scholarly journals Application Of Predialytic Exercise To Reduce Fatigue In-Patient Undergoing Hemodialysis

2021 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Nugroho Lazuardi
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Electrolyte Balance ◽  
Fatigue Score ◽  
Severe Fatigue ◽  
Moderate Fatigue ◽  
Quasi Experimental

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.

scholarly journals THE APPLICATION OF ART THERAPY TO REDUCE THE LEVEL OF DEPRESSION IN PATIENTS WITH HEMODIALYSIS

2018 ◽  
Vol 4 (3) ◽  
pp. 329-335
Author(s):  
Atikah Fatmawati ◽  
M. Rachmat Soelaeman ◽  
Imas Rafiyah
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Art Therapy ◽  
Intervention Group ◽  
Psychological Adaptation ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Quasi Experimental

Background: Depression can occur in patients with chronic kidney disease undergoing hemodialysis and can lead to decreased quality of life, and will have a two-fold risk for the occurrence of death and hospitalization. Objective: The purpose of this study was to identify the effects of art therapy on the level of depression patients with hemodialysis.Methods: This study used a quasi-experimental method with pretest posttest with control group design. Collecting data using questionnaires of Beck Depression Inventory (BDI-II) versions of Indonesia, which was done twice, before and after art therapy intervention. Data were analyzed using paired t-test and unpaired t-test.Results: The results showed that after given intervention of art therapy there were differences in the average scores of depression in the intervention group (t = 0.764; p-value = 0.000). Art therapy is a medium to expose and express the feelings, fears or perceived problem, so it can be used as an adaptive coping method in patients with chronic kidney disease undergoing hemodialysis. Conclusion: It is concluded that art therapy could reduce depression in patients with chronic kidney disease undergoing hemodialysis. Nurses can act as a facilitator to provide art-based therapy in order to improve the ability of psychological adaptation in patients with chronic kidney disease undergoing hemodialysis. 

scholarly journals PENGARUH EDUKASI VIDEO LATIHAN FISIK TERHADAP PENGETAHUAN PASIEN YANG MENJALANI HEMODIALISIS DI RS PKU MUHAMMADIYAH YOGYAKARTA

2019 ◽  
Vol 7 (2) ◽  
pp. 161-168
Author(s):  
Ambar Relawati ◽  
Isnina Noor Sakinah ◽  
Rahmawati Dian Nurani
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Physical Exercise ◽  
Muscle Weakness ◽  
Test Method ◽  
Wilcoxon Test ◽  
Electrolyte Balance ◽  
Muscle Strengthening ◽  
Quasi Experimental ◽  
Video Education

Background: Chronic Kidney Disease (CKD) is a progressive and irreversible kidney damage or dysfunction caused by the body's failure to maintain metabolism, fluid and electrolyte balance. Most of the CKD in Indonesia is diagnosed an advanced and late stage, so dialysis is necessary to solve this problem. The most common complaints of hemodialysis patients are muscle weakness. Patients with muscle weakness are due to reduced activity, muscle atrophy, muscle myopathy, neuropathy or a combination of them. One way that can be done as muscle strengthening to support and protect the internal organs and tissues is to do physical exercise. Physical exercises include flexibility exercises, strengthening exercises, and cardiovascular exercises. The exercise was done by giving video education to the patient for 60-90 minutes and 2 sets at the time of hemodialysis. Video is one of the educational media so that patients easily understand and imitate the steps of physical exercise. Objective: To know effectiveness of patient education with video to hemodialysis patient knowledge about physical activity exercise. Methods: This study used quasi experimental method with one-group design pre-post test design. Results: This research is a non parametric statistic test with Wilcoxon test method and got the result of 0.000 (p<0,05). Conclusions: Video education can improve the knowledge of patients with chronic renal failure who run hemodialysis. Keywords: Chronic Kidney Disease (CKD), hemodialysis, Physical Exercise, Video Education.

scholarly journals Health Education Through a Campaign and mHealth to Enhance Knowledge and Quality of Life Among Patients With Chronic Kidney Disease in Bangladesh: Protocol for a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Mohammad Habibur Rahman Sarker ◽  
Michiko Moriyama ◽  
Harun Ur Rashid ◽  
Md Moshiur Rahman ◽  
Mohammod Jobayer Chisti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Randomized Controlled Trial ◽  
Kidney Disease ◽  
Health Education ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled

