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All Journal International Journal of Public Health Science (IJPHS) JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Keperawatan PPNI Jawa Barat
Ahmedy, Fatimah
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Cross-culture adaptation and validation of Indonesian language version of Pittsburgh Sleep Quality Index Fauzi, Achmad; Ahmedy, Fatimah; Rosidah, Rosidah
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.23439

Abstract

Hemodialysis (HD) patients have a high rate of poor sleep. The Pittsburgh Sleep Quality Index (PSQI) is the most popular self-reported instrument to measure sleep quality. No study has tested the psychometric efficiency of the Bahasa (Indonesian language) PSQI in hemodialysis (HD) patients, and no cross-cultural adaptation has been done. The purpose of this research was to translate the PSQI into Bahasa and improve its psychometric properties for use in evaluating HD patients in Indonesia. This study used instrument translation, cultural adaptation, content validation, and equivalence to crossculturally validate and adapt an instrument. The hemodialysis center at a West Java medical facility served as a source of potential HD patients throughout the period of October 2022 to February 2023. A content validity index (CVI) was calculated for each item and the entire scale. The factor structure of the Bahasa PSQI has been evaluated by confirmatory factor analysis and internal consistency was calculated using Cronbach's alpha. The online survey received a response rate of 62.8% from a total of 220 patient with HD (about ten responders each item). The level of language clarity was 87.8%, and the level of cultural relevance was 84.5%. The CVI varied from 0.92 to 1.00. Each factor had factor loading ranging from 0.51 to 0.62. that Cronbach alpha for total score was 0.803, and the subscale ranged from 0.771 to 0.863. Our research provides preliminary evidence of the validity and reliability of the translated and adapted tool using data from HD patients in Indonesian hospitals.
EFFEKTIVITAS AEROBIC EXERCISE DAN STRETCHING EXERCISE INTRADIALYTIC TERHADAP PENURUNAN RESTLESS LEG SYNDROME PADA PASIEN GAGAL GINJAL KRONIK DENGAN HEMODIALISIS Fauzi, Achmad; Ahmedy, Fatimah; Rosidah, Rosidah
Jurnal Keperawatan PPNI Jawa Barat Vol 1 No 1 (2023): JURNAL KEPERAWATAN PPNI JAWA BARAT
Publisher : DPW PPNI Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70332/jkp.v1i1.6

Abstract

Latar Belakang : Gagal ginjal kronis, juga dikenal sebagai disfungsi kronis ginjal progresif dan ireversibel, adalah proses yang menyebabkan uremia dan membantu mengontrol metabolisme, keseimbangan kalori, dan keseimbangan elektrolit. Ini menimbulkan bahaya bagi sejumlah penyakit, termasuk obesitas, diabetes, hipertensi, dan kanker ginjal. Tujuan : mengevaluasi efektivitas masih perlu dikonfirmasi effektivitas aerobic exercise dan stretching exercise intradialytic terhadap penurunan restless leg syndrome pada pasien gagal ginjal kronik dengan hemodialisis. Metode : Penelitian ini menggunakan pendekatan kuasi eksperimen kuantitatif yang dibagi kedalam kelompok intervensi dan kontrol, pada Rumah Sakit Haji Jakarta selama 4 minggu. Empat puluh peserta terdaftar di setiap kelompok, sehingga total 80 peserta terdaftar. Purposive sampling digunakan untuk memilih responden. Selain itu, setiap responden diminta melengkapi skala penilaian International Restless Legs Syndrome Study Group (IRSSG). Hasil : Mayoritas responden laki-laki sebanyak 42 responden (52,50 %), Lamanya hemodialysis >12 bulan (85%), dan memiliki tingkat hemoglobin kurang dari 10 mg/dl (80%). Hasil penelitian ini menunjukkan bahwa: Pada kelompok intervensi Aerobic Exercise dan Stretching Exercise Intradialytic mengalami penurunan tingkat RLS dengan skor rata-rata pre test 2.12 menjadi 1.56 saat post test dengan nilai p value (0,001<0,05), sedangkan pada kelompok kontrol tidak terjadi, dimana nilai rata-rata pre test 2.06 menjadi 2.19 saat post test dengan p value (0,164>0,05). Kesimpulan : Terdapat pengaruh Aerobic Exercise dan Stretching Exercise dengan media audio visual terhadap tingkat RLS pada pasien gagal ginjal kronik yang menjalani hemodialisis. Studi berikutnya dapat mempelajari faktor-faktor yang mempengaruhi keberhasilan Aerobic Exercise dan Stretching Exercise dalam menurunkan RLS.
Psychosocial, Behavioral, and Spiritual Determinants of Quality of Life in Chronic Kidney Disease: A Path Analysis Study Fauzi, Achmad; Ahmedy, Fatimah; Payus, Alvin Oliver; Daud, Maryama Bte Ag.; Reniyah, Reniyah
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.83087

