Ethnography on the Health Life of Hemodialysis Patients with Chronic Kidney Failure

Background : Hemodialysis is one of the therapies for Chronic Kidney Failure (CKD) patients. This process takes place on an ongoing basis which is closely related to the quality of life. Quality of life is strongly influenced by family support. One form of family support is emotional support which includes forms of affection, trust, attention, assistance during therapy. With this support, it affects patient compliance with therapy programs and medical treatment programs so that it will improve the patient's quality of life. Objective: To determine the relationship between family support and quality of life of hemodialysis patients. Based on journals that have been analyzed by researchers using a literature review research design or literature review study literature review Methods: search for this research article through four databases, namely Google Scholar, ProQuest, EBSCO, and PubMed using keywords and inclusion criteria, namely 21 journal using Indonesian and English, the type of article publication is full-text articles, original research articles, articles that have ISSN and DOI, the theme of the article is the relationship of family support with the quality of life of hemodialysis patients, in the 2016-2021 period with the literature review method. Results: The results of this study showed a significant relationship between family support and quality of life of hemodialysis patients with p-value=0,001 <a=0.05 with a positive correlation direction with low correlation strength. Conclusion: The higher the support from the family, the better the quality of life for chronic kidney failure patients undergoing hemodialysis.

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Pengaruh Breathing Exercise Terhadap Level Fatigue Pasien Hemodialisis

Malahayati Nursing Journal ◽

10.33024/manuju.v3i1.1636 ◽

2021 ◽

Vol 3 (1) ◽

pp. 72-81

Author(s):

Djunizar Djamaludin ◽

Rini Safriany ◽

Rika Yulenda Sari

Keyword(s):

Junior High School ◽

Kidney Failure ◽

Chronic Kidney Failure ◽

Nursing Intervention ◽

Hemodialysis Patients ◽

Pharmacological Therapy ◽

P Value ◽

Breathing Exercise ◽

Purposive Sampling ◽

Exercise Fatigue

ABSTRACT: THE EFFECT OF BREATHING EXERCISE ON FATIGUE LEVELS OF HEMODIALISTIC PATIENTS Introduction: Fatigue is one of the problems with a high prevalence among the effects of hemodialysis on patients with late stage kidney disease. Breathing exercise is a non-pharmacological therapy to deal with various complaints such as fatigue. Abdul Moloek Hospital in Lampung Province is one of the largest referral hospitals for hemodialysis therapy for patients with chronic kidney failure. The number of kidney failure patients in 2018 is 220 patients.Objective: the effect of Breathing Exercise on the Fatigue Level of Hemodialysis Patients in Dr. Hi Abdul Moeloek Hospital in Lampung Province in 2019.Method: Quantitative research type, using a quasi-experimental approach. The study population was patients with kidney failure who underwent hemodialysis in February 2019 at Dr Hi Abdul Moeloek Hospital in Lampung Province as many as 300 people. The sample uses a purposive sampling of 30 respondents. Data collection techniques was done by observation. The statistical test used is the dependent t test.Results: The frequency distribution of respondents aged ≥ 50 years was 22 (73.3%), male sex was 19 (63.3%) and had a junior high school education of 10 (33.3%). The average level of fatigue of hemodialysis patients before Breathing Exercise was 37.23, after Breathing Exercise was 33.1.Conclusion: There was the effect of breathing exercise on the level of fatigue of hemodialysis patients (p value 0,000). Breathingexercise is a nursing intervention that can be done to overcome weaknesses. Continuous exercise can improve health, so that the quality of life of hemodialysis patients will improve. Keywords: Breathing Exercise, Fatigue, Hemodialysis INTISARI : PENGARUH BREATHING EXERCISE TERHADAP LEVEL FATIGUE PASIEN HEMODIALISIS Pendahuluan: Fatigue atau kelelahan adalah salah satu masalah dengan prevalensi yang cukup tinggi diantara efek tindakan hemodialisis yang diterima pasien dengan penyakit ginjal tahap akhir. Breathing exercise adalah terapi nonfarmakologi untuk mengatasi berbagai keluhan seperti fatigue. RSUD Abdul Moloek provinsi lampung merupakan salah satu rumah sakit rujukan terbesar untuk melakukan terapi hemodialisis bagi pasien gagal ginjal kronis. Jumlah pasien gagal ginjal tahun 2018 sebanyak 220 pasien.Tujuan: diketahui pengaruh Breathing Exercise Terhadap Level Fatigue Pasien Hemodialisis Di RSUD Dr Hi Abdul Moeloek Provinsi Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif, menggunakan pendekatan quasi eksperimen. Populasi penelitian adalah penderita gagal ginjal yang menjalani hemodialisa pada bulan Februari 2019 sejumlah 300 orang. Sampel menggunkan purposive sampling sejumlah 30 responden. Tehnik pengumpulan data dilakukan dengan observasi. Uji statistik yang digunakan adalah uji t dependen. Hasil: distribusi frekuensi responden berusia ≥ 50 tahun (73,3%), berjenis kelamin laki-laki (63,3%) dan berpendidikan akhir SMP (33,3%). Rata-rata Level Fatigue sebelum diberikan Breathing Exercise adalah 37.23. Sesudah diberikan Breathing Exercise adalah 33.1.Kesimpulan: Ada pengaruh breathing exercise terhadap level fatigue pasien hemodialisis (p value 0,000). Breathingexercise merupakan intervensi keperawatan yang dapat dilakukan untuk mengatasi kelemahan. Latihan yang kontinyu dapat meningkatkan kesehatan, sehingga kualitas hidup pasien hemodialisis akan meningkat. Kata Kunci : Breathing Exercise, Fatigue, Hemodialisis

