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All Journal JURNAL MUTIARA NERS PROFESSIONAL HEALTH JOURNAL Jurnal Penelitian Keperawatan Kontemporer (JPKK) Journal of Educational Innovation and Public Health
Rif'atul Fani
Department Of Nursing, Faculty Of Health Science, Institute Of Technology Science And Health Dr Soepraoen Kesdam V/Brawijaya, Malang, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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SELF-MANAGEMENT AND QUALITY OF LIFE AMONG CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS Sherli Amelia Putri Prasetya; Rif'atul Fani; Riki Ristanto
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1417

Abstract

Introduction: Chronic kidney disease is a progressive condition that requires long-term hemodialysis and can substantially affect patients’ quality of life. Effective self-management is essential to support patients in managing symptoms, adapting to treatment demands, and maintaining physical and mental well-being. Methods: A descriptive correlational design using a cross-sectional approach was used in this research. The participants were patients with CKD undergoing routine hemodialysis at a regional public hospital in Sidoarjo, Indonesia. A total of 194 respondents were recruited using purposive sampling. Self-management was assessed using the Hemodialysis Self-Management Instrument (HDSMI-18), and quality of life was calculated using the Kidney Disease Quality of Life (KDQoL-36) questionnaire. Univariate analysis with Spearman correlation tests used to analyzed data. Results: Self-care was significantly associated with symptom control (r = 0.190; p = 0.008), effects of kidney disease (r = 0.412; p < 0.001), disease burden (r = 0.322; p < 0.001), and mental quality of life (r = 0.497; p < 0.001). Problem solving was associated with effects of kidney disease (r = 0.220; p = 0.002) and mental quality of life (r = 0.158; p = 0.027). Emotional management was related to physical (r = 0.147; p = 0.041) and mental quality of life (r = 0.147; p = 0.040). Overall self-management was associated with effects of kidney disease (r = 0.296; p < 0.001), disease burden (r = 0.171; p = 0.017), and mental quality of life (r = 0.277; p < 0.001), while partnership showed no significant associations. Conclusions: Self-management related to quality of life among patients undergoing hemodialysis, with self-care showing the strongest and most consistent associations. These findings highlight the importance of strengthening self-management skills, particularly self-care, problem solving, and emotional regulation, to optimize quality of life in patients with CKD.
THE RELATIONSHIP BETWEEN FLUIDS RESTRICION COMPLIANCE AND INTERDIALYTIC WEIGHT GAIN (IDWG) IN CKD PATIENTS ON REGULER HD IN HEMODIALYSYS ROOM Nuril Chofifah Ardwina Fatah; Rif'atul Fani
Jurnal Ilmiah Keperawatan Vol 9 No 2 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i2.6299

Abstract

Background: Interdialytic Weight Gain (IDWG) is an important indicator of fluid management in patients with chronic kidney disease (CKD) undergoing hemodialysis. Poor fluid restriction adherence may contribute to excessive fluid accumulation and complications. Purpose: This study aimed to examine the association between fluid restriction adherence and IDWG among patients with CKD undergoing regular hemodialysis at Husada Utama Hospital, Surabaya, Indonesia. Methods: This cross-sectional study included 30 patients recruited using total sampling. Fluid restriction adherence was assessed using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), while IDWG was determined from body weight measurements between consecutive hemodialysis sessions. The association was analyzed using Fisher’s exact test with statistical significance set at p < 0.05. Results: Most participants were aged ≥46 years (76.7%) and had undergone hemodialysis for more than 12 months (90.0%). Overall, 76.7% adhered to fluid restriction and had normal IDWG. All adherent participants had normal IDWG, whereas all non-adherent participants had high IDWG. A significant association was observed between fluid restriction adherence and IDWG (p < 0.001). Conclusion: Fluid restriction adherence was significantly associated with IDWG, highlighting the importance of supporting adherence as part of fluid management in hemodialysis care.
Association Between Medication Adherence Assessed by the Morisky Medication Adherence Scale-8 and Treatment Outcomes Among Patients With Tuberculosis Fadila Bakir; Rif’atul Fani
Journal of Educational Innovation and Public Health Vol. 4 No. 4 (2026): Oktober : Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i4.9762

