KONSEP DIRI PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 9 (1) ◽  
pp. 7-11
Author(s):  
Abdul Wakhid ◽  
Gipta Galih Widodo

Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan pasien sering kali mengalami gangguan konsep diri serta gangguan citra tubuh karena kesulitan menerima perubahan yang terjadi akibat gagal ginjal yang dialaminya sehinggamengakibatkan pasien mengalami depresi. Desain penelitian yaitu deskriptif dengan pendekatansurvei. Populasi penelitian 85 pasien gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota samplingsehinggajumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis.Pengumpulan data menggunakan kuesioner tingkat depresi dan kuesioner konsep diri. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisismemiliki konsep diri yang negatifsejumlah 52 orang (61,2%), sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisis mengalami depresi ringan sejumlah 41 orang (48,2%). Ada hubungan secara signifikan antara konsep diri terhadap tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis dengan nilai p-value 0,000 < α (0,05). Saran bagi rumah sakit, untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis.   Kata kunci : Konsep diri, gagal ginjal kronik, hemodialisis   SELF-CONCEPT OF PATIENTS WITH CHRONIC RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Patients under going hemodialysis are mostly dependent on hemodialysis machines which result in changes such as financial problems, difficulty maintaining work, sex drive that disappears, impotence, and patients often experience self-concept disorder sand body image disturbances dueto difficulties receiving changes that occur dueto failure the kidneys they experiences that the patient experiences depression. The research design is descriptive with a survey approach. The study population was 85 patients with chronic renal failure who under went hemodialysis. The sampling techniqueuse squota sampling so that the number of study samples is 85 patients with chronic renal failur eunder going hemodialysis. Data collection using depression level questionnaire sand self-concept questionnaires. The results showed that most patients with chronic kidney failure who under went hemodialysis had a negative self-conceptof 52 people (61.2%), the majority of patients with chronic renal failure who under went mild depression experienced 41 people (48.2%). There is a significant relationship between self-concept and depression level of patients with chronic renal failure under going hemodialysis with a p-value of 0,000 <α (0,05). Advice for hospitals, to provide holistic nursing services for patients with chronic kidney failure who are under going hemodialysis.   Keywords: Self-concept, chronic kidney failure, hemodialysis

2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Abdul Wakhid ◽  
Kamsidi Kamsidi ◽  
Gipta Galih Widodo

Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan berisikomengalami depresi.Tujuan penelitian ini untuk mengetahui gambaran tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Kabupaten Semarang. Desain penelitian yaitu deskriptif korelatif dengan pendekatansurvei. Populasi penelitian 85 pasien yang menderita gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota sampling sehingga jumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis. Pengumpulan data menggunakan kuesioner tingkat depresi. Analisis data menggunakananalisisunivariat. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisisdepresi ringan sejumlah 41 orang (48,2%). Saran bagi RSUD Kabupaten Semarang untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis. Kata kunci: Tingkat depresi, gagal ginjal kronik, hemodialisis DESCRIBE DEPRESSION LEVEL OF CHRONIC KIDNEY FAILURE UNDERGOING HEMODIALYSIS ABSTRACTThis research is motivated patients under going hemodialysis are largely dependent on hemodialysis machines resulting in changes such as financial problems, difficulty in keeping jobs, disappearing exualurges, impotence, and patient softenex perience self – conceptual disturbances as well as body image disturb ancesdue to the difficulty of accepting changes that result from failure kidney that  experienced resulting in depressed patients. The research aim is to describe depression level of chronic kidney failure under going hemodialysis ar Semarang Regency hospital. This research used descriptive correlative method with cross sectional approach. Population in this research were 85% of patients with chronic renal failure who under went hemodialysis at RSUD Semarang Regency. Sampling technique used sample quota. Data collection questionnaires used depressi on level sand self concept questionnaires. Analysis univariat was used in this analysis. The results of the study show that most patients with chronic renal failure under going hemodialysis experience mild depression as many as 41 people (48.2%). Suggestions to the hospital toteach patients to always optimistic to try new things, courageous, confident, enthusiastic, feeling self worth, dareto set a goal to live, behave and positively, and can be a reliable leader. Keyword: Depression level, chronic kidney disease, hemodialysis 


