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"ABSTRAKContinuous Ambulatory Peritoneal Dialysis (CAPD) adalah dialisis yang dilakukanmelalui rongga peritonium (rongga perut) dengan selaput/membran perutoniumberfungsi sebagai filter. Tindakan CAPD dilakukan dengan insisi kecil pada dindingabdomen untuk pemasangan kateter, risiko komplikasi yang sering terjadi adalah infeksipada peritonium (peritonitis). Tujuan penelitian untuk mengetahui hubungan faktorfaktoryang berkontribusi terjadinya peritonitis pada pasien CAPD di Rumah SakitUmum Dr. Saiful Anwar Malang Jawa Timur. Jenis penelitian deskkriptif korelasidengan rancangan Cross Sectional study. Jumlah sampel penelitian 22 pasien peritonitisCAPD dan 13 perawat dialisis, dengan tehnik pengambilan sampel total sampling. Hasilpenelitian menunjukan ada hubungan yang signifikan antara status nutrisi (p=0.032),kemampuan perawatan (p=0.024) dengan kejadian peritonitis pada pasien CAPD. Tidakada hubungan yang signifikan antara umur (p=0.702), jenis kelamin (p=0.669), tingkatpendidikan (p=0.771), penghasilan (p=1,000), personal hygine (p=0.387), supot sistem(p=1,000), fasilitas perawatan (p=0,088), standar struktur (p=0.203), standar proses(p=0.559) dengan kejadian peritonitis pada pasien CAPD. Rekomendasi untuk perawatmeningkatkan kunjungan rumah untuk memberikan pendidikan kesehatan tentangperawatan dialisis dan pengeloaan nutrisi seimbang. Saran untuk pasien diharapkanmengikuti prosedur standar perawatan yang telah diajarkan.

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ABSTRACTContinuous Ambulatory Peritoneal Dialysis (CAPD) was dialysis with cavum ofperitoneal as filter. The procedure of CAPD is inserted catether in to abdoment wall withsmall incision, the commone complication of this intervention is peritonitis. The purposeof study was to identify the relation of peritonitis factors on CAPD patiens at PublicHospital of Dr. Saiful Anawar Malang. The Design of study was cross sectional, with 22samples patiens of peritonitis and 13 nurses dialysis, that was taken with total sampling.The result was showed significant correlation between peritonitis insident with nutritionstatus (p=0.032) and self care (p=0.024) but not significant corelation with gender(p=0.669), level of education (p=0.771), income (p=1,000), personal hygiene (p=0.387),suport system (p=0,088), home care facilities (p=1,000), standard of structur (p=0.203),standard of proces (p=0.559). The conclusion of this study the decrease of self care ofdialysis, result increasing of peritonitis incidence. It is recomended for the nursesprovide health education self care dialysis to manage of balance and for patiens to folowself care standard."

"Pemasaran rumah sakit, pada akhir-akhir ini menjadi topik yang menarik. Pemasaran yang dimaksud disini adalah pemasaran sosial dengan tujuan memperkenalkan rumah sakit pada masyarakat, memberikan informasi yang jelas dan benar tentang berbagai fasilitas dan pelayanan yang ada, meningkatkan citra yang baik melalui kepercayaan masyarakat terhadap kernampuan rumah sakit serta mengupayakan optimalisasi pemanfaatan sumber daya rumah sakit agar lebih efisien dan efektif.Tujuan dan penelitian ini adalah tersedianya informasi mengenai karakteristik demand calon pelanggan pada masyarakat sekitar rumah sakit, serta teridentifikasinya karakteristik umum masyarakat, karakteristik pola berobat masyarakat dan karakteristik pengenalan masyarakat terhadap rumah sakit.Penelitian ini merupakan studi deskriktif dengan pendekatan identifikasi masalah dan bertujuan menghasilkan suatu analisis deskriftif kuantitatif dengan menganalisa demand masyarakat calon pelanggan terhadap rumah sakit.Instrumen yang dipergunakan berupa kuestioner dengan pertanyaan tertutup dan beberapa pertanyaan terbuka pada responden yang didapat secara stratifikasi demografis serta didukung data sekunder dari rumah sakit.Rumah Sakit TNI AU Tk II Dr_Salamun Bandung dipilih, karena peneliti ingin menyumbangkan hasil penelitian tersebut kepada instansi peneliti berasal, yang mempunyai permasalahan rendahnya utilitas masyarakat sekitar terhadap pelayanan kesehatan dari rumah sakit.Dari penelitian ini diperoleh informasi bahwa masyarakat sekitar sebagai calon pelanggan mempunyai karakteristik sbb.: umur lebih banyak diatas 30 tahun, tingkat pendidikan SD+SLP, jenis pekerjaan swasta, pengeluaran rata-rata Rp.300.000,-/bulan. Untuk pola berobat masyarakat tersebut cukup tinggi kesadaran tentang kesehatan, dimana akan ke rumah sakit jika sakit, mencari rumah sakit terdekat, bayar sendiri, banyak menggunakan unit rawat jalan.Sedangkan pengenalan terhadap Rumah Sakit TNI AU Tk II Dr.Salamun sangat tinggi, mereka anggap tidak mahal pembiayaannya, bersedia di rawat jika sakit, pelayanannya dikatakan sudah cukup baik, mereka harapkan lebih meningkatan mutu pelayanan kesehatan dan unit rawat inap.Dengan penelitian ini diharapkan manajemen dapat mengantisipasi dengan menggiatkan pemasaran melalui strategi yang tepat, oleh karena peluang yang ada serta pangsa pasar yang cukup baik. Sudah barang tentu hal tersebut disesuaikan dengan kemampuan rumah sakit, baik dari SDM, fasilitas dsb.

