http://localhost:8080/xmlui/handle/123456789/10619 2026-04-17T00:00:10Z http://localhost:8080/xmlui/handle/123456789/10641 Title: Meta-analysis of the prevalence of restless leg syndrome and associated risk factors in chronic kidney disease patients Authors: Aini, Nur; Endah Janitra, Fitria; Rahmi Putri, Alfiani; Klau Fauk, Nelsensius; Arifin, Hidayat Abstract: Introduction: Restless legs syndrome (RLS) presents as a sleep-related issue in individuals with chronic kidney disease (CKD), contributing to heightened sleep disturbances and diminished quality of life. Consequently, this meta-analysis was conducted to assess the prevalence of RLS among CKD patients. Methods: A comprehensive search for articles published between inception and September 2023 was conducted across CINAHL, Cochrane, Embase, Ovid-MEDLINE, PubMed, Scopus, and Web of Science databases. A Comprehensive Meta-Analysis (CMA) software version 3.0 with random effects models was used for pooled prevalence and prediction interval analysis. Heterogeneity was assessed using the I2 test and Cochran's Q-statistic. The quality of the studies was evaluated using Hoy's risk of bias. Additionally, moderator analyses were performed to investigate variations in the prevalence estimates among the included studies. Results: A total of 97 studies were included in this meta-analysis with 315,875 participants. The pooled prevalence of RLS among CKD patients was 25% (95%CI: 20% to 32%). In terms of the demographic breakdown, the prevalence of RLS was nearly comparable in adults and children/adolescents at 25% and 21%, respectively. The prediction interval indicated a potential future RLS prevalence ranging from 1% to 88%. Notably, iron and phosphorus levels emerged as significant moderating factors influencing the prevalence of RLS. Conclusions: Roughly 25% of individuals with chronic kidney disease (CKD) encounter restless legs syndrome (RLS). It is imperative to foster collaboration among healthcare professionals to facilitate proactive management and early assessment of RLS, thereby enhancing the overall quality of life for CKD patients 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10639 Title: Perceived implementation of patient safety compliance among nursing supervisors in military hospitals: a descriptive qualitative study Authors: Setiawati, Deni; Setyowati, Setyowati; Sri Hariyat, Rr. Tutik; Surya Mediawati, Ati; Nizar Hidayanto, Achmad; Adi Wibowo Putro, Prasetyo Abstract: Introduction: Patient safety incidents remain high in Indonesia and are a significant responsibility of nursing supervisors working in military hospitals. The purpose of this study was to explore the understanding and perception of nursing supervisors in implementing patient safety compliance in military hospitals. Methods: A descriptive qualitative approach was conducted with nursing supervisors at a military hospital through in-depth interviews. A total of 25 nursing supervisors from military hospitals participated in the interviews. The content analysis was employed to analyze the interview data. Results: Five themes were identified in this study: patient safety as our responsibility, implementation in practice, support in safety initiatives, barriers to safety goals, and tech-driven safety efficiency. Conclusions: The findings underscore that an in-depth understanding by nursing supervisors is critical to fostering appropriate behavior, particularly in achieving patient safety goals. Nursing supervisors articulated expectations for improvements in healthcare quality. As healthcare professionals, nursing supervisors must grasp the significance of a patient safety approach and be adept at executing it to enhance the quality of care, which will, in turn, lead to better healthcare outcomes. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10638 Title: Initiation of self-care practices in heart failure patients: a phenomenological study Authors: Suharsono, Tony; Ulya, Ikhda; Yona, Sri; Budi Siswanto, Bambang Abstract: Introduction: The incidence of heart failure continues to rise with advancing age, unabated by advancements in healthcare technology. Patients with heart failure are required to manage their care independently at home for the remainder of their lives. This study aimed to delve into the experiences of heart failure patients regarding self-care management at home. Methods: Nineteen patients with heart failure were chosen through purposive sampling and thorough interviews were conducted to collect their self-care treatment experiences. Content analysis was carried out to scrutinize the acquired data. Results: The analysis revealed four themes: patients' perception of heart failure diagnosis, efforts in self-care, readiness for self-care, and adoption of new healthy behaviors in heart failure. Eight categories were formulated within these themes, including “transitioning into a heart failure patient;” “recognizing the need for self-care;” “seeking information and heart failure therapy;” “facilitators and barriers in seeking information regarding self-care;” “social support and belief in engaging in self-care at home;” “self-confidence in engaging in self-care at home;” “efforts to develop self-care strategies;” and “engaging in new healthy behaviors as heart failure patients independently.” Conclusions: Patients become aware of the necessity for self-care upon experiencing discomfort due to symptoms resulting from their heart failure. Family support and the patient's belief system play pivotal roles in initiating self-care practices at home. Nurses should provide support to patients in fostering self-care practices within their homes 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10634 Title: Analysis of factors self-harm behaviour among adolescents undergoing drug rehabilitation in Indonesia Authors: Yulia Wardani, Ice; Amalya Nasution, Riska; Utami Panjaitan, Ria; Suratmini, Dwi; Rusiana, Elfira Abstract: Introduction: Self-harm is one of the mental health problems experienced by adolescents. In Indonesia, the behaviour of self-harm in adolescents has increased. However, no research analyses the factors related to self-harm behaviour in adolescents. The study aimed to analyse the factors associated with self-harm behaviour in adolescents in drug rehabilitation. Methods: This study used a descriptive-correlative design with a cross-sectional approach. The sample in this study was 241 adolescents who were in drug rehabilitation using the purposive sampling technique. This research was conducted in the Lido Centre for the Rehabilitation of the National Narcotics Agency, the Lampung Centre for Rehabilitation of the National Narcotics Agency, the Cipinang Besar Utara Narcotics Penitentiary, the Special Prison for Children of Jakarta, Lampung Narcotics Penitentiary, and the Al Islamy Foundation. This study used five questionnaires, namely the Internalized Stigma of Mental Illness, Self-Identity Questionnaire, UCLA Loneliness Scale Version 3, and the Deliberate Self-Harm Inventory. This research was conducted in May-October 2020. The data of this study were analysed using a logistic regression test. Results: The results of the logistic regression analysis showed that, from several factors related to self-harm, namely loneliness, self-identity, and stigma, two factors that are most related to self-harm behaviour are self-identity and stigma, with a p-value of 0.000 (p<0.05). Conclusions: Self-harm behaviour can occur due to factors such as self-identity and stigma. This research can be a basis for providing nursing interventions to adolescents undergoing drug rehabilitation. Appropriate nursing interventions can help adolescents undergoing drug rehabilitation control the self-harm behaviour they want to engage in. Researchers recommend the importance of interventions aimed at strengthening self-identity and reducing stigma in efforts to prevent and treat self-harm behaviour. Additionally, future research is recommended to consider other variables that may also contribute to this behaviour 2024-01-01T00:00:00Z