Chronic Kidney Failure Patients Research Articles

The Relationship Between Fluid Intake Compliance with The Occurrence of Hypervolemia in Chronic Rentalfailure Patients Undergoing Hemodialysis at Grandmed Hospital Lubuk Pakam

Chronic kidney failure is irreversible damage to kidney function that requires kidney replacement therapy. Failure during hemodialysis therapy often occurs due to non-compliance. Actions taken for hemodialysis patients are regarding fluid intake. Compliance with limiting fluid intake is a key factor in determining the health level of hemodialysis patients. The research method used was cross sectional. The population were all chronic kidney failure patients in the Hemodialysis Room at Grandmed Lubuk Pakam Hospital with a total sample of 40 people taken using the purposive sampling method. The results showed that as many as 20 respondents or 50.0% were in the category of less compliant with limiting fluid intake. On the other hand, it showed that as many as 22 respondents or 55% experienced mild hyperlovemia. The results of statistical tests show that there is a relationship between compliance with fluid intake and the occurrence of hypervolemia in chronic kidney failure patients undergoing hemodialysis at Grandmed Lubuk Pakam Hospital in 2023 with a p-value of 0.000. If the patient is increasingly disobedient in limiting fluid intake in the body, the greater the fluid accumulation or hypervolemia will occur.

The Relationship between Attitudes and Family Support and Compliance with Fluid Restrictions in Chronic Kidney Failure Patients on Hemodialysis

Chronic Kidney Failure is a non-communicable disease, where the process of the disease leading to a decline in function takes a long time and cannot return to normal. The prevalence of Chronic Renal Failure in the world and in Indonesia is estimated to increase by 8% every year. One of the most common problems faced by Chronic Kidney Failure patients undergoing hemodialysis is the increase in fluid volume between the two hemodialysis periods. Compliance with fluid restriction is a very important factor, where the factors that influence compliance include attitude and family support. The purpose of this study was to determine the relationship between attitude and family support with adherence to fluid restriction in patients with Chronic Kidney Failure with Hemodialysis at Jakarta Hajj Hospital with a quantitative method where the type of research used was descriptive analysis with a cross sectional design. Data collection was carried out using a questionnaire with chi-square test analysis. The number of samples used was 68 samples with purposive sampling. Statistical test results showed that there was a relationship between attitude and adherence to fluid restrictions (p=0.032) and there was a relationship between family support and adherence to fluid restrictions (p=0.033) in patients with chronic kidney failure in the hemodialysis room at Haji Hospital, Jakarta.

The Relationship Between Self Efficacy and Quality Of Life and Anxiety In Patients With Chronic Kidney Failure Patients Undergoing Hemodialysis Therapy At Grandmed Hospital Lubuk Pakam

Chronic kidney failure is an irreversible disease, where if you have experienced this disease you cannot return to normal as before. One way that can be done to maintain the condition and function of the kidneys so that the damage does not get worse is by carrying out dialysis therapy throughout the patient's life (usually done 1 to 3 times a week) or until a new kidney donor is obtained by undergoing transplantation surgery. kidney. Situations like this interfere with the patient's quality of life and psychological disorders such as anxiety. With the emergence of feelings of anxiety and decreased quality of life, the condition of the disease experienced will worsen. One effort that can be made to manage feelings of anxiety and maintain quality of life is by exercising self-efficacy. The aim of this research activity is to see whether there is a relationship between self-efficacy and quality of life and anxiety in patients suffering from chronic kidney failure who are being treated at Grandmed Lubuk Pakam Hospital. This research is a descriptive analytical study using a cross sectional approach. There were 80 patients who were samples from the 100 patients who were the population in this study. The statistical test used in this research is the chi-square test, which shows that the p value is for quality of life (p= 0.000), and the p value is for anxiety (p= 0.003). Through these results, it can be proven that there is a significant relationship between self-efficacy and quality of life and anxiety in patients with chronic kidney failure who are undergoing hemodialysis therapy at Grandmed Lubuk Pakam Hospital.

