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Dian Hudiyawati
Universitas Muhammadiyah Surakarta
Arts Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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INTRADIALYTIC EXERCISE SEBAGAI EVIDENCE BASE PRACTICE UNTUK MENGURANGI KELELAHAN PADA PASIEN HEMODIALISIS: INTRADIALYTIC EXERCISE AS EVIDENCE BASE PRACTICE TO REDUCE FATIGUE IN HEMODIALYSIS PATIENTS Rizky Amalia Herabare; Dian Hudiyawati; Arif Putra Purnama
JURNAL KEPERAWATAN TROPIS PAPUA Vol. 6 No. 1 (2023): JUNI 2023
Publisher : Poltekkes Kemenkes Jayapura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/jktp.v6i1.319

Abstract

Hemodialisa merupakan terapi yang dilakukan oleh pasien yang mengalami Chronic Kidney Disease (CKD). Kelelahan sering dialami oleh pasien CKD yang menjalani hemodialisa. Studi ini bertujuan untuk menerapkan evidence base practice yaitu terapi intradialytic exercise pada pasien hemodialisa. Desain studi ini menggunakan pre-post design. Studi ini menggunakan kuesioner FAS (Fatigue Assesment Scale) dengan interpretasi tingkat kelelahan normal (skor <22), ringan (skor 23-32), sedang (skor 33-34), berat (skor >35). Sampel penelitian berjumlah 3 responden. Penelitian dilakukan pada bulan September 2022 di unit Hemodialisa RS PKU Aisyiyah Boyolali. Terapi intradialytic exercise dilakukan pada 1 jam terakhir selama sesi hemodialisa dengan durasi waktu 10 menit dalam satu kali pertemuan. Hasil penelitian menunjukkan terdapat penurunan tingkat kelelahan pada responden setelah dilakukan terapi intradialytic exercise. Didapatkan data pada 2 responden saat pretest menunjukkan skor FAS dalam kategori berat yaitu dengan skor 36 dan 1 responden dalam kategori sedang yaitu 33. Saat posttest, ketiga responden mengalami penurunan skor FAS yaitu responden dalam kategori skor FAS berat menurun menjadi kategori sedang, sedangkan responden dengan kategori sedang mengalami penurunan menjadi kategori ringan. Penerapan evidence base practice berupa terapi intradialytic exercise yang dilakukan dapat menurunkan skor FAS yang menandakan adanya penurunan tingkat kelelahan pada pasien yang menjalani hemodialisis di RS PKU Aisyiyah Boyolali.
The Correlation between Physical Rehabilitation Compliance and Muscle Strength in Post-Stroke Patients with Hemiplegia Serin Izzatut Taqiyah; Dian Hudiyawati
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.v6iS6.5017

Abstract

Post-stroke patients will experience weakness, paralysis, or disability as a result of the stroke attack, thus requiring rehabilitation. The rehabilitation results will be more optimal if supported by the compliance of post-stroke patients in following the rehabilitation program. The purpose of this study was to determine the correlation between physical rehabilitation compliance and muscle strength in post-stroke patients with hemiplegia. The type of research used in this study is using a cross-sectional analytic approach. The study population was post-stroke patients undergoing physical rehabilitation at Ir. Soekarno Sukoharjo Hospital with an average of 73 patients using the Slovin formula. The inclusion criteria in this study were patients who performed physical rehabilitation regularly for 1 month, and patients willing to become respondents in the study by signing a consent form. Exclusion criteria in this study were patients who suddenly re-entered the inpatient clinic, patients who had repeated stroke attacks, and patients who suddenly moved to hospital locations. Collection of rehabilitation compliance data according to the rehabilitation compliance questionnaire. Collection of muscle strength data by existing muscle strength measurements. The results of the Spearman Rho correlation obtained a significance value (p-value) of 0.001 (p<0.05), the majority of respondents were in the age range of 60-74 years, most of the respondents were male, most of the respondents were married, most had undergone rehabilitation for 3 months, and the majority were first stroke patients. This study concludes that there is a correlation between physical rehabilitation compliance and muscle strength of post-stroke patients with hemiplegia at Ir. Soekarno Sukoharjo Hospital.
Correlation of Family Support on Physical Rehabilitation Compliance in Stroke Patients Adhisty Fachrine Ayu Saqina; Dian Hudiyawati
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.v6iS6.5018