2020 ◽  
Vol 7 (2) ◽  
pp. 27-31
Author(s):  
Bambang Adi Purnomo ◽  
Yani Kamasturyani ◽  
Cecep Wahyudin

Chronic renal failure is a disease that results in a progressive and gradual decline in renal function that requires hemodialysis therapy. In Indonesia, there were 198,575 patients chronic kidney failure in 2018. The number of undergoing hemodialysis therapy is 132,142 patients. The hemodialysis routine causes tension, anxiety, stress and depression in patient. The purpose of this study was to determine the relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy ant Waled Hospital. The method of this research was descriptive correlational with a cross sectional approach. This research used purposive sampling technique amounted to 79 respondents. The instrument of this research was a questionnaire Jaloweic Coping Scale (JCS) and stress adaptation questionnaire. Data analysis used the spearman rank test. Place of research at Waled Hospital, Cirebon Regency during July 2020.  The result showed that most respondents had an adaptive category as many as 55 adaptation showed the results of most respondents had an adaptive category as many as 55 respondents with a percentage (69.6%). The spearman rank test showed p value <α and r<1, which means that there was a moderate an positive relationship between coping mechanisms and stress adaptation (p value=0,000 < α=0.05 and r=0.593). The is a relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy. The better coping mechanism is carries out, the adaptive stress that arises will be adaptive so that the patient can adjust and be able to cope with the stress he is experiencing.


2021 ◽  
Vol 7 (3) ◽  
pp. 489-494
Author(s):  
Siska Monika Faridz ◽  
Syuhada Syuhada ◽  
Akhmad Kheru

