I Care Jurnal Keperawatan STIKes Panti Rapih

Gambaran Self-Management Pada Pasien DM di Ruang Poliklinik Salah Satu Rumah Sakit Swasta di Yogyakarta

Angela Iche Kristiani — 2025-10-31

Diabetes Melitus adalah gangguan metabolik yang ditandai dengan tingginya kadar gula dalam darah (hiperglikemia) dengan gangguan metabolisme, karbohidrat, lemak, dan protein yang disebabkan oleh kerusakan dalam produk insulin dan kerja insulin yang tidak optimal. Tujuan dari penelitian ini adalah untuk mengetahui gambaran kualitas tidur pasien DM di Rumah Sakit Panti Rapih Yogyakarta. Desain penelitian ini menggunakan deskriptif kuantitatif dengan pendekatan survei. Metode yang digunakan dalam penelitian ini yaitu accidental sampling. Jumlah responden dalam penelitian sebanyak 30 responden dengan menggunakan kuesioner PSQI. Hasil penelitian ini menunjukkan sebagian besar responden memiliki self-management yang sedang sebesar 6,7%, dan buruk sebesar 93,3% dari 30 responden yang telah diteliti. Berdasarkan hal tersebut sebaiknya sebagai pelayanan kesehatan memberikan edukasi kepada pasien tentang pentingnya self-management yang baik, dan diharapkan sebagai pasien DM dapat meningkatkan self-manangement nya mengenai 7 pilar perawatan mandiri DM yang meliputi pola makan, aktivitas fisik, minum obat, pemantauan kadar gula darah, pemecahan masalah, mekanisme koping yang sehat, dan pengurangan risiko.

Faktor-Faktor yang Berhubungan dengan Kepatuhan Transfusi Darah Pada Anak dengan Thalassemia Beta Mayor di RSUD Depati Hamzah Pangkalpinang Tahun 2025

Zafira Zafira — 2025-10-31

ABSTRACT

Background: Thalassemia is a chronic disease in children. This genetic disorder is caused by a lack of synthesis of the polypeptide chains that make up the globin chains and hemoglobin.

Objective: This study aims to determine factors associated with blood transfusion compliance in pediatric patients with beta thalassemia major at the Pediatric Clinic of Depati Hamzah Regional Hospital in 2025.

Methods: This research uses quantitative research methods with cross- sectional design. The population in this study was 52 patients. The sample size in this research was 39 patients selected using purposive sampling technique

Results: Based on the research results, it was found that there was a relationship between education level (p-value = 0.002), knowledge level (p-value = 0.000), and family support (p-value = 0.008) and there was no relationship between economic status (p-value = 0.232) on the level of blood tranfusion complience in pediatric Clinic of Depati Hamzah Regional Hospital in 2025.

Conclusion: Based on the results of this study, it can be concluded that there is a relationship between education level, knowledge level, and family support and there is no relationship between economic status and the level of blood transfusion compliance in pediatric patients with beta thalassemia major at the children's polyclinic of Depati Hamzah Regional Hospital in 2025

Keywords: Compliance, Thalassemia, Transfusion

Studi Fenomenologi: Persepsi Pasien Hemodialisa Terhadap Kualitas Hidup Pasien di RSUD Ruteng

Erviolita Jeniati — 2025-10-31

Latar Belakang : Gagal ginjal kronik merupakan kondisi dimana ginjal mengalami masalah struktural atau fungsional selama lebih dari tiga bulan. Jika gangguan fungsi ginjal tidak segera ditangani, dapat menyebabkan kerusakan ginjal lebih lanjut hingga kematian. Pasien gagal ginjal kronik yang mendapatkan pengobatan jangka panjang akan mengalami stres psikologis dan sosial di samping komplikasi penyakit seperti perdarahan, kram, ketidakseimbangan elektrolit, dan hipotensi, yang dapat berdampak pada kualitas hidup pasien. Tujuan : Untuk mengetahui dan memahami bagaimana pasien hemodialisis mempersepsikan kualitas hidupnya. Metode : Penelitian ini menggunakan metode kualitatif, dengan desain penelitian menggunakan pendekatan studi fenomenologi, menggunakan wawancara semi terstruktur. Jumlah partisipan dalam penelitian ini sebanyak 7 orang dengan metode pengambilan sampel menggunakan teknik purposive sampling. Metode analisis data menggunakan analisis tematik. Hasil : Hasil penelitian menghasilkan tiga tema utama yaitu perubahan emosi, keterbatasan fisik, dan perubahan kondisi kesehatan sebelum dan sesudah menjalani hemodialisis. Kesimpulan : Peneliti menemukan bahwa persepsi pasien hemodialisis, kualitas hidup partisipan mulai membaik dengan prosedur terapi hemodialisis. Hal ini terlihat dari penerimaan pasien terhadap kondisi yang dialami, perubahan kondisi kesehatan yang lebih baik dibandingkan sebelum menjalani hemodialisis, dan juga harapan kesembuhan dari peserta di masa mendatang.
Kata kunci: Gagal ginjal kronis, hemodialisis, kualitas hidup

