Aqilah, Faiha Nurul
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Sleep Quality in Patients with Human Immunodeficiency Virus Aqilah, Faiha Nurul; Pramukti, Iqbal; Nugraha, Bambang Aditya; Lukman, Mamat; Harun, Hasniatisari; Sithichoksakulchai, Siriluk
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4367

Abstract

Human Immunodeficiency Virus (HIV) is a viral infection that occurs in the human immune system and makes the body unable to fight infection because the virus can replicate itself. The physical and psychological problems experienced by HIV patients can change their sleep patterns and quality. Poor sleep quality will cause various health problems, including a decreased immune system. HIV patients have experienced a decrease in their immune system due to viral infection, so they need good quality sleep so as not to disrupt their condition and health status. This research was conducted to determine the quality of sleep of HIV patients at Sumedang Hospital. This research method is descriptive and quantitative, with 74 HIV patients taken using consecutive sampling techniques. The sleep quality assessment instrument uses the Pittsburgh Sleep Quality Index (PSQI). Univariate analysis was used in this study to describe the distribution of frequencies and percentages of respondent characteristics and sleep quality. The results of this study showed that the majority of HIV patients experienced poor sleep quality (63.5%). Poor sleep quality that occurs in HIV patients is related to various factors such as psychological stress, disease, medication, age, and gender. From these findings, efforts, and interventions are needed for nurses or health service providers to improve the sleep quality of HIV patients.
Care Bundles for Chronic Kidney Disease (CKD) Patients with Hypervolemia: Case Reports Aqilah, Faiha Nurul; Praptiwi, Atlastieka; Yulianita, Henny
JURNAL CITRA KEPERAWATAN Vol 13 No 2 (2025): Jurnal Citra Keperawatan Edisi : Desember
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v13i2.395

Abstract

The rising prevalence of Chronic Kidney Disease (CKD) highlights its significance as a global health concern requiring comprehensive management. CKD is characterized by a progressive, irreversible decline in renal function, leading to fluid and electrolyte imbalances. One such complication is hypevolemia, which can result in serious health consequences. Our case reports evaluates the effectiveness of implementing care bundles that incorporated both independent and collaborative nursing intervention. Data collection was conducted through observation, interviews, physical examinations, and supporting data. The subjects were two stage V CKD patients with hypervolemia at Umar Wirahadikusumah Hospital in Sumedang, West Java. Over a five-day period, interventions included patient education, fluid restriction, proper positioning, breathing relaxation techniques, and collaborative treatments such as administration of diuretics, antihypertensives, hemodialysis, and ascitic fluid paracentesis.The implementation of care bundles resulted in improved clinical outcomes, including stabilized blood pressure (120–130/70–80 mmHg), decreasing abdominal circumference (6–15%), reducing dyspnea (respiratory rate 20–25 breaths/min), and increasing oxygen saturation (98–99%). Nurses play a key role as caregivers and coordinators in delivering both independent and collaborative interventions. Through an interdiciplinary approach, the implementation of care bundles has proven effective in achieving optimal care goals and improving patient health outcomes.