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Recently hospital marketing is becoming one of the most interesting topics. Marketing here as social marketing with the goals to introduce hospital to society, to give the right clear information about all kinds of facility and service which are available, also to improve good impression through society trust toward hospital capability and to try develop optimali7ation of hospital human resources, so it can be more effective and efficient.The goals of this research is to give information about the prospective customer demand characteristic toward hospital society, also to identify the society characteristic, public health care behavior characteristic, and the public acquaintance with hospital characteristic.This research is a descriptive study with problem identification approach and its goal is to produce some descriptive quantitative analysis by analyzing the hospital prospective customer demand. The instrument for this research is in the form of a questioner with closed questions and some open questions which will be answered by respondents who are being chosen upon demographic stratification and upon hospital secondary data.Dr Salamun Air Force Hospital in Bandung is chosen, because the researcher wants to devote his research result to the institution where the researcher belongs to, its problem that the neighborhood utility of hospital health service is low. Information gathered from this research disclosed that the neighborhood as prospective customer has the following characteristics, i.e. mostly above 30, level of education SD and SLP, private person by occupation, monthly expense Rp. 300,000,-. Seen from the health control view point it can be concluded that the health care consciousness is high, in that they will go to hospital if they are ill, look for the nearest hospital, pay by them self and lots of them make use the out patient department.Meanwhile there is full awareness of Dr Salamun Air Force Hospital, people consider that the expense is not high, and they are willing to be in patient if the are ill. They say the hospital service is good and they hope the quality of health service and in patient departement can be improved. With this research, it is expected that management can anticipate by activating the market through better strategy, because the chance and the market are quit a good. For a certain all of that is being adjusted to the hospital potential both human resource and facility etc."

"Osteoarthritis OA lutut dapat menimbulkan penurunan terhadap kemampuan fungsi fisik yang melibatkan pergerakan sendi lutut saat beraktivitas. Penelitian ini bertujuan menganalisis faktor-faktor yang mempengaruhi kemampuan fungsi fisik pasien yang mengalami OA lutut. Desain penelitian ini adalah deskriptif analitik melalui pendektan cross sectional dengan 96 sampel. Analisis bivariat menunjukan faktor jenis kelamin p=0,029 dan nyeri lutut p=0,011 berhubungan secara bermakna dengan kemampuan fungsi fisik pasien OA lutut, sementara faktor usia p=0,198, dukungan keluarga p=0,648, lama penyakit p=0,616, motivasi p=0,074, indeks masa tubuh p=0,833, pengetahuan p=0,642, dan penyakit komorbiditas p=0,604 tidak berhubungan dengan kemampuan fungsi fisik pasien OA lutut. Analisis multivariat menunjukan bahwa nyeri lutut merupakan faktor yang paling berpengaruh dominan mempengaruhi kemampuan fungsi fisik pasien OA lutut p=0,035; ?=0,217. Rekomendasi penelitian selanjutnya adalah dengan mengetahui karakteristik responden yang lebih heterogen terhadap kemampuan fungsi fisik.

