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All Journal Jurnal Ners Jurnal Keperawatan Berbudaya Sehat Jurnal Keperawatan Terapan
Lia Fadlilah
Universitas Safin Pati
Health Professions Medicine & Pharmacology Nursing

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The Effects Intradialytic Exercise On Hemodialysis: a systematic review Lia Fadlilah; Tifany Hayuning Ratri; Feri Catur Yuliani
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46442

Abstract

Hemodialysis is the most common method used to treat chronic kidney disease (CKD). However, it is still accompanied by increasing morbidity and mortality, with cardiovascular disorders as the main cause of death. Hemodialysis can lead to decreased capacity and functional muscle mass, inflammation, endothelial dysfunction, and bone mineral disease (cardiovascular disorders). Exercise or activity programs during hemodialysis (intradialytic) come in many forms, all aimed at improving muscle mass, bone strength, cardiorespiratory health, physical fitness, and enhancing the quality of life. This study will systematically review previous journals discussing the impact of training or physical activity on chronic kidney disease patients undergoing hemodialysis, regarding all factors that can improve the quality of life for CKD patients undergoing HD. The literature search process was conducted on research from the last 5 years (2016-2020) in English selected from several indexed electronic databases (Scopus, Science Direct, CINAHL, Pubmed, Oxford, SAGE). A search using a search engine yielded a total of 301 articles, and after screening, 13 were selected based on criteria and were of RCT research design. The results of the studies show that the appropriate and safe selection of intradialytic exercise for patients, without requiring extra time, can improve physical activity and sleep quality, leg muscle mass, stimulate bone alkaline phosphatase which can prevent osteoporosis, lower blood pressure, improve respiratory function and functional capacity, enhance physical function, reduce inflammation, improve nutrition, increase bone mineral density, improve exercise tolerance, increase Kt/V, enhance serum creatinine clearance, blood urea, and serum potassium phosphate. The positive impact of exercise during hemodialysis will result in an improved quality of life, and a decrease in morbidity and mortality in CKD patients undergoing hemodialysis. Keywords: exercise; hemodialysis; Intradialytic
The Effect of Light Physical Exercise and Relaxation Techniques on the Cardiovascular Health of Elderly People with Hypertension: Efektifitas Isometric Handgrip Exercise dan Slow Deep Breathing dalam Mengendalikan Hipertensi : A Systematic Review Tifany Hayuning Ratri; Lia Fadlilah
Jurnal Keperawatan Terapan Vol 12 No 1 (2026): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v12i1.6226

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Abstract: Background: High Blood Pressure is still a global health problem. Non-pharmacological efforts such as handgrip exercise and slow deep breathing (SDB) can lower blood pressure. Objective: To determine the effectiveness of a combination or each of these exercises in lowering blood pressure in hypertension sufferers. Methods: A systematic review was identified in three databases Google Scholar and Pubmed (2020–2025) using the search terms “Hypertension OR Blood Pressure AND Elderly AND Handgrip Exercise AND Slow Deep Breathing.” Risk of bias assessment using JBI Critical Appraisal Tools. Data were extracted by researchers and analyzed using thematic analysis. Results: 1,070 articles after duplicate removal and screening obtained 280 reports to be retrieved 90 articles were assessed for eligibility in depth then 10 articles were selected for review using PICOT, Isometric handgrip exercise intensity 30% MVC for 8–20 weeks is effective in reducing systolic blood pressure (SBP) significantly. SDB exercise of 6 breaths per minute showed a decrease in SBP of up to 18.17 mmHg through increased parasympathetic activity and baroreceptor stimulation. Conclusion: There is a decrease in blood pressure in patients with stage one hypertension. Future researchers are expected to examine the young age group to see the effectiveness of early hypertension prevention considering the increasing trend of cases in productive age.
Faktor-Faktor yang Memengaruhi Kepuasan Kerja Perawat Ruang Rawat Inap: Factors Affecting Job Satisfaction Among Inpatient Ward Nurses Nindi Lathifatul Mar’ah; Yeni Rusyani Rusyani; Rizal Fajri; Lia Fadlilah
Jurnal Keperawatan Berbudaya Sehat Vol. 4 No. 2 (2026): Juli 2026
Publisher : Universitas Ngudi Waluyo

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Abstract

Nurse job satisfaction is an essential indicator of healthcare quality influenced by various organizational factors. This study aimed to analyze the factors influencing the job satisfaction of inpatient ward nurses at RSU Nurusyifa Kudus. This quantitative correlational study with a cross-sectional approach was conducted from October to December 2025. The sample consisted of 43 inpatient nurses selected via total sampling. Data were collected using structured questionnaires and analyzed using multiple linear regression. The results showed that the majority of respondents were aged >31 years (65.1%), female (74.4%), held a Bachelor of Nursing (Ners) degree (62.8%), and felt moderately satisfied (48.8%). Simultaneously, compensation, interpersonal relationships, leadership style, and work motivation significantly affected job satisfaction ( ; ). Partially, compensation ( ) and interpersonal relationships ( ) had significant effects, whereas leadership style ( ) and work motivation ( ) had no significant effects. In conclusion, compensation and interpersonal relationships are the dominant factors influencing nurse job satisfaction. Hospital management is advised to evaluate the compensation system and maintain a harmonious working climate to enhance nurses' job satisfaction.
Co-Authors Feri Catur Yuliani Nindi Lathifatul Mar’ah Rizal Fajri Tifany Hayuning Ratri Tifany Hayuning Ratri Yeni Rusyani Rusyani