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Hubungan Lama Menjalani Hemodialisis Dengan Kualitas Hidup Pasien Gagal Ginjal Kronis Dinda Anita Putri; Taufan Arif; Eko Sari Wahyuni; Sulastyawati Sulastyawati
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23107

Abstract

ABSTRACT The quality of life of patients with chronic kidney failure affects their physical and psychological condition. End-stage chronic kidney failure patients require hemodialysis as their primary replacement therapy, which causes clinical problems and complications. Kidneys that cannot function optimally require lifelong hemodialysis. This study aims to determine the relationship between the duration of hemodialysis and the quality of life of patients with chronic kidney failure. The study design is cross-sectional. The sampling method used purpose sampling with 45 respondents. The independent variable was the duration of hemodialysis, while the dependent variable was quality of life. The research instrument was WHOQOL-BREF. The results of the Spearman's rank correlation analysis yielded a p-value of 0.000 and r=0.857 with a positive correlation. Most patients who underwent hemodialysis for more than 3 years had a better quality of life. Meanwhile, based on the results of the study, patients who had just undergone hemodialysis had poor or fair results because they had not yet adjusted, so their quality of life tended to be lower. There is a strong and significant relationship between the duration of hemodialysis and the quality of life of patients with chronic kidney failure. The longer patients undergo hemodialysis therapy, the better their quality of life. This shows that patients who have undergone hemodialysis for a long period of time are able to adapt better to their condition and the therapy process compared to patients who have just started hemodialysis. Keywords: Long-term Hemodialysis, Quality of Life, Chronic Kidney Failure.  ABSTRAK Kualitas hidup pasien dengan gagal ginjal kronis mempengaruhi kondisi fisik dan psikologis. Dimana pasien gagal ginjal kronis stadium akhir memerlukan terapi pengganti utama hemodialisis yang menimbulkan masalah klinis dan komplikasi. Ginjal yang tidak bisa bekerja secara optimal dibutuhkan waktu seumur hidup untuk hemodialisis.Penelitian ini bertujuan untuk mengetahui hubungan lama menjalani hemodialisis dengan kualitas hidup pasien gagal ginjal kronis. Desain penelitian menggunakan cross sectional. Metode pengambilan sampel menggunakan purpose sampling dengan 45 responden. Variabel independent yaitu lama menjalani hemodialisis, sedangkan variabel dependen yaitu kualitas hidup. Instrument penelitian WHOQOL-BREF. Hasil uji analisa data spearmen rank didapatkan nilai p-value 0.000 dan r=0,857 dengan arah korelasi positif. Sebagian besar pasien yang menjalani hemodialisis lebih dari 3 tahun memiliki kualitas hidup yang lebih baik. Sedangkan berdasarkan hasil penelitian pasien yang baru menjalani hemodialisis mendapatkan hasil buruk atau cukup yang disebabkan masih belum menyesuaikan diri sehingga kualitas hidupnya cenderung lebih rendah. Terdapat hubungan yang kuat dan signifikan antara lama menjalani hemodialisis dengan kualitas hidup pasien gagal ginjal kronis. Semakin lama pasien menjalani terapi hemodialisis, semakin baik pula kualitas hidup yang dimilikinya. Hal ini menunjukkan bahwa pasien yang telah menjalani hemodialisis dalam jangka waktu lama mampu beradaptasi lebih baik terhadap kondisi penyakit dan proses terapi dibandingkan pasien yang baru memulai hemodialisis. Kata Kunci: Lama Menjalani Hemodialisis, Kualitas Hidup, Gagal Ginjal Kronis.
Family Support Education for Hypertension Patients: A Case Study of Blood Pressure Reduction Rossyana Septiasih; Swito Prastiwi; Eko Sari Wahyuni
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4213

Abstract

Lack of family support in patients with hypertension is often influenced by family perceptions and limited knowledge regarding hypertension management. This condition may lead to inadequate attention to patients and poor adherence to treatment and preventive measures. In contrast, family attention, empathy, and involvement in patient care can positively influence patient behavior and improve psychological well-being. This study aimed to identify the level of family support among patients with hypertension before and after the implementation of family support education. This research employed a descriptive case study design involving two research subjects. Data were collected using a family support questionnaire covering emotional, informational, instrumental, and appraisal support. The findings showed that before the educational intervention, subject 1 had not met family support in all four aspects, with informational support being the lowest due to limited access to health information. Meanwhile, subject 2 showed the lowest score in instrumental support due to economic limitations. After the implementation of family support education, both subjects demonstrated improvements and fulfilled all four aspects of family support. It is recommended that families maintain these four aspects of support to enhance patient care, and future researchers are encouraged to conduct separate assessments between family members and patients to obtain more comprehensive results.
Determinants of Patient Satisfaction with Public Safety Center (PSC) 119 Prehospital Emergency Services in Non-Communicable Disease: Cases in Malang, Indonesia Anggun Setyarini; Susi Milwati; Eko Sari Wahyuni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.7937

