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All Journal Jurnal Keperawatan Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Kesehatan Holistic Jurnal Kreativitas PKM INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Abdi Insani Jurnal Pengabdian kepada Masyarakat Nusantara Mapalus Nursing Science Journal (MNSJ): Jurnal Ilmu Keperawatan Mapalus
Wirawan, Alfonsius Ade
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Hubungan Kelelahan dengan Kepatuhan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit Sentra Medika Minahasa Utara Karinda, Keren Bethany Onibala; Wantania, Frans Erwin Nicolaas; Wirawan, Alfonsius Ade
Mapalus Nursing Science Journal Vol. 3 No. 2 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i2.64167

Abstract

Background: Hemodialysis is the primary therapy used to remove metabolic waste from the blood in patients with chronic kidney disease (CKD). Although hemodialysis is crucial for the survival of CKD patients, the procedure has several physical impacts, one of which is fatigue. This fatigue can contribute to low adherence to the prescribed hemodialysis regimen. Objective: This study aimed to determine the relationship between fatigue and adherence in chronic kidney disease patients undergoing hemodialysis. Methods: This research used a quantitative approach with a cross- sectional design. The sample consisted of 137 hemodialysis patients selected using purposive sampling. Results: Based on the statistical analysis using Spearman’s rho correlation test, the result showed a p-value of 0.019 (p < 0.05), indicating a significant relationship between fatigue and adherence. The correlation coefficient was r = -0.200, which indicates a weak negative correlation. This means that the higher the level of fatigue experienced by patients, the lower their adherence tends to be. Conclusion: There is a significant relationship between fatigue and adherence in chronic kidney disease patients undergoing hemodialysis at Sentra Medika Hospital, North Minahasa. Keywords: Fatigue, Adherence, Chronic Kidney Disease, Hemodialysis.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN BODY IMAGE PASIEN KANKER YANG MENJALANI KEMOTERAPI DI RSUP. PROF. DR. R.D. KANDOU MANADO Wirawan, Alfonsius Ade; Fernandez, Gratsia Victoria; Kambey, Stefan Andrew Glorious Pelealu
JURNAL KEPERAWATAN Vol. 14 No. 01 (2026): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v14i01.66195

Abstract

Background: One of the cancer treatments is chemotherapy. However, this therapy has side effects on patients. One of the side effects is body image problems. Patients undergoing chemotherapy are mostly reported to experience negative body image. This can have a negative impact on patients such as psychosocial problems, disruption of daily activities, even affecting well-being and non-fulfillment of patient treatment. Objective: To determine factors related to the body image of cancer patients undergoing chemotherapy. Methods: This study used a quantitative cross-sectional research design. The subjects were 124 cancer patients undergoing chemotherapy. The instruments used were demographic questionnaires, RSE, ZSAS, and BIS. Results: Age and self-esteem are factors that have a statistical relationship with the body image of cancer patients undergoing chemotherapy. The P value of age is 0.048 with an Exp(B) value of 0.682. Meanwhile, the P value of self-esteem is 0.006 with an Exp(B) value of 3.108. Conclusion: Age and self-esteem are significantly related to the body image of cancer patients undergoing chemotherapy. Self-esteem are the most dominant factors influencing body image. Therefore, surgical interventions focused on psychosocial support and self-esteem enhancement, especially in young patients, are necessary to help maintain a positive body image during chemotherapy
Co-Authors Fernandez, Gratsia Victoria Fitriani Fitriani Gautama, Made Satya Nugraha Gresty Natalia Maria Masi, Gresty Natalia Maria Hanifah, Qolbu Ainun Kambey, Stefan Andrew Glorious Pelealu Karinda, Keren Bethany Onibala Larira, Dina Mariana Mandias, Veronica Nurmansyah, Muhamad Pratiwi, Luh Dea Purnamayanti, Ni Kadek Diah Renteng, Septriani Udrayana, Oka Usoh, Trivena Veronika Wantania, Frans Erwin Nicolaas Wawan Nurmawan