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Osteoarthritis OA of the knee can cause a decrease in the ability of physical function that involves movement of the knee joint during the activity. The purpose of this study was to analyze the factors that affect the physical function ability of patients with knee OA. This is a cross sectional study with 96 samples. Bivariate analysis showed gender factor p 0,029 and knee pain p 0,011 correlated significantly with ability of physical function of knee OA patients, while age factor P 0.616, motivation p 0.074, body mass index p 0.833, knowledge p 0.642, and disease comorbidity p 0.604 was not related to the physical function ability of knee OA patients. Multivariate analysis showed that knee pain was the most influential factor dominant affect the ability of physical function of knee OA patients p 0,035 0,217. The furthher research recommendation is to know the characteristics of respondents who are more heterogeneous to the ability of physical function."

"Background: Tire methods of ERCP have been used for diagnostic and therapeutic purposes to pass bile fluid and extract stones from the bite duct in patients with obstructive extrahepatic jaundice.

Method: A retrospective study was performed on patients with obstructive extrahepatic jaundice patients who underwent ERCP dttring a two-years time period from January 1999 to December 2000. ERCP was performed with a premedication of I0 mg midazolam, followed by a chollangiography contrast containing 1 mg/dl of Garamicin and 25 mg of Pethidine if sphincterotomy was performed.

Results: From 126 patients with obstructive extrahepatic jaundice treated with ERCR the male to female ratio was 1.86:1. The majority of the (group) of patients were between 51-60 years of age (33.3 % ). The youngest patient (group) was 24 years and the oldest 97 years. The diagnostic study found the following cases: normal 3 cases (28%), bile duct stone 46 cases (43.4%) carcinoma of ampula voter 20 cases (18.9%), CBD tumor 7 crises (6.6%), carcinoma of head of pancreas 2 cases (1.9%), diverticle 4 cases (38%), duodenal tumor I case (0.9%), carcinoma of ampula vater and bite duct stone 1 case (0.9%), SOD 5 cases (4.7%), CBD stricture 1 case (0.9%) and failure I6 cases (15.1%). The patients received the following treatment: sphyncterotomy 36 cases (51 .4%), stent application 11 cases (15.7%), sphincterotomy with stent 18 cases (25.7%) and basket method 5 cases ( 7. 1%)."

"ABSTRAKA PILOT STUDY : EFEKTIVITAS KAPSUL EKSTRAK RUMPUT MUTIARA HEDYOTIS CORYMBOSA L. LAMK. TERHADAP PASIEN OSTEOARTHRITIS USIA LANJUT Nita Sari Wijaya1, Anton Bahtiar1, Katrin11 Faculty of Pharmacy, Universitas Indonesia, Kampus UI Depok 16424Email : anton.bahtiar@gmail.com, yenlinita@gmail.com ABSTRAK Ekstrak Rumput Mutiara Hedyotis corymbosa mengandung senyawa polifenol dan flavonoid secara preklinis terbukti memiliki aktivitas untuk mengobati osteoarthritis dan arthritis reumatik dengan bantuan model hewan. Penelitian ini bertujuan untuk mengevaluasi keamanan dan efektivitas ekstrak rumput mutiara pada penderita osteoarthritis usia lanjut. Penelitian ini merupakan uji klinis fase 2, dengan metode double blind randomized control trial, telah disetujui oleh komite etik Fakultas Kedokteran Universitas Indonesiadengan subyek yang memenuhi kriteria seperti berusia lebih dari 50 tahun, memiliki tanda dan gejala osteoarthritis, tidak memiliki gangguan fungsi hati dan ginjal, serta tidak memiliki penyakit berat lainnya. Kapsul Ekstrak Rumput Mutiara diberikan satu kali sehari selama 8 minggu dan diberikan natrium diklofenak 50 mg dua kali sehari bila dirasakan nyeri dan dilakukan evaluasi sebelum dan sesudah terapi melalui pemeriksaan laboratorium dan roentgen, dan dilakukan pengawasan selama satu minggu serta evaluasi selama dua minggu menggunakan skala WOMAC dan VAS, serta penilaian efek yang timbul selama pemberian terapi. Subyek penelitian berusia 59.65 7.11 tahun dan pemberian kapsul ekstrak rumput mutiara tidak mempengaruhi fungsi ginjal maupun hati dalam pemakaian selama 8 minggu dan pemberian kapsul ekstrak rumput mutiara menurunkan nyeri yang dialami oleh peserta yang dinilai menggunakan skala VAS, WOMAC, dan pengurangan konsumsi diklofenak, dimana secara statistik, di dapatkan hasil bahwa pemberian ekstrak rumput mutiara berbeda signifikan saat sebelum dan sesudah pemberian p

