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Determinant of Overload Occurrence in Clients Chronic Kidney Failure with Hemodialysis Tri Mochartini
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.595

Abstract

Aims: Patients with renal failure who are in the final stage require replacement therapy for kidney function to maintain their survival such as kidney transplantation, hemodialysis and Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy. Failure of kidney function can cause overload complications. In order to avoid complications from overload, good precautions must be taken, namely adherence to limiting fluid. Compliance must be based on the level of knowledge of the individual itself. The higher the level of knowledge is more open by carrying out compliance in limiting fluid in chronic renal failure with hemodialysis. Main Objectives: Knowing the Determinants of Overload Occurrence in Chronic Kidney Failure with Hemodialysis at the Indonesian Christian University Hospital in 2019. Research Method: Analytical Method, the sample in this study were all chronic renal failure patients who performed routine hemodialysis in the UKI Hemodialysis Hospital in February 2019 and the instruments used in this study used a questionnaire of 56 respondents. So the sampling method in this study is incidental sampling. Results: From the results of the Chi Squere test, the researchers obtained p-value <0.05, meaning that there was a relationship between age, type, sex, education, duration of hemodialysis, knowledge and adherence to overload. Suggestion: It is expected that health workers in the HD room of the Christian University Hospital will provide knowledge to clients and families through routine counseling and education about overloaded kidney failure and risks if they do not comply with fluid restrictions. If the client has knowledge about overload, the liquid compliance will be greater.
The Effectiveness of Combination Online and Offline Health Promotion on Gastritis Prevention Among Undergradute Nursing Students Tri Mochartini; Nyoman Indah Santika Dewi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 3 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i3.581

Abstract

Aims: Gastritis is an acute or chronic inflammation of the mucous lining of the stomach wall, and it commonly affects students with a heavy lecture load. The purpose of this study was to determine the effectiveness of a combination of online and offline health promotion on the prevention of gastritis in nursing undergraduate students. Methods: This study examines the efficacy of health promotion using magnification media and leaflets for the prevention of gastritis. It employs the Cross Sectional method to assess independent and dependent variables. Using a random sample of 176 first-year students, 153 samples were divided into two groups: magnification and leaflet media. Normality tests and paired T tests are utilized to determine the impact of independent variables. Results: Show of Bivariate Analysis with Paired T Test with a sample of 153 respondents (N = 153) obtained data that T - count (21.345), T - Table (0.662) and the p.Value is (0.004) alpha value (0.05) which means there is a difference in the initial level students of Stikes Abdi Nusantara about preventing gastritis after being given education through zoom media and leaflets. Conclusions: Based on the result that 121 students had a good diet, while 21% had an adequate diet. Gastritis, caused by improper dietary habits, is more common among women. Stress levels were found to be a significant factor in gastritis incidence. Education through Zoom media and leaflets significantly improved initial-year students' knowledge of gastritis prevention.
Hubungan Kadar Hemoglobin dan Feritin Serum dengan Keparahan Gejala Restless Legs Syndrome pada Pasien Hemodialisis Astrid Berlian Utami; Achmad Fauzi; Abdul Khamid; Tri Mochartini
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4460

Abstract

Latar Belakang: Restless Legs Syndrome (RLS) merupakan gangguan neurologis yang sering dialami oleh pasien yang menjalani hemodialisis, dengan prevalensi mencapai 20–45%. Gangguan ini ditandai oleh sensasi tidak nyaman pada tungkai yang menyebabkan dorongan kuat untuk menggerakkannya, terutama saat beristirahat. Salah satu faktor yang berperan penting dalam patogenesis RLS adalah gangguan metabolisme zat besi dan anemia. Kadar hemoglobin (Hb) dan feritin serum merupakan indikator status hematologis yang berpotensi berhubungan dengan keparahan gejala RLS.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara kadar hemoglobin dan feritin serum dengan keparahan gejala Restless Legs Syndrome pada pasien hemodialisis rutin.Metode: Penelitian ini menggunakan desain cross-sectional dengan melibatkan 60 responden pasien penyakit ginjal kronik yang menjalani hemodialisis di RSUP Dr. Kariadi Semarang. Sampel dipilih dengan metode purposive sampling berdasarkan kriteria inklusi lama menjalani hemodialisis ≥6 bulan. Data kadar hemoglobin dan feritin diperoleh dari hasil pemeriksaan laboratorium rutin, sedangkan tingkat keparahan RLS diukur menggunakan International Restless Legs Syndrome Rating Scale (IRLS). Analisis data dilakukan menggunakan uji korelasi Spearman.Hasil: Sebanyak 36 responden (60%) mengalami RLS dengan tingkat keparahan sedang hingga berat. Nilai rata-rata kadar hemoglobin responden adalah 9,8 ± 1,4 g/dL dan kadar feritin serum 187,6 ± 54,2 ng/mL. Hasil analisis menunjukkan hubungan negatif yang signifikan antara kadar hemoglobin dengan skor keparahan RLS (r = –0,451; p = 0,001) serta antara kadar feritin serum dengan skor RLS (r = –0,482; p < 0,001). Hal ini menunjukkan bahwa semakin rendah kadar hemoglobin dan feritin, semakin berat gejala RLS yang dialami pasien.