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Analysis of Hemodialysis Duration as a Determining Factor of Quality of Life in Patients with Chronic Kidney Disease : A Cross-Sectional Study at Regional General Hospital, Bandung Regency, 2024 Kusmiran, Eny; Tentry Fuji Purwanti; Hani Hanafiah
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.953

Abstract

Background: Chronic kidney disease (CKD) is a progressive global health problem, with hemodialysis serving as a vital life-sustaining therapy. The therapy duration potentially impacts patients’ quality of life due to physical, psychological, and social challenges. Purpose: This study aimed to investigate the relationship between the duration of hemodialysis and quality of life among CKD patients at Regional General Hospital, Bandung Regency, Indonesia. Methods: A cross-sectional correlational design was employed in May 2024 involving 80 CKD patients undergoing hemodialysis, recruited by accidental sampling. Duration of hemodialysis was obtained from medical records, while quality of life was measured using the validated Kidney Disease Quality of Life Short Form (KDQOL-SF36). Data were analyzed using descriptive statistics and the Chi-Square test, with significance set at α = 0.05. Results: The mean age of participants was 46.3 ± 8.9 years; 56.3% were male. Patients undergoing hemodialysis for more than 24 months constituted 45.0% of the sample. Quality of life was reported as good by 57.5% of respondents, moderate by 30.0%, and poor by 12.5%. A significant association was found between hemodialysis duration and quality of life (p < 0.001), with longer treatment durations correlating with better quality of life 86.1% of patients treated over 24 months reported good quality of life compared to 35.5% in those treated under 12 months. Conclusion: Longer duration of hemodialysis is significantly associated with improved quality of life among CKD patients, potentially reflecting enhanced coping and adaptation mechanisms. These findings highlight the necessity for holistic nursing care programs tailored to treatment duration to optimize patient outcomes.
Efektivitas Pursed Lip Breathing Sebagai Mind-Body Therapy dalam Meningkatkan Pola Napas dan Menurunkan Kecemasan pada Pasien Asma Bronkial: Studi Kasus Tentry Fuji Purwanti; M. Iqbal Sutisna; Kurniawati Kurniawati; Kartika Firdasari; Imawati Imawati; Listanty Widya Anggraeni; Rifki Permadi
Jurnal Pengabdian kepada Masyarakat Indonesia (JPKMI) Vol. 6 No. 1 (2026): April: Jurnal Pengabdian Kepada Masyarakat Indonesia (JPKMI) 
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpkmi.v6i1.10472

Abstract

Bronchial asthma is a chronic inflammatory disease of the respiratory tract characterized by recurrent episodes of dyspnea, wheezing, and coughing. Asthma management requires a comprehensive approach including pharmacological and non-pharmacological therapy. Pursed lip breathing as part of mind-body therapy can help improve breathing control and reduce anxiety in asthma patients. This case study aims to evaluate the effectiveness of pursed lip breathing application in improving breathing patterns and reducing anxiety levels in bronchial asthma patients. This research design is a descriptive case study of a 64-year-old female patient with bronchial asthma. Pursed lip breathing intervention was performed for 3 x 24 hours with evaluation of respiratory rate (RR), oxygen saturation (SpO₂), wheezing, anxiety level using Hamilton Anxiety Rating Scale (HARS), and sleep quality. Data were collected through physical assessment, observation, and interviews. After 3 days of intervention, there were significant improvements in all measured parameters. Respiratory rate decreased from 28 breaths/minute to 20 breaths/minute, oxygen saturation increased from 93% to 97%, wheezing disappeared, anxiety level decreased from moderate category (score 18) to mild (score 8), and sleep quality improved from 4-5 hours/night to 7-8 hours/night. The patient was able to perform pursed lip breathing technique independently on the third day. Pursed lip breathing is effective as an independent nursing intervention in improving breathing patterns and reducing anxiety in bronchial asthma patients. This technique can be integrated into holistic nursing care as part of asthma patient self-care management.