Abstract

Introduction: Chronic Kidney Disease (CKD) is a progressive, irreversible condition that impairs physical, psychological, and social functioning, reducing patients’ quality of life (QoL). While factors like treatment adherence, social support, coping, and spirituality have been linked to QoL, few studies have explored their interrelationships in low- and middle-income countries. Objective: This study examined the direct and indirect associations among psychosocial, behavioral, and spiritual factors and quality of life among patients with chronic kidney disease undergoing maintenance hemodialysis in Indonesia using a hypothesized path model. Methods: A cross-sectional study was conducted with 300 adult CKD patients from three hemodialysis centers in Jakarta, selected via consecutive sampling. QoL (KDQOL-36™), social support, treatment adherence, self-efficacy, health literacy, coping strategies, and spiritual well-being were assessed using validated instruments. Path analysis was performed using AMOS version 24, with model fit evaluated using CFI, TLI, RMSEA, and SRMR. Significance was set at p .05. Results: The model showed good fit (CFI = 0.945, TLI = 0.927, RMSEA = 0.057, SRMR = 0.048). Treatment adherence had the strongest direct effect on QoL (β = 0.31, p .001), followed by coping strategies (β = 0.24) and spiritual well-being (β = 0.22). Social support, self-efficacy, and health literacy indirectly influenced QoL through treatment adherence. The highest total effect on QoL was from treatment adherence (β = 0.31), followed by coping (β = 0.24), spirituality (β = 0.22), and social support (β = 0.18). Conclusion: QoL in CKD patients is influenced by treatment adherence, coping, spirituality, and psychosocial support. Holistic, culturally sensitive interventions integrating education, psychological support, and spiritual care are essential to improve outcomes in resource-limited settings.
Self-Efficacy and Resilience as Mediators of the Relationship Between Social Support and Relapse Tendency Among Individuals with Substance Use Disorder in Indonesia Yanuarti, Tuty; Triaswati, Rusmai; Mohd Daud, Mohd Nazri Bin; Ahmedy, Fatimah
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.96098

Abstract

Introduction: Substance abuse has been a public health concern, and even after detoxification treatment, the relapse rate is still high. Objectives: To explore relationship between self-efficacy, resilience and social support with relapse tendency in substance use disorder in Indonesia. Methods: The study employed a cross-sectional design and was conducted at a rehabilitation hospital in Jakarta, Indonesia. In order to be eligible for the study, participants had to be at least 18 years old, have normal and stable cognitive states, and have been diagnosed with a substance use disorder in the last year by experienced psychiatrists. The study variables were measured using a psychological questionnaire of relapse tendency, a self-administered social support survey, a bidimensional resilience scale, and self-efficacy. Also, 5,000 bootstrap samples with 95% CIs were used to assess the significance of the potential moderating effects. Results: Of 200 sample, there were 120 males and 80 females, mean age was 37.56 (SD=5.89). Descriptive analysis showed social support (71.2 ± 23.45), self-efficacy (7.03 ± 3.49), resilience (55.5 ± 17.66), relapse tendency (39.7 ± 15.28). Social support was negatively associated with relapse tendency (r = −0.689, p 0.001). Mediation analysis showed significant indirect associations through self-efficacy and resilience. The indirect pathway through self-efficacy accounted for 13.50% of the total effect, the pathway through resilience accounted for 12.69%, and the sequential pathway through self-efficacy and resilience accounted for 11.72%. Bootstrap confidence intervals for all indirect effects did not include zero, indicating statistical significance. Conclusions: Self-efficacy and resilience are the most important factors in the relationship between social support and the likelihood of relapse in patients with substance use disorders. Social support was associated with lower relapse tendency, and this association was partially explained by self-efficacy and resilience. Longitudinal studies are required to confirm the proposed mediation pathways.
Co-Authors Achmad Fauzi Achmad Fauzi Daud, Maryama Bte Ag. Mohd Daud, Mohd Nazri Bin Payus, Alvin Oliver Reniyah, Reniyah Rosidah Rosidah Triaswati, Rusmai Tuti Yanuarti