INTRADIALYTIC EXERCISE SEBAGAI EVIDENCE BASE PRACTICE UNTUK MENGURANGI KELELAHAN PADA PASIEN HEMODIALISIS

INTRADIALYTIC EXERCISE AS EVIDENCE BASE PRACTICE TO REDUCE FATIGUE IN HEMODIALYSIS PATIENTS

https://doi.org/10.47539/jktp.v6i1.319

Authors

  • Rizky Amalia Herabare Muhammadiyah University of Surakarta
  • Dian Hudiyawati Universitas Muhammadiyah Surakarta, Surakarta, Indonesia
  • Arif Putra Purnama Rumah Sakit PKU ‘Aisyiyah Boyolali, Boyolali, Indonesia

Abstract

Hemodialisa merupakan terapi yang dilakukan oleh pasien yang mengalami Chronic Kidney Disease (CKD). Kelelahan sering dialami oleh pasien CKD yang menjalani hemodialisa. Studi ini bertujuan untuk menerapkan evidence base practice yaitu terapi intradialytic exercise pada pasien hemodialisa. Desain studi ini menggunakan pre-post design. Studi ini menggunakan kuesioner FAS (Fatigue Assesment Scale) dengan interpretasi tingkat kelelahan normal (skor <22), ringan (skor 23-32), sedang (skor 33-34), berat (skor >35). Sampel penelitian berjumlah 3 responden. Penelitian dilakukan pada bulan September 2022 di unit Hemodialisa RS PKU Aisyiyah Boyolali. Terapi intradialytic exercise dilakukan pada 1 jam terakhir selama sesi hemodialisa dengan durasi waktu 10 menit dalam satu kali pertemuan. Hasil penelitian menunjukkan terdapat penurunan tingkat kelelahan pada responden setelah dilakukan terapi intradialytic exercise. Didapatkan data pada 2 responden saat pretest menunjukkan skor FAS dalam kategori berat yaitu dengan skor 36 dan 1 responden dalam kategori sedang yaitu 33. Saat posttest, ketiga responden mengalami penurunan skor FAS yaitu responden dalam kategori skor FAS berat menurun menjadi kategori sedang, sedangkan responden dengan kategori sedang mengalami penurunan menjadi kategori ringan. Penerapan evidence base practice berupa terapi intradialytic exercise yang dilakukan dapat menurunkan skor FAS yang menandakan adanya penurunan tingkat kelelahan pada pasien yang menjalani hemodialisis di RS PKU Aisyiyah Boyolali.

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References

Ayunarwanti, R., & Maliya, A. (2020). Self-Efficacy Terhadap Hipertensi Intradialis pada Pasien Gagal Ginjal. Jurnal Berita Ilmu Keperawatan, 13(1), 54–61. DOI: https://doi.org/10.23917/bik.v13i2.11602

Dalal, K., Sankhe, A., & Zope, J. (2021). of Kidney Diseases and Transplantation Original Article A Prospective , Controlled Study to Assess Effect of Spiritual Therapy in Patient Undergoing Hemodialysis at Bhaktivedanta Hospital. 32(6), 1570–1576. DOI: https://doi.org/10.4103/1319-2442.352417

Ganik Sakitri, Nurul Makiyah, A. K. (2017). Pengaruh Intradialytic Exercise Terhadap Fatigue, Kadar Hemoglobin Dan Tekanan Darah Pasien Hemodialisa DI 8 RSUP Dr. Soradji Titonegoro Klaten. Media Publikasi Penelitian Profesional Islam, 15(1), 1–17. DOI: https://doi.org/10.26576/profesi.242

Gerogianni, G., Kouzoupis, A., & Grapsa, E. (2018). A holistic approach to factors affecting depression in haemodialysis patients. International Urology and Nephrology, 50(8), 1467–1476. https://doi.org/10.1007/s11255-018-1891-0 DOI: https://doi.org/10.1007/s11255-018-1891-0

