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Factors associated with the incidence of young-onset colorectal cancer: A cross-sectional study Sianturi, Natallina; Dahlia, Debie; Edison, Chiyar
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2853

Abstract

The factors associated with the incidence of young-onset colorectal cancer (YO-CRC) remain uncertain and are continuously being studied. The aim of this study was to investigate the factors associated with the incidence of young-onset colorectal cancer. This cross-sectional study examined multiple factors (demographic status, medical comorbidities, smoking, alcohol intake, nighttime sleep duration, family history of cancer, sedentary behavior, daily consumption of fried foods, fast food, and processed meat) among 171 patients from two cancer referral hospitals in Jakarta, Indonesia. Logistic regression analysis revealed that the low-income group had a higher risk of YO-CRC compared to high-income group (p=0.004). Those with comorbid diseases such as inflammatory bowel disease, diabetes, or high cholesterol were more likely to develop YO-CRC compared to those without these conditions (p=0.002). Frequent consumption of processed meat (vs seldom) (p=0.003) and fried food (vs no consumption) (p=0.001) were associated with higher risk. Those with high sedentary behavior (vs low) (p=0.021) also had higher risk of YO-CRC. Notably, nighttime sleep emerged as the strongest predictor (odds ratio (OR): 10.462). These findings underscore the need for targeted public health interventions promoting adequate sleep, healthy diets, and active lifestyles, particularly among Indonesian youth and low-income groups. Further studies are recommended to investigate these associations in larger and more diverse populations across Indonesia.
INTERVENSI KEPERAWATAN KoMoYas TERHADAP TINGKAT KECEMASAN PASIEN PASCA OPERASI DI RUANG INTENSIVE CARE UNIT Yudi Elyas; Sri Yona; Chiyar Edison
JKKI Vol 1 No 2 (2024)
Publisher : Himpunan Perawat Critical Care Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66351/jkki.v1i2.15

Abstract

Latar Belakang: Pasien di ruang intensif selain mengalami masalah biologis juga mengalamimasalah psikologis seperti kecemasan. Kecemasan yang tidak terkontrol dapat mempengaruhihemodinamik serta mengganggu proses perawatan. Terapi non-farmakologis dapat menjadi pilihanuntuk mengatasi kecemasan. Penelitian ini bertujuan untuk mengetahui pengaruh intervensikeperawatan KoMoYas terhadap tingkat kecemasan pasien pasca operasi di ruang intensif. Metode: Penelitian ini menggunakan quasy experimental study. Metode sampling dengan consecutivesampling sebanyak 29 responden kelompok intervensi dan 29 responden kelompok kontrol. Hasil: Hasil penelitian dengan uji Wilcoxon menunjukkan adanya penurunan tingkat kecemasan predan post-test baik pada kelompok intervensi maupun pada kelompok kontrol dengan nilai p-value0.000 (< 0.05). Penurunan nilai kecemasan terjadi lebih banyak pada responden kelompok intervensidibandingkan dengan kelompok kontrol, ditandai dengan selisih nilai mean (pre dan post) padakelompok intervensi sebesar 1.31 dan pada kelompok kontrol selisih nilai mean (pre dan post) sebesar0.45. Uji Mann Whitney dilakukan dengan hasil p value=0.000 (< 0.05). Kesimpulan: Terdapatperbedaan rerata kecemasan pre-test dan post-test antara kelompok intervensi dengan kelompokkontrol. Intervensi KoMoYas dikombinasikan dengan terapi non farmakologis lainnya dapat dengansignifikan menurunkan tingkat kecemasan.
The Effectiveness Of Yoga Therapy And Exercise Therapy On Sleep Quality In Patients With Chronic Kidney Disease: A Systematic Review Puteri Hirika Reptes; Yulia Yulia; Chiyar Edison; Sri Yona
Nursing Information Journal Vol. 5 No. 2 (2026): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

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

Abstract

Sleep disturbances are highly prevalent among patients with Chronic Kidney Disease (CKD), occurring both in the pre-dialysis stage and among individuals undergoing hemodialysis or peritoneal dialysis. These disturbances can significantly impair overall quality of life. Various factors contribute to sleep disorders in CKD patients, including the accumulation of uremic toxins, pain, pruritus, dyspnea, anxiety, and the side effects associated with dialysis therapy itself. Physical activity-based interventions, such as aerobic exercise and yoga, have shown substantial potential in improving sleep quality. The objective of this systematic review is to evaluate the effects of yoga and aerobic exercise interventions on sleep quality in patients with CKD. A comprehensive literature search was conducted using databases including ProQuest, PubMed, Scopus, the International Journal of Health Sciences and Research, Springer, and the Iranian Journal of Nursing and Midwifery Research. Only full-text articles published in English between 2019 and 2024 were included. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Thirteen studies were identified: 11 Randomized Controlled Trials (RCTs), 1 quasi-experimental study, and 1 qualitative study. Analysis of the 11 RCTs revealed that various interventions—particularly yoga, aerobic exercise, and cognitive behavioral therapy (CBT) were employed to improve sleep quality. Among these, yoga and aerobic exercise were found to significantly enhance sleep quality in CKD patients, especially those undergoing hemodialysis, with aerobic exercise demonstrating more consistent benefits. Conversely, CBT did not produce significant improvements in sleep quality compared to the control group, though it did show limited effects on reducing depressive symptoms and dysfunctional beliefs. The quasi-experimental study examined the impact of yoga exercise and found it to be a contributing factor to improved quality of life, including better sleep. The qualitative study employed a phenomenological approach to explore the subjective experiences of CKD patients with fatigue caused by poor sleep, aligning with the study's aim of understanding this phenomenon from the patient’s perspective.