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All Journal Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Jawara : Jurnal Ilmiah Keperawatan
Tuti Sulastri
Universitas Sultan Ageng Tirtayasa
Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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HUBUNGAN SELF CARE DAN FAMILY SUPPORT DENGAN KUALITAS HIDUP PASIEN CONGESTIVE HEART FAILURE DI RSUD dr. DRAJAT PRAWIRANEGARA Juanita, Christin Helen; Sulastri, Tuti; Rustiawati, Epi
Jawara : Jurnal Ilmiah Keperawatan Vol 6, No 2 (2025)
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/jik.v6i2.34599

Abstract

ABSTRAKLatar Belakang: Congestive Heart Failure (CHF) merupakan penyakit kardiovaskular kronis yang menjadi penyebab utama penurunan kualitas hidup pasien. Gejala seperti kelelahan, sesak napas, dan keterbatasan aktivitas berdampak pada kondisi fisik, psikologis, dan sosial pasien. Self care yang efektif serta dukungan keluarga (family support) berperan penting dalam membantu pasien mengelola gejala dan mempertahankan kualitas hidup yang optimal. Hubungan keduanya dengan kualitas hidup pasien CHF di RSUD dr. Drajat Prawiranegara belum banyak diteliti secara spesifik. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara self care dan family support dengan kualitas hidup pasien CHF di RSUD dr. Drajat Prawiranegara. Metode: Penelitian menggunakan desain cross-sectional dengan 105 pasien CHF sebagai sampel. Data dikumpulkan menggunakan kuesioner self care (SCHFI), family support, dan kualitas hidup (MLHFQ). Analisis data dilakukan dengan uji Chi-Square untuk mengetahui hubungan antar variabel. Hasil: Hasil penelitian menunjukkan mayoritas responden memiliki self care baik (52,4%) dan family support tinggi (81,9%). Terdapat hubungan signifikan antara self care dengan kualitas hidup (p = 0,042), namun tidak ditemukan hubungan signifikan antara family support dengan kualitas hidup (p = 0,981). Kesimpulan: Self care berhubungan signifikan dengan kualitas hidup pasien CHF di RSUD dr. Drajat Prawiranegara, sedangkan family support tidak. Faktor lain kemungkinan turut memengaruhi kualitas hidup, sehingga pendekatan multidimensional diperlukan dalam perawatan pasien. Kata Kunci: Self Care, Family Support, Kualitas Hidup, Congestive Heart Failure ABSTRACTBackground: Congestive Heart Failure (CHF) is a chronic cardiovascular disease that is a leading cause of decreased quality of life in patients. Symptoms such as fatigue, shortness of breath, and activity limitations affect the physical, psychological, and social conditions of patients. Effective self-care and family support play a crucial role in helping patients manage symptoms and maintain optimal quality of life. However, the relationship between these factors and the quality of life of CHF patients at RSUD dr. Drajat Prawiranegara has not been extensively studied. Objective: This study aims to analyze the relationship between self-care and family support with the quality of life of CHF patients at RSUD dr. Drajat Prawiranegara. Methods: This research employed a cross-sectional design involving 105 CHF patients as participants. Data were collected using the Self-Care of Heart Failure Index (SCHFI), a family support questionnaire, and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Data were analyzed using the Chi-Square test to examine relationships between variables. Results: The results showed that the majority of respondents had good self-care (52.4%) and high family support (81.9%). A significant relationship was found between self-care and quality of life (p = 0.042), while no significant relationship was found between family support and quality of life (p = 0.981). Conclusion: Self-care is significantly associated with the quality of life of CHF patients at RSUD dr. Drajat Prawiranegara, while family support is not. Other factors may also influence quality of life, thus a multidimensional approach is necessary in patient care. Keywords: Self Care, Family Support, Quality of Life, Congestive Heart Failure
HUBUNGAN KADAR HEMOGLOBIN DENGAN KELELAHAN PASCA HEMODIALISIS PADA PASIEN GAGAL GINJAL KRONIK DI RSUD PROVINSI BANTEN TAHUN 2025 Nurhalizah, Eva; Rustiawati, Epi; Sulastri, Tuti
Jawara : Jurnal Ilmiah Keperawatan Vol 6, No 2 (2025)
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/jik.v6i2.34595

