Gambaran Kecemasan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di Rumah Sakit Santa Elisabeth Medan Tahun 2023

Background: Chronic renal failure is the presence of progressive kidney damage in the human body characterized by uremia (urea in other wastes circulating in the blood and its complications. Hemodialysis is a high-tech substitute for removing metabolic waste from human blood circulation such as water, sodium, potassium, hydrogen, urea, creatinine, uric acid, and other substances through a   semi-membrane Permeable as a separator of blood and dialysate fluid in artificial kidneys where diffusion, osmosis and ultra filtration processes occur.  Proses hemodialysis 1-3 times a week and each time takes 2-5 hours, this activity will continue 3-4 hours per therapy. Anxiety in hemodialysis patients arises because during the hemodialysis process they see tubes that are fed by blood entering the body, they also have to pay costs when undergoing hemodialysis, and uncertainty about recovery. Objective: To find out the anxiety picture of chronic kidney failure patients undergoing hemodialysis at Santa Elisabeth Medan Hospital 2023. Methods: To find out the anxiety picture of chronic kidney failure patients undergoing hemodialysis at Santa Elisabeth Medan Hospital 2023. Method: This study is a descriptive research. Sampling using Total Sampling technique amounting to 40 respondents. The research instrument uses Zung Self Rating Scale (ZSAS) questionnaire. Results: The results of this study found that the anxiety of chronic kidney failure patients undergoing hemodialysis at the Santa Elisabeth Hospital in Medan in 2023 mostly experienced mild anxiety as much as 50.0%, moderate anxiety as much as 40.0% and severe anxiety as much as 7.5% and panic as much as 2.5%. Conclusion: This researcher illustrates that the anxiety level of patients with chronic kidney failure undergoing hemodialysis is influenced by characteristics such as age, type of health, and education

Pelatihan Kepemimpinan terhadap Kepuasan Kerja dan Kemampuan Manajerial Kepala Ruang

This study aims to analyze the relationship between leadership training and job satisfaction of the head of space. This research method is quantitative research with a comparative causal design. The results showed that the majority of work before being given the leadership training intervention in the intervention group and the control group was low, namely 27 respondents (100%) in the intervention group with an average value of 50.07 and 27 respondents (100%) in the control group with an average value of 61, 11. Job satisfaction after being given the leadership training intervention in the high majority intervention group, namely 16 respondents (59.3%) with an average value of 72.30 pleasure, while without providing leadership training intervention in the low majority control group, namely 27 respondents with an average value of 61, 33 %. Based on the Wilcoxon Signed-Rank statistical test with significant job satisfaction (Z=-4.552, p=0.000). In short, there is an effect of leadership training on the job satisfaction of the head of space.   Keywords: Leadership, Job Satisfaction, Trainin