The stress experienced by most students is academic stress. This academic stress is closely related to students' academic processes and the environment that affects the academic process. The purpose of this study was to determine the relationship between academic stress and student learning achievement. This study was a cross-sectional design with purposive sampling of 126 respondents. Data were collected at a nursing academy in Jakarta in 2018. The instrument used was the Student Life Stress Inventory (SLSI) questionnaire. Results showed most students were female(88.9%), from Senior High School majoring in science (38.9%), very satisfyinglearning achievement (91.3%), and experience severe academic stress (55.6%). There is no significant relationship between learning achievement and academic stress (p = 0.317) and gender (p-value 0.370). There is a significant relationship between learning achievement and sebior high school majoring (p=value 0.005) and age (p-value 0.007). Institutions should identify sources of the academic stressor and apply appropriate coping mechanisms to reduce academic stress.Keywords:academic stress, learning achievement, nursing student.

Pruritus is a common problem in patients with chronic kidney disease who undergo dialysis. It is characterized by an uncomfortable sensation that leads to scratching. Acupressure is a complementary method used to manage various symptoms and health problems, including pruritus. This study aims to identify the effect of acupressure at the LI-11 point in reducing pruritus in a hemodialysis patient. This study used pre-experimental research with pre- and post-test without control. This study occurs in a hemodialysis unit in Central Jakarta, Indonesia. The sample was comprised of 19 respondents in the hemodialysis unit who met the inclusion criteria and completed the study. Respondents received acupressure in the LI-11 point two times per week for four weeks for a total of eight sessions. Data were collected using individual characteristics questionnaire, pruritus characteristics, and Visual Analog Scale (VAS) for pruritus. The data analysis used was a dependent t-test. The majority of respondents were male with duration of hemodialysis 5 hours, mean of age 53 years, mean of length of HD is 53 months, mean of Hb level is 9.67 gr/dl, mean of urea level is 117.05 mg/dl, mean of creatinine is 10.26 mg/dl. The results indicate that acupressure has a significant effect in reducing of pruritus scale (p-value 0,000). This study recommends nurses to be able to use acupressure therapy to reduce the scale of pruritus experienced by hemodialysis patients.   Keywords: acupressure, pruritus, hemodialysis

Hemodialysis has a therapeutic effect on patients with chronic renal failure. However, on the other hand, it can also cause acute complications that can negatively affect the quality of life. Acute complications can be prevented by changing the lifestyle of hemodialysis patients, one of which is by using audio-visual aids. This study aims to determine the effect of audio-visual aids on the patient's level of knowledge about dealing with acute complications of hemodialysis. This study used a quasi-experimental design with pre and post-tests without a control group with 30 hemodialysis patients who met the inclusion criteria as respondents. This study indicates a significant effect between the use of audio-visual aids and the level of knowledge related to the management of acute complications in hemodialysis patients (p-value= 0,000). Therefore, nurses can use audio-visual aids as a means of education to deal with acute complications of hemodialysis.

No abstract

Gagal Ginjal Kronik (GGK) merupakan gangguan fungsi renal yang progresif dan ireversibel dimana tubuh mengalami kegagalan untuk mempertahankan metabolisme, keseimbangan cairan dan elektrolit, sehingga menyebabkan uremia. Hemodialisis adalah sebuah usaha atau tindakan membersihkan darah dari bahan-bahan beracun yang tidak dapat dikeluarkan oleh ginjal dari dalam tubuh. Dampak gagal ginjal kronik jika tidak segera ditangani adalah hipertensi, anemia, edema paru, tamponade jantung, proteinuria, hematuria, penurunan sel darah putih, gangguan perdarahan, fetor uremik, osteodistrofi ginjal, gejala psikotik kejang dan koma, memar, eksoriasi, menstruasi tidak teratur. Tujuan penulisan diharapkan mahasiswa dapat memperoleh pengalaman secara nyata dalam memberikan asuhan keperawatan pada klien dengan gagal ginjal kronik on HD. Metode penelitian adalah metode deskriptif dan studi kepustakaan. Hasil dari karya tulis ilmiah ini adalah mahasiswa memperoleh pengalaman nyata tentang memberikan asuhan keperawatan pada klien dengan gagal ginjal kronik on HD. Masalah keperawatan berupa bersihan jalan nafas tidak efektif, pola nafas tidak efektif, risiko kerusakan pertukaran gas, risiko tinggi penurunan curah jantung, kelebihan volume cairan, risiko gangguan nutrisi kurang dari kebutuhan tubuh, risiko infeksi.