Background Chronic kidney disease was one of the 18 causes of death in 2010. Anemia is a complication of CKD that often occurs even earlier than other complications. Renal dysfunction results in reduced creatinine filtration ability and an increase in serum creatinine.Purpose of this study was to determine the correlation between hemoglobin levels and glomerular filtration rate in patients with stage 3 and 4 chronic kidney failure at Abdul Moeloek Hospital in Bandar Lampung in 2020.Methods  This type of research is quantitative with retrospective analytical methods. The research was conducted at the Medical Records section of the Abdul Moeloek Hospital Bandar Lampung from December 2020 to completion. The number of samples as many as 36 people using the person correlation statistical test. Result Based on the results of the Pearson correlation analysis between hemoglobin levels and glomerular filtration rate in patients with stage 3 and 4 chronic kidney failure at Abdul Moeloek Hospital, Bandar Lampung, 2020 shows a relationship with r (correlation coefficient) of, 688. This data shows that there is a positive relationship between hemoglobin levels and glomerular filtration rate in patients with stage 3 and 4 chronic renal failure at Abdul Moeloek Hospital, Bandar Lampung in 2020, the relationship is categorized as a strong relationship (0.61-0.80). . The P-value = 0,000 indicates a significant relationship between hemoglobin levels and glomerular filtration rate in patients with stage 3 and 4 chronic renal failure at Abdul Moeloek Hospital Bandar Lampung in 2020. Conclusion There is a correlation between hemoglobin levels and glomerular filtration rate in patients with stage chronic renal failure. 3 and 4 at Abdul Moeloek Hospital in Bandar Lampung in 2020Suggestions for the Community The community is expected to seek information regarding the prevention of kidney failure and then start living a healthy lifestyle to avoid kidney failure. For patients with kidney failure, they should regularly check themselves to the nearest health facility and check creatinine and hemoglobin levels. Keywords: Chronic renal failure, Creatinine, Hemoglobin, Glumerular Filtration Rate ABSTRAK Latar Belakang Penyakit ginjal kronik salah satu penyebab kematian ke-18 pada tahun 2010. Anemia merupakan salah satu komplikasi PGK yang sering terjadi bahkan terjadi lebih awal dari komplikasi lainnya. Disfungsi ginjal mengakibatkan kemampuan filtrasi kreatinin akan berkurang dan akan terjadi peningkatan pada kreatinin serum.Tujuan penelitian ini untuk mengetahui korelasi antara kadar hemoglobin dengan laju filtrasi glomerulus pada pasien gagal ginjal kronik stadium 3 dan 4 di Rumah Sakit Abdul Moeloek Bandar Lampung Tahun 2020.Metode Jenis penelitian ini adalah kuantitatif dengan metode analitik retrospektif. Penelitian dilakukan di bagian Rekam Medik Rumah Sakit Abdul Moeloek Bandar Lampung pada bulan Desember 2020 hingga selesai. jumlah sampel sebanyak 36 orang menggunakan uji statistic korelasi person. Berdasarkan hasil analisi korelasi Pearson antara kadar hemoglobin dengan laju filtrasi glomerulus pada pasien gagal ginjal kronik stadium 3 dan 4 di Rumah Sakit Abdul Moeloek Bandar Lampung Tahun 2020 menunjukan adanya hubungan dengan r (koefisien korelasi) sebesar ,688.Hasil Data ini menunjukan bahwa terdapat hubungan positif antara kadar hemoglobin dengan laju filtrasi glomerulus pada pasien gagal ginjal kronik stadium 3 dan 4 di Rumah Sakit Abdul Moeloek Bandar Lampung Tahun 2020 hubunganya dikategorikan sebagai hubungan yang kuat (strong) (0,61-0,80). Nilai P-value = 0,000 menunjukan hubungan signifikan antara kadar hemoglobin dengan laju filtrasi glomerulus pada pasien gagal ginjal kronik stadium 3 dan 4 di Rumah Sakit Abdul Moeloek Bandar Lampung Tahun 2020.Kesimpulan Terdapat korelasi antara kadar hemoglobin dengan laju filtrasi glomerulus pada pasien gagal ginjal kronik stadium 3 dan 4 di Rumah Sakit Abdul Moeloek Bandar Lampung Tahun 2020.Saran Bagi Masyarakat Masyarakat diharapkan mencari informasi terkait penegahan penyakit gagal ginjal kemudian mulai menjalani gaya hidup sehat agar terhindar dari penyakit gagal ginjal. Bagi penderita gagal ginjal agar rutin memeriksanakn diri ke fasilitas kesehatan terdekat dan memeriksakan kadar kreatinin serta hemoglobin. Kata Kunci : Gagal ginjal kronik, Kreatinin, Hemoglobin, Laju Filtrasi Glumerulus


2021 ◽  
Vol 5 (1) ◽  
pp. 348-353
Author(s):  
Tata Mahyuvi ◽  
Siti Nur Hasina

Background: Failure of kidney function can lead to complications of other health problems, one of which is the condition of excess fluid volume caused by non-compliance with fluid dietary restrictions so that it triggers hypervolemia and results in excessive circulation burden, edema, cardiovascular disorders, impaired cognitive function and can lead to cause death. It is expected that patients with chronic renal failure undergoing hemodialysis therapy can comply with the prescribed fluid diet restrictions. Therefore, in increasing compliance, strong support is needed regarding the importance of fluid diet restriction management. Objective: The purpose of this study was to analyze the Effect of Family Support-Based Health Education on Fluid Diet Compliance in Chronic Kidney Failure Patients. Methods: The design of this study was a quasi-experimental with a pre and post design approach. The population of all patients with chronic kidney failure at Islamic Hospital Of Surabaya A. Yani was 82 patients. The sample size is 48 respondents. The sampling technique used simple random sampling. Patients are given family support-based health education in an effort to increase health knowledge in improving the health status of patients with chronic kidney failure with a family support approach to improve adherence to the fluid intake diet. The analysis used the Wilcoxon Signed Ranks test with p value < 0.05. Results: The results of this study indicate p = 0.000 which means that there is a significant effect of Fluid Diet Adherence before and after Family Support-Based Health Education. Conclusion: Family Support-Based Health Education is effective in improving Fluid Diet Adherence in patients with chronic renal failure and is highly recommended for patients undergoing hemodialysis therapy.