Reducing Anxiety in Patients Undergoing Hemodialysis with Spiritual Mindfulness Based On Breathing Exercise

ABSTRACT Background: Patients with chronic kidney failure say that they are anxious because they see the tubes flowing blood, costs that must be incurred each time undergoing therapy, anxiety because invasive procedures will be carried out, and uncertainty about recovery. Objective: The purpose of this study was to analyze the Spiritual Mindfulness Based On Breathing Exercise on the anxiety of patients on Hemodialysis. Methods: The research design uses a quasi-experiment with a pre and posts group design control. The population of all chronic kidney failure patients at A. Yani Surabaya Islamic Hospital is 70 people. The sample size is 32 respondents. The sampling technique is purposive sampling. The intervention group was given Spiritual Mindfulness Based On Breathing Exercises and the control group was given intervention according to hospital standards. Analysis used the Wilcoxon with a significant value of ?? < 0.05. Results: the anxiety level p-value of 0.000 in the intervention group and the control group p-value of 0.109 which means there is an effect of Spiritual Mindfulness Based On Breathing Exercises on patient anxiety on Hemodialysis. Conclusion: Spiritual Mindfulness Based On Breathing Exercise is effective in reducing anxiety in chronic kidney failure patients undergoing hemodialysis and the technique is easy to perform.

Analysis of the Relationship Between Diet Compliance with Consumption Levels (Protein, Sodium, Potassium and Fluids) of Chronic Kidney Failure Patients Undergoing Hemodialysis at RSUD Kabupaten Kediri

Latar Belakang: Gagal ginjal kronis menjadi masalah kesehatan masyarakat global dengan prevalensi dan insidensi gagal ginjal yang meningkat, prognosis yang buruk dan biaya yang tinggi. Pasien ginjal kronis memerlukan terapi hemodialisis untuk menggantikan fungsi ginjal dalam membersihkan darah dan mengeluarkan cairan berlebih yang tidak bisa dikeluarkan melalui urine. Selain hemodialisis sebagai terapi medis, pasien gagal ginjal kronis juga sangat memperlukan perhatian khusus terkait dengan pengaturan dietnya. Tujuan: Penelitian ini bertujuan mengetahui kepatuhan diet dan hubungannya dengan tingkat konsumsi (protein, natrium, kalium dan cairan) pasien gagal ginjal kronis yang menjalani hemodialisis di RSUD Kabupaten Kediri. Metode: Desain penelitian yang digunakan bersifat deskriptif menggunakan pendekatan cross sectional dengan jumlah responden sebanyak 20 rang pasien yang menjalani hemodialisis rawat jalan. Pengumpulan data kepatuhan diet menggunakan recall 24 jam, kuesioner dan data tingkat konsumsi menggunakan food record selama enam hari. Hasil: Hasil penelitian dengan uji spearman-rho didapatkan hasil nilai ?-value 0,043 maka nilai p (0,043) < ? (0.05) yang artinya terdapat hubungan antara kepatuhan diet dengan tingkat konsumsi pasien yang menjalani hemodialisis di RSUD Kabupaten Kediri. Simpulan: Pasien yang patuh menjalankan diet sesuai anjuran memiliki tingkat konsumsi yang mendekati kebutuhan dibandingkan dengan pasien yang tidak patuh dalam menjalankan diet. Kata Kunci: Gagal Ginjal Kronik, Hemodialisis, Kepatuhan Diet, Tingkat Konsumsi

Correlation of Blood Creatinine Levels with The Result of Urine Sediment Analysis in Chronic Kidney Failure Patient