Gregg, L. P., Bossola, M., Ostrosky-frid, M., & Hedayati, S. S. (2021). Fatigue in CKD Epidemiology , Pathophysiology , and Treatment. Clinical Journal of the American Society of Nephrology, 16(9), 1445–1455. https://doi.org/https://doi.org/10.2215/CJN.19891220 DOI: https://doi.org/10.2215/CJN.19891220

Himmelfarb, J., & Ikizler, T. A. (2019). Chronic kidney disease, dialysis, and transplantation. In Chronic Kidney Disease, Dialysis, and Transplantation: A Companion to Brenner and Rector’s The Kidney - Expert Consult: Online and Print. https://doi.org/10.1016/C2009-0-49595-3 DOI: https://doi.org/10.1016/C2009-0-49595-3

Hudiyawati, D., Muhlisin, A., & Ibrahim, N. (2019). Effectiveness of progressive muscle relaxation in reducing depression, anxiety and stress among haemodialysis patients attending a public hospital at Central Java Indonesia. IIUM Medical Journal Malaysia, 18(3), 3–10. https://doi.org/10.31436/imjm.v18i3.185 DOI: https://doi.org/10.31436/imjm.v18i3.185

Ju, A., Teixeira-Pinto, A., Tong, A., Smith, A. C., Unruh, M., Davison, S. N., Dapueto, J., Dew, M. A., Fluck, R., Germain, M. J., Jassal, S. V., Obrador, G. T., O’donoghue, D., Viecelli, A. K., Strippoli, G., Ruospo, M., Timofte, D., Sharma, A., Au, E., … Rutherford, C. (2020). Validation of a core patient-reported outcome measure for fatigue in patients receiving hemodialysis: The SONG-HD fatigue instrument. Clinical Journal of the American Society of Nephrology, 15(11), 1614–1621. https://doi.org/10.2215/CJN.05880420 DOI: https://doi.org/10.2215/CJN.05880420

Kemenkes. (2018). Peran Pemerintah Dalam Pencegahan dan Pengendalian Gangguan Ginjal Pada Anak.

Kumar, S. B., Karthikeyan, B., Nair, S. V., Ramasamy, A., Khan, S., & Periasamy, S. (2021). A study of Factors Affecting Dialysis Recovery Time in Haemodialysis Patients in India. Indian Journal of Nephrology, 31(5), 460–466. https://doi.org/10.4103/ijn.IJN_241_20 DOI: https://doi.org/10.4103/ijn.IJN_241_20

Maesaroh, Waluyo, A., & Juumaiyah, W. (2020). Faktor-Faktor Yang Berhubungan Dengan Terjadinya Fatigue Pada Pasien Hemodialisis. Syntax Litrate; Jurnal Ilmiah Indonesia, 5(4), 110–120. https://doi.org/http://dx.doi.org/10.36418/syntax-literate.v5i4.1074 DOI: https://doi.org/10.36418/syntax-literate.v5i4.1074

Muliani, R., Muslim, A. R., & Abidin, I. (2021). Intradialytic Exercise : Flexibility terhadap Skor Fatigue pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis Intradialytic Exercise : Flexibility on Fatigue Scores in Chronic Kidney Disease Clients Undergoing Hemodialisis. Journal Of Medicine And Health, 3(2), 137–146. https://doi.org/https://doi.org/10.28932/jmh.v3i2.3147 DOI: https://doi.org/10.28932/jmh.v3i2.3147

Nugroho, F. D. (2019). Pengaruh Intradialytic Exercise Terhadap Tekanan Darah Pasien Hemodialisa Di Rumah Sakit Panti Wilasa Citarum Semarang. Semarang: Poltekkes Kemenkes Semarang.