Efektivitas Edukasi Diet DASH Terhadap Perilaku Diet Pasien Diabetes Melitus

Tri Wahyuni Ismoyowati — 2025-10-31

Eating behavior is important in determining the nutritional status of individuals with type 2 diabetes mellitus. One of the strategies in diabetes mellitus management is education, which aims to encourage positive changes in eating habits. This study aims to analyze the effect of education on diabetes mellitus diet modification and the DASH diet on changes in food types, consumption amounts, and eating frequency among individuals with type 2 diabetes mellitus at a community health center (Puskesmas) in West Java. This study used a pre-experimental design with a one-group pretest-posttest approach involving 52 respondents selected through purposive sampling. The analysis results, using the Wilcoxon Signed Rank test, showed a significant difference before and after the education on diabetes mellitus diet modification and the DASH diet regarding changes in food types (p-value = 0.001 < 0.05), consumption amounts (p-value = 0.000 < 0.05), and eating frequency (p-value = 0.001 < 0.05) among individuals with type 2 diabetes mellitus at a community health center in West Java. In conclusion, education on the mellitus diet modification and the DASH diet influences changes in eating behavior among individuals with type 2 diabetes mellitus in the region.

Hubungan Antara Self Efficacy dengan Kepatuhan Menjalani Terapi Obat Anti Tuberkulosis (OAT) pada Pasien Tuberkulosis Paru di RSUD Ruteng

Maria Putri Sania Enjelu — 2025-10-31

Background :Pulmonary tuberculosis (TB) remains a serious global health issue, and Indonesia has the second highest number of cases in the world. Data from Ruteng Regional General Hospital shows difficulties in patient compliance with anti-tuberculosis drug therapy (OAT). Although similar studies have been conducted in various regions, research in Manggarai District remains limited. Given the high prevalence of pulmonary TB in Manggarai, it is crucial to understand the factors influencing adherence, particularly self-efficacy, as a foundation for developing more effective intervention strategies at the local level. Research Objective: This study aims to investigate the relationship between self-efficacy and adherence to OAT therapy among pulmonary TB patients at Ruteng General Hospital. Research Methods: The study design used was an analytical correlational design with a cross-sectional approach. The sampling technique applied was non-probability sampling using accidental sampling, involving 108 pulmonary TB patients. Data analysis was conducted using univariate analysis (frequency distribution) and bivariate analysis using Kendall's tau statistical test. Results: Univariate analysis showed that 55 respondents (50.9%) had good self-efficacy, while 40 respondents (37.0%) demonstrated good adherence to OAT therapy. A significant association was found between self-efficacy and adherence to OAT therapy among pulmonary TB patients at Ruteng General Hospital, with a P-value of 0.006 (<0.05). The conclusion of this study is that self-efficacy has a significant association with patient adherence to OAT therapy.

Keywords: Adherence, Self Efficacy, Pulmonary TB, OAT Therapy

Hubungan Pengetahuan Ibu Tentang Pola Pemberian Nutrisi Terhadap Kejadian Stunting Pada Balita di Kalurahan Sendangrejo, Minggir, Sleman, Yogyakarta

Ernestus Dody Kurniawan — 2025-10-31

Background: The incidence of stunting in toddlers during the golden period requires special attention, as it can hinder both physical and mental development. In Sendangrejo Village, no prior research has been conducted on the relationship between mothers' knowledge of nutritional patterns and the incidence of stunting in toddlers. Therefore, further research is necessary to examine this relationship.

