module (SIM). Tujuan penelitian ini adalah untuk mengetahui efektivitas self instructional module (SIM) terhadap peningkatan pengetahuan pasien diabates melitus. Metode: Penelitian ini menggunakan desain quasi-experimental dengan rancangan pretest-postest group design dengan jumlah sampel 15 orang yang ditentukan secara purposive sampling. Hasil: Analisis data menunjukkan self instructional module (SIM) efektif dalam meningkatkan pengetahuan pasien diabates mellitus dengan nilai p 0,04 (p<0,05). Sebagian besar responden mengalami peningkatan pengetahuan tentang pengobatan dan komplikasi setelah pemberian modul Kesimpulan: SIM efektif dalam meningkatkan pengetahuan pasien diabates melitus.
SERUM ELECTROLYTE LEVELS IN HEART FAILURE PATIENTS WITH A HYPERTENSION HISTORY Suharno Usman; Christha Zenithy Tamburian; Imelda Sirait; Muhamad Nurmansyah
Journal of Vocational Health Studies Vol. 9 No. 2 (2025): November 2025 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V9.I2.2025.77-86

Abstract

Background: Knowing the description of serum electrolytes in those with a history of hypertension and congestive heart failure is critical. Purpose: The purpose of this study is to look into the estimation of serum electrolytes, the correlation between serum electrolytes (sodium (Na+), potassium (K+), chlorine (Cl-)) levels with blood pressure, and the demographic characteristics of heart failure patients with a history of hypertension. Method: A retrospective design was used in this study, which used progress records (e.g., participant demographic data, medical history, and clinical laboratory tests such as serum electrolytes and blood chemistry) from patients with hypertension and Heart Failure (HF) who were hospitalized. Result: The present study established no correlation between serum electrolyte levels and blood pressure. The highest of Na+ levels were 169 mEq/L, K+ 6.4 mEq/L, and Cl- 119 mEq/L. Most participants had the habit of not smoking (87 people, 79.8%) and not consuming alcohol (91 people, 83.5%). Demographic characteristics such as gender, smoking habits, and alcohol consumption had no significant impact on serum electrolyte levels, except for a history of alcohol consumption on sodium levels, which had a significant effect (p-value = 0.014). Furthermore, an absence of correlation was observed between demographic factors and blood pressure. Conclusion: A lack of relationship between serum electrolyte levels and blood pressure. Similarly, demographic characteristics were not correlated with blood pressure. HF patients with a history of hypertension show normal serum electrolyte levels, but a significant relationship between alcohol consumption habits and sodium levels was found.