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ABSTRACT A PILOT STUDY EFFECTIVENESS OF PEARL GRASS EXTRACT CAPSULES HEDYOTIS CORYMBOSA L. LAMK. ON GERIATRIC PATIENTS WITH OSTEOARTHRITIS Nita Sari Wijaya1, Anton Bahtiar1, Katrin11 Faculty of Pharmacy, Universitas Indonesia, Kampus UI Depok 16424Email anton.bahtiar gmail.com, yenlinita gmail.com ABSTRACT Pearl Grass Hedyotis corymbosa , contain a lot of flavonoid and polyphenol compounds that can be used to cure inflammatory diseases. On preclinical trial, pearl grass have been proven can cure osteoarthritis and rheumatoid arthritis on animals model. This study is to evaluate effectiveness of pearl grass extract on elderly patients with osteoarthritis. This is was clinical trial second phase, with double blind randomized control trial methods, and have been approved by ethics committee from Faculty of Medicine University of Indonesia with inclusion criteria, patients more than 50 years old, with sign and symptoms of osteoarthritis, doesn rsquo t have liver and renal insufficiently, and doesn rsquo t have another severe diseases and patients also already signed the informed consents before join this study. Capsules contains pearl grass extract and placebo have been given once daily everyday for 8 weeks and the participants also given sodium diclofenac 50 mg twice daily as emergency relief. Laboratory evaluation have been provided and x ray evaluation also have been provided before and after treatment to assess the improvement of the diseases. We also evaluated participants every weeks and assessed every two weeks with WOMAC and VAS scale, and effect that occurred in this treatment. Results of this study is, pearl grass extract was safe to consumed based on liver and renal function. Pearl grass extract effective to reduce pain using VAS and WOMAC scale p"

"Pasien CAPD mengalami berbagai perubahan baik dari progresifitas penyakit maupun dari proses dialisis yang memberikan dampak terhadap penurunan kualitas hidup yang memiliki hubungan erat dengan peningkatan morbiditas dan mortalitas. Tujuan dari penelitian ini adalah untuk mengidentifikasi faktor-faktor yang mempengaruhi kualitas hidup pada pasien CAPD. Desain penelitian ini adalah cross sectional dengan jumlah sampel sebanyak 64 orang. Monitoring dan evaluasi terhadap tipe transpor membran peritoneum, adekuasi dialisis Kt/V, status cairan, status nutrisi dan status anemia dilakukan dalam penelitian ini. Hasil penelitian ini mendapati terdapat hubungan yang signifikan antara adekuasi dialisis Kt/V, status cairan, status nutrisi dan status anemia (P<0.05) dan tidak terdapat hubungan yang signifikan antara tipe transpor membran peritoneum dengan kualitas hidup (P>0.05). Simpulan dari penelitian ini adalah status anemia merupakan faktor dominan yang mempengaruhi kualitas hidup yang buruk setelah dikontrol dengan status nutrisi, adekuasi dialisis Kt/V dan status cairan.

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CAPD patients experience various changes, both from disease progression and from the dialysis process, which have an impact on decreasing quality of life and have a close relationship with increased morbidity and mortality. The purpose of this study is to identify the factors that affect the quality of life of CAPD patients. The research design was cross-sectional, with a total sample size of 64 people. Monitoring and evaluation of the type of peritoneal membrane transport, the adequacy of Kt/V dialysis, fluid status, nutritional status, and anemia status were carried out in this study. The results of this study found a significant relationship between Kt/V dialysis adequacy, fluid status, nutritional status, and anemia status (P 0.05), but no significant relationship between the type of peritoneal membrane transport and quality of life (P > 0.05). The conclusion of this study is that anemia status is the dominant factor affecting poor quality of life after being controlled by nutritional status, adequate Kt/V dialysis, and fluid status."