Chronic Kidney Failure is a condition caused by a gradual and chronic decline in kidney function. This situation can affect to creatinine levels. Creatinine is the result of endogenous metabolism that is useful for assessing glomerular function, in the event of renal dysfunction then the filtration ability of creatinine will be reduced and serum creatinine will increase. Urine sediment is produced from the results of urine concentration consisting of calcium salts. This concentrated urine comes from the kidneys with a variety of causes, one of which is chronic kidney failure, flows through the ureter to the bladder and continues to the urethra until the urethral. Objective: To find out the correlation of blood creatinine levels with the results of urine sediment analysis in patients with chronic kidney failure. Method: This research is observational analytical with a cross sectional approach to determine the correlation between independent and dependent variables. The sample is taken purposive sampling by selecting a sample based on certain criteria. The collected data is then analyzed using Spearman statistical tests. Results: Examination of creatinine levels in chronic kidney failure patients obtained 6.67 mg/dl. The average urine sediment found erythrocytes as many 2-3/HPF to many/HPF. Conclusion: There is a correlation of blood creatinine levels with the results of urine sediment analysis in patients with chronic kidney failure.

The Relationship between Long Time Undergoing Hemodialysis and Stress Levels in Chronic Kidney Failure Patients Undergoing Hemodialysis at Bendan Regional Hospital, Pekalongan City

Chronic renal failure is characterised by irreversible decline in kidney function. Chronic renal failure requires haemodialysis therapy. Long time undergoing haemodialysis can cause psychological problems such as stress. The purpose of this study was to assess the relationship between length of haemodialysis and stress level in chronic renal failure patients undergoing haemodialysis at Bendan Hospital, Pekalongan City. Methods: The research design used descriptive correlative with cross sectional approach. The study population were all chronic renal failure patients undergoing haemodialysis at Bendan Hospital, Pekalongan City, as many as 70 people. The study sample were 70 patients with chronic renal failure who underwent haemodialysis at Bendan Hospital, Pekalongan City by total sampling. The research instruments were questionnaires and Perceived Stress Scale (PSS). Data analysis used spearman rank correlation test. Results: the majority of respondents, 36 people (51,4%) had undergone haemodialysis for ≤ 1 year and the majority of respondents, 58 people (82.9%) experienced moderate stress. The results showed that there was relationship between the length of undergoing haemodialysis with stress levels in chronic renal failure patients undergoing haemodialysis at Bendan Hospital, Pekalongan City with a ρ value: 0,000 with a correlation value of rho of -0,438, which means that the length of haemodialysis has a moderate strength of relationship with stress levels. Conclusion: length of haemodialysis is associated with stress levels of chronic kidney failure patients

Perawatan Topikal Berbasis Minyak pada Pasien Pruritus Uremik dengan Gagal Ginjal Kronis

The aim of this study was to look at oil-based topical treatments that are effective in reducing and reducing the scale of uremic pruritus in patients with chronic kidney failure. The research method used in writing this systematic review was a literature search conducted through the Pubmed, Proquest, Science direct, Scopus databases with articles selected from 2010-2022. The results of this study showed a significant reduction in the scale of uremic pruritus in chronic kidney failure patients within 1-4 weeks of oil-based topical treatment. In conclusion, oil-based topical treatments are effective in reducing complaints of itching and pruritus in chronic kidney failure patients so that they can be used in nursing treatment. Key Word: Chronic Renal Failure; Oil Based Treatment ; Uremic Pruritus

Hubungan Pemenuhan Kebutuhan Biologis Dan Sosial Dengan Tingkat Kecemasan Pada Pasien Hemodialisis Di RSUD Cibinong Tahun 2023