Abstract

As a result of suffering from stroke disease, stroke patients experience disability, lose the ability to live independently, and affect their quality of life and daily activities. Rehabilitation programs are used to improve patient function and overcome the impact of stroke. Family support plays a very important role in the recovery process and rehabilitation compliance of stroke patients. This study aims to determine the correlation of family support to rehabilitation compliance in stroke patients at Ir Soekarno Sukoharjo Hospital. The type of research used in this study is quantitative research. The study sample totalled 73 patients, obtained by using the purposive sampling technique and the Slovin formula. The inclusion criteria for this study were stroke patients undergoing physical rehabilitation at Ir. Soekarno Sukoharjo Hospital, patients without disorientation in time, space, or people, and patients who had undergone physical rehabilitation for 2-3 months and were willing to become respondents. The exclusion criteria for this study were patients who had mental disorders and patients who had congenital physical disabilities. The questionnaires used in this study were the family support questionnaire and the modified Morinsky Medication Adherence Scale (MMAS) questionnaire. Data analysis will be displayed in the form of distribution tables, frequencies, and percentages so that it is easily understood by the reader. The results of this study showed that the majority of respondents had high family support with high rehabilitation compliance as many as 30 people (41.1%), respondents had moderate family support with high rehabilitation compliance as many as 14 people (19.2%), respondents had moderate family support with moderate rehabilitation compliance as many as 12 people (16.4%), respondents had high family support with moderate rehabilitation compliance as many as 1 person (1.4%), and respondents with moderate family support with high rehabilitation compliance as many as 16 people (21.9%). The results of the Spearman Test between family support and physical rehabilitation compliance obtained a P-value of 0.001 with a correlation coefficient value indicate that there is a strong relationship between family support and physical rehabilitation compliance in stroke patients at Ir. Soekarno Sukoharjo Hospital.
Efektivitas Finger Hold Dan Hand Massage Dalam Menurunkan Nyeri Pada Pasien Post Operasi Hemoroid Grade IV: Studi Kasus Ardito Dicky Pilang Gusbriananda; Dian Hudiyawati
Health Research Journal of Indonesia Vol 4 No 5 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i5.1120

Abstract

Pendahuluan: Salah satu komplikasi setelah tindakan hemoroidektomi yaitu munculnya nyeri akut akibat proses pembedahan pada jaringan tubuh. Penatalaksanaan nyeri secara optimal dapat dilakukan melalui kombinasi terapi farmakologis dan nonfarmakologis. Teknik relaksasi finger hold dan hand massage merupakan metode nonfarmakologis yang efektif dalam mengurangi nyeri. Metode: Studi kasus ini menggunakan pendekatan deskriptif untuk mengevaluasi tingkat nyeri pada pasien pasca hemoroidektomi setelah dilakukan finger hold dan hand massage selama 10 menit sekali pertemuan dalam waktu 3 hari. Hasil: Implementasi menunjukkan penurunan gejala nyeri, ditandai dengan berkurangnya ekspresi meringis dan meningkatnya ketenangan pasien. Skala nyeri yang semula 6 menurun menjadi 3 setelah intervensi. Teknik ini tidak hanya membantu menurunkan intensitas nyeri, tetapi juga memberikan efek relaksasi psikologis yang mendukung proses penyembuhan. Simpulan: Berdasarkan hasil tersebut, intervensi finger hold dan hand massage dapat dijadikan alternatif terapi nonfarmakologis dalam manajemen nyeri post operasi hemoroid.
Aktivitas Fisik Berkorelasi Terhadap Kecemasan Pada Penderita Penyakit Jantung Koroner Yasier Ikrom; Dian Hudiyawati
Health Information : Jurnal Penelitian Vol 18 No 1 (2026): Januari - April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v18i1.1871

Abstract

Latar Belakang: Penyakit jantung koroner (PJK) menjadi penyebab utama morbiditas dan mortalitas global, dengan kecemasan sebagai komplikasi psikologis yang memperburuk prognosis melalui aktivasi simpatis dan peningkatan kortisol.  Tujuan: Menganalisis hubungan antara tingkat aktivitas fisik dan kecemasan kardiak pada pasien PJK.  Metode: Penelitian deskriptif korelatif cross-sectional pada 127 pasien PJK di Poliklinik Jantung RSUD Dr. Moewardi Surakarta (Maret-September 2025), menggunakan IPAQ dan CAQ, dianalisis dengan uji Spearman's Rho.  Hasil: 41% aktivitas fisik tinggi, 31,5% kecemasan tinggi; terdapat korelasi negatif kuat (r=-0,855; p=0,001).  Simpulan: Aktivitas fisik tinggi menurunkan kecemasan secara signifikan pada pasien PJK.  Saran: Integrasikan program aktivitas fisik dalam rehabilitasi jantung; edukasi perawat untuk motivasi pasien.
Implementation of Primary Health Care Integration (ILP) to enhance cadre competence and posyandu service standards Kusuma Estu Werdani; Dwi Linna Suswardany; Dian Hudiyawati; Windi Wulandari; Beti Kristinawati; Yeni Indriyani; Anggi Putri Aria Gita
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 11 No. 2 (2026): May 2026
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v11i2.16882

