Article Per Year (5 Year)
p-Index From 2020 - 2025
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All Journal Indonesian Journal of Global Health research The Journal of Palembang Nursing Studies
Firdaus, Iftinan Nida
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Fluid restriction adherence in hemodialysis patients using the ESRD-AQ: A multicenter study Hidayati, Wahyu; Ermawati, Eli; Firdaus, Iftinan Nida; Lestariningsih, Lestariningsih; Kristina, Tri Nur
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns155

Abstract

Background: Patients with chronic kidney disease (CKD) undergoing hemodialysis must adhere to fluid intake restrictions to prevent fluid accumulation, which can lead to complications such as edema, hypertension, and cardiovascular events. Excess intravascular and interstitial fluid volume contributes to fluid overload, a major risk factor for morbidity and mortality in this population. Objective: To describe adherence to fluid restriction among CKD patients receiving hemodialysis and identify common barriers to adherence. Methods: This descriptive survey study was conducted from January to June 2021 at two hospitals. A total of 129 CKD patients undergoing hemodialysis were recruited through purposive sampling. Inclusion criteria were age ?18 years, receiving routine hemodialysis for at least 3 months, and ability to communicate verbally. Fluid restriction adherence was assessed using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), previously validated and culturally adapted. Descriptive statistics summarized adherence patterns and patient characteristics. Results: Most participants were male, in late adulthood, had completed college, were unemployed, had been on hemodialysis for approximately 5 years, and underwent treatment twice weekly. Overall, 66% adhered to fluid restrictions, with 36.4% reporting following restrictions all the time. However, 62.8% indicated barriers to adherence, including lack of interest, inability to control fluid intake, and not understanding how to follow the restriction. Conclusion: While most CKD patients complied with fluid restrictions, a substantial proportion faced challenges that could undermine long-term outcomes. Continuous education, motivational support, and individualized counseling are essential to improve adherence. Future research should explore the association between adherence, fluid overload, and clinical outcomes.
Effects of Aerobic Exercise on Physical Condition in Chronic Kidney Disease Patients: Scoping Review Firdaus, Iftinan Nida; Erawati, Meira; Hidayati, Wahyu
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4987

Abstract

Chronic kidney disease (CKD) can cause changes in physical condition and cause cardiovascular problems to death. The development of CKD can be prevented by doing physical activity, one of which is aerobic exercise. Studies related to the effects of aerobic exercise on physical condition, especially in patients with chronic kidney disease, are still limited, so further studies are needed. The purpose of this study was to determine the effect of aerobic exercise on physical condition in patients with chronic kidney disease. The method used is a scoping review based on the PRISMA flow diagram. Article searches were conducted using electronic databases or internet searches, some databases used as article selection are ScienceDirect, Pubmed, and Springerlink. In conducting the search using the keywords "Aerobic Exercise" and "Chronic Kidney Disease" and "physical condition". Where in the screening or filtering of articles are given the filters "2020-2024", "Free full text" and "research article". The scoping review analysis was carried out using the Arksey and O'Malley theory approach which has been modified by Levac. From 4 databases, 6 articles were analyzed and focused on the effect of aerobic exercise on physical conditions in patients with chronic kidney disease. The results of the analysis showed that aerobic exercise significantly increased the SPPB (Short physical performance battery) value, increased the HRV (heart rate variability) index within the normal range, increased vagal activity leading to sympathovagal balance, improved systolic and diastolic values, increased physical activity levels, and decreased blood glucose and increased hematocrit.The effect of Aerobic exercise on the physical condition of patients is divided into physiological and biochemical effects. The effect of Aerobic exercise on physical conditions physiologically is to improve physical function, functional capacity and activity of the autonomic nervous system of the heart, increase blood flow, reduce risk factors for cardiovascular disease, increase cardiorespiratory capacity and muscle strength of the upper and lower body, and have a more comprehensive range in activities. The effect of Aerobic exercise on physical conditions biochemically is to maintain stable blood levels.
Co-Authors Eli Ermawati Lestariningsih Lestariningsih Meira Erawati Tri Nur Kristina Wahyu Hidayati