"Saat ini data peritonitis rate dan angka kematian pasien penyakit ginjal kronik (PGK) stadium akhir pengguna terapi Continuous Ambulatory Peritoneal Dialysis (CAPD) di Asian Tenggara masih terbatas. Angka peritonitis rate dan angka kematian pasien CAPD merupakan key performance indicator (KPI) yang diperlukan untuk melakukan evaluasi dan perbaikan mutu pelayanan secara berkelanjutan/continuous quality improvement (CQI) terhadap pelayanan terapi CAPD di rumah sakit. Peritonitis dapat menyebabkan kegagalan terapi CAPD sehingga pasien beralih ke metode hemodialisis atau berujung kematian. Metode CAPD memiliki keunggulan dibandingkan hemodialisis karena lebih hemat biaya, memberikan kualitas hidup lebih baik dan tidak memerlukan perawatan khusus di pusat hemodialisis. Metode ini cocok diterapkan di negara Asia Tenggara yang mengalami peningkatan jumlah penderita PGK tahap akhir yang membutuhkan biaya terapi sangat besar namun memiliki dana serta sumber daya terbatas. Tujuan utama systematic review ini untuk mengetahui peritonitis rate dan angka kematian pasien CAPD di Asia Tenggara. Systematic review menggunakan data renal registry serta basis data PubMed dan ProQuest khusus berbahasa Inggris dan Indonesia sejak tanggal 1 Januari 1992 sampai dengan 1 November 2022. Semua jenis studi yang memberikan informasi terkait peritonitis rate dan angka kematian pasien CAPD diambil dalam penelusuran systematic review. Penulis menyaring, memilih dan mengekstrak data sesuai skema systematic review PRISMA 2020. Artikel terpilih diberikan tinjauan kritis dan dilakukan sintesis data. Hasil sintesis data dilaporkan secara secara naratif serta diperjelas dengan tabel dan diagram. Dalam melakukan systematic review penulis menggunakan aplikasi Mendeley dan Microsoft Exel 2010 sebagai alat bantu. Hasil: Dari pencarian database Pubmed (1397) dan Proquest (422) serta laporan renal registry total terjaring 1819 artikel dan 5 laporan renal registry. Setelah proses penyaringan dan tinjauan kritis diperoleh 34 artikel dan 3 laporan renal registry. Hasil analisis menunjukkan telah terjadi penurunan tingkat peritonitis rate di Asia Tenggara dalam kurun waktu 1993-2022. Terdapat 4 negara yaitu Indonesia (0,25 episode per pasien-tahun),Vietnam (0,19 episode per pasien-tahun), Singapura (0,31-0,339 episode per pasien-tahun) dan Malaysia (0,13-0,33 episode per pasien-tahun) secara umum mencapai target International Society for Peritoneal Dialysis (ISPD)2022 yaitu tingkat peritonitis dibawah 0,4 episode episode per pasien-tahun. Adapun Thailand (0,39-0,864 episode per pasien-tahun) dan Brunei Darussalam (0,38-0,49 episode per pasien-tahun) belum mencapai target yang telah ditetapkan oleh International Society for Peritoneal Dialysis (ISPD) 2022. Sebagian besar angka kematian di bawah 20%. Angka kematian akibat peritonitis berkisar 3,2-5,5%. Mikroorganisme penyebab peritonitis yang paling sering ditemukan adalah Staphylococcus aureus dan Coagulase-negative Staphylococcus. Faktor risiko peritonitis yang ditemukan yaitu faktor usia tua (60 tahun keatas); diabetes milletus; sosial ekonomi rendah; tidak adanya sumber air bersih; hipoalbuminemia; kemampuan pasien CAPD dalam menerapkan tindakan aseptik saat pertukaran cairan dialisat yang buruk; rasio pasien-perawat lebih dari (50:1); jarak rumah yang jauh dari pusat dialisis; letak geografis dan penggunaan mupirocin topikal pada exit-site CAPD. Penggunaan cairan dialisat Dextrosa 4,2% yang sering dan terus menerus meningkatkan risiko kematian pada pasien CAPD sebanyak 2 kali lipat. Kesimpulan: Sebagian besar Negara di Asia Tenggara memiliki kualitas pelayanan yang baik terhadap pasien penyakit ginjal kronik stadium akhir pengguna terapi CAPD. Untuk mencapai kualitas pelayanan CAPD yang baik diperlukan bagi rumah sakit untuk memperhatikan faktor risiko peritonitis dan faktor risiko kematian dalam melakukan seleksi terhadap pasien CAPD serta melakukan pelatihan terhadap pasien CAPD sesuai rekomendasi International Society for Peritoneal Dialysis (ISPD).

