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Hubungan Dukungan Keluarga Dengan Peningkatan Kesehatan Psikologis Pada Penderita Gagal Ginjal Kronik Di Rumah Sakit Umum Bahteramas Nazar, Nazaruddin; Dina, Hasniah; Indriani, Cece; Krismiadi, Dedi; Pongdatu, Merry
Jurnal Anoa Keperawatan Mandala Waluya Vol. 3 No. 1 (2024): Jurnal Anoa Keperawatan Mandala Waluya (JAKMW)
Publisher : Program Studi Ilmu Keperawatan dan Profesi Ners. Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jakmw.v3i1.656

Abstract

Gagal ginjal kronik terjadi karena ginjal mengalami penurunan fungsi dalam proses eritropoiesis sehingga menyebabkan beberapa komplikasi seperti anemia, hipertensi, dan edema. Dukungan keluarga menjadi salah satu aspek penting, berkaitan dengan kualitas hidup dan menjadi suatu persepsi yang hadir dalam kemampuan, keterbatasan, serta sifat psikososial hidup individu baik dalam lingkungan budaya maupun nilai yang dipercaya. Tujuan penelitian ini adalah untuk mengetahui hubungan antara dukungan keluarga dengan peningkatan kesehatan psikologis pada penderita gagal ginjal kronik di Rumah Sakit Umum Bahteramas Provinsi Sulawesi Tenggara. Jenis penelitian ini merupakan penelitian kuantitatif menggunakan pendekatan cross sectional. Jumlah populasi dalam penelitian sebanyak 435 responden dengan jumlah sampel sebanyak 82 responden, dipilih menggunakan teknik purposive random sampling. Uji analisis statistik menggunakan uji chi square. Hasil analisis menunjukan nilai x² hitung: 19,122 > x² tabel: 3,841, dengan nilai = 0.516. Hasil uji statistik menunjukan nilai ρ Value = 0,000 < α 0,05, artinya ada hubungan kuat antara dukungan keluarga dengan peningkatan kesehatan psikologis pada penderita Gagal Ginjal Kronik di Rumah Sakit Umum Bahteramas. Pihak keluarga diharapkan memberikan dukungan kepada keluarga yang menderita gagal ginjal kronik khususnya yang menjalani hemodialisa untuk meningkatkan kesehatan psikologisnya
RELAKSASI NAPAS DALAM SEBAGAI INTERVENSI MANDIRI PERAWAT DALAM MENURUNKAN INTENSITAS NYERI ABSES LEHER PADA PASIEN DIABETES MELLITUS TIPE 2: STUDI KASUS Krismiadi, Dedi; Tarimana, Deden Reksawan
Lasalle Health Journal Vol. 5 No. 1 (2026): Lasalle Health Journal
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v5i1.181

Abstract

Introduction: Hyperglycemia can lead to a decline in immune function, especially the ability of white blood cells to fight bacteria, and disrupt blood flow to the tissue. As a result, infections occur more easily and develop into abscesses, that cause unbearable pain. So non-pharmacological measures are needed suchas deep breathing relaxation. Objective: To determine the effectiveness of deep breathing relaxation therapy for reducing neck abscess pain in DM patients. Method: quantitative type with case study method. The application of assessment, diagnosis, planning, implementation and evaluation as a nursing process. Respondent 1 DM patient with inclusion criteria, namely having an abscess on the back of the neck and being treated for 3x24 hours. Results: At the beginning of the assessment, the patient complained of pain in the back of the neck. After being given deep breathing relaxation for 3 days, the intensity of the pain experienced by the patient decreased from a scale of 6 (moderate) to mild (3). Subjectively, complaints appeared to be reduced and felt more relaxed. The evaluation results show that there appears to be an improvement in condition and there is an increase in relaxation independently and in a structured manner. Conclusion: This therapy is effective in reducing the pain scale in post-op abscess debridement patients in DM patients, especially in post-op abscess debridement patients with DM who require comprehensive care due to the pain they feel.
Model Theory Development: Adaptation of Roy, Comfort Kolcaba, & The Andrews/Boyle Transcultural Interprofessional Practice in Breast Cancer Patients Yaya Fujianti, Mery Eka; Krismiadi, Dedi
Nursing Genius Journal Vol. 1 No. 2 (2024): Nursing Genius Journal (February-April)
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v1.i2.2024.38

Abstract

Background Cancer treatment, including chemotherapy, often induces anxiety due to the uncertain prognosis and side effects. Integrating theories such as Roy's adaptation model, Comfort Kolcaba's theory, and The Andrews/Boyle Method The type of research used is research and development with a nursing care approach consisting of assessment, diagnosis, intervention, implementation and evaluation. The research subjects were outpatient breast cancer patients undergoing chemotherapy.  The sample in this study consisted of one patient selected by accidental sampling and the data collection methods used were observation, questionnaires, interviews and patient medical records. Results The primary diagnosis—anxiety—was made based on the integration of the three theoretical models and research results, and the intervention—music therapy and manipulative therapy—was applied using theory and evidence-based practice. Health education about nutrition and diet is the intervention used to identify diarrhea. Patients with chronic wounds who have been diagnosed with skin and tissue integrity disorders are offered culturally-based education and nutrition, and those who struggle with inadequate health management are taught the value of family support. Conclusion The integration of Roy's adaptation model theory, Kolcaba Comfort, and The Andrews/Boyle Transcultural Interprofessional Practice (TIP) model is effective in helping patients to adapt culturally to the symptoms that arise due to chemotherapy so that cancer patients feel comfortable.