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The Effects Intradialytic Exercise On Hemodialysis: a systematic review Lia Fadlilah; Tifany Hayuning Ratri; Feri Catur Yuliani
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46442

Hemodialysis is the most common method used to treat chronic kidney disease (CKD). However, it is still accompanied by increasing morbidity and mortality, with cardiovascular disorders as the main cause of death. Hemodialysis can lead to decreased capacity and functional muscle mass, inflammation, endothelial dysfunction, and bone mineral disease (cardiovascular disorders). Exercise or activity programs during hemodialysis (intradialytic) come in many forms, all aimed at improving muscle mass, bone strength, cardiorespiratory health, physical fitness, and enhancing the quality of life. This study will systematically review previous journals discussing the impact of training or physical activity on chronic kidney disease patients undergoing hemodialysis, regarding all factors that can improve the quality of life for CKD patients undergoing HD. The literature search process was conducted on research from the last 5 years (2016-2020) in English selected from several indexed electronic databases (Scopus, Science Direct, CINAHL, Pubmed, Oxford, SAGE). A search using a search engine yielded a total of 301 articles, and after screening, 13 were selected based on criteria and were of RCT research design. The results of the studies show that the appropriate and safe selection of intradialytic exercise for patients, without requiring extra time, can improve physical activity and sleep quality, leg muscle mass, stimulate bone alkaline phosphatase which can prevent osteoporosis, lower blood pressure, improve respiratory function and functional capacity, enhance physical function, reduce inflammation, improve nutrition, increase bone mineral density, improve exercise tolerance, increase Kt/V, enhance serum creatinine clearance, blood urea, and serum potassium phosphate. The positive impact of exercise during hemodialysis will result in an improved quality of life, and a decrease in morbidity and mortality in CKD patients undergoing hemodialysis. Keywords: exercise; hemodialysis; Intradialytic

Pemberian Foto Therapy Terhadap Derajat Ikterus pada Bayi Neonatorum di Ruang Perinatologi RSI Sultan Hadlirin Jepara Umi Latifah; Akbar Amin Abdulllah; Feri Catur Yuliani
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 2 (2026): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Bulan Oktober
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v2i2.80

Angka kematian bayi masih menjadi masalah kesehatan global, dan ikterus neonatorum merupakan salah satu penyebab utama morbiditas dan mortalitas neonatal. Sebagian besar bayi baru lahir, baik cukup bulan maupun prematur, berisiko mengalami ikterus yang dapat berkembang menjadi hiperbilirubinemia berat apabila tidak ditangani dengan tepat. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian fototerapi terhadap derajat ikterus pada bayi neonatorum di ruang perinatologi RSI Sultan Hadlirin Jepara. Penelitian ini menggunakan pendekatan kuantitatif dengan desain pre-eksperimental one group pretest-posttest. Sampel penelitian sebanyak 35 bayi yang dipilih secara purposive dari total 55 bayi yang dirawat pada periode Januari hingga April 2025. Data diperoleh dari rekam medis pasien. Hasil penelitian menunjukkan bahwa rerata kadar bilirubin sebelum pemberian fototerapi adalah 16,66 mg/dL dan menurun menjadi 10,47 mg/dL setelah intervensi. Analisis menggunakan uji Wilcoxon menunjukkan nilai Z = -5,038 dengan p = 0,000 (p < 0,05), yang menunjukkan adanya perbedaan yang signifikan sebelum dan sesudah pemberian fototerapi. Kesimpulannya, fototerapi terbukti efektif dalam menurunkan derajat ikterus pada bayi neonatorum, sehingga dapat direkomendasikan sebagai intervensi standar dalam penanganan hiperbilirubinemia neonatal.

Hubungan Sanitasi Lingkungan Rumah Dengan Kejadian Diare Pada Balita di Desa Kuwasen Jepara Jawa Tengah Budi Lismanto; Feri Catur Yuliani; Ratna
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 2 (2026): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Bulan Oktober
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v2i2.83

Di Provinsi Jawa Tengah sendiri, prevalensi diare pada balita mencapai 11,1% (Dinkes Provinsi Jawa Tengah, 2022), dan di Kabupaten Jepara diperkirakan terjadi 7.650 kasus diare balita setiap tahun.Tujuan:Mengetahui kondisi sanitasi lingkungan rumah, frekuensi kejadian diare pada balita, dan hubungan antara sanitasi lingkungan rumah dengan kejadian diare di Desa Kuwasen, Jepara.Penelitian ini menggunakan desain cross sectional dengan 55 responden balita, teknik total sampling. Data dikumpulkan melalui kuesioner dan observasi, dianalisis univariat dan bivariat menggunakan uji Chi-square (α = 0,05). Sebagian besar rumah memiliki sanitasi baik (52,7%), sedangkan kejadian diare pada balita sebesar 47,3%. Analisis menunjukkan hubungan signifikan antara sanitasi lingkungan rumah dan kejadian diare (p-value = 0,000) dengan kekuatan hubungan kuat. Sanitasi lingkungan rumah yang kurang baik meningkatkan risiko diare pada balita. Perlu peningkatan fasilitas sanitasi dan edukasi perilaku hidup bersih untuk mencegah diare.