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Incidence And Characteristics Intradialytic Hypertension Among Chronic Hemodialysis Patients Caused By Chronic Kidney Failure At Rsmh Palembang Period November 2018

Majalah Kedokteran Sriwijaya ◽

10.32539/mks.v51i1.8556 ◽

2019 ◽

Vol 51 (1) ◽

pp. 39-46

Author(s):

Ghina Kartika ◽

Suprapti Suprapti ◽

Irfannuddin Irfannuddin

Keyword(s):

Kidney Failure ◽

Kidney Diseases ◽

Blood Pressure Measurement ◽

Descriptive Analysis ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

Chronic Hemodialysis ◽

Primary Data ◽

Intradialytic Hypotension ◽

Male Patients

Intradialytic hypertension have 5 – 15 % incidence among chronic hemodialysis patients caused by chronic kidney failure. But, mostly medical practician focused only at intradialytic hypotension than intradialytic hypotension as the most frequent cardiovascular complications. Intradialytic hypertension itself is one of the cause of mortility and morbidity hemodialytic patients, that’s why patients should be aware of intradialytic hypertension. This study aims to know the frequencies of patients with intradialytic hypertension at RSMH Palembang period November 2018, and the characteristics of the patients based on patients sosiodemography, etiology of their chronic kidney disease, their hemodialysis period, and their activity during hemodialysis.Method : This study is descriptive analysis with total sampling, with primary data from patients blood pressure measurement, and interview with patients in hemodialysis installation at RSMH Palembang. In this study,305 samples were found, with 198 patients fulfilled inclusion criteria. Result : The result of this study shows that from 198 subjects, there are 116 (58,6%) of them who suffer intradialytic hypertension. Intradialityc hypertension patients mostly in the group age 46 – 65 years old (51%), male patients (61.2%) are more likely develop intradialytic hypertension than female patients (38.8%), patients with high educational backgroud also more likely to develop this complications. Their chronic kidney diseases cause are mostly hypertension (67,2%), and the higher activities patients during hemodialysis also more likely to develop intradialytic hypertension.Conclusion : Patients in hemodialysis installation at RSMH Palembang with intradialytic hypertension are more than the patients without the intradialytic hypertension (normotension and intradialytic hypotension patients are included), patients in old age group, male patients, and the higher patients activities during hemodialysis process the more highly patients develop intradialytic hypertension as complication.

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Ansietas Difference in Hemodialisa Patients Based on Gender Perspective

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v6i1.art.p019-026 ◽

2019 ◽

Vol 6 (1) ◽

pp. 019-026

Author(s):

Muhammad Rosyidul Ibad

Keyword(s):

