Abstract
Hemodialysis is one of the interventions for patients with chronic renal failure which if done for a long time will cause fatigue symptoms as much as 82% to 90% of patients. The duration of the patient undergoing hemodialysis will increase fatigue levels; this will cause decreased concentration, malaise, sleep disturbances, emotional disturbances and reduce the ability of the patient's ability in daily activities. The exact symptom that occurs in patients with chronic renal failure is a decrease in Hb levels. The purpose of this study was to prove the long-standing relationship between hemodialysis and Hb levels with fatigue levels. The research design uses correlation analytic. The variables studied were hemodialysis duration, hemoglobin level,and fatigue level. The sample size in this study was 61 respondents with simple random sampling technique. Data analysis uses multiple linear regression. The results of the study simultaneously showed a long relationship between hemodialysis and HB levels with fatigue levels. Patients who have long undergone hemodialysis will have high levels of urea and creatinine. High urea will interfere with the production of the hormone erythropoietin. As a result of the number of red blood cells decreases, as a result, the patient will experience symptoms of fatigue.
 
Highlights
Hemodialysis is one of the best interventions for clients with acute kidney failure or terminal kidney failure who experience fluid imbalance
The results showed 61 respondents showed that the average length of hemodialysis in CKD patients was 8.29 months
The longer the hemodialysis process, the longer the blood is outside the body, so that more anticoagulants are needed, with the consequence of frequent side effects.(A, R, Rahman, Theresia M
Summary
Hemodialysis is one of the best interventions for clients with acute kidney failure or terminal kidney failure who experience fluid imbalance. Patients who have undergone hemodialysis for a long time will have high levels of urea and creatinine which disrupt the production of erythropoietin hormones. Decreasing hemoglobin levels in hemodialysis patients causes a decrease in the amount of oxygen and nutrients channeled in the body, which results in fatigue and weakness in carrying out activities, which in turn can reduce the patient's quality of life(Rsup Prof R D Kandou, Malisan, Wantania, & A Rotty, 2015). Hemodialysis patients experience an increase in fatigue level which causes decreased concentration, malaise, sleep disturbances, emotional disturbances and reduces the ability of the patient's ability in daily activities. That the measurement of fatigue levels is needed to determine the level and minimize progression and complications that occur due to fatigue in hemodialysis patients(Sulaiman, 2015)
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