Abstract
Chronic kidney disease is an irreversible and slow-progressing disorder of kidney function so that the kidneys are unable to maintain the body's metabolism, fluid and electrolyte balance and cause uremia which requires dialysis or kidney transplantation. Hemodialysis is management to treat chronic kidney disease that is carried out for life so that the complications that often arise are fatigue, cramps, anxiety, pain. The phenomenon found in the Hemodialysis Room of the Tugurejo Hospital Semarang, there were 34% of the 84 patients who experienced fatigue which was characterized by lethargy, weakness, drowsiness, dizziness. This research is a quantitative study with a quasi-experimental design. The sample size is 4 respondents in the intervention group without a control group. Measurement of the level of fatigue (pre and post-test) using the PFS (Piper Fatigue Scale) which contains 22 subjective statements. Predialytic Exercise intervention is given for 5 sessions with a duration of 10-15 minutes. The results of this study indicate that the fatigue level of hemodialysis patients has decreased after the intervention of predialytic exercise for 5 sessions. The fatigue score of respondents 1 has decreased from a score of 4.8 (moderate fatigue) to 3.2 (mild fatigue), respondent 2 from a score of 6.3 (moderate fatigue) to 4.3 (moderate fatigue), respondent 3 from score 9 (severe fatigue) to 7 (severe fatigue), and respondent 1 from a score of 4.9 (moderate fatigue) to 2.4 (mild fatigue). The results of this study indicate that there is a decrease in each dimension of fatigue levels so that predialytic exercise intervention is effective to reduce fatigue in patients undergoing hemodialysis.
Highlights
Chronic kidney disease (CKD) is an irreversible and slow disruption of kidney function unable to maintain the body's metabolism, fluid, and electrolyte balance cause uremia which requires dialysis or kidney transplantation
Based on the explanation before, this study aims to determine the effect of predialytic exercise on the level of fatigue in patients undergoing hemodialysis at Tugurejo Hospital, Central Java, Indonesia
The results showed that there was a decrease in the level of fatigue after being given the intervention of predialysis exercise for 5 meetings, namely 2 respondents (50%) had mild fatigue, 1 respondent (25%) moderate fatigue, and 1 respondent (25%) weight fatigue
Summary
Chronic kidney disease (CKD) is an irreversible and slow disruption of kidney function unable to maintain the body's metabolism, fluid, and electrolyte balance cause uremia which requires dialysis or kidney transplantation. Data from the Indonesian Ministry of Health (2017), 30,554 active patients were undergoing dialysis, 1,243 patients died with [1-317] months of HD time. Indonesian Renal Registry data (2016), states that as many as 98% of CKD sufferers undergo hemodialysis therapy and 2% of Peritoneal Dialysis (PD) therapy with the most common causes of CKD are diabetic nephropathy (52%), hypertension (24%).. Hemodialysis is a process of cleansing the blood using an artificial kidney, namely a dialyzer with the goal is to maintain good nephron function, reduce morbidity, reduce uremia pericarditis, uremia encephalopathy, fluid overload, nutritional disorders, and infections, the quality of health and the quality of life among patients is improved. The hemodialysis process takes [4,5] hours generally will cause side effects such as physical stress, fatigue, headaches, cramps, and cold sweat due to decreased blood pressure and sugar levels. 3,4
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