https://journal.ipm2kpe.or.id/index.php/JOTING <p>Journal of Telenursing (JOTING) diterbitkan oleh Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE) sebagai media informasi dan komunikasi para praktisi, peneliti dan akademisi yang berkecimpung dan menaruh minat serta perhatian pada pengembangan ilmu keperawatan. Journal of Telenursing (JOTING) terbit dalam dua versi, yakni online/OJS (e-ISSN 2684-8988) dan cetak (p-ISSN 2684-8996)</p> Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE) en-US Journal of Telenursing (JOTING) 2684-8996 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/13670 <p><em>This study aims to analyze the relationship between family support and impaired fulfillment of ADL with emotional responses in post-ischemic stroke patients at the Neurology Clinic of Prof. Dr. Margono Soekarjo Hospital, Purwokerto. The method used is quantitative with a cross-sectional approach. The results of the study showed that 60 respondents had characteristic results in the gender category, the most in the male gender, as many as 35 respondents (58.3%) and the most age category at the age of &gt;50 years, as many as 47 respondents (78.3%), post-stroke patients suffered the most extended stroke at a time of &gt;6 months as many as 44 respondents (73.3%). The statistical test results showed (p-value 0.001 = &lt;0.05) ischemic. In conclusion, there is a relationship between family support and impaired fulfillment of ADL with emotional responses in post-ischemic stroke patients at the Neurology Clinic of Prof. Dr. Margono Soekarjo Hospital, Purwokerto.</em></p> <p><em>&nbsp;</em><em>Keywords: Family Support, Impaired Fulfillment of ADL, Emotional Response, Ischemic Stroke</em></p> Norma Yulianti Mahardika Rakhmat Susilo Asiandi Asiandi Supriyadi Supriyadi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2025-01-31 2025-01-31 7 1 1 8 10.31539/joting.v7i1.13670 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/13671 <p><em>This study aims to determine the difference in hemodialysis adequacy between patients using Catheter Double Lumen (CDL) access with Arteriovenous Shunt (AV Shunt) access in the Hemodialysis Room of Prof. Dr. Margono Soekarjo Purwokerto Hospital. The method used is quantitative, with a bidirectional cohort study design. The study results showed a difference in hemodialysis adequacy between patients using CDL access and patients using AV Shunt access in the Hemodialysis Room of Prof. Dr. Margono Soekarjo Purwokerto Hospital. After the Mann Whitney test was carried out, significant results were obtained, namely p-value = 0.000 &lt;0.05, meaning that there was a difference in adequacy between patients using CDL access with AV Shunt access in the Hemodialysis Room of Prof. Dr. Margono Soekarjo Purwokerto Hospital with the result that better adequacy was in AV Shunt access. Conclusion: Arteriovenous Shunt (AV Shunt) access has a better adequacy rate than Catheter Double Lumen (CDL) access, as evidenced by the comparative value of AV Shunt and CDL adequacy of 86.6% vs. 44.8%.</em></p> <p><em>&nbsp;</em><em>Keywords: AV Shunt, CDL, Dialysis, Kidney Failure, Hemodialysis</em></p> Rukhul Hayati Muslimah Agus Santoso Meida Laely Ramdani Sri Suparti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2025-01-31 2025-01-31 7 1 9 15 10.31539/joting.v7i1.13671