Nurmansyah, & Arofiati, F. (2019). Pengaruh Intradialytic Exercise Terhadap Fatigue Pada Pasien Hemodialisa : Literature Review. JURNAL EDUNursing, 3(1). http://journal.unipdu.ac.id

Palar, R., & Lobo, D. (2022). Impact of intradialytic exercise on fatigue , biochemical and physiological parameters in patients on maintenance hemodialysis - A pilot study - Part 1. Clinical Epidemiology and Global Health, 15(May), 101064. https://doi.org/10.1016/j.cegh.2022.101064 DOI: https://doi.org/10.1016/j.cegh.2022.101064

Pattikawa, F. Y., Arafat, R., & Rachmawaty, R. (2020). Jurnal Keperawatan Muhammadiyah Intervensi Latihan Fisik Untuk Mengatasi Fatigue Pada Pasien Hemodialisis : Literatur Review. Jurnal Keperawatan Muhammadiyah, 82–87.

Ramer, S. J., & Scherer, J. S. (2020). Moving the science of patient-reported outcome measures forward: Measuring fatigue in hemodialysis patients. Clinical Journal of the American Society of Nephrology, 15(11), 1546–1548. https://doi.org/10.2215/CJN.14900920 DOI: https://doi.org/10.2215/CJN.14900920

Rosaulina, M., & Gurusinga, M. F. (2021). Pengaruh Intradialytic Exercise Terhadap Penurunan Tekanan Darah Pada Pasien Hemodialisa di Rumah Sakit Grandmed Lubuk Pakam. BEST JOURNAL, 4(2), 238–243. https://doi.org/https://doi.org/10.30743/best.v4i2.4553 DOI: https://doi.org/10.30743/best.v4i2.4553

Salehi, F., Dehghan, M., Shahrbabaki, P. M., & Ebadzadeh, M. R. (2020). Effectiveness of exercise on fatigue in hemodialysis patients : a randomized controlled trial. 0, 1–9. DOI: https://doi.org/10.1186/s13102-020-00165-0

Sepdianto, T. C., & Usmiati, E. (2017). Hemodialisapada Pasien Gagal Ginjal Kronik Di Rsd Mardi Waluyo Kota Blitar. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 4(1), 64–69. https://doi.org/10.26699/jnk.v4i1.ART.p064-069 DOI: https://doi.org/10.26699/jnk.v4i1.ART.p064-069

Shim, H. Y., & Cho, M.-K. (2018). Factors influencing the quality of life of haemodialysis patients according to symptom cluster. Journal Clinical Nurse, 27(9–10), 2132–2141. https://doi.org/10.1111/jocn.13904 DOI: https://doi.org/10.1111/jocn.13904

Tsirigotis, S., Polikandrioti, M., Alikari, V., Dousis, E., Koutelekos, I., Toulia, G., Pavlatou, N., Panoutsopoulos, G. I., & Leftheriotis, D. (2022). Factors Associated With Fatigue in Patients Undergoing Hemodialysis Sample description. 14(3). https://doi.org/10.7759/cureus.22994 DOI: https://doi.org/10.7759/cureus.22994

van der Borg, W. E., Verdonk, P., de Jong-Camerik, J. G. A., Schipper, K., & Abma, T. A. (2021). A continuous juggle of invisible forces: How fatigued dialysis patients manage daily life. Journal of Health Psychology, 26(6), 917–934. https://doi.org/10.1177/1359105319853340 DOI: https://doi.org/10.1177/1359105319853340

Yulianti, D. A., & Ladesvita, F. (2021). Perbandingan Tingkat Kelelahan Pada Pasien Diabetic Kidney Disease Dan Hypertensive Kidney Disease Yang Menjalani. Jurnal Keperawatan Widya Gantari Indonesia, 5(1), 1–8. DOI: https://doi.org/10.52020/jkwgi.v5i1.2681

Published

2023-06-30

How to Cite

Herabare, R. A., Hudiyawati, D., & Purnama, A. P. (2023). INTRADIALYTIC EXERCISE SEBAGAI EVIDENCE BASE PRACTICE UNTUK MENGURANGI KELELAHAN PADA PASIEN HEMODIALISIS: INTRADIALYTIC EXERCISE AS EVIDENCE BASE PRACTICE TO REDUCE FATIGUE IN HEMODIALYSIS PATIENTS. JURNAL KEPERAWATAN TROPIS PAPUA, 6(1), 8–12. https://doi.org/10.47539/jktp.v6i1.319

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