BACKGROUND Despite the growing burden of chronic kidney disease (CKD), disease knowledge and understanding are still lacking, especially in Bangladesh. OBJECTIVE The aim of this study was to evaluate the outcome of a health education intervention in order to enhance knowledge, health-related quality of life (QOL), and motivation regarding healthy lifestyles among rural and periurban adults suffering from CKD. METHODS A parallel-group (1:1) randomized controlled trial is ongoing in the Mirzapur subdistrict, Bangladesh, where two groups of patients with CKD are being compared. Patients aged 18 years and over with CKD (stages 1-3) were enrolled in November 2020. Patients were randomly allocated into either the intervention group (n=63) or the control group (n=63). The control group received usual treatment, while the intervention group received health education through a CKD campaign facilitated by a nephrologist and via mHealth (ie, periodic mobile phone calls) from community health workers. Both groups were followed up for a period of 6 months. The primary endpoint is patients’ increased knowledge measured using the Chronic Kidney Disease Knowledge Questionnaire. The secondary endpoints are improved QOL measured using the standardized EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire as well as improvements in the levels of blood pressure, BMI, serum creatinine, fasting blood sugar, hemoglobin, cholesterol, high-density lipoprotein cholesterol, triglyceride, serum uric acid, blood urea nitrogen, and albumin to creatinine ratio. RESULTS Enrollment of participants began in November 2020; the intervention and follow-up were completed in May 2021. We enrolled 126 patients in the study. Patients’ mean ages were 57.97 (SD 15.03) years in the control group and 57.32 (SD 14.37) years in the intervention group. There were 45 out of 63 (71%) females in the control group and 38 out of 63 (60%) females in the intervention group. In addition, there were 38 out of 63 (60%) literate patients in the control group and 33 out of 63 (52%) literate patients in the intervention group. CONCLUSIONS It is expected that a combined approach, incorporating both a CKD campaign and mHealth, for health education may be an effective tool for increasing knowledge and improving QOL among patients with CKD. CLINICALTRIAL ClinicalTrials.gov NCT04094831; https://clinicaltrials.gov/ct2/show/NCT04094831 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/30191

The effects of an olive-oil massage on hemodialysis patients suffering from fatigue at a hemodialysis unit in southern India – a randomized controlled trial

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Eilean Rathinasamy Lazarus ◽  
Anandhi Deva Amirtharaj ◽  
Devakirubai Jacob ◽  
Ramesh Chandrababu ◽  
Chandrani Isac
Keyword(s):  
Olive Oil ◽  
Controlled Trial ◽  
Intervention Group ◽  
Massage Therapy ◽  
Southern India ◽  
Control Group ◽  
Study Group ◽  
Fatigue Score ◽  
Hemodialysis Unit ◽  
Severe Fatigue

Abstract Objectives To determine the effects that an olive oil massage has on fatigue among patients undergoing hemodialysis, and the associated sociodemographic factors that can reduce fatigue. Methods The study used true experimental pre- and post-test research design. A total of 200 patients were recruited in a selected hemodialysis unit in southern India and were allocated to either a study or control group by randomization, with 100 patients in each group. All the patients in the intervention group were given a lower back and lower leg massage using olive oil at the beginning, and after every hour, of their hemodialysis using olive oil for a period of eight weeks. In contrast, the control group continues to receive routine care. The level of fatigue was measured using the Fatigue Severity Scale both before and after massage therapy. Results Between 73 and 80% of patients were suffering from severe fatigue and the mean fatigue score was 5.53 (SD 1.82) and 5.56 (SD 1.57) for the study and control group, respectively. After eight weeks of massage therapy, the results showed that 53% of patients in the study group showed borderline fatigue, with a mean score of 4.39 (SD 2.37), whereas in the control group 73% patients showed severe fatigue, with a mean score of 5.17 (SD 2.00). The independent t-test between the study and the control group showed a statistically significant reduction in fatigue in the study group with a mean difference (MD) of 3.56 (t=−1.24; p=0.000). There were also statistically significant changes noted in gender and in the duration of the hemodialysis (χ 2 = 6.043; p=0.049) and (χ 2 = 6.611; p=0.046) respectively. Conclusion The study concluded that patients undergoing hemodialysis experienced moderate to severe levels of fatigue. In patients with no or mild anemia, massage has been shown to decrease fatigue and increase energy levels among patients undergoing hemodialysis for chronic kidney disease.

scholarly journals Perubahan tingkat fatigue melalui latihan Progressive Muscle Relaxation (PMR) pada pasien Gagal Ginjal Kronis yang menjalani hemodialisa

2019 ◽  
Author(s):  
Santi Herlina
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Muscle Relaxation ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Before And After

Fatigue is a major complaint of patients undergoing long-term hemodialysis, which has a high value, so it will affect the quality of life of patients. The purpose of this study was to determine the influence of PMR on the level of fatigue in patients with chronic kidney disease undergoing hemodialysis. This study used a quasi experiment design approach pretest-posttest control group. The number of respondents in the study were 32 patients divided into 2 groups: the 16 intervention group and 16 control group. The research concludes that there are significant differences on the level of fatigue in the intervention group between before and after PMR with p = 0.000. Suggested training PMR can be used as an independent nursing intervention in reducing fatigue in patients with chronic kidney disease undergoing hemodialysis.

