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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.
The effect of aerobic virtual‐reality‐based exercise on restless legs syndrome, sleep quality, and quality of life among patients undergoing hemodialysis Fauzi, Achmad; Ahmedy, Fatimah; Irawati, Diana
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 9, No 2 (2024): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v19i2.629

Abstract

Background: Virtual reality (VR) therapy for hemodialysis (HD) patients can improve physical function, maintain patient compliance, and have a positive effect on functional capacity, strength, and health-related quality of life. Nevertheless, the utilization of this treatment for HD patients remains restricted, particularly in the context of Indonesia where its development has yet to be established.Objectives: the primary objective of this research attempt was to determine the effect of aerobic exercise using virtual reality technology on restless legs syndrome, sleep quality, and quality of life in patients undergoing hemodialysis therapy. Methods: The present study employs a quasi-experimental design with a two-group pretest-posttest design. The inclusion criteria for this study include of patients with HD who are over the age of 20, have been undergoing hemodialysis for a minimum of 6 months, exhibit cooperative behavior and compositional awareness, and express a willingness to participate as respondents. The KDQOL-SF, IRLSG Scale, and PSQI were used to measure study outcome.Results: There were 95 people that could have participated, but only 75 ended up doing so due to exclusions and dropouts. The intervention significantly decreased RLS score and improved sleep quality, but quality of life did not increase significantly. In the control group, RLS score did not decrease significantly, sleep quality did not improve, and quality of life did not increase significantly.Conclusion: Intradialytic aerobic exercise supported with virtual reality may have additional effects in RLS, sleep quality, and quality of life. Further research is needed to assess the effect of VR-based intervention, both alone and when combined with other therapies.
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.