Author(s):  
Novi Oktaviana ◽  
Juwita Verawati ◽  
Donna Putra ◽  
Helpin Helpin ◽  
Onangego Onangego

Kidney failure is caused by decreased kidney function so that it cannot filter out the body's electrolytedischarge. The aim of the study was to find out whether there was a relationship between the frequency ofhemodialysis and the level of stress in patients with chronic kidney failure who underwent hemodialysis atRoyal Prima Medan Hospital in 2019. The research design used by the researcher was a cros sectionalmethod in which the dependent and independent variables were examined simultaneously. The resultsshowed that there was a significant relationship between the frequency of hemodialysis to stress levels inpatients with chronic renal failure, almost all respondents often underwent hemodialysis at Royal PrimaHospital in Medan, out of a total of 70 respondents, almost all respondents had moderate stress levels andthere was a significant relationship between HD frequency with stress levels in CRF patients in theHemodialysis installation with a p value of 0.002 <0.05. The results of this study are expected to be able toadd insight and knowledge about CRF, and are expected to continue this research in deeper contexts andbroader variables.


2019 ◽  
Vol 2 (2) ◽  
pp. 115
Author(s):  
Emiliana Tawuru May ◽  
Abdul Wakhid ◽  
Yunita Galih Yudanari

Pendidikan kesehatan pasien atau keluarga merupakan kegiatan dalam perencanaan pulang pasien yang ditujukan untuk meningkatkan pengetahuan keluarga dalam memberikan perawatan selanjutnya dirumah. Tujuan penelitian ini untuk mengetahui perbedaan pengetahuan sebelum dan sesudah pendidikan kesehatan tentang terapi diet cairan dan hemodialisis terhadap keluarga pasien gagal ginjal kronik yang menjalani hemodialisis. Desain penelitian ini pre-experimental designs dengan pendekatanOne-Group-Pretest-Posttest Design. Populasi penelitian ini yaitu pasien gagal ginjal kronik yang menjalani hemodialisis dengan sampel 15 orang diambil menggunakan metode purposive sampling. Alat pengambilan data menggunakan kuesioner. Analisis data menggunakan program komputer. Analisis bivariat menggunakan ujit-Test Dependent. Pengetahuan keluarga pasien gagal ginjal kronik yang menjalani hemodialisis sebelum diberikan pendidikan kesehatan tentang terapi diet cairan dan hemodialisis sebagian besar kategori kurang (53,4%), dan sesudah pendidikan kesehatan sebagian besar kategori baik (86,7%). Ada perbedaan yang bermakna pengetahuan tentang terapi diet cairan dan hemodialisis sebelum dan sesudah pendidikan kesehatan pada keluarga pasien gagal ginjal kronik yang menjalani hemodialisis, dengan p-value = 0,000< 0,05.Ada peningkatan pengetahuan sesudah pendidikan kesehatan tentang terapi diet cairan dan hemodialisis terhadap keluarga pasien gagal ginjal kronik yang menjalani hemodialisis. Keluarga pasien gagal ginjal kronik yang menjalani hemodialisis sebaiknya meningkatkan pengetahuan tentang terapi diet cairan dan hemodialisis dengan aktif menggali informasi dengan aktif berkonsultasi dengan tenaga kesehatan yang berkompeten. Kata kunci: Terapi diet cairan dan hemodialisis, pengetahuan keluarga,gagal ginjal kronik DIFFERENCES OF KNOWLEDGE BEFORE AND AFTER HEALTH EDUCATION ABOUT THERAPIDYET LIQUID AND HEMODIALYSIS OF FAMILY OF CHRONIC KIDNEY PATIENTS WHO HAVE DONE HEMODIALISIS ABSTRACTHealth education of patient or family is an activity in planning a patient's return aimed at increasing family knowledge in providing further care at home.Objective of this study was to determine the knowledge differences before and after health education about fluid diet therapy and haemodialysis on families with patients with chronic renal failure undergoing haemodialysis. The design of this study was pre-experimental designs by using the One-Group-Pretest-Posttest Design approach. The population of this study were chronic kidney failure patients who underwent haemodialysis with sample of 15 people taken by using a purposive sampling method. The data collection tool used a questionnaire. Data analysis used computer program. Bivariate analysis used the t-Test Dependent. The family knowledge of patients with chronic renal failure who underwent haemodialysis before being given health education about fluid diet therapy and haemodialysis is mostly in poor category (53.4%), and after health education is mostly in good category (86.7%). There is significant differences in knowledge about fluid diet therapy and haemodialysis before and after health education in families of patients with chronic renal failure undergoing haemodialysis, with p-value = 0.000 <0.05. There are increased knowledge after health education about dietary fluid therapy and haemodialysis on families of patients with chronic renal failure undergoing haemodialysis. Families of patients with chronic kidney failure who undergo haemodialysis should increase their knowledge of fluid diet therapy and haemodialysis by actively digging up information and consulting with competent health professionals. Keywords: Fluid diet therapy and haemodialysis, family knowledge, chronic kidney failure