Sosialisasi dan Skrining Bullying sebagai Upaya Pencegahan Gangguan Kesehatan Mental pada Siswa Rizal Fajri; Feri Catur Yuliani; Putri Kusumawati Priyono
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 3 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i3.871

Introduction: Bullying in schools, marked by power imbalance, significantly impacts students’ mental health and increases the risk of depression. Preventive efforts through awareness programs and educational interventions are essential to equip adolescents with skills to address and resist bullying. Objective: The purpose of this activity is to provide information to students, guidance counselors, and student affairs administrators about the impact of bullying on students' mental health. Method: This activity began with bullying screening for all students at SMP N 1 Jatinom Klaten. After all students completed the screening, the researchers analyzed the results and consulted and discussed them with the vice principal for student affairs and guidance counselors to determine which students needed education on bullying issues. Following that, the researchers delivered a 45-minute socialization session together with the Vice Principal for Student Affairs, guidance counselors, and 15 students. The material was presented using PowerPoint with a lecture and discussion method for 30 minutes. Result: The results of this activity from the bullying screening showed that 15 students were victims and perpetrators of bullying. For the participants of the socialization, especially the students, they became more aware of the dangers of bullying to a person's mental health. Conclusion: The overall conclusion of this community service activity shows the effectiveness of the educational approach in improving students' understanding of the phenomenon of bullying and its consequences for mental health.

Hubungan Dukungan Keluarga dengan Tingkat Kepatuhan Pasien dalam Merawat Luka Diabetes Melitus di RSU Nurussyifa Kudus Dwi Heru Haryanto; Ratna Ratna; Dwi Puji Susanti; Feri Catur Yuliani
Indonesian Journal of Nursing Research (IJNR) Vol. 9 No. 1 (2026)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v9i1.4985

Diabetes mellitus is a chronic metabolic disease that continues to increase and may lead to complications such as diabetic wounds. Successful wound care is strongly influenced by patient adherence, which can be strengthened through family support. This study aimed to determine the relationship between family support and the level of patient adherence in caring for diabetic wounds at RSU Nurussyifa Kudus. This study used an analytical observational design with a cross-sectional approach. The sample consisted of 34 respondents selected using total sampling. The instruments were a family support questionnaire and a wound care adherence questionnaire. Data were analyzed using the Chi-Square test. The results showed that most respondents had moderate family support (50.0%) and moderate adherence (52.9%). The Chi-Square test showed p value = 0.000 (p < 0.05) with χ² = 28.059, indicating a significant relationship between family support and patient adherence in diabetic wound care. Better family support tends to be followed by better wound care adherence. Abstrak Diabetes melitus merupakan penyakit metabolik kronis yang terus meningkat dan dapat menimbulkan komplikasi berupa luka diabetes melitus. Keberhasilan perawatan luka sangat dipengaruhi oleh kepatuhan pasien, yang salah satunya dapat diperkuat melalui dukungan keluarga. Penelitian ini bertujuan mengetahui hubungan antara dukungan keluarga dengan tingkat kepatuhan pasien dalam merawat luka diabetes melitus di RSU Nurussyifa Kudus. Penelitian menggunakan desain observasional analitik dengan pendekatan cross sectional. Sampel penelitian berjumlah 34 responden yang diambil dengan teknik total sampling. Instrumen yang digunakan adalah kuesioner dukungan keluarga dan kuesioner kepatuhan perawatan luka. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan sebagian besar responden memiliki dukungan keluarga kategori sedang (50,0%) dan tingkat kepatuhan kategori sedang (52,9%). Hasil uji Chi-Square menunjukkan p value = 0,000 (p < 0,05) dengan nilai χ² = 28,059, sehingga terdapat hubungan yang signifikan antara dukungan keluarga dengan tingkat kepatuhan pasien dalam merawat luka diabetes melitus. Dukungan keluarga yang lebih baik cenderung diikuti oleh kepatuhan perawatan luka yang lebih baik.