Abstract

. Medication adherence is a key determinant of successful tuberculosis (TB) treatment. Poor adherence to anti-tuberculosis therapy increases the risk of treatment failure, disease progression, and drug-resistant tuberculosis. This study examined medication adherence assessed using the Morisky Medication Adherence Scale-8 (MMAS-8) and its association with treatment outcomes among patients with TB. A cross-sectional study was conducted among 40 tuberculosis patients receiving treatment at Wayaloar Primary Health Center, South Halmahera, North Maluku, Indonesia, from March to June 2026. Sociodemographic characteristics, behavioral factors, medication adherence, and treatment outcomes were obtained from structured questionnaires and medical records. Medication adherence was assessed using the MMAS-8 and categorized as adherent or non-adherent. Descriptive statistics and Fisher’s exact test were performed using IBM SPSS Statistics version 25, with statistical significance set at p< 0.05. Overall, 87.5% of participants were adherent to anti-tuberculosis medication, and 92.5% achieved successful treatment outcomes. Educational level was significantly associated with medication adherence (p = 0.009), as was treatment outcome (p = 0.036). No significant associations were observed for age, sex, employment status, smoking history, or alcohol consumption. Good medication adherence was associated with favorable treatment outcomes. Strengthening adherence-support interventions and patient education may improve tuberculosis treatment success.
Hubungan Antara Tingkat Stress Dengan Kualitas Tidur Pada Mahaiswa ITSK Dr Rs Soepraoen Aisya Salsabila Wulandari; Dion Kunto Adi P; Rif'atul Fani
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1219

Abstract

Latar Belakang: Mahasiswa berada pada fase dewasa awal yang ditandai dengan berbagai tuntutan akademik dan penyesuaian sosial. Beban akademik yang tinggi, jadwal perkuliahan yang padat, serta tuntutan praktik dapat memicu stres pada mahasiswa. Stres yang tidak dikelola dengan baik berpotensi memengaruhi pelbagai aspek kesehatan, salah satunya kualitas tidur. Tidur menjadi kebutuhan mendasar yang berperan krusial dalam menjaga kesehatan fisik, psikologis, serta fungsi kognitif. Namun, pada kenyataannya banyak mahasiswa mengalami kualitas tidur yang buruk karena tekanan akademik, kebiasaan begadang, juga pola hidup yang tak teratur. Kondisi tersebut dapat berdampak kepada penurunan konsentrasi, gangguan emosi, dan prestasi akademik. Karenanya, penting guna mengetahui korelasi antara tingkat stres dan kualitas tidur pada mahasiswa sebagai dasar dalam upaya promotif dan preventif guna meningkatkan kesejahteraan mahasiswa.Tujuan: Studi berikut bertujuan guna mengkaji korelasi dari tingkat stres dengan kualitas tidur pada mahaiswa guna memperoleh gambaran kondisi psikologis dan pola tidur mahasiswa Metode: Studi berikut memanfaatkan desain penelitian kuantitatif melalui pendekatan cross-sectional. Sampelnya tersusun atas 80 mahasiswa keperawatan yang terpilih menggunakan teknik total sampling. Tingkat stres diukur melalui kuesioner Depression Anxiety Stress Scale (DASS-42), sedangkan kualitas tidur pengukurannya memanfaatkan Pittsburgh Sleep Quality Index (PSQI). Analisis datanya dijalankan melalui pengujian korelasi Spearman Rank dengan derajat signifikansinya 0,05. Hasil: Temuan studi memperlihatkan bahwasanya mayoritas mahasiswa berada pada tingkat stres normal (67,5%), namun masih terdapat mahasiswa dengan stres ringan hingga berat. Sebagian besar respondennya mempunyai kualitas tidur buruk (62,5%). Hasil pengujian korelasi Spearman Rank mendapati terdapatnya korelasi secara signifikan dari tingkat stres dan kualitas tidur pada mahasiswa (r = 0,832; p = 0,000). Kesimpulan: Dapat disimpulkan bahwasanya adanya korelasi secara signifikan dari tingkat stres dengan kualitas tidur pada mahasiswa. Makin tingginya tingkat stres yang mahasiswa alami, menjadikan kualitas tidurnya makin buruk. Temuan ini menunjukkan pentingnya upaya manajemen stres dan penerapan kebiasaan tidur sehat untuk meningkatkan kesejahteraan mahasiswa. Kata Kunci: Tingkat Stres, Kualitas Tidur, Mahasiswa
Co-Authors Aisya Salsabila Wulandari Dion Kunto Adi P Fadila Bakir Nuril Chofifah Ardwina Fatah Riki Ristanto Sherli Amelia Putri Prasetya