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Septianingrum, Yurike
Universitas Nahdlatul Ulama Surabaya
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KNOWLEDGE AND CARE OF ARTERIAL VENOUS FISTULA ACCESS IN HEMODIALYSIS PATIENTS: A CROSS-SECTIONAL STUDY Wijayanti, Lono; Dewi, Hesmi Fitria; Septianingrum, Yurike; Rohmawati, Riska; Mahyuvi, Tata
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.7354

Abstract

Background: Arteriovenous fistula (AVF) access is vital for patients undergoing hemodialysis therapy. Proper care of AVF greatly affects the continuity of fistula function and prevents complications such as infection and thrombosis. Objective: This study was to determine the relationship between knowledge and management of arteriovenous fistula access in hemodialysis patients. Methods: This study is a correlational analysis with a cross-sectional design. The study population included all dialysis patients, totaling 200 respondents. The sample size was 160 respondents who were randomly selected using the simple random sampling method. Questionnaires were used to collect information, which was then analyzed using Spearman's Rank correlation test. Results: The results showed that 57.5% of the 160 respondents had insufficient knowledge, and 60% lacked in arteriovenous fistula (cimino) care. The Spearman test results showed a p-value of 0.000 and a correlation of 0.709. Conclusion: Patients with good knowledge tend to perform AV fistula care more appropriately and consistently.
Range of Motion Therapy to Improve Physical Mobility in an Ischemic Stroke Patient: A Case Study Fadlilah, Nur; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.14

Abstract

Background: Stroke is a neurological disease caused by an occlusion or hypoperfusion in the cerebral blood vessels, leading to neurological deficits and resulting in disability or death. Objective: The purpose of this case study is to describe nursing care in addressing impaired physical mobility needs by implementing Range of Motion (ROM) exercises in stroke patients, from initial assessment to evaluation Methods: This study adopted a descriptive single-case study design and was reported in accordance with the CARE (Case Report) guideline. The sampling frame consisted of one postoperative orthopedic patient who met predefined inclusion criteria, namely stable vital signs, the ability to communicate and cooperate with examination procedures, and no contraindication to range-of-motion (ROM) exercises. Data were collected through interviews, physical examination, structured observation, and review of clinical records. Functional status and motor impairment were assessed using the standardized muscle strength grading scale (Medical Research Council [MRC] scale, 0–5), along with clinical monitoring sheets to document changes in movement capacity. The intervention protocol consisted of prescribed ROM exercises—including passive-assisted and active movement techniques—administered twice daily over the observation period, with progression based on clinical tolerance and patient feedback. Result: At baseline assessment, the patient demonstrated unilateral left-sided weakness, with muscle strength graded at 3/5 for both upper and lower extremities based on the Medical Research Council (MRC) scale, indicating movement against gravity but not resistance. After three consecutive days of prescribed ROM intervention, follow-up assessment showed improvement to 4/5 in both extremities, reflecting increased capability to move against moderate resistance. Measurements were conducted by the same trained clinician using the same standardized scale to enhance reliability, although potential subjective scoring bias inherent to manual muscle testing cannot be fully excluded. Conclusion: There was an increase in muscle strength between before and after the intervention. It is expected that ROM therapy can be applied as an intervention to overcome physical mobility impairment in stroke patients.
Co-Authors -, Rusdianingseh Abdul Manan Achmad Hidayatullah, Achmad Afiyah, R. Khairiyatul Agus Aan Adriansyah Agus Wahyudi ah. Yusuf Amanda Wardani, Anandita Andikawati Fitriasari Andikawati Fitriasari Andikawati Fitriasari Andikawati Fitriasari Andikawati Fitriasari Aprilian, Arvino Arie Kusumo Dewi Aulia, Nurlisa Naila Babo, Leticia Freitas Barbosa, Adirson Budury, Syiddatul Choirotussanijjah Damawiyah, Siti Danny Irawan Danny Irawan Deffi Okta Hadi Prassetia Dewi Masithah Dewi, Hesmi Fitria Difran Nobel Bistara Dyah Yuniati Elok Tamarah Eppy Setiyowati Ernawati, Yayuk Ervina Yanti Harahap Farida Umamah Fauziah Rochmah, Ardianti Firdaus Firdaus Firdaus Firdaus Hatmanti, Nety Mawarda Herisanty, Wesiana Ika Yuni Widyawati Imamatul Faizah Imamatul, Faizah Kadir, Afrizal Nur Khafid, M. Khafid Khamida, Khamida Lya Marliana M. Shodiq Mahyuvi, Tata Maimunah, Siti Mawarda Hatmanti, Nety Mayangsari, Vandarina Dwi Moh Haris Susanto Muhammad Basuni Muhammad Khafid Mukarromah, Lu'luul Mustika Chasanatusy S Nafiah, Aim Matuz Zahrotun Nailul Huda Nanda Fadhilah Witris Salamy Noer Farakhin Nunik Purwanti Nur Ainiyah Nur Ainiyah Nur Fadlilah, Nur Nurhayati Puspita, Uci Nurjanah, Siti - Nursalam Nursalam Nursalam, Nursalam Purwanti, Nunik Purwanti, Nunik Putri, Rahmadaniar Aditya Ramadhan, Sukma Cahya Ratna Yunita Sari Retna Gumilang Rining Sulistya Rahayu Risti Puji Listari Rohmawati, Riska Rosda Rodhiyana Rusdianingseh S.Kep.Ns., M.Kep, Andikawati Fitriasari Sari, Ratna Yunita Savitri, Ardyarini Dyah Sa’diyah, Alimatus Shodiq, M. Shodiq Sholiha, Siti Robiatus Siti Maimunah Siti Nur Hasina Siti Nurjanah Soleha, Umdatus Subairi, Moh Sulistiyawati, Sri Sulistyorini Sulistyorini Sulistyorini Sulistyorini, Sulistyorini Syidatul Budury Tania Lillah, Fala Taufiq, Isa Uliyatul Laili, Uliyatul Umdatus Sholeha Wardani, Erika Martining Wijayanti, Lono Winoto, Priyo Mukti Pribadi Wulandari, Mega Nur Yanis Kartini Yuniati, Dyah Zahroh, Chilyatiz Zulkarnain, Eva Vera