Gaya Hidup dan Kejadian Hipertensi pada Perawat Rawat Inap: Lifestyle and Hypertension Incidence among Inpatient Nurses Zulfia Khoyrotun Nisa; Feri Catur Yuliani; Rizal Fajri
Jurnal Keperawatan Berbudaya Sehat Vol. 4 No. 2 (2026): Juli 2026
Publisher : Universitas Ngudi Waluyo

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Inpatient nurses have a high risk of experiencing health problems due to heavy workloads, high stress levels, and irregular shift work patterns. These conditions often trigger unhealthy lifestyle changes, such as poor diet, lack of physical activity, and sleep disturbances, which are major risk factors for hypertension. This study aimed to determine the relationship between lifestyle and the incidence of hypertension among inpatient nurses at RSU Nurussyifa Kudus. This was a quantitative study with an analytical design using a cross-sectional approach. The sample consisted of 43 inpatient nurses selected through a total sampling technique. The research instruments included a lifestyle questionnaire and a blood pressure observation sheet, while data analysis was performed using the Spearman Rank statistical test. The results showed that the majority of nurses had an unhealthy lifestyle, accounting for 40 respondents (93.0%), and most experienced stage 1 hypertension, totaling 23 respondents (53.5%). Based on the Spearman Rank statistical test, a p-value of 0.019 ( ) was obtained, indicating a significant relationship between lifestyle and the incidence of hypertension among inpatient nurses at RSU Nurussyifa Kudus. Hospital management is advised to establish occupational health and safety (OHS) promotion programs to mitigate work-related health risks.Inpatient nurses have a high risk of experiencing health problems due to heavy workloads, high stress levels, and irregular shift work patterns. These conditions often trigger unhealthy lifestyle changes, such as poor diet, lack of physical activity, and sleep disturbances, which are major risk factors for hypertension. This study aimed to determine the relationship between lifestyle and the incidence of hypertension among inpatient nurses at RSU Nurussyifa Kudus. This was a quantitative study with an analytical design using a cross-sectional approach. The sample consisted of 43 inpatient nurses selected through a total sampling technique. The research instruments included a lifestyle questionnaire and a blood pressure observation sheet, while data analysis was performed using the Spearman Rank statistical test. The results showed that the majority of nurses had an unhealthy lifestyle, accounting for 40 respondents (93.0%), and most experienced stage 1 hypertension, totaling 23 respondents (53.5%). Based on the Spearman Rank statistical test, a p-value of 0.019 ( ) was obtained, indicating a significant relationship between lifestyle and the incidence of hypertension among inpatient nurses at RSU Nurussyifa Kudus. Hospital management is advised to establish occupational health and safety (OHS) promotion programs to mitigate work-related health risks.

Hubungan Pola Konsumsi Kopi dengan Kejadian Gastritis: The Relationship between Coffee Consumption Patterns and the Incidence of Gastritis Latifa Tussa’adah; Feri Catur Yuliani; Rizal Fajri
Jurnal Keperawatan Berbudaya Sehat Vol. 4 No. 2 (2026): Juli 2026
Publisher : Universitas Ngudi Waluyo

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Gastritis is one of the most common gastrointestinal diseases found in healthcare facilities. Globally, the prevalence of gastritis reaches more than 50% of the world's population, while in Indonesia, the incidence remains high and is a major cause of outpatient visits. Coffee consumption patterns are suspected to be a risk factor for gastritis due to caffeine content, which can increase gastric acid secretion and irritate the gastric mucosa. This study aimed to determine the relationship between coffee consumption patterns and the incidence of gastritis in patients at Nurussyifa General Hospital, Kudus. This research used a quantitative approach with a correlational analytic design and a cross-sectional study method. A sample of 36 patients diagnosed with gastritis was selected using a total sampling technique. Coffee consumption patterns were measured using a questionnaire, while the incidence of gastritis was classified into acute and chronic gastritis based on medical diagnosis. Data were analyzed using the Spearman's Rho test. The results showed that most respondents had a low coffee consumption pattern (44.8%) and experienced acute gastritis (66.7%). The Spearman's Rho test revealed a p-value = 0.001 (p < 0.05), indicating a significant relationship between coffee consumption and the incidence of gastritis. In conclusion, there is a significant relationship between coffee consumption patterns and the incidence of gastritis in patients at Nurussyifa General Hospital, Kudus.

Pengaruh Terapi Bermain Mewarnai terhadap Penurunan Kecemasan Anak Prasekolah yang Mengalami Hospitalisasi: Effectiveness of Coloring Play Therapy in Reducing Anxiety Among Hospitalized Preschool Children Novia Pratiwi; Feri Catur Yuliani; Luluk Dermawan
Jurnal Keperawatan Berbudaya Sehat Vol. 4 No. 2 (2026): Juli 2026
Publisher : Universitas Ngudi Waluyo

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Hospitalization triggers psychological stress and anxiety in preschool children due to unfamiliar environments and medical procedures. This study aims to analyze the effect of coloring play therapy on reducing anxiety in hospitalized preschool children in the Multazam Ward of RSU Nurussyifa Kudus. This quantitative study utilized a pre-experimental approach with a one-group pretest-posttest design. A sample of 75 preschool children was selected using a purposive sampling technique. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 5% ( ). The results showed that before the coloring play therapy, the majority of children (50.6%) experienced very severe anxiety. After the intervention, most children (40.0%) showed no anxiety. Statistical analysis obtained a p-value < 0.001. In conclusion, there is a significant effect of coloring play therapy on reducing anxiety levels in hospitalized preschool children.

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