Kidney Failure ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

P Value ◽

Profile Data ◽

Gender Perspective ◽

Therapeutic Procedures ◽

History Of ◽

Negative Perceptions ◽

Level Of Understanding

Patients undergoing hemodialysis therapy during their lifetime will depend on the dializzer device, the hemodialysis procedure must be carried out routinely and continuously with a frequency of 2-3 times in one week. Profile data shows that chronic kidney failure in Indonesia is slightly more prevalent in men than in women, individuals who experience chronic kidney failure and who are undergoing a hemodialysis process have the potential to experience emotional problems. Anxiety is the main disorder that can arise due to hemodialysis procedures, a person undergoing hemodialysis will have concerns, fears, and uncertainties resulting from negative perceptions. Researchers have identified differences in anxiety among hemodialysis patients based on a gender perspective through the Kruskal wallis test. The results show that the p-value obtained is P = 0.488, this means that there are no differences in anxiety experienced by both male and female respondents. The emergence of anxiety in general in hemodialysis patients is caused by various factors such as financial problems that must be supported by the use of health insurance, the level of understanding of the disease and therapeutic procedures, and a history of undergoing a therapeutic procedure

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The Effectiveness of Cognitive-Existential Group Therapy on Increasing Hope and Decreasing Depression in Women-Treated With Haemodialysis

Global Journal of Health Science ◽

10.5539/gjhs.v8n6p219 ◽

2015 ◽

Vol 8 (6) ◽

pp. 219 ◽

Cited By ~ 9

Author(s):

Bahman Bahmani ◽

Maryam Motamed Najjar ◽

Mansour Sayyah ◽

Abdollah Shafi-Abadi ◽

Hamed Haddad Kashani

Keyword(s):

Kidney Failure ◽

Treatment Protocol ◽

Recovery Process ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

Analysis Of Covariance ◽

Dialysis Session ◽

Negative Consequences ◽

Cognitive Approach ◽

Hemodialysis Treatment

INTRODUCTION: Hopefulness is one of the most significant predictors of adaptation in hemodialysis patients, and plays a vital role in the recovery process. In contrast to hopefulness, depression is a frequent psychological reaction of the hemodialysis treatment with many negative consequences. The current research was designed to examine the effect of cognitive-existential treatment on the level of hopefulness and depression in hemodialysis patients.MATERIALS & METHODS: This quasi-experimental research included 22 female patients suffering from chronic kidney failure disease undergoing hemodialysis treatment for at least 3 months. The patients were randomly assigned into two groups of experimental and control conditions. The experimental group received a combination of treatment including some elements of "existentialism" philosophy and a "cognitive" approach designed for the Iranian population. The treatment protocol lasted for 12 sessions of 90 minutes twice per week prior to the entry of the patient to the dialysis session. Miller’s hope scale and BDI-II-21 were employed to collect the data. Statistical analysis was performed on the data using analysis of covariance by SPSS: 16 software.RESULTS: The result of the analysis indicated that there was a significant improvement in hopefulness level and decrease in depression of the patients in the experiment condition (P<0.01).CONCLUSION: The result of analysis showed that cognitive-existential treatment resulted in the increase of hopefulness and decrease level of depression in the hemodialysis patients suffering from chronic kidney failure.

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The Short Form-6 Dimension (SF-6D) Validity and Reliability in Hemodialysis Patients

JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA ◽

10.20473/jfiki.v8i22021.150-155 ◽

2021 ◽

Vol 8 (2) ◽

pp. 150

Author(s):

Anisa Zulfa Fatihah ◽

Tri Murti Andayani ◽

Nanang Munif Yasin

Keyword(s):

Quality Of Life ◽

Kidney Failure ◽

Convergent Validity ◽

Short Form ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

Term Therapy ◽

Validity And Reliability ◽

Cross Sectional

Background: Quality of life becomes an important parameter that is needed for assessing the clinical outcome of patients undergoing long-term therapy for chronic diseases, such as chronic kidney failure. Short Form-6 Dimension (SF-6D) is one of the generic instruments that can be used to assess health-related quality of life (HRQOL). The psychometric properties SF-6D test in hemodialysis patients in Indonesia has never been conducted. Objective: Aimed to evaluate the reliability and validity of SF-6D questionnaire in Indonesian version in patients with chronic kidney failure. Methods: This is an observational study with a cross-sectional design involving 117 patients who meet the inclusion and exclusion criteria in the hemodialysis unit in Dr. Sardjito Central General Hospital and UGM Academic Hospital Yogyakarta. Results: The SF-6D questionnaire has good internal consistency, as seen in Cronbach's alpha value of 0.771. In this study, the ceiling effect test showed 6.8% (< 15%). The measurement of convergent validity was carried out using Spearman rho to analyze the correlation of the questionnaires and see its correlation with other instruments (KDQOL-SF36). Based on the research, the correlation coefficient value of 0.768 (> 0.75) indicates very good result for a strong correlation. The SF-6D instrument was able to distinguish the quality of life with a significant value (p < 0.05) in age, occupation, and comorbid groups. Conclusion: SF-6D questionnaire is valid and reliable, so it can be used to measure the HRQOL of hemodialysis patients. The mean SF-6D utility score of hemodialysis patients is high (0.7975 ± 0.1488).