Kidney failure is a chronic disease where the kidneys are no longer able to remove toxic substances in the body, resulting in a buildup of toxins as a result. Patients suffering from kidney failure must undergo therapy to remove toxic substances, one of the therapies is hemodialysis. This therapy is carried out in approximately 4-5 hours to remove toxins, there are several accesses, namely with CDL and Cimino. which will cause changes in the physical, socio-economic and psychological conditions of patients undergoing Hemodialysis therapy. These changes will have an impact on the patient's coping mechanisms. Patients undergoing hemodialysis often experience several problems including psychological problems, one of which is often experienced is anxiety. Anxiety is an emotional response to a subjective individual assessment, related to feelings of uncertainty and helplessness and to overcome it is necessary family support. This study aims to determine the biological and social relationship between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis. This research was quantitative using a correlation method involving 99 patients in the hemodialysis unit at Cibinong Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. This method was carefully chosen to ensure that the data obtained could be used to evaluate the relationship between biological and social levels of anxiety in hemodialysis patients. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of service in the hemodialysis unit at Cibinong Hospital.

The Lack of a Standardized Definition of Chronic Dialysis Treatment in German Statutory Health Insurance Claims Data.

Chronic kidney failure (CKF) is often treated with dialysis, which is invasive and costly and carries major medical risks. The existing studies of patients with CKF requiring dialysis that are based on claims data from German statutory health insurance (SHI) carriers employ varying definitions of this entity, with unclear consequences for the resulting statistical estimates. We carried out a cohort study on four random samples, each consisting of 62 200 persons aged 70 or above, from among the insurees of the SHI AOK Nordost, with one sample for each of the years 2012, 2014, 2016, and 2018. The prevalence, incidence, mortality, and direct health care costs of CKF requiring dialysis were estimated and compared on the basis of four different definitions from literature and a new definition developed by the authors in reference to billing data. The different definitions led to variation in 12-month prevalences (range: 0.33-0.61%) and 6-month incidences (0.058-0.100%). The percentage of patients with prior acute kidney injury (AKI) ranged from 27.6% to 61.8%. Among incident patients, three-month survival ranged from 70.2% to 88.1%, and six-month survival from 60.5% to 81.3%. In CKF patients without prior AKI, the survival curves differed less across definitions (80.2-91.8% at three months, 70.7-84.4% at six months). The monthly health care costs ranged from €6010 to €9606, with marked variability across definitions in the costs of inpatient and outpatient care. The lack of a standardized definition of CKF requiring dialysis in German SHI claims data leads to variability in the estimated case numbers, mortality, and health care costs. These differences are most probably in part due to the variable inclusion of inpatients who received short-term dialysis after AKI.

Quality of Life of Chronic Renal Failure Patients Undergoing Hemodialysis During Post Covid 19 Pandemic

Chronic Kidney Disease (CKD) is one of the most involved diseases of the urinary system, which is becoming a serious public health problem among the world's population characterized by high prevalence, mortality, and health costs. CKD is defined as a progressive abnormality of kidney structure and/or function for more than three months followed by health implications. It can be determined using the glomerular filtration rate, which is used to classify the severity of the disease. The majority of patients with stage 4 and all stage 5 require renal replacement therapy to maintain their quality of life, including hemodialysis (HD). Hemodialysis (HD) is a procedure in which a dialysis machine and a special filter called an artificial kidney, or dialyzer are used to clean the patient's blood, which can improve the patient's quality of life. Basically, the hemodialysis process carried out by CKD patients is able to increase serum creatinine, albumin, and pre-albumin, then also able to normalize the catabolic rate of protein and increase the food intake of CKD patients. However, most previous studies have found that the hemodialysis process can increase the prevalence of malnutrition and reduce the quality of life of patients. This study aims to determine the picture of the quality of life of CKD patients undergoing hemodialysis during the post-COVID 19 pandemic period. Data collection of this study was carried out in the Hemodialysis room of Arifin Achmad Hospital Pekanbaru, with a total of 65 samples with the criteria of patients undergoing regular HD at least 2 times a week. Data analysis in this study using univariate for demographic data and quality of life picture of chronic kidney failure patients. The results showed that the majority of respondents were male as many as 37 people (56.9%), almost all of them were married as many as 62 respondents (95.4%), the majority had high school education as many as 41 respondents (63.1%), almost half were not working, namely as many as 29 respondents (44.6%), and the majority aged 51-60 years as many as 30 respondents (46.2%). While the picture of quality of life 2 shows that the majority of respondents have a good quality of life, namely 33 respondents (50.8%). Based on the results of this study, it is hoped that families can play an important role in providing support and motivation during hemodialysis therapy so as to increase expectations and higher quality of life for patients