Abstract

ABSTRAKLatar belakang: Gagal Ginjal Kronik (GGK) merupakan kondisi penurunan fungsi ginjal progresif yang bersifat permanen dan menyebabkan gangguan metabolisme, keseimbangan cairan, serta elektrolit. Salah satu terapi utama bagi pasien GGK adalah hemodialisis, namun prosedur ini sering menimbulkan kelelahan pasca dialisis, salah satunya akibat komplikasi anemia. Anemia yang ditandai dengan kadar hemoglobin rendah, mengganggu transportasi oksigen dalam tubuh, sehingga berkontribusi terhadap kelelahan dan menurunkan kualitas hidup pasien. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara kadar hemoglobin dengan tingkat kelelahan pasca hemodialisis pada pasien GGK di RSUD Provinsi Banten. Metode: Desain penelitian ini menggunakan analitik korelasional dengan pendekatan cross sectional. Teknik sampling total sampling dengan jumlah 64 responden. Data kadar hemoglobin diperoleh dari rekam medis, sedangkan tingkat kelelahan diukur menggunakan kuesioner Post-Dialysis Fatigue (PDF). Analisis data dilakukan secara univariat (frekuensi, persentase) dan bivariat menggunakan uji Chi-Square. Hasil: Uji Chi-Square menghasilkan p= 1,000 > α (0,05), menunjukkan tidak ada hubungan signifikan antara kadar hemoglobin dengan tingkat kelelahan. Kesimpulan: Tidak terdapat hubungan signifikan antara kadar hemoglobin dan kelelahan pasca hemodialisis pada pasien GGK di RSUD Provinsi Banten.  Kata kunci: Gagal Ginjal Kronik, Hemodialisis, Kadar Hemoglobin, Kelelahan Pasca Dialisis,  ABSTRACTBackground: Chronic Kidney Disease (CKD) was a progressive and irreversible decline in kidney function, causing disturbances in metabolism, fluid, and electrolyte balance. One of the main therapies for CKD patients was hemodialysis; however, this procedure often led to post-dialysis fatigue, partly due to complications such as anemia. Anemia, characterized by low hemoglobin levels, impaired oxygen transport in the body, contributing to fatigue and reduced patients' quality of life. Objective: This study aimed to determine the relationship between hemoglobin levels and the level of fatigue after hemodialysis in CKD patients at RSUD Provinsi Banten. Methods: This research employed a correlational analytic design with a cross-sectional approach. The sampling technique used was total sampling involving 64 respondents. Hemoglobin data were obtained from medical records, while fatigue levels were measured using the Post-Dialysis Fatigue (PDF) questionnaire. Data were analyzed using univariate (frequency, percentage) and bivariate analysis with the Chi-Square test. Results: The Chi-Square test showed a p= 1,000 > α (0,05), indicating no significant relationship between hemoglobin levels and fatigue levels. Conclusion: There was no significant relationship between hemoglobin levels and post-hemodialysis fatigue in CKD patients at RSUD Provinsi Banten. Keywords: Chronic Kidney Disease, Hemodialysis, Hemoglobin Levels, Post-Dialysis Fatigue
HUBUNGAN SELF-AWARENESS DAN SELF-CARE BEHAVIOR DENGAN KEJADIAN SINDROM KORONER AKUT PADA PASIEN HIPERTENSI Nadiah, Siti; Rustiawati, Epi; Sulastri, Tuti
Jawara : Jurnal Ilmiah Keperawatan Vol 6, No 1 (2025)
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/jik.v6i1.34593