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Currently data on the peritonitis rate and mortality rate of end-stage chronic kidney disease (CKD) patients using Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy in Southeast Asia are still limited. The peritonitis rate and mortality rate of CAPD patients are key performance indicators (KPI) needed to evaluate and improve continuous quality improvement (CQI) for CAPD therapy services in hospitals. Peritonitis can lead to failure of CAPD therapy so that patients switch to hemodialysis methods or lead to death. The CAPD method has advantages over hemodialysis because it is more cost-effective, provides a better quality of life and does not require special treatment at a hemodialysis center. This method is suitable for use in Southeast Asian countries where there is an increasing number of end-stage CKD patients who require very large therapeutic costs but have limited funds and resources. The main aim of this systematic review is to determine the peritonitis rate and mortality rate of CAPD patients in Southeast Asia. The systematic review used renal registry data and the English and Indonesian PubMed and ProQuest databases from January 1 1992 to November 1 2022. All types of studies that provided information regarding the peritonitis rate and mortality rate of CAPD patients were included in a systematic review search. The author filters, selects and extracts data according to the PRISMA 2020 systematic review scheme. Selected articles are given a critical review and data synthesis is carried out. The results of data synthesis are reported in a narrative manner and clarified by tables and diagrams. In carrying out a systematic review, the author uses the Mendeley application and Microsoft Exel 2010 as a tool. Results: From a search of the Pubmed (1397) and Proquest (422) databases and renal registry reports, a total of 1819 articles and 5 renal registry reports were captured. After screening and critical review, 34 articles and 3 renal registry reports were obtained. The results of the analysis show that there has been a decrease in the peritonitis rate in Southeast Asia in the period 1993-2022. There are 4 countries namely Indonesia (0.25 episodes per patient-year), Vietnam (0.19 episodes per patient-year), Singapore (0.31-0.339 episodes per patient-year) and Malaysia (0.13-0, 33 episodes per patient-year) generally achieves the International Society for Peritoneal Dialysis (ISPD) 2022 target of a peritonitis rate below 0.4 episodes per patient-year. Meanwhile, Thailand (0.39-0.864 episodes per patient-year) and Brunei Darussalam (0.38-0.49 episodes per patient-year) have not yet reached the target set by the International Society for Peritoneal Dialysis (ISPD) 2022. Most of them mortality rate below 20%. The mortality rate from peritonitis ranges from 3.2-5.5%. The most common microorganisms that cause peritonitis are Staphylococcus aureus and Coagulase-negative Staphylococcus. The risk factors for peritonitis found were old age (60 years and over); milletus diabetes; low socioeconomic; lack of clean water sources; hypoalbuminemia; poor ability of CAPD patients to apply aseptic measures during dialysate fluid exchange; patient-nurse ratio more than (50:1); the distance from the house to the dialysis center; geographic location and use of topical mupirocin in CAPD exit-sites. Frequent and continuous use of Dextrose 4.2% dialysate fluid increases the risk of death in CAPD patients by 2 times. Conclusion: Most countries in Southeast Asia have good quality of care for patients with end-stage chronic kidney disease using CAPD therapy. To achieve good quality CAPD services, it is necessary for hospitals to pay attention to risk factors for peritonitis and risk factors for death in selecting CAPD patients and conducting training for CAPD patients according to the recommendations of the International Society for Peritoneal Dialysis (ISPD)."

"[ABSTRAKTindakan CAPD adalah salah satu terapi pengganti ginjal. Persepsi pasien yangbaik tentang CAPD dapat meningkatkan efikasi diri pasien yang menjalaniCAPD. Mayoritas pasien CAPD berawal dari pasien HD yang memiliki persepsipengalaman ketidaknyamanan baik fisik dan psikis. Tujuan penelitian mengetahuihubungan antara persepsi tentang tindakan CAPD dan efikasi diri pada pasienyang menjalani CAPD. Penelitian menggunakan pendekatan cross-sectional.Jumlah sampel 75 responden dipilih dengan teknik consecutive sampling. Hasiluji regresi logistik menunjukkan ada hubungan antara persepsi tentang tindakanCAPD dan efikasi diri pada pasien yang menjalani CAPD dengan variabelconfounding yang mempengaruhi adalah variabel dukungan sosial.Kesimpulannya, perawat perlu meningkatkan kemampuan saat mengkaji persepsipasien serta meningkatkan peran dukungan sosial, sehingga informasi yangdidapat menjadi dasar untuk meningkatkan efikasi diri pada pasien yangmenjalani CAPD.