Abstract

The Integration of Primary Health Care (ILP) requires posyandu cadres to be competent in delivering life-course–based health services. In Tawang Village, Weru Subdistrict, Sukoharjo Regency, none of the posyandu cadres had received ILP training, so no posyandu in the village was able to operate ILP-standard services. This community service program aimed to improve the knowledge and basic skills of Tawang Village posyandu cadres so that they are prepared to deliver ILP-standard posyandu services. The program involved 37 cadres from five posyandu and was carried out in three stages: ILP education, mentoring of ILP service practice using the five-table system, and evaluation of cadre knowledge and basic skills. The cadres' knowledge was already good before the activity (median 92) and became higher and more uniform afterwards (median 96), with a statistically significant difference (p = 0.013). Skill mapping showed that 37.9 percent of cadres reached the “utama” (advanced) category, 29.7 percent “madya” (intermediate), and 32.4 percent “purwa” (novice), revealing skill gaps between posyandu. As an impact, the activity produced a cadre competency map that enables the village midwife and Weru Public Health Center to provide targeted mentoring so that all five posyandu in Tawang Village can meet ILP service standards. Tiered mentoring is recommended, prioritising posyandu with a high proportion of basic-level cadres.
The Relationship Spousal Support and Medication Adherence among Coronary Heart Disease Patients Prasjodi Fajar Hutama Sudarsono; Dian Hudiyawati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1332

Abstract

Coronary heart disease (CHD) is one of the leading causes of mortality worldwide, including in Indonesia. Medication adherence is a crucial factor in preventing complications and improving quality of life among patients. This study aimed to examine the relationship between spousal support and medication adherence among patients with coronary heart disease. A quantitative study with a cross sectional design using a systematic sampling technique was conducted among 159 CHD patients attending the cardiac outpatient clinic at Dr. Moewardi General Hospital, Surakarta. Data were collected using a spousal support questionnaire and the Morisky Medication Adherence Scale MMAS 8 and analysed using the Spearman Rho test with a 95 percent confidence level. The results showed a significant positive relationship between spousal support and medication adherence with p value 0.001 and correlation coefficient r 0.482. Patients who received high spousal support demonstrated better medication adherence compared to those with low support. Spousal support plays an important role in improving medication adherence among patients with CHD and should be considered in long term disease management strategies.
Exploring factors predicting Diabetes Distress in patients with type 2 diabetes Yuli Susanti; Sumarno Adi Subrata; Dian Hudiyawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.769