scholarly journals Effects of Benson’s Relaxation Technique on Nausea in Patients with Chronic Kidney Disease Undergoing Hemodialysis

2019 ◽  
Author(s):  
Chandra Bagus Ropyanto ◽  
Sumarsih . ◽  
Niken Safitri Dyan Kusumaningrum ◽  
Wahyu Hidayati
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Intervention Group ◽  
Complementary Therapy ◽  
Mean Value ◽  
Pharmacological Therapy ◽  
Relaxation Technique ◽  
Control Group ◽  
P Value ◽  
The Brain

Background: Nausea is a common complaint of patients with chronic kidney disease due to an accumulation of urea. Hemodialysis therapy has some side effects that play a role in increasing nausea. The use of pharmacological treatment to deal with nausea may bring a risk of aggravating the work of the kidneys, and thus its administration should be limited. Benson relaxation is a complementary therapy which reduces nausea by increasing the relaxation response that affects the nausea center in the brain. Objectives: This study aims to determine the effects of Benson relaxation technique on decreasing nausea. Methods: This study used a pre-posttest quasiexperimental research design with a control group. The samples were 30 patients recruited using consecutive sampling and were divided into the intervention group (n=15)andthecontrolgroup(n=15).Nauseawasmeasuredusinganumericratingscale. Theresultsshowedthattherewasadecreaseinthemeanofnauseaintheintervention group from 7.13 to 2.26, with p-value = 0.001. The mean value slightly decreased in the control group from 7.20 to 6.40, with p-value = 0.001. Conclusions: Benson relaxation affected the decrease of nausea in patients undergoing hemodialysis. Based on the results of this study, it is expected that nurses apply Benson relaxation technique as a non-pharmacological therapy to decrease nausea in hemodialysis patients.

scholarly journals Health Education Through a Campaign and mHealth to Enhance Knowledge and Quality of Life Among Patients With Chronic Kidney Disease in Bangladesh: Protocol for a Randomized Controlled Trial

10.2196/30191 ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. e30191
Author(s):  
Mohammad Habibur Rahman Sarker ◽  
Michiko Moriyama ◽  
Harun Ur Rashid ◽  
Md Moshiur Rahman ◽  
Mohammod Jobayer Chisti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Randomized Controlled Trial ◽  
Kidney Disease ◽  
Health Education ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled

Background Despite the growing burden of chronic kidney disease (CKD), disease knowledge and understanding are still lacking, especially in Bangladesh. Objective The aim of this study was to evaluate the outcome of a health education intervention in order to enhance knowledge, health-related quality of life (QOL), and motivation regarding healthy lifestyles among rural and periurban adults suffering from CKD. Methods A parallel-group (1:1) randomized controlled trial is ongoing in the Mirzapur subdistrict, Bangladesh, where two groups of patients with CKD are being compared. Patients aged 18 years and over with CKD (stages 1-3) were enrolled in November 2020. Patients were randomly allocated into either the intervention group (n=63) or the control group (n=63). The control group received usual treatment, while the intervention group received health education through a CKD campaign facilitated by a nephrologist and via mHealth (ie, periodic mobile phone calls) from community health workers. Both groups were followed up for a period of 6 months. The primary endpoint is patients’ increased knowledge measured using the Chronic Kidney Disease Knowledge Questionnaire. The secondary endpoints are improved QOL measured using the standardized EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire as well as improvements in the levels of blood pressure, BMI, serum creatinine, fasting blood sugar, hemoglobin, cholesterol, high-density lipoprotein cholesterol, triglyceride, serum uric acid, blood urea nitrogen, and albumin to creatinine ratio. Results Enrollment of participants began in November 2020; the intervention and follow-up were completed in May 2021. We enrolled 126 patients in the study. Patients’ mean ages were 57.97 (SD 15.03) years in the control group and 57.32 (SD 14.37) years in the intervention group. There were 45 out of 63 (71%) females in the control group and 38 out of 63 (60%) females in the intervention group. In addition, there were 38 out of 63 (60%) literate patients in the control group and 33 out of 63 (52%) literate patients in the intervention group. Conclusions It is expected that a combined approach, incorporating both a CKD campaign and mHealth, for health education may be an effective tool for increasing knowledge and improving QOL among patients with CKD. Trial Registration ClinicalTrials.gov NCT04094831; https://clinicaltrials.gov/ct2/show/NCT04094831 International Registered Report Identifier (IRRID) DERR1-10.2196/30191

scholarly journals The Effectiveness of Murottal Al-Qur’an Therapy by Surah Ar-Rahman toward Anxiety of Crhonic Kidney Disease (CKD) which is being Hemodialysis at Gambiran Hospital Kediri