LITERATUR REVIEW PENGARUH RELAKSASI OTOT PROGRESIF TERHADAP KUALITAS TIDUR PASIEN HEMODIALISA

Chronic Kidney Failure sufferers experience sleep quality problems. Progressive muscle relaxation is useful for improving the sleep quality of hemodialysis patients. Objective: This literature review aims to determine the description of progressive muscle relaxation on the sleep quality of hemodialysis patients. Method: Search for research journals or literature studies via Google Scholar, PubMed, Science Direct and Springer pages published from 2018-2023. Then select, analyze and review several sources. Results: Progressive muscle relaxation affects the sleep quality of chronic kidney failure patients undergoing hemodialysis. Conclusion: Progressive muscle relaxation can be used to improve the sleep quality of hemodialysis patients. Suggestion: Patients undergoing hemodialysis can apply progressive muscle relaxation to improve sleep quality.

Nutritional Status and Quality of Life of Hemodialysis Patients in a Hospital in Yogyakarta

Kidney failure is a disease with a moderate prevalence in Indonesia but causes the second highest cost burden in Indonesia. One of the treatments for chronic kidney failure is hemodialysis. The problem with hemodialysis patients is a high incidence of malnutrition, which can affect the patient's quality of life. Therefore, this study will examine the relationship between nutritional status and quality of life in chronic kidney failure patients undergoing hemodialysis. This research is a cross-sectional study by collecting medical record data and filling out questionnaires. Selection of research subjects with inclusion criteria aged ≥18 years, routinely undergoing hemodialysis, willing to participate in the study and complete medical record data. The patient's nutritional status was seen from the Body Mass Index (BMI), and the patient's quality of life was assessed by the Indonesian version of the Kidney Disease Quality of Life Short-Form (KDQoL-SFTM) questionnaire. The average age of the hemodialysis patients in this study was 53.70 years, the average body weight was 57.24 kg and the average height was 10.82 cm. Patients with lean BMI were 20.5%, normal 56.4%, overweight 23.1%, and obesity 2.6%. The domain of employment status is related to nutritional status (p-value 0.005). Nutritional status is related to the quality of life of hemodialysis patients in the occupational status domain.

ANALISIS BIAYA DAN PENGUKURAN KUALITAS HIDUP YANG DIUKUR MENGUNAKAN INSTRUMEN EQ-5D PADA PASIEN PENYAKIT GAGAL GINJAL KRONIS YANG MENJALANI PENGOBATAN HEMODIALISIS

Treatment of end-stage chronic kidney failure is usually carried out by administering hemodialysis. This action has an impact on social, financial and psychological conditions and reduces the quality of life. The aim of this research is to determine the quality of life of chronic kidney failure patients who undergo hemodialysis and to calculate the average cost of drugs and medical equipment for hemodialysis. The research method was a crosssectional design, the data taken in August-September 2023 at Ulin Hospital Bajarmasin. The consecutive sampling t resulted in 70 respondents. Calculation of quality of life using the EQ-5D index calculator and the average cost using Microsoft Excel. The results showed that the cost of medicine was IDR.9,805,345 and medical equipment costs IDR.12,754.630, it was calculated for treatment for 1 month. The quality of life of patients who underwent hemodialysis was found to be 65% good and 34.3% poor quality of life where the average value of quality of life had an index of 0.6631. The conclusion obtained is that the cost for 1 month is IDR. 22,559,975 and the quality of life of patients undergoing hemodialysis treatment is in the good category with an average health index value of 0.6631

Clinical observation and influence on nutritional status of intensive nutritional nursing combined with 3-day dietary diary intervention in peritoneal dialysis patients.

