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

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.

2019 ◽  
Vol 7 (2) ◽  
pp. 161-168
Author(s):  
Ambar Relawati ◽  
Isnina Noor Sakinah ◽  
Rahmawati Dian Nurani

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.


2021 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Nugroho Lazuardi

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.


2018 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Systriana Esi Kamasita ◽  
Suryono Suryono ◽  
Yudha Nurdian ◽  
Yuli Hermansyah ◽  
Edy Junaidi ◽  
...  

Chronic kidney disease (CKD) stage V attacks other organs such as heart that can cause cardiovascular disease (CVD). One of them is CVD caused by CKD stage V that is the kinetic segment of left ventricle. Cardiovascular disease occurs due to excess fluid and buildup of uremic toxin. Chronic kidney disease stage V can not be cured so it requires therapy that is hemodialysis (HD). Hemodialysis can reduce excess fluid, uremic toxin, and maintain electrolyte balance in stage V stage. Improved fluid and decreased uremic toxin can reduce the burden of the heart and strain so that blood supply to certain myocardial areas increases and the left ventricular kinetic segment increases. The purpose of this study is to determine the effect of HD on left ventricular kinetic changes in CKD stage V patients in dr. Soebandi hospital in Jember. The research design used was quasi-experimental one group pretest-postest design. The sample was 30 patients. Respondents were determined by nonprobability sampling technique with purposive sampling method. The data used are primary data and secondary data. Data analysis using Wilcoxon test. Based on the results of the study, the distribution of the sample based on the age of the most in the range of 45-54 years, based on the sex obtained more women, based on the duration of hemodialysis obtained the period of most hemodialysis> 24 months and based on blood pressure before and after hemodialysis obtained patients with hypertension. Hypothesis test using Wilcoxon test got p-value (0.000). From the results of the analysis can be concluded that there is influence of hemodialysis on kinetic segment of left ventricle in patient of CKD stage V in dr. Soebandi hospital in Jember.   


Author(s):  
Víctor Martínez-Majolero ◽  
Belén Urosa ◽  
Sonsoles Hernández-Sánchez

There is evidence on the need to include physical exercise as a treatment for diseases. A large number of professionals are involved in this, but it is not known how physical exercise is prescribed and which professionals are involved. This research has two objectives: (a) to find out the current practices in Spain regarding the prescription of physical exercise in patients with Chronic Kidney Disease (CKD) and (b) to analyse the perception that different health and physical activity professionals have of their knowledge to prescribe of physical exercise in the treatment of CKD. This is an empirical research with an ex post facto retrospective analysis of the information in a descriptive and correlational way. A total of 692 health and sports professionals participated. A questionnaire validated by a committee of experts was administered. Descriptive analyses were carried out and the differences in the study variables were analysed using Chi-square tests and one-factor Analysis of Variance. From the results obtained, we conclude there is a need to develop specific training programmes in the field of physical exercise for health professionals, as well as the establishment of multiprofessional teams for the prescription of physical exercise in CKD treatment, including physical exercise professionals (Cafyde).


2020 ◽  
Vol 1 ◽  
pp. 20-23
Author(s):  
Ria Kustiani ◽  
Umi Solikhah

Hand washing compliance is still relatively low. Efforts are needed to improve the quality of health and welfare, one of which is through education on the habit of hand washing with soap (HWWS). The objective of the study was to investigate the effect of play therapy using quartet media on knowledge, attitudes and practices of hand washing in school-aged children aged 9-12 years. This study employed a quasi-experimental one group pre-test-post-test method conducted at Banyumas Hospital. The sampling technique used was simple random sampling with a sample of 55 respondents. The research instruments occupied were a knowledge questionnaire, an attitude questionnaire, and an observation sheet for the practice of washing hands with soap. Data were analysed using the Wilcoxon test. The results revealed that knowledge, attitudes, and practices of washing hands with soap increased after being given play therapy using a quartet. The Wilcoxon test result obtained was a significance value (p) on the effect of playing therapy using quartet media, namely knowledge p = 0.000, attitude p = 0.000, and practice p = 0.000. Play therapy using quartet media has a significant influence on knowledge, attitudes, and practices of washing hands with soap.