Abstract

ABSTRAKLatar Belakang: Hipertensi dikenal sebagai "The Silent Killer" merupakan penyakit tanpa gejala yang berpotensi menyebabkan komplikasi serius seperti sindrom koroner akut (SKA). Salah satu penyebab hipertensi sering tidak terkontrol yaitu akibat rendahnya self-awareness dan kurangnya self-care behavior pada pasien. Penelitian ini bertujuan untuk menganalisis hubungan self-awareness dan self-care behavior dengan kejadian SKA pada pasien hipertensi. Metode: Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross-sectional. Teknik sampling yang digunakan yaitu accidental sampling. Jumlah sampel sebanyak 76 responden. Alat ukur penelitian ini menggunakan kuesioner untuk mengukur variabel self-awareness dan self-care behavior, dan rekam medis untuk mengukur variabel kejadian SKA. Uji analisis yang digunakan yaitu chi square untuk mengetahui hubungan self-awareness dengan kejadian SKA dan self-care behavior dengan kejadian SKA. Hasil: Hasil uji chi square hubungan self-awareness dengan kejadian SKA menunjukkan nilai p-value sebesar 0,902 > α (0,05) yang berarti tidak terdapat hubungan yang signifikan. Hasil uji chi square hubungan self-awareness dengan kejadian SKA menunjukkan nilai p-value sebesar 0,511 > α (0,05) yang berarti tidak terdapat hubungan yang signifikan. Kesimpulan: Tidak terdapat hubungan antara self-awareness dan self-care behavior dengan kejadian sindrom koroner akut pada pasien hipertensi di Klinik Jantung RSUD Provinsi Banten tahun 2025.Kata kunci: Hipertensi, Self-Awareness, Self-Care Behavior ABSTRACTBackground: Hypertension, often referred to as “The Silent Killer,” is an asymptomatic condition that can lead to severe complications such as acute coronary syndrome (ACS). One of the main reasons hypertension remains uncontrolled is due to low levels of self-awareness and inadequate self-care behavior among patients. This study aims to examine the relationship between self-awareness and self-care behavior with the occurrence of ACS in individuals with hypertension. Methods: A quantitative research design with a cross-sectional approach was used. The sampling method employed was accidental sampling, involving 76 respondents. Data collection tools included questionnaires to measure self-awareness and self-care behavior, while medical records were used to identify the incidence of ACS. Data analysis was conducted using the chi-square test to determine the association between self-awareness and ACS, as well as self-care behavior and ACS. Results: The chi-square test showed a p-value of 0.902 for the relationship between self-awareness and ACS, and a p-value of 0.511 for the relationship between self-care behavior and ACS. Both values exceed the significance level (α = 0.05), indicating no statistically significant relationship. Conclusion: There is no significant association between self-awareness or self-care behavior and the incidence of ACS among hypertensive patients at the Heart Clinic of Banten Provincial Hospital in 2025.Keywords: Hypertensive, Self-Awareness, Self-Care Behavior
PENGARUH PEMBERIAN VIRGIN COCONUT OIL TERHADAP PENURUNAN SKALA PRURITUS PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS DI RUMAH SAKIT UMUM DAERAH PROVINSI BANTEN TAHUN 2025 Marsandha, Salsha Putri; Sulastri, Tuti; Rustiawati, Epi
Jawara : Jurnal Ilmiah Keperawatan Vol 6, No 1 (2025)
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/jik.v6i1.34598

Abstract

AbstrakLatar Belakang: Gagal Ginjal Kronik merupakan merupakan suatu kondisi di mana fungsi ginjal menurun secara progresif dan permanen. Penyakit ini disebabkan oleh beberapa faktor, termasuk penumpukan limbah dalam tubuh, ketidakseimbangan elektrolit, dan perubahan metabolisme kulit akibat terapi dialisis. Virgin coconut oil minyak kelapa asli yang terbuat dari daging kelapa murni yang diekstrak dengan cara yang terkendali atau tanpa pemanasan sama sekali, dan tanpa menggunakan bahan kimia, memiliki sifat anti-inflamasi, anti-oksidan, dan antibakteri. Tujuan: Mengetahui pengaruh dari virgin coconut oil terhadap penurunan skala pruritus pada pasien Gagal Ginjal Kronik (GGK) di Ruang Hemodialisis Rumah Sakit Umum Daerah Provinsi Banten tahun 2025. Metode: Penelitian kuantitatif, quasy experiment, pendekatan one group pre test – post test. Hasil uji wilcoxon didapatkan nilai yang signifikan dengan p-value sebesar <0,000 berada di bawah nilah p < 0,05.Kesimpulan: Berdasarkan hasil tingkat skala pruritus pasien sebelum dan setelah dilakukan intervensi didapatkan bahwa virgin coconut oil ini berpengaruh dalam penurunan terhadap gatal.Kata Kunci: Gagal Ginjal Kronik, Virgin Coconut Oil, Skala Pruritus. Abstract Background: Chronic Kidney Failure is a condition in which kidney function declines progressively and permanently. This disease is caused by several factors, including waste accumulation in the body, electrolyte imbalance, and changes in skin metabolism due to dialysis therapy. Virgin coconut oil, original coconut oil made from pure coconut meat extracted in a controlled manner or without heating at all, and without using chemicals, has anti-inflammatory, anti-oxidant, and antibacterial properties. Objective: To determine the effect of virgin coconut oil on reducing the scale of pruritus in patients with Chronic Kidney Failure (GGK) in the Hemodialysis Room of the Banten Provincial General Hospital in 2025. Method: Quantitative research, quasi-experiment, one group pre-test - post-test approach. The results of the Wilcoxon test obtained a significant value with a p-value of <0.000 below the p value <0.05. Conclusion: Based on the results of the patient's pruritus scale level before and after the intervention, it was found that virgin coconut oil had an effect on reducing itching. Keywords: Chronic Kidney Failure, Virgin Coconut Oil, Pruritus Scale
Co-Authors Amalia, Maulida Nur Amaliah, Eli Epi Rustiawati Herlina, Heni Juanita, Christin Helen Lisnawati Yupartini Marsandha, Salsha Putri Maulidyawati, Ira Mustika, Irma Desti Nadiah, Siti Natasya Luzien Nurhalizah, Eva Rika Safitri Rustiawati, Epi Rustiawati, Epi Sudrajat, Andi Sudrajat, Andi