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All Journal Indonesian Journal of Global Health Research
Sofyan Hadi Hasibuan
Sekolah Tinggi Ilmu Kesehatan Sukabumi

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The Factors Affecting Chronic Kidney Disease Patients Undergoing Hemodialysis after Intradialytic Exercise and Cognitive Behavioral Therapy: A CFA Akhmad Huda; Sofyan Hadi Hasibuan; Johan Budhiana; Rosliana Dewi; Kushariyadi Kushariyadi
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.551

Abstract

Chronic kidney disease (CKD) patients undergoing continuous hemodialysis (HD) experience decreased daily physical activity, lower tolerance to exercise and poorer health-related quality of life. There are many factors that have not been identified that can affect CKD patients after undergoing hemodialysis. This study aims to determine the factors that influence CKD patients undergoing hemodialysis after intradialytic exercise and cognitive behavioral therapy. The research design uses confirmatory factor analysis (CFA) model. The research was conducted in the hemodialysis unit of the Surabaya Islamic Hospital, Indonesia. The sampling technique uses purposive sampling. The sample includes 180 patient respondents with the following criteria: patients undergoing hemodialysis, aged between 20-60 years, treated for CKD with hemodialysis for ≥ 3 months, and agreed to be respondents. The research instrument used the WHOQOL-BREF questionnaire. The validity of the internal factor domain and quality of life each showed good consistency, indicated by the loading factor () values ranging from 0.700 to 0.841. All components of each domain were declared reliable, indicated by the indicator reliability (R2) values ranging from 0.48 to 0.71. Data analysis uses CFA with parameter data estimation using analysis of moment structures (AMOS) software. Acceptance of the CFA model by looking at the GoF. The respective p values for age factor, income factor, gender factor, educational factor, physical domain, psychological domain, social domain, and environmental domain are 0.000, while the religious factor is (0,789) which has no effect. Factors that can influence CKD patients undergoing hemodialysis after intradialytic exercise and cognitive behavioral therapy are: 1) internal factors include: age factor, income factor, gender factor, and education factor; 2) quality of life includes: physical domain, psychological domain, social domain and environmental domain.
Self-Acceptance of Tuberculosis: Determinants that Influence It: A Literature Review Novita Fetheresia Silitonga; Johan Budhiana; Sofyan Hadi Hasibuan
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1649

Abstract

Tuberculosis (TB) remains one of the world's major health problems and a leading cause of death from infectious diseases. The disease is triggered by the Mycobacterium tuberculosis bacteria, which usually attacks the lungs but can infect other organs in the body. The purpose of this literature review is analyze several studies that discuss the determining factors that influence self-acceptance in TB patients. In this study, the search strategy was carried out using databases and keywords. The databases used were Google Scholar, DOAJ, and ResearchGate. The keywords used were tuberculosis, "self-acceptance," "social stigma," "family support," "social support," "self-esteem," "self-efficacy," "mindfulness," anxiety, depression, and knowledge. Critical Appraisal Skills Program was then conducted. There were ten articles that met the inclusion criteria. The results of all articles showed that the self-acceptance of tuberculosis patients was influenced by several factors, including: social stigma, family support, social support, self-esteem, self-efficacy, mindfulness, anxiety, depression, and knowledge.
Co-Authors Akhmad Huda Budhiana, Johan Kushariyadi Kushariyadi Novita Fetheresia Silitonga Rosliana Dewi