2020 ◽  
Vol 10 (2) ◽  
pp. 80-88
Author(s):  
Sara Sara Tania Aprianty ◽  
Hani Siti Hanifatun Fajria

Chronic Renal Failure (CRF) is a disease that has occurred after various diseases that damage the kidney nephrons period up to the point the two are not capable of functioning regulatory and ekstetoriknya to maintain homeostasis. Number of patients with kidney failure in Indonesia is estimated to reach 300.000 people. As many as 12.804 patients with renal failure undergoing hemodialysis. To determine correlation family support patient compliance with chronic renal failure undergo hemodialysis therapy in RS PMI Bogor. This type of research is descriptive quantitative analytical research with cross sectional design. How sampling in this study with purposive sampling with a sample of 152 respondents. The instrument used is questionnaire while data analysis techniques using univariate and bivariate analysis using statistical test Chi-Square. Of the 152 respondents with a family to support as many as 139 respondents (91.4%), adherent patients as many as 128 respondents (84.2%) and family support with adherent patients as many as 121 respondents (79.6%). Statistical test results using Chi-square test p value value 0,007 (p <0.05) and the value of OR 5.762. The conclusion of this research that, There is a correlation between family support patient compliance with chronic renal failure through hemodialysis therapy in PMI Hospital Bogor, 2016. The researchers recommend that increased family support by distributing leaflets to the patients and families about the importance of family support for compliance patients undergo hemodialysis therapy.


2019 ◽  
Vol 1 (2) ◽  
pp. 77-80
Author(s):  
Juliana Ruminta Sijabat ◽  
Sartini Sartini ◽  
Abdul Karim

This study aims to determine the presence or absence of protein in urine in patients with chronic renal failure. From the results of the study it was found that patients with chronic kidney failure in Martha Friska Multatuli General Hospital Medan from the 80 most patients in positive +++. Many patients with chronic kidney failure are male patients (62.5%) compared to female patients (37.5%) and the results of the examination based on age increase with age, ie at the age of 45 years and above. This type of research is descriptive analytic. Data is taken by recording medical record data of patients with chronic kidney failure based on age, sex and year. The study was conducted from January 2015 to December 2016. The place for conducting the research was conducted at Martha Friska Multatuli General Hospital (RSU) Medan. The study sample was urine samples from all patients with chronic renal failure. It can be concluded that the picture of protein in urine in patients with chronic kidney failure increases every year.