Peritoneal dialysis is a commonly used treatment for chronic kidney failure patients. Studies have shown that long-term peritoneal dialysis can lead to various degrees of malnutrition. Therefore, it is of great significance to improve the nutritional conditions of patients with peritoneal dialysis. This retrospective cohort study aimed to evaluate the clinical effects of intensive nutritional nursing combined with a 3-day diet diary intervention on the nutritional condition of peritoneal dialysis patients. In total, 163 patients were included in this study and, after 6 months of intervention, their nutritional and biochemical indicators, body weight, body mass index (BMI) and intake of dietary ingredients were analysed. After the intervention, patients' serum albumin, haemoglobin, prealbumin, body weight, BMI and cholesterol levels were significantly increased (p < 0.05). Also, the daily energy and protein intake were significantly increased, whereas phosphorus intake was decreased (p < 0.05). Of note, the effective rate of intervention was 63.8%, respectively. We also found that factors such as the patient's age, education degree, income level and peritoneal dialysis age were the risk factors associated with malnutrition. Moreover, patients younger than 55 years old, with dialysis age younger than 5 years, unmarried/divorced and high school graduates, had higher chances of effective intervention, whereas the possibility of effective intervention was lower when the per capita monthly household income was less than 4000 Yuan. In conclusion, intensive nutritional nursing combined with a 3-day dietary diary intervention can significantly improve the nutritional condition and optimise the diet structure of peritoneal dialysis patients with malnutrition. These findings provide evidence for healthcare providers to develop personalised interventions to address malnutrition in this population.

ASUHAN KEPERAWATAN PADA PASIEN GAGAL GINJAL KRONIK DENGAN HEMODIALISA MELALUI TINDAKAN KOMPRES DINGIN PADA AV SHUNT

Hemodialysis is an intervention designed to assist patients in managing fluid and electrolyte metabolism. The hemodialysis process involves puncturing the arteriovenous (AV) shunt area to facilitate dialysis. The repeated punctures in this area can result in pain. Research Objective: To provide an overview of nursing care for chronic kidney failure patients undergoing hemodialysis through the use of cold compresses on the AV shunt site. Method: This study is a case study with a medical-surgical nursing care approach. The research was conducted from February to March 2023 on two chronic kidney failure patients undergoing hemodialysis. Results and Discussion: After the intervention of applying cold compresses to patients I and II, a reduction in pain scale was observed. For patient I, the pain scale decreased from 6 (0-10) before the intervention to 3 (0-10) after the intervention. For patient II, the pain scale decreased from 5 (0-10) to 3 (0-10) after the intervention. Conclusion and Recommendations: Cold compresses can effectively reduce pain at the AV shunt puncture site in hemodialysis patients. Therefore, it is recommended to incorporate cold compress interventions for patients undergoing hemodialysis.

