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Aurellia Firstania
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Edukasi Kesehatan Pencegahan Dini Penyakit Ginjal Kronik Melalui Perilaku Hidup Sehat Mesya; Aurellia Firstania; Rendy Yudha Pratama
Abdinesia: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2026): Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/abdinesia.v6i1.1554

Abstract

Penyakit Ginjal Kronik (PGK) merupakan penyakit progresif yang berkaitan dengan hipertensi, diabetes, obesitas, dan pola hidup tidak sehat. Remaja merupakan kelompok strategis dalam upaya pencegahan karena berada pada fase pembentukan kebiasaan jangka panjang. Edukasi kesehatan diperlukan untuk meningkatkan pengetahuan remaja mengenai pencegahan PGK. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan remaja tentang pencegahan dini PGK melalui perilaku hidup sehat. Kegiatan dilaksanakan di SMAN 1 Gading Rejo dengan 28 peserta. Metode yang digunakan berupa edukasi kesehatan interaktif melalui presentasi, leaflet, dan diskusi. Evaluasi dilakukan menggunakan pre-test dan post-test. Hasil kegiatan menunjukkan adanya peningkatan tingkat pengetahuan peserta. Sebelum edukasi sebagian besar peserta berada pada kategori pengetahuan rendah (53,6%), sedangkan setelah edukasi mayoritas peserta berada pada kategori pengetahuan tinggi (82,2%). Kegiatan edukasi kesehatan menunjukkan peningkatan pemahaman remaja mengenai fungsi ginjal, faktor risiko, tanda dan gejala, serta upaya pencegahan PGK. Edukasi kesehatan di lingkungan sekolah dapat menjadi salah satu strategi promotif dan preventif dalam pencegahan PGK sejak usia remaja.
Analysis of Factors Related To Quality of Life in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-Sectional Study Aurellia Firstania; Mesya Mesya
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56567

Abstract

Abstract Chronic kidney disease (CKD) and hemodialysis (HD) therapy can reduce quality of life due to the burden of symptoms, activity limitations, and psychological and social problems. This study aims to analyze factors associated with quality of life in CKD patients undergoing HD at Sekayu Regional Hospital. A descriptive-analytical survey with a cross-sectional design was conducted among 44 respondents purposively selected from May 1 to June 1, 2025. Quality of life was measured using the WHOQOL-BREF and categorized into good and poor based on the median total score. Bivariate analysis used the chi-square test, while multivariate analysis used multiple logistic regression. The results showed that the majority of respondents were aged >45 years (56.8%), male (52.3%), and on HD for <2 years (77.3%). There was a significant association between age (p=0.001), gender (p=0.002), and duration of HD (p=0.004) with quality of life. Education (p=0.523), marital status (p=0.624), employment (p=0.510), and income (p=0.319) were not associated. Logistic regression showed that age >45 years was the dominant factor associated with a lower odds of good quality of life (p=0.024; OR=0.089). Comprehensive nursing interventions are needed, especially for elderly and female patients, to improve the quality of life during HD.
Psychological Distress in Older Population with Diabetes Mellitus and Multicomorbidity: A Systematic Review Aurellia Firstania; Eva Riantika Ratna Palupi; Fitri Handayani; Indra Gilang Pamungkas; Kristianto Dwi Nugroho; M Iqbal Angga Kusuma; Rahmawati Dian Nurani; Sartika Rajagukguk; Tsania Ayu Zaharany; Yusuf Hanafiah
Proceeding of the International Conference on Health Sciences and Nursing Vol. 3 No. 1 (2026): Proceeding of the International Conference on Health Sciences and Nursing
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ichsn.v3i1.99

Abstract

Psychological distress in the elderly with diabetes mellitus and multiple comorbidities includes emotional responses such as stress, depression, and anxiety that arise due to the complex and prolonged demands of disease management. This study aims to analyze psychological distress in the elderly with diabetes mellitus and multiple comorbidities through a systematic review design according to PRISMA guidelines. Articles were obtained from four databases, namely Scopus, PubMed, EBSCO, and ScienceDirect, for the period 2020–2026. The selection was made based on consensus and assessed using the criteria of the Joanna Briggs Institute (JBI). Out of a total of 1,486 articles, 7 articles were obtained. The results of the study showed that psychological distress in diabetic patients was related to clinical factors, number of comorbidities, length of illness, and self-management ability. Multiple comorbidities have been shown to be the main determinants that exacerbate psychological distress in the elderly with diabetes. In addition, psychological distress has significant implications for self-management behaviors, which are an important component in diabetes control. The conclusion of the study confirms that psychological distress can no longer be viewed as a secondary condition, but rather as a primary component in the course of chronic disease that requires clinical attention in parallel with the physiological aspects in diabetic patients with multiple comorbidities.
Penilaian dan Intervensi Holistik pada Pasien Hemodialisa: Scoping Review Mesya Mesya; Aurellia Firstania
Jurnal Penelitian Perawat Profesional Vol. 8 No. 1 (2026): Februari 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i1.1456

Abstract

Pasien penyakit ginjal kronik yang menjalani hemodialisis menghadapi masalah kesehatan kompleks dan multidimensional, meliputi aspek fisik, psikologis, sosial, dan spiritual, yang berdampak signifikan terhadap kualitas hidup pasien. Pendekatan holistic care diperlukan untuk memberikan asuhan komprehensif dan berpusat pada pasien, namun penerapan penilaian serta intervensi holistik dalam praktik keperawatan hemodialisis belum terpetakan secara sistematis dan konsisten. Tinjauan ini bertujuan memetakan dan menganalisis bukti ilmiah terkait praktik penilaian dan intervensi holistik pada pasien hemodialisis, termasuk metode asesmen, jenis intervensi, serta dampaknya terhadap kondisi pasien secara multidimensional. Penelitian ini menggunakan desain scoping review dengan mengikuti kerangka Arksey dan O’Malley serta panduan PRISMA-ScR. Pencarian literatur dilakukan secara sistematis pada basis data Scopus, PubMed, ScienceDirect, dan ProQuest. Seleksi studi didasarkan pada kerangka Population, Concept, Context (PCC). Penilaian kualitas artikel dilakukan menggunakan alat penilaian kritis Joanna Briggs Institute. Dari 12.432 artikel yang teridentifikasi, lima studi memenuhi kriteria inklusi dan dianalisis lebih lanjut. Temuan menunjukkan penilaian holistik mencakup aspek fisik, psikologis, sosial, dan spiritual melalui penggunaan instrumen terstandar seperti Holistic Health Assessment Tool for Dialysis Patients (HHAT-D) serta pemanfaatan teknologi wearable. Intervensi holistik nonfarmakologis berbasis keperawatan dan pendekatan multidisiplin efektif menurunkan kelelahan, memperbaiki kualitas tidur, meningkatkan kepatuhan perawatan, serta mendukung kualitas hidup pasien hemodialisis.
Co-Authors Eva Riantika Ratna Palupi Fitri Handayani Indra Gilang Pamungkas Kristianto Dwi Nugroho M Iqbal Angga Kusuma Mesya Mesya Rahmawati Dian Nurani Rendy Yudha Pratama Sartika Rajagukguk Tsania Ayu Zaharany Yusuf Hanafiah