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All Journal Indonesian Journal of Global Health research Jurnal Keperawatan Karya Bhakti Prosiding Seminar Nasional Indonesia
Mesya, Mesya
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Humanities Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health Social Sciences Other

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Spiritual Well-Being with Sleep Quality of Chronic Kidney Disease Patients on Hemodialysis Susanto, Giri; Mesya, Mesya
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4756

Abstract

Hemodialysis can cause side effects such as difficulty falling asleep, patients with kidney disease view Spritual Well-Being as a multidimensional concept that combines physical and psychological health. This study aims to determine the correlation between spiritual well-being and sleep quality of chronic kidney disease patients undergoing hemodialysis. This study is a type of quantitative research using a cross-sectional design, the research subjects are patients with kidney disease who undergoing hemodialysis with sleep quality disorders, with a total population of 176 patients with sampling techniques using purposive sampling with a sample size of 64 respondents, research at Pringsewu Hospital. Data collection using the Spiritual Well-Being Questionnaire and PSQI Questionnaire, data analysis using the Chi Square Test. The results showed that most respondents with High Spiritual Well-Being were 35 (54.7%), and most respondents with good sleep quality were 36 (56.2%), statistical tests showed that there was a correlation between Spiritual Well-Being and Sleep Quality of Chronic Kidney disease Patients Undergoing Hemodialysis at Pringsewu Hospital with a P-value: 0.000. The results of this study are expected to be a material for learning and deeper knowledge about spiritual well- being and sleep quality of chronic kidney disease patients undergoing hemodialysis.
THE EFFECTIVENESS OF VIRTUAL REALITY IN REDUCING ANXIETY IN HEMODIALYSIS PATIENTS: NARRATIVE REVIEW Mesya, Mesya; Reni Muhka
Prosiding Seminar Nasional Indonesia Vol. 2 No. 3 (2025): Prosiding Seminar Nasional Indonesia
Publisher : CV. Adiba Aisha Amira

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic Kidney Disease (CKD) requires regular hemodialysis therapy to replace impaired kidney function. However, this procedure often causes anxiety that impacts psychological well-being and patient compliance with treatment. One of the developing non- pharmacological interventions is Virtual Reality (VR), which is used as a distraction technique to reduce anxiety during hemodialysis. This review aims to evaluate the effectiveness of using VR in reducing anxiety in patients undergoing hemodialysis therapy. This study is a systematic review with a literature search from the Google Scholar, ProQuest, and PubMed databases for the period 2020–2025. The keywords "Virtual Reality," "Anxiety," and "Hemodialysis" were used with Boolean operators to filter the search results. Studies were selected based on the PICOS framework, and their quality was assessed using the Joanna Briggs Institute (JBI). Of the 1,414 studies found (960 from Google Scholar, 129 from ProQuest, and 325 from PubMed), four relevant studies were identified and further analyzed. The review results showed that VR is effective in reducing anxiety in hemodialysis patients. VR serves as a cognitive distraction, relaxation method, and parasympathetic response stimulant that helps reduce stress hormone levels and increase patient comfort during procedures. The implementation of VR has the potential to improve patient comfort, minimize dependence on anti-anxiety medications, and support technological innovation in healthcare. Further research is needed to explore the duration, frequency, and type of VR content that is most effective in reducing anxiety in hemodialysis patients and its impact on other psychological aspects, such as quality of life and adherence to therapy.
Senam Diabetes Efektif Menurunkan Kadar Glukosa Darah pada Pasien Diabetes Melitus Tipe 2 Yuliyanti, Asih; Hardono, Hardono; Mesya, Mesya; Wardoyo, Eko
Jurnal Keperawatan Karya Bhakti Vol. 12 No. 1 (2026)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.256

Abstract

Abstrak Diabetes melitus tipe 2 merupakan penyakit metabolik kronis yang ditandai dengan peningkatan kadar glukosa darah akibat resistensi insulin dan gangguan fungsi sel beta pankreas. Salah satu pilar penatalaksanaan DM tipe 2 adalah aktivitas fisik seperti senam diabetes, yang berfungsi menurunkan kadar glukosa darah. Mengetahui pengaruh senam diabetes terhadap kadar glukosa darah pasien diabetes melitus tipe 2 di Prolanis PRB Puskesmas Rawa Bening Kecamatan Buay Madang Timur. Artikel ini menggunakan desain kuantitatif dengan pendekatan pre-eksperimental one group pre-test post-test. Sampel berjumlah 28 responden yang dipilih dengan teknik total sampling. Pemeriksaan kadar glukosa darah sewaktu dilakukan sebelum dan sesudah senam diabetes selama empat minggu. Uji normalitas data menggunakan Shapiro-Wilk menunjukkan distribusi tidak normal (p < 0,05), sehingga analisis menggunakan uji Wilcoxon Signed Rank Test. Median kadar glukosa darah sebelum senam sebesar 241 mg/dL (188–400 mg/dL), menurun menjadi 198 mg/dL (110–339 mg/dL) sesudah senam. Hasil uji Wilcoxon menunjukkan nilai p = 0,000 (p < 0,05), artinya terdapat perbedaan signifikan antara kadar glukosa darah sebelum dan sesudah senam diabetes. Senam diabetes berpengaruh signifikan dalam menurunkan kadar glukosa darah pada pasien diabetes melitus tipe 2. Senam ini dapat dijadikan kegiatan rutin dalam program Prolanis di Puskesmas sebagai sarana non-farmakologis yang efektif untuk pengendalian glukosa darah. Kata Kunci:   Diabetes Melitus Tipe 2; Kadar Glukosa Darah; Senam Diabetes;   Abstract Type 2 diabetes mellitus is a chronic metabolic disease characterised by elevated blood glucose levels due to insulin resistance and impaired pancreatic beta cell function. One of the pillars of type 2 DM management is physical activity such as diabetes exercise, which serves to lower blood glucose levels. To determine the effect of diabetes exercise on blood glucose levels in type 2 diabetes mellitus patients at Prolanis PRB Puskesmas Rawa Bening, Buay Madang Timur District. This article uses a quantitative design with a pre-experimental one-group pre-test post-test approach. The sample consisted of 28 respondents selected using total sampling technique. Blood glucose levels were checked before and after four weeks of diabetes exercise. The Shapiro-Wilk normality test showed a non-normal distribution (p < 0.05), so the analysis used the Wilcoxon Signed Rank Test. The median blood glucose level before exercise was 241 mg/dL (188–400 mg/dL), decreasing to 198 mg/dL (110–339 mg/dL) after exercise. The Wilcoxon test results showed a p-value of 0.000 (p < 0.05), indicating a significant difference between blood glucose levels before and after the diabetes exercise programme. Diabetes exercise significantly affects the reduction of blood glucose levels in patients with type 2 diabetes mellitus. This exercise can be used as a routine activity in the Prolanis programme at the Community Health Centre as an effective non-pharmacological means of controlling blood glucose. Keywords: Type 2 Diabetes Mellitus; Diabetes Exercise; Blood Glucose Levels;
Co-Authors Al Farisi, Muhammad Farhan Hardono Hardono, Hardono Reni Muhka Sulistiyawati, Dwi Susanto, Giri Wardoyo, Eko Yuliyanti, Asih