Objective: This study aims to determine the relationship between mothers' knowledge of nutritional patterns and the incidence of stunting in toddlers in Sendangrejo Village, Minggir, Sleman, Yogyakarta.

Methods: The research design used was descriptive with a cross-sectional approach. The study was conducted in Sendangrejo Village, Minggir, Sleman, Yogyakarta, from July to August 2024. Sampling was carried out using a non-probability total sampling technique with a total of 64 respondents. However, since the study focused on mothers and children residing in the area, the final sample consisted of 60 respondents, as 4 were no longer living in Sendangrejo Village.

Results: The study found that the majority of mothers (63.3%, or 38 respondents) had moderate knowledge. Based on height-for-age (H/A), 48 toddlers (80%) were found to be stunted with low height and corresponding Z-scores. The Spearman rho test showed a p-value of 0.880 (p > 0.05), indicating no significant, weak, or negative relationship between mothers' knowledge of nutritional patterns and the incidence of stunting among toddlers in Sendangrejo Village.

Conclusion: There is no significant, weak, or negative relationship between mothers' knowledge of nutritional patterns and the incidence of stunting in toddlers in Sendangrejo Village. Future researchers are encouraged to use this study as a reference, support, and comparison for further studies, especially by considering other contributing factors to stunting such as poverty, social and cultural aspects, increased risk of infectious diseases, food insecurity, and access to health services.

Dukungan Keluarga Yang Baik Meningkatkan Kualitas Hidup Penderita Dengan Diabetes Melitus

Yohana Hepilita — 2025-10-31

Latar Belakang: Diabetes melitus merupakan penyakit metabolik kronis yang dapat menurunkan kualitas hidup penderitanya, baik secara fisik, psikologis, sosial, maupun lingkungan. Keluarga memiliki peran penting dalam mendukung pasien dalam mengelola penyakit ini. Dukungan keluarga yang baik dapat meningkatkan kualitas hidup pasien melalui keterlibatan dalam pengobatan, pemantauan pola makan, hingga dukungan emosional. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga dengan kualitas hidup pasien diabetes melitus di wilayah kerja Puskesmas Bangka Kenda. Metode: Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Sampel terdiri dari 70 responden yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner Hensarling Diabetes Family Support Scale (HDFSS) untuk dukungan keluarga dan Diabetes Quality of Life (DQOL) untuk kualitas hidup. Analisis data dilakukan dengan uji bivariat menggunakan SPSS dengan tingkat signifikansi p < 0,05. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar responden yang mendapat dukungan keluarga baik memiliki kualitas hidup yang juga baik. Uji statistik menunjukkan adanya hubungan yang signifikan antara dukungan keluarga dan kualitas hidup pasien diabetes melitus (p = 0,001). Kesimpulan: Dukungan keluarga berperan penting dalam meningkatkan kualitas hidup pasien diabetes melitus. Oleh karena itu, perlu adanya edukasi dan pelibatan keluarga dalam manajemen perawatan pasien secara berkelanjutan.

Kata Kunci: Dukungan Keluarga, Kualitas Hidup, Diabetes Melitus

Hubungan Efektivitas Metode Hybrid Learning dengan Perilaku I-Care Mahasiswa STIKes Panti Rapih Yogyakarta

Marcellino Michele Miensugandhi — 2025-10-31

Latar belakang: Teknologi dan jaringan internet telah menjadi bagian dari sistem pendidikan formal dan informal di masa sekarang dan masa depan. Teknologi dan jaringan internet diperlukan di masa pandemi Covid-19 karena lembaga pendidikan di seluruh dunia membatasi proses belajar mengajar dengan membagi dengan dua cara yaitu online dan offline (hybrid learning), terutama universitas atau perguruan tinggi. Urgensi dalam penelitian ini terletak pada penerapan metode pembelajaran hybrid yang menggabungkan pembelajaran online (melalui media seperti Zoom) dan offline (di dalam kelas). Hybrid learning merupakan model pembelajaran yang mengintegrasikan inovasi dan kemajuan teknologi melalui sistem pembelajaran online dengan interaksi dan partisipasi model pembelajaran tradisional.

