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All Journal Journal of Public Health Indonesian
Erwinsyah
STIKES Garuda Putih
Health Professions Medicine & Pharmacology

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Clinical Nursing Interventions and Their Contribution to Stability in Hemodialysis Patients with Chronic Kidney Disease Erwinsyah; Inaya Nur Aini
Journal of Public Health Indonesian Vol. 2 No. 5 (2026): JANUARY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/5djndz03

Abstract

Chronic kidney disease is a progressive condition requiring long-term hemodialysis and is associated with a high risk of physiological instability. Clinical nursing interventions play a strategic role in maintaining patient stability during hemodialysis procedures. This study aimed to analyze the relationship and contribution of clinical nursing interventions to the stability of patients with chronic kidney disease undergoing hemodialysis. A quantitative approach with a cross-sectional observational analytic design was employed. The study sample consisted of patients receiving routine hemodialysis who met the inclusion criteria. Data were collected using structured observation sheets of nursing interventions and measurements of patient stability indicators, and analyzed using correlation and linear regression tests. The results demonstrated a positive and statistically significant relationship between clinical nursing interventions and patient stability. Regression analysis indicated that nursing interventions contributed significantly to patient stability after controlling for clinical factors. These findings confirm that clinical nursing interventions are a critical determinant of patient stability and safety in hemodialysis care. Strengthening evidence-based nursing practices is therefore recommended to improve the quality of hemodialysis services and clinical outcomes.
The Effect of Teach-Back Education on Compliance with Postoperative Wound Care Erwinsyah; Aguspairi
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/gs453705

Abstract

Inadequate postoperative wound care is a major cause of surgical complications, including surgical site infections, wound dehiscence, and delayed healing, which leads to increased length of stay, increased costs, and decreased quality of life. Patient adherence to wound care instructions after discharge is strongly influenced by their level of understanding and health literacy, which is often low in the perioperative period. The teach-back method, a communication strategy in which patients are asked to reiterate the information provided in their own words, has been developed as an evidence-based approach to ensure understanding and improve patient adherence. This article aims to examine scientific evidence regarding the effect of teach-back education on postoperative wound care adherence through a narrative literature review of twenty-five articles published between 2021 and 2026, sourced from PubMed, ScienceDirect, and Google Scholar databases. The study results show that the teach-back method consistently improves knowledge, self-efficacy, and adherence to wound care in various surgical populations, from colostomy and orthopedic to cardiac surgery, and is associated with reduced wound complications and hospital readmission rates. It was concluded that teach-back is an effective, simple educational strategy that is feasible to be implemented routinely in perioperative and community nursing practice to improve postoperative wound care outcomes.
Co-Authors Aguspairi Inaya Nur Aini