2019 ◽  
Vol 8 (2) ◽  
pp. 129-135
Author(s):  
Byba Melda Suhita ◽  
Dini Yulianita Arini
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Irreversible Damage ◽  
Paired Sample ◽  
A Value ◽  
Quasi Experimental

ABSTRACT Chronic kidney disease is a decrease in the function of kidney which is caused by a process of irreversible damage, thus requiring hemodialysis therapy as a replacement therapy for the function of kidney. Hemodialysis patients often experience psychosocial problem. It is an anxiety. This research aims to analyze the effectiveness of Murottal Al-Qur’an therapy by surah Ar-Rahman toward anxiety of Chronic Kidney Disease (CKD) which is being hemodialysis. The research was conducted at Gambiran Hospital Kediri. The research used Quasi Experimental with a control group pretest-posttest design approach with samples using simple random sampling of 58 respondents. Paired sample t-test was used to analyze the data by a value of α = 0.05. 

scholarly journals THE EFFECTIVENESS OF BENSON’S RELAXATION THERAPY TO DECREASE THE LEVEL OF INSOMNIA ON CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS

2016 ◽  
Vol 1 (1) ◽  
pp. 61
Author(s):  
Dwi Retno Sulistyaningsih ◽  
Erna Melastuti
Keyword(s):  
Chronic Kidney Disease ◽  
Treatment Group ◽  
Kidney Disease ◽  
Sleep Disorder ◽  
Severity Index ◽  
Routine Care ◽  
Control Group ◽  
Relaxation Techniques ◽  
Before And After ◽  
Quasi Experimental

AbstractAlmost 50 – 80 % patients with chronic kidney disease undergoing hemodialysis were reported to sleep disorder.  Insomnia is the highest prevalence  sleep disorder in the dialysis patients. This study aims to determine the effectiveness of Benson’s relaxation of the level of patients’ insomnia with chronic kidney disease in dyalisis patients. The design of this study is quasi-experimental with pretest-posttest design with control group. Fourty-two hemodyalisis patiens were recruited purposively from the hemodyalisis Islamic Hospital, Sultan Agung , Semarang. The sample was divided into two groups (treatment and control). Patients in the treatment group received Benson’s relaxation techniques during hemodialysis for 4 weeks and the control group received routine care. The insomnia severity index was used to measure  insomnia level. The result showed that there was significantly different score of insomnia level before and after relaxation Benson in the treatment group (p = 0.000). This study found that relaxation Benson seemed to be effective in decreasing the level of insomnia on chronic kidney disease patients undergoing hemodyalisis. Key words: Benson relaxation, insomnia, hemodialysis, chronic kidney disease

PENGARUH EDUKASI VIDEO LATIHAN FISIK TERHADAP PENGETAHUAN PASIEN YANG MENJALANI HEMODIALISIS DI RS PKU MUHAMMADIYAH YOGYAKARTA

2018 ◽  
Vol 7 (2) ◽  
pp. 161-168
Author(s):  
Ambar Relawati
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Physical Exercise ◽  
Muscle Weakness ◽  
Test Method ◽  
Wilcoxon Test ◽  
Electrolyte Balance ◽  
Muscle Strengthening ◽  
Quasi Experimental ◽  
Video Education

Background: Chronic Kidney Disease (CKD) is a progressive and irreversible kidney damage or dysfunction caused by the body's failure to maintain metabolism, fluid and electrolyte balance. Most of the CKD in Indonesia is diagnosed an advanced and late stage, so dialysis is necessary to solve this problem. The most common complaints of hemodialysis patients are muscle weakness. Patients with muscle weakness are due to reduced activity, muscle atrophy, muscle myopathy, neuropathy or a combination of them. One way that can be done as muscle strengthening to support and protect the internal organs and tissues is to do physical exercise. Physical exercises include flexibility exercises, strengthening exercises, and cardiovascular exercises. The exercise was done by giving video education to the patient for 60-90 minutes and 2 sets at the time of hemodialysis. Video is one of the educational media so that patients easily understand and imitate the steps of physical exercise. Objective: To know effectiveness of patient education with video to hemodialysis patient knowledge about physical activity exercise. Methods: This study used quasi experimental method with one-group design pre-post test design. Results: This research is a non parametric statistic test with Wilcoxon test method and got the result of 0.000 (p<0,05). Conclusions: Video education can improve the knowledge of patients with chronic renal failure who run hemodialysis.   Keywords: Chronic Kidney Disease (CKD), hemodialysis, Physical Exercise, Video Education.

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