2019 ◽  
Vol 5 (3) ◽  
pp. 148
Author(s):  
Yuli Hermansyah ◽  
Dinda Ayu Wanodya Supriatiningsih ◽  
Bagus Hermansyah

Stage 5 chronic kidney disease (CKD) is a condition where the renal function decrease, marked by the GFR value < 15/ml/minute/1,73 m2 with or without kidney damage history for 3 months or more that needs kidney replacement therapy, including hemodialysis. In Indonesia, hemodialysis was chosen for 82% from all the cases that needs kidney replacement therapy. However, the cost for hemodialysis therapy is considered as too expensive and burdens The National Health Insurance, Badan Penyelenggara Jaminan Sosial (BPJS), allowing the reuse of hemodialyzer as an alternative for cost-effectiveness. Re-use hemodialyzer is a term for using the same hemodialyzer for the same patient but on different therapy session. The main purpose of this research is to investigate the difference of Potassium level in stage 5 chronic kidney disease patients whose using new and re-use hemodialyzer in RSD dr. Soebandi Jember. This research used quasi experimental design by using blood sample that will be measured for the potassium level after using new hemodialyzer and re-use hemodialyzer for the 4th time in Hemodialysis Installation of RSD dr. Soebandi Jember on December 2018. Total sample of 19 patients chosen using inclusion and exclusion criteria. Collected data were analyzed using paired t-test. The result of statistical test shows that there is no significance potassium level difference in stage 5 chronic kidney disease whose using new and re-use hemodialyzer for the 4th time (p=0,094). The effectivity of hemodialyzer that still has a good condition and hemodialysis therapy that has been done in accordance with the procedure until the 4th reuse is the main factor of this result.   Keywords: CKD, potassium, re-use hemodialyzer


2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii15-iii15 ◽  
Author(s):  
Kirsten Anding ◽  
Thomas Bär ◽  
Joanna Trojniak-Hennig ◽  
Simone Kuchinke ◽  
Rolfdieter Krause ◽  
...  

2014 ◽  
Vol 39 (2-3) ◽  
pp. 164-168 ◽  
Author(s):  
Antonio Greco ◽  
Giulia Paroni ◽  
Davide Seripa ◽  
Filomena Addante ◽  
Mariangela P. Dagostino ◽  
...  

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 252
Author(s):  
Gabriel Wanda Sinawang ◽  
Rohmatul Faizah ◽  
Mohamad Roni Alfaqih ◽  
Andrik Hermanto

Introduction: Uremic pruritus is an unpleasant sensation that has been recognized as a frequent complication in patients with chronic kidney disease. This study was undertaken to determine the effect of topical applications for reducing pruritus.Methods: A systematic review was conducted by searching Science Direct, Scopus and Google Scholar to create an integrative 12 articles review focusing on a 10 year period from 2009 to 2018. The language used was English and the studies focused on pruritus, itching, hydration, chronic kidney disease and where the patient did not undergo a kidney transplant. The articles in this systematic review were experimental studies (pre-experimental, true experimental and quasi-experimental).Results: Most of the findings of the studies showed that a topical application for reducing uremic pruritus (clove oil, almond oil, cromolyn sodium 4%, baby oil, sweet almond oil, vinegar and avenasativa, glycerol and paraffin, sericin cream and chia seed oil) can be used as an adjuvant moisturizing agents for pruritis.Conclusion: Topical applications have a positive effect on itching and decreased pruritus. Topical applications are simple, safe, inexpensive and easily applied, so it can be used on many people.


2021 ◽  
Vol 8 (1) ◽  
pp. 146-151
Author(s):  
Virania Arvianti ◽  
◽  
Septian Septian ◽  
Aturut Yansen ◽  
◽  
...  

IntroductionAnemia is the most common occurrence in chronic kidney disease undergoing hemodialysis therapy. In the condition of chronic kidney disease, the decline in kidney function can occur slowly and chronically until the kidneys do not function at all. Hemodialysis is one of the therapies used to replaced kidney function. During hemodialysis, a decrease in hemoglobin levels often occurs, this is due to the disruption of the hormon erythropoietin. Objective:determine the differences in hemoglobin levels in patients with chronic kidney disease before and after hemodialysis at Bhayangkara TK. I Raden Said SukantoHospital. Method: The design of this research is cross sectional using secondary data and the sampling technique of this research was random sampling with a total of 133 patients. Result: The normality test was carried out first using the Kolmogorov-Smirnova test which showed the results were not normally distributed with a sig value of 0.001. the next test was the Wilcoxon test with a sig (2-tailed_ value of 0.002 with an average hemoglobin level of 8,81 g/dL before hemodialysis and 9,09 g/dL after hemodialysis. Conclusion:Based on the results of the study means that there is a significant difference in a patient with chronic kidney failure before and after hemodialysis.


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