2020 ◽  
Vol 7 (2) ◽  
pp. 19-26
Author(s):  
Sri Khoiriyah ◽  
Endah Sari Purbaningsih ◽  
Uni Wahyuni

Self efficacy is a belief held by patients with chronic kidney failure undergoing hemodialation. Compliance with hemodialysis is the behavior of patients in the form of adherence to undergo hemodialysis. Chronic kidney failure is a progressive and irreversible disruption of renal function in which the body's ability to fail to maintain metabolism and fluid and electrolyte balance, causes uremia (retention of urea and other nitrogenous wastes in the blood). This study aims to determine the relationship of self efficacy with adherence to undergo hemodialysis in patients with chronic kidney failure who undergo hemodialysis in Waled District Hospital Cirebon, 2020.  This research method uses descriptive correlational with cross sectional approach. The population was patients with chronic renal failure who underwent hemodialysis at Waled District Hospital Cirebon as many as 128 patients and the sampling technique using purposive sampling technique obtained 57 respondents. The instrument used in the form of a questionnaire sheet, and data analysis using the Spearman rank test, the significance value α = 0.05.  The results showed that self efficacy with a low category was (61.4%) and compliance underwent hemodialysis with an adherent category of (54.5%). There is a relationship between self-efficacy and compliance with hemodialysis in chronic renal failure patients undergoing hemodialysis at Waled Hospital, Cirebon Regency. Respondents with high self-efficacy have a high level of compliance with hemodialysis.


2020 ◽  
Vol 7 (1) ◽  
pp. 18
Author(s):  
Angga Satria Pratama ◽  
Andria Pragholapati ◽  
Ikhwan Nurrohman

Gagal ginjal kronik merupakan gangguan renal yang progresif dan irreversible dimana kemampuan tubuh gagal mempertahankan metabolisme dan keseimbangan dan elektrolit, pasien gagal ginjal kronik harus menjalani terapi hemodialisis secara terus menerus seumur hidup dan akan menimbulkan masalah fisik dan psikologis yaitu depresi, pasien harus memiliki upaya dalam menyelesaikan masalah yang dihadapinnya yang dikenal dengan mekanisme koping. Tujuan penelitian untuk mengetahui mekanisme koping pada pasien gagal ginjal kronik yang menjalani terapi hemodialisis di unit hemodialisa Rumah Sakit Umum Daerah Kota Bandung.Metode penelitian menggunakan deskriptif kuantitatif. Sampel dalam penelitian ini menggunakan total sampling yaitu sebanyak 51 responden pasien gagal ginjal kronik yang menjalani terapi hemodialisis.Hasil penelitian mekanisme koping lebih dari setengahnya adalah mekanisme koping adaptif sebanyak 38 orang (74.5%). Berdasarkan hasil penelitian Perawat di ruang hemodialisa diharapkan dapat meningkatkan asuhan keperawatan secara menyeluruh yang bukan hanya biologisnya saja tapi pada psikologis pasien gagal ginjal kronik juga, seperti memberikan konseling sehingga pasien mampu menggunakan mekanisme koping yang adaptif.Kata Kunci: gagal ginjal; hemodialisis; mekanisme koping MECHANISM OF COPING IN CHRONIC KIDNEY FAILURE IN HEMODIALYSIS PATIENTS AT REGIONAL PUBLIC HOSPITAL OF BANDUNG ABSTRACT Chronic renal failure is a progressive and irreversible renal disorder in which the body's ability to fail to maintain metabolism and balance and electrolytes, patients with chronic renal failure must undergo continuous hemodialysis therapy for life and it will cause physical and psychological problems namely depression, patients must have the effort to resolve the problem that is facing by knowing the coping mechanism. The purpose of this study was to determine the coping mechanism in chronic kidney failure patients undergoing hemodialysis therapy in the hemodialysis unit of Regional Public Hospital of Bandung City.The research method used quantitative descriptive. The sample in this study used a total sampling of 51 respondents from chronic kidney failure patients undergoing hemodialysis therapy.The results of research on coping mechanisms more than half are adaptive coping mechanisms as many as 38 people (74.5%). Based on the results of research Nurses in the hemodialysis room are expected to improve overall nursing care that is not only biologically but also psychologically in patients with chronic kidney failure, such as providing counseling so that patients are able to use adaptive coping mechanisms. Keywords: kidney failure; hemodialysis; coping mechanism


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