Abstract

Patient satisfaction is an important indicator of quality in prehospital emergency care. Globally, response time, communication, and clinical characteristics influence patient perceptions of emergency services. However, limited evidence exists regarding determinants of satisfaction with Public Safety Center (PSC) 119 services in Indonesia, particularly among non-communicable disease (NCD) cases. This study aimed to analyze factors associated with patient satisfaction toward Public Safety Center (PSC) 119 prehospital emergency services in Malang, Indonesia. A quantitative cross-sectional study was conducted involving 62 respondents who received PSC 119 services between 2024–2025. The dependent variable was overall patient satisfaction, measured using the Prehospital Emergency Care Patient Satisfaction Scale (PECPSS-20). Independent variables included sociodemographic factors (age, sex, education, income), clinical conditions (hypertension, heart disease, NCD category), and operational factor (ambulance response time). Data were collected through structured online questionnaires and analyzed using descriptive statistics, Chi-square tests, and Pearson correlation. Most respondents were within productive age (94%) and experienced NCD-related emergencies (72.6%). Overall satisfaction was high (80.6% very satisfied). Significant associations were found between satisfaction and hypertension (p=0.001), heart disease (p=0.025), education level (p=0.012), income level (p=0.008), and ambulance response time (p=0.001). Response time showed the strongest negative correlation (r = –0.397), indicating that longer delays significantly reduced satisfaction.Patient satisfaction with PSC 119 services is strongly influenced by clinical comorbidities, socioeconomic characteristics, and particularly response time. Improving dispatch efficiency and reducing ambulance response delays are essential strategies to enhance prehospital emergency service quality.
Edukasi Perilaku Hidup Bersih dan Sehat (PHBS) untuk Anak-Anak Siswa KB – TK Noor Fadjar Kota Malang Eko Sari Wahyuni; Eka Wulandari; Swito Prastiwi
Jurnal Pengabdian Meambo Vol. 4 No. 1 (2025): Jurnal Pengabdian Kepada Masyarakat MEAMBO
Publisher : PROMISE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56742/jpm.v4i1.113

Abstract

Kesehatan anak usia dini merupakan fondasi penting bagi tercapainya generasi masa depan yang berkualitas. Perilaku Hidup Bersih dan Sehat (PHBS) yang ditanamkan sejak usia dini berperan besar dalam mencegah penyakit dan meningkatkan kualitas hidup anak. Kegiatan pengabdian masyarakat ini dilaksanakan di KB–TK Noor Fadjar Kota Malang dengan tujuan meningkatkan pengetahuan dan keterampilan anak dalam menerapkan PHBS, khususnya praktik mencuci tangan yang benar. Metode kegiatan bersifat edukatif dan partisipatif melalui penyampaian materi, pemutaran video edukatif, demonstrasi mencuci tangan, serta permainan interaktif. Sebanyak 40 siswa KB–TK beserta orang tua dan guru terlibat aktif dalam kegiatan ini. Hasil kegiatan menunjukkan peningkatan pemahaman dan antusiasme anak-anak terhadap pentingnya menjaga kebersihan diri, yang ditunjukkan melalui kemampuan mereka mempraktikkan cara mencuci tangan dengan benar. Selain anak-anak, orang tua dan guru juga menunjukkan keterlibatan yang positif, yang turut mendukung pembentukan kebiasaan hidup sehat di lingkungan rumah dan sekolah. Pendekatan yang menyenangkan dan sesuai dengan tahap perkembangan anak terbukti efektif dalam menyampaikan pesan kesehatan. Kegiatan ini memberikan dampak edukatif yang luas dan diharapkan dapat berkontribusi terhadap peningkatan kesadaran masyarakat akan pentingnya PHBS sebagai bagian dari upaya preventif sejak usia dini. Rekomendasi dari kegiatan ini adalah perlunya keberlanjutan program edukasi PHBS secara kolaboratif antara sekolah, keluarga, dan tenaga kesehatan.