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Effectiveness of Virtual Reality-Based Guided Imagery Intervention on Intradialysis Blood Pressure in Patients Undergoing Hemodialysis Ria Desnita; Vivi Syofia Sapardi; Defrima Oka Surya
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3333

Abstract

An increase in blood pressure during hemodialysis, known as intradialysis hypertension, if left untreated can lead to death in patients. Guided imagery therapy can provide a relaxing effect on patients to reduce sympathetic nerve overwork. The development of guided imagery therapy with virtual reality technology can project the visualization of objects more real to the patient so that it is expected to further relax the patient during hemodialysis so that blood pressure is stable. The purpose of this study was to determine the effectiveness of virtual reality-based guided imagery intervention on intradialytic blood pressure in hemodialysis patients. The research design was a quasi-experiment using a one-group pre and post-test with a control group approach. The research was conducted in the Hemodialysis Room of dr. Reksodiwiryo Padang hospital. Sampling using purposive sampling technique with a sample size of 13 people in each group. The mean difference in Mean Arterial Pressure in the intervention group before and after the intervention was 5.56, while in the control group, it was 0.51. The study was conducted from July – November 2023, blood pressure data is obtained by direct measurement and than mean arterial ressure was calculated. Data analysis using paired t test. The results of further analysis showed that there was a significant difference in the difference in pre-posttest MAP in the intervention group and control group (p = 0.001, α = 0.05) so it was concluded that Guided Imagery therapy based on Virtual Reality was effective in controlling intradialysis blood pressure. Guided Imagery therapy intervention based on Virtual Reality can be one of the therapies.
Effectiveness of Diabetes Daily Care Calculator Application on Self-Management of Type 2 Diabetes Mellitus Patients Defrima Oka Surya; Ria Desnita; Ilham Thohir
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3547

Abstract

Type 2 DM can affect aspects of the sufferer's quality of life and carries a risk of complications. DM requires good self-management to be able to control glucose levels. Education is an important component in patient self-management so that patients can control their disease. Smartphone technology through application implementation can be utilized to create innovative solutions. This research develops and applies a daily care diabetes calculator based on a mobile application that provides information on the pillars of diabetes management that is easily accessible to patients and embeds a smart calculator to calculate diet based on the patient's calorie needs and physical activity. The aim of the research is to determine the effectiveness of applying the daily care diabetes calculator application for self-management of Type 2 Diabetes Mellitus patients. This type of quantitative research with a quasi-experiment design uses a one group pre and posttest approach without control group. The research was conducted at RSUD dr. Rasidin. Sampling was taken using a consecutive sampling technique with a sample size of 22 people. The intervention was given for 2 weeks and self-management was assessed using the The Summary of Diabetes Self-care Activities (SDSCA) questionnaire. with the validity and reliability test values for thisinstrument being r = 0,80 and α : 0,74. Data analysis using paired t test The average self-management score before implementing the diabetes daily care calculator application was 40.32 and the average self-management score after was 63.18. Implementation of a daily care diabetes calculator based on a mobile application is effective in improving self-management of type 2 diabetes mellitus patients (p<0.05). This application can be used by nurses as an extension in caring for patients at home, so that the care process provided remains sustainable.