Abstract

Background: Diabetes mellitus, a chronic disease resulting from an impaired endocrine system, disrupts glucose regulation and leads to elevated blood glucose levels. Individuals with diabetes may develop complications such as hyperglycemia. Persistent hyperglycemia can negatively affect mental well-being, potentially causing depression, anxiety, and diabetes distress. While numerous studies have explored predictors of diabetes distress, their findings have been inconsistent, and a comprehensive understanding of the contributing risk factors remains elusive. Purpose: To identify the dominant factors influencing the occurrence of diabetes distress. Method: This quantitative descriptive study involved a sample of 150 respondents. Participants were included if they had a diagnosis of type 2 diabetes mellitus, were male or female, and were over 20 years of age, regardless of whether they had diabetes-related complications. Patients with unstable hemodynamic status or those unable to communicate effectively were excluded. The study took place at the Surakarta Islamic Hospital between July and September 2024. Data collection utilized demographic questionnaires, the Diabetes Distress Scale, the Hensarling Diabetes Family Support Scale, and the Medication Adherence Rating Scale. Pearson's test and multiple linear regression were used for data analysis. Results: The study found that the majority of respondents had a mean age of 56 years and were male. The analysis revealed four factors influencing diabetes distress in patients with Type 2 Diabetes Mellitus including treatment regimen (p-value = 0.001, B = -10.792), education level (p-value = 0.042, B = -3.779), age (p-value = 0.015, B = -0.404), and family support (p-value = 0.034, B = -0.333). Conclusion: The treatment regimen emerged as the most significant factor influencing diabetes distress; consistent adherence to the prescribed treatment plan was associated with lower levels of distress among individuals with type 2 diabetes mellitus. Furthermore, education level, age, and family support were identified as additional factors contributing to diabetes distress.
Co-Authors Abi Muhlisin Adella Indri Afitasari Adhisty Fachrine Ayu Saqina Ady Tyawarman Agung Haryanto Agus Herianto Agustaria Budi Nugroho aisya, saktika Aji, Prima Trisna Ajie Maulana Prakoso Alfianti, Ade Leta Alya Fitri Dwi Karunia Amalia, Luthfiana Ameilia Nurhadiyastuti Anggi Putri Aria Gita ani syafriati Anik Widiastuti Anindyati Fatikhul Jannah Anjarsari, Rizki Annas Tasya Permata Sari Annisa Dewi Cahya Annisa, Safira Bela Antika, Febrianti Nur Aprilia Kartika Sari Ardhiansyah, Muhammad Faiz Fahrizal Ardhika Putri Utami Ardito Dicky Pilang Gusbriananda Arif Putra Purnama Arif Widodo Ariwati Anggita Putri Ariwati Anggita Putri Ariyanto, Fajar Arum Pratiwi Arum Pratiwi Ashar, Burhanudin Astuti, Lia Atmaja, Hanandhiya Intansari Ayu Adi Novitriana Azizah, Amalia Nur Azulla, Sellvinia Beti Kristinawati Beti Kristinawati Bima Surya Nugraha Charisma Alzura Chintya Putri Wibowo Chouhan, Devraj Singh Devina Dara Safitri Dewangga, Mahendra Wahyu Dewi, Siti Mutiara Sari Dilla Nurfatika Sari Dimas Ria Angga Pribadi Dinda Marini Putri Dwi Linna Suswardany Egidia Tiffany Eka Agustin Eka Lavenia Martini Ekan Faozi Endar Sulistyo Erna Herawati Erni Susanti Erni Susanti Faelani, Shelina Puput Gupita Fahrun Nur Rosyid Farah Fadilah Fardani Nur Annisa Febi Kusuma Nugraha Febrianti Nur Antika Hani Oktavira, Sisilia Hariati Wahyuningsih K Hayati, Fila Diana Nur Hunain Suci Kamila Ida Nur Imamah Iik Monika Imani, Nadia Nur Indhira Kurniastining Fiqriyah Indhira Kurniastining Fiqriyah Intan Roesyati Intan Roesyati Ira Ayu Ananda Jami'atulhita Alfirizqi Jayanthi, Jesslyn Khoirunnisaa Jesslyn Khoirunnisaa Jayanthi Jihadilia Islami Putri Jumaiyah, Wati Jumaiyah, Wati Kamila, Hunain Suci Kartinah Khairunisa, Septi Kusuma Estu Werdani Latifardani, Rissa Maemunah Maemunah Martini, Eka Lavenia MH Dwi Nur Arif Miayunaisya Dyah Partita Muhammad Isa Hanafi Tabah Tohamik Muhammad Rafif ‘Ulwan Mujannidah, Afidatul Murwani, Wara Gati Musa, Mazlinda Mustofa, Sidqon Muzakar Isa Nabila Novita Priyani Nabila Windi Aulia Nabilla Oktaviani Nurlitasari Nadya Yuniandita Nera Bela Beauty Nur Nida Zahrotul Ummah Nindi Muthohar Niswatin, Tsani Khoirun Noor Alis Setiyadi Nur Janah, Sherly Nuralis Setyadi Oktandora, Nobrila Salsa Oktavira, Sisilia Hani Pambudiarto, Arie Agus Prasetia, Enggartyas Nur Prasjodi Fajar Hutama Sudarsono Prima Trisna Aji Primalia, Pudika Priyanti, Tiyas Pudika Primalia Putri Nurlia Anggraini Putri, Ariwati Anggita Putri, Ekky Puspita Sonia Rahmawati, Ellyza Renandha Parahita Reni Kartika Sari Rini Anggita Rini Indah Pratiwi Rissa Latifardani Riyani Wulaningsih Rizki Anjarsari Rizky Amalia Herabare Roesyati, Intan Romadhonia, Hanan Nofiana Sabila Rizki Saktika Aisya Hadyantari Saqina, Adhisty Fachrine Ayu sari, afifah laksmita Sari, Dilla Nurfatika Sari, Noviana Kurnia Sejati, Ilham Kukuh Septi Khairunisa Septia Denok Sugiharto Septiana, Yuni Serin Izzatut Taqiyah Setiyo Purwanto Sevia Yayustika Qoirunnisa Silviana Dian Putri Ichsani Silviana Rahmawati Ekaputri Siti Marfu'ah Sri Mulyani Sulastri Sulastri Sulastri Sumarno Adi Subrata Sumarno Adi Subrata Sutanto, Ikhlash Alkaustsar Syafriati, Ani Tiffany, Egidia Tiyas Priyanti Tiyas Priyanti Tri Agustina Tsuroya Nabila Musthofa Tyawarman, Ady Utami, Ardhika Putri Via Marganingsih Violeta Yuman Tanaya Wachidah Yuniartika Wachidah Yuniartika Wibowo, Della Mardiana Widya Putri Rachmawati Wildan Prima Jalu Prasojo Winarsih Nur Ambarwati Windi Wulandari Wisardoyo Wisardoyo Wita Oktaviana Wulan Syafitry Yasier Ikrom Yeni Indriyani Yuli Susanti Yuni Sri Lestari, Yuni Sri Yuniandita, Nadya Zahrani Bakhita Hanifah Zain, Choirunnisa' Hanun Zainuddin S. Isa Ziddan Arif Darmawan