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ABSTRACTContinuous Ambulatory Peritoneal Dialysis (CAPD) is one of renal replacementtherapies. Good perception of CAPD therapy could improve patients self-efficacywho are undergoing CAPD. CAPD patients mostly came from HD patients whohad physical and psychological discomfort perception This study aimed todetermine relationship between the perception of CAPD therapy and patients selfefficacy.A cross-sectional approach and 75 respondents selected using aconsecutive sampling technique. The results from logistic regression test showedthat there was a relationship between patients perception and self efficacy withconfounding variable was social support. In conclusion, nurses are required toenhance the role of social support, so that the information obtained would becomethe basis for improving self-efficacy in patients undergoing CAPD;Continuous Ambulatory Peritoneal Dialysis (CAPD) is one of renal replacementtherapies. Good perception of CAPD therapy could improve patients self-efficacywho are undergoing CAPD. CAPD patients mostly came from HD patients whohad physical and psychological discomfort perception This study aimed todetermine relationship between the perception of CAPD therapy and patients selfefficacy.A cross-sectional approach and 75 respondents selected using aconsecutive sampling technique. The results from logistic regression test showedthat there was a relationship between patients perception and self efficacy withconfounding variable was social support. In conclusion, nurses are required toenhance the role of social support, so that the information obtained would becomethe basis for improving self-efficacy in patients undergoing CAPD, Continuous Ambulatory Peritoneal Dialysis (CAPD) is one of renal replacementtherapies. Good perception of CAPD therapy could improve patients self-efficacywho are undergoing CAPD. CAPD patients mostly came from HD patients whohad physical and psychological discomfort perception This study aimed todetermine relationship between the perception of CAPD therapy and patients selfefficacy.A cross-sectional approach and 75 respondents selected using aconsecutive sampling technique. The results from logistic regression test showedthat there was a relationship between patients perception and self efficacy withconfounding variable was social support. In conclusion, nurses are required toenhance the role of social support, so that the information obtained would becomethe basis for improving self-efficacy in patients undergoing CAPD]"

"Disfungsi seksual merupakan salah satu komplikasi dari penyakit gagal ginjal terminal. Pada pria yang menjalani CAPD, masalah pemenuhan kebutuhan seksual dipengaruhi oleh banyak faktor. Penelitian ini bertujuan untuk mengetahui faktor paling dominan yang mempengaruhi disfungsi seksual pria yang menjalani CAPD. Desain penelitian ini adalah analisis cross sectional dengan jumlah sampel 70 pria CAPD melalui teknik pengambilan sampel purposive sampling. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara usia (p=0,024), ureum (p=0,018), dan albumin (p=0,001) dengan kejadian disfungsi seksual. Faktor yang paling dominan mempengaruhi adalah albumin, dimana pasien yang memiliki kadar albumin < 3,5 g/dL berisiko untuk mengalami disfungsi seksual 9,3 kali lebih besar dibandingkan pasien dengan kadar albumin 3,5-5 g/dL setelah dikontrol oleh variabel usia. Rekomendasi dari penelitian ini adalah asupan protein sebanyak 1,2-1,5 g/kg berat badan setiap hari dengan setidaknya 60% berupa protein dengan nilai biologis tinggi serta evaluasi kemampuan perawatan dan penggantian CAPD di rumah.

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Sexual dysfunction is a complication of terminal kidney failure. The problem of fulfilling sexual needs in men undergoing CAPD is influenced by many factors. This study aimed to find out the most dominant factor affecting man sexual dysfunction who undergo CAPD. The design of this study was cross sectional analysis with a sampel of 70 CAPD man using purposive sampling technique. The results showed there was a relationship between age (p=0,0024), urea (p=0,018), and albumin (p=0,001) with the incidence of sexual dysfunction. The most dominant factor affecting is albumin, where patients who have albumin levels < 3.5 g/dL are at risk of experiencing sexual dysfunction 9.3 times greater than patients with albumin levels 3.5-5 g/dL after being controlled by age variables. The recommendation of this study are protein intake of 1.2-1.5 g/kg body weight with at least 60% of protein with high bological value and evaluation of the ability of care and replacement of CAPD at home."