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara metode hybrid learning dengan perilaku I-CARE mahasiswa STIKes Panti Rapih Yogyakarta.

Metode: Desain penelitian ini menggunakan pendekatan kuantitatif dengan metode penelitian deskriptif korelasi dan cross sectional. Penelitian ini dilakukan di Kampus 2 STIKes Panti Rapih Yogyakarta dan dilaksanakan pada tanggal 30 Juli sampai 4 Agustus 2024. Pengambilan sampel dilakukan dengan teknik purposive sampling berjumlah 100 responden yang memenuhi kriteria inklusi dan ekslusi. Instrumen yang digunakan dalam penelitian adalah kuesioner hybrid learning dan I-CARE.

Hasil: Hasil penelitian didapatkan bahwa karakteristik responden mendapatkan hasil persentase paling tinggi pada pada kategori usia 19 tahun sebanyak 38 orang (56,7%), pada kategori jenis kelamin perempuan sebanyak 60 orang (89,6%) dan pada kategori prodi Sarjana Keperawatan sejumlah 48 orang (71,6%). Sedangkan gambaran efektifitas metode hybrid learning mendapatkan hasil persentase paling tinggi pada kategori efektif sebanyak 34 responden (50,7%) dan gambaran perilaku I-CARE mendapatkan hasil persentase tertinggi pada kategori sangat baik sebanyak 32 responden (47,8%). Hasil uji Somer’d diperoleh p-value 0,614 (p-value > 0.05) maka tidak terdapat hubungan yang signifikan antara efektivitas metode hybrid learning dengan perilaku I-CARE mahasiswa STIKes Panti Rapih Yogyakarta.

Kata kunci: efektivitas, hybrid learning, ICARE, mahasiswa, perilaku

Faktor-Faktor yang Berhubungan Dengan Pernikahan Usia Dini pada Remaja di Desa Umung

Reinaldis Avionita Esong — 2025-10-31

Background: Early marriage is a social problem that still occurs in many areas, including the village of Umung in the Satar Mese subdistrict, where the rate of early marriage remains high. This situation is influenced by various factors, such as low levels of knowledge among adolescents about the impact of early marriage, suboptimal parenting patterns, and the influence of peer groups.

Objective: The objective of this study is to determine the relationship between knowledge, parenting patterns, and peer groups on the incidence of early marriage in Umung Village. Method: this study used a quantitative method with a cross-sectional approach and involved 68 respondents, consisting of 34 adolescents who married early and 34 adolescents who did not marry early, selected using total sampling technique. Data analysis was performed using the chi-square test and logistic regression analysis.

Results: The results showed a significant relationship between knowledge, parenting patterns, and peer groups with early marriage, with significance values of 0.000, 0.002, and 0.000, respectively. The results of the logistic regression analysis showed that peer groups were the most influential factor on the incidence of early marriage, with a significance value of 0.020. Conclusion: Study is that adolescent knowledge, parenting patterns, and peer influence have a significant relationship with the incidence of early marriage in Umung Village. Efforts to increase knowledge and strengthen the role of the family as well as youth group development need to be carried out to reduce the rate of early marriage and create a quality young generation

Keywords: adolescents, early marriage, knowledge, parenting, peer group

Hubungan Karakteristik Demografi dan Self-Determination dengan Kualitas Hidup Pasien Hemodialisa di Rumah Sakit Panti Rapih

Paulus Harkristiardhi — 2025-10-31

Background: Chronic renal failure (CKD) patients undergoing hemodialysis face various physical and psychological challenges that impact their quality of life. Demographic characteristics and self-determination are important factors that influence knowledge about hemodialysis, medication adherence, and level of self-management.

Objective: To determine the relationship between demographic characteristics and self-determination with the quality of life of hemodialysis patients.

Methods: This study is a non-experimental quantitative study using descriptive correlation method. The total sample was 112 respondents who underwent routine hemodialysis twice a week in July in the hemodialysis room of Panti Rapih Hospital.