MONITORING DAN EVALUASI PENGGUNAAN OBAT PADA PASIEN TERAPI GAGAL GINJAL KRONIK DI RUMAH SAKIT UMUM SEMBIRING DELI TUA

Chronic kidney failure is an interventional disease, which means that the patient only maintains existing kidney function and this disease is irreversible, meaning it cannot return to normal. Thus, chronic kidney failure is closely related to a rational treatment process and a healthy lifestyle. Therefore, it is necessary to study patterns of monitoring and evaluating drug use in patients with chronic kidney failure therapy at Sembiring Deli Tua General Hospital. This study aims to determine the lifestyle of second chronic kidney failure patients to determine the effect of chronic kidney failure patients' lifestyle on further improvement of kidney function. To determine rational drug use at Sembiring Deli Tua General Hospital using four aspects, namely right drug, right patient, right indication and exact last dose to see and know the distribution of chronic kidney failure to patient characteristics in the form of age, sex, disease complications, complaints and stage of chronic kidney failure patients at Sembiring General Hospital. Lifestyle monitoring was carried out in April-May 2023 in the hemodialysis room using a sample questionnaire that was taken as many as 30 respondents using a descriptive method. Then, an evaluation of drug use was taken from the medical record data of chronic kidney failure patients from September to December 2022 using a retrospective method. A sample of 30 patients according to the study inclusion criteria. The lifestyle of chronic kidney failure patients is in accordance with the provisions, and there is a relationship between the lifestyle of chronic kidney failure on the improvement of kidney function indicators are blood pressure, hemoglobin, urea and creatinine. Evaluation data on drug use in patients with chronic kidney failure in terms of four aspects including (100% right patient), (43.33% right drug), (83.33 place of indication), (80% right dose). patient characteristics in the form of age at most 46-55 years, the dominant sex is Male, complications of diseases namely hypertension then diabetes sequence When COPD, the most common complaint is lower abdominal pain, and the most common stage of chronic kidney failure patients is stage 3 at Sembiring General Hospital.

Dukungan Keluarga Terhadap Kualitas Hidup Pasien Hemodialisa di RS PKU Muhammadiyah Yogyakarta

&lt;p&gt;&lt;em&gt;Patients with chronic renal failure undergoing hemodialysis experience decreased kidney function to remove metabolic waste products in order to maintain fluid and electrolyte balance in the body. Various problems faced by patients are risk of reducing their quality of life. Support from family becomes one of the patient's sources of strength to survive. This study aims to determine the relationship between family support and quality of life of chronic kidney failure patients undergoing hemodialysis at PKU Muhammadiyah Hospital Yogyakarta. This study used a correlational research design with a cross sectional approach. Respondents amounted to 125 patients who were taken by total sampling technique. The results showed that the p-value = 0.000 or p &amp;lt;0.05 with a correlation coefficient (r) = 0.724, so it can be said that there is a very strong relationship between family support and the quality of life of chronic kidney failure patients undergoing hemodialysis at PKU Muhammadiyah Hospital Yogyakarta. From the results of the study, it can be concluded that family support is very strongly correlated with the quality of life of hemodialysis patients. The relationship of other variables such as age, gender, education, occupation, income, duration of hemodialysis, and frequency of hemodialysis on the quality of life of patients with chronic kidney failure requires analysis for further studies.&lt;/em&gt;&lt;/p&gt;

OVERCOMING ANXIETY CHRONIC KIDNEY FAILURE PATIENTS WITH SPIRITUAL MINDFULNESS INTERVENTION: A CASE STUDY

ABSTRACT Chronic kidney failure sufferers experience many changes in their lives, including changes in diet management, exercise, control of blood sugar, urea, creatinine and kidney function replacement therapy, so they are prone to experiencing anxiety. The aim of this case study is to carry out nursing care to overcome anxiety problems in kidney failure patients with spiritual mindfulness intervention in the Inpatient Room of the Surabaya A.Yani Islamic Hospital. This type of research is a qualitative method with a case study approach. The subjects used were 1 patient with chronic kidney failure who was being treated at the Surabaya A. Yani Islamic Hospital with anxiety problems. Nursing care includes: assessment, determining a diagnosis, making interventions, implementation and evaluation. The implementation, which was carried out to overcome anxiety with spiritual mindfulness interventions, was carried out for 3 days (2 times a day for 10-15 minutes). The results of the spiritual mindfulness intervention after nursing actions were carried out for 3 days, the nursing problem of anxiety was resolved. The patient experienced a change from initially the patient having an anxiety score of 80 (severe anxiety) to 40 (not anxious). Spiritual mindfulness intervention is effective in reducing anxiety so it can be used as an alternative to reduce anxiety in patients with chronic kidney failure.

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.