Result: The results of this study identified that the majority of respondents were male (67.9%,), late adulthood (53.6%), the last level of high school education (46.4%), not working (47.3%), middle class economic income (38.4%), length of hemodialysis >2-5 years (66%), hypertension comorbidity (72.3%). The majority of respondents had high self-determination (83%) and good quality of life (49.1%). There is no relationship between demographic characteristics of respondents with self determination (p-value>0.05). There is no relationship between demographic characteristics and quality of life, and there is a relationship between comorbidities and quality of life. There is a significant relationship between self determination and quality of life with a p-value (0.008).

Conclusion: Self-determination is significantly associated with the quality of life of hemodialysis patients. Nurses are advised to introduce hemodialysis patients to join the hemodialysis patient community in order to create high social support and can strengthen a good level of self-determination which will have an impact on a good level of quality of life.

Keywords: Demographic characteristics, quality of life, self-determination.

Pengaruh Kegiatan Rekreatif Senam Lansia Terhadap Peningkatan Kemampuan Fungsi Kognitif Pada Lansia dengan Demensia di Graha Werdha Aussi Kusuma Lestari Depok

Kristina Tri Puji Hartini — 2025-10-31

Lansia merupakan proses degeneratif pada seseorang yang berusia 60 tahun keatas. Proses degeneratif pada lansia salah satunya adalah penurunan fungsi kognitif. Penurunan fungsi kognitif baik memori jangka pendek maupun jangka panjang dapat membuat lansia terganggu dalam melakukan aktivitas sehari – hari. Senam lansia merupakan intervensi untuk memperlambat proses penurunan fungsi kognitif dan meningkatkan kebugaran fisik lansia. Berdasarkan studi pendahuluan yang dilakukan peneliti di Graha Werdha Aussi Kusuma Lestari Cinere-Depok, terdapat 18 lansia dengan tanda penurunan fungsi kognitif, seperti salah masuk kamar / masuk kamar orang lain, lupa hari, tanggal, bulan bahkan lupa nama saudara sendiri. Tujuan penelitian ini adalah untuk melihat pengaruh senam lansia terhadap peningkatan kemampuan kognitif lansia di Graha Werdha Aussi Kusuma Lestari Cinere-Depok. Metode penelitan ini menggunakan metode purposive sampling 32 lansia dari total populasi 46 lansia. Penelitian ini menggunakan instrument Mini Metal State Exam (MMSE) sebagai skrining dalam mengukur fungsi kognitif lansia. pengukuran skor MMSE, didapatkan hasil nilai normal 14 orang (43,8%), ringan 8 orang (25,0%), berat 10 orang (31,3%) dari total sample 32 orang. Setelah dilakukan intervensi senam, didapatkan hasil: normal 22 orang (68,8%), ringan 7 orang (21,9%) dan berat 3 orang (9,4%). Berdasarkan uji non parametrik Wilcoxon didapatkan hasil nilai p<0,000 yang berarti terdapat pengaruh senam lansia terhadap peningkatan fungsi kognitif lansia di Graha Werdha Aussi Kusuma Lestari Cinere-Depok.

Kata kunci: lansia, fungsi kognitif, senam lansia.

Penerapan Teknik Relaksasi Napas Dalam Terhadap Penurunan Kecemasan Pada Pasien Hemodialisa: Case Study

Lia Natalia — 2025-10-31

ABSTRACT

Background: Patients with end-stage Chronic Kidney Failure (CKD) undergoing hemodialysis therapy often experience anxiety due to the complex disease condition and dependence on therapy. Anxiety that is not well managed can negatively impact the patient's quality of life.

Objective: Deep breathing relaxation techniques have been widely studied as a non-pharmacological method that can help reduce anxiety.

Method: The method used was observational before and after the intervention, namely breathing relaxation techniques. The subjects of the study were patients with stage V CKD undergoing hemodialysis. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the deep breathing relaxation intervention for two consecutive days.

Results: In both patients who participated in this program, a decrease in anxiety could be observed both subjectively and objectively. Their initial anxiety, which is usually measured using an anxiety scale tool such as the HARS (Hamilton Anxiety Rating Scale), showed a significant decrease after the application of deep breathing relaxation techniques.

Conclusion: Deep breathing relaxation techniques are effective in reducing anxiety in hemodialysis patients. It is hoped that nurses will provide more support to patients so that patients can use relaxation techniques as a strategy to reduce patient anxiety.

Keywords : hemodialysis, anxiety, deep breathing relaxation