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PENGALAMAN PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RSUD H. ANDI SULTAN DAENG RADJA BULUKUMBA

Jurnal Kesehatan Panrita Husada ◽

10.37362/jkph.v4i2.78 ◽

2019 ◽

Vol 4 (2) ◽

pp. 69-82

Author(s):

Ardhyanto Ardi ◽

Irfanita Nurhidayah ◽

Andi Baso Tombong

Keyword(s):

Quality Of Life ◽

Kidney Failure ◽

Life Experiences ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

Uncontrolled Blood Pressure ◽

Normal Human ◽

Depth Interviews ◽

Rule Out

Chronic kidney failure is progressive kidney damage that is fatal and is characterized by uremia and can lead to hemodialysis to continue living. There is a dependence on hemodialysis and the lack of research that discusses the experience of patients undergoing hemodialysis so that researchers are interested in doing this research. The purpose of this study is to explore the life experiences of chronic kidney failure patients undergoing hemodialysis at H. Andi Sultan Daeng Radja Bulukumba Hospital. Method This study uses a qualitative study (phenomenology) and a sample of 8 people with criteria for patients with chronic kidney failure undergoing hemodialysis. Data in this study were collected through in-depth interviews on selected subjects (In-depth Interviews) and analyzed using Thematic Analysis. Results Researchers found 4 themes from the results of data analysis. The themes are: (1) Early Symptoms of Disease, sub-themes: uncontrolled blood pressure, lethargy. (2) Motivation and Strengthening Undergo Therapies, sub-themes: enthusiasm from the patient himself, support of other patients undergoing hemodialysis, support from family, support from hemodialysis nurses. (3) Compliance Undergoing Treatment, sub-theme: do not delay and rule out boredom, surrender. (4) Quality of Life for Hemodialysis Patients, sub themes: feeling like a normal human being, improved diet, good weight. The quality of life of patients is better after undergoing hemodialysis therapy. Conclusions and suggestions: There are 4 themes obtained in this study. It is expected that families and nurses can provide support to patients who are undergoing hemodialysis and patients diagnosed in order to avoid fear of undergoing hemodialysis.

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Occupational Stress is Associated with Impaired Work Ability and Reduced Quality of Life in Patients with Chronic Kidney Failure

The International Journal of Artificial Organs ◽

10.1177/039139880903200506 ◽

2009 ◽

Vol 32 (5) ◽

pp. 291-298 ◽

Cited By ~ 8

Author(s):

Luca Neri ◽

Lisa A. Rocca Rey ◽

Maurizio Gallieni ◽

Diego Brancaccio ◽

Mario Cozzolino ◽

...

Keyword(s):

Quality Of Life ◽

Occupational Stress ◽

Work Ability ◽

Kidney Failure ◽

Short Form ◽

Perceived Health ◽

Chronic Kidney Failure ◽

The United States ◽

Hemodialysis Patients

Background About 300,000 patients in the United States with Chronic Kidney Failure (CKF) are of working age, but up to 70% lose their job within the first year of renal replacement therapy. No study has examined how work ability and perceived health are influenced by the subjects’ adjustment to their job. We assessed the association of occupational stress (Effort-Reward Imbalance, ERI), work ability (WAI) and health-related quality of life (QoL) in hemodialysis. Methods 40 employed hemodialysis patients completed a self-administered questionnaire. Associations between ERI, Short Form 12 (SF-12), Short Form - 6 Dimensions (SF-6D), Kidney Disease QOL - 36 (KDQOL-36) and WAI were tested with partial Spearman's correlation adjusted for age, income, and comorbidity burden. Results Study subjects were mainly low-income (82%), African-American (73%), men (75%); 16 were manual laborers and 9 worked in the industrial sector. Study subjects reported low levels of Occupational Stress: ERI scores indicated an imbalance between Job Efforts and Rewards in only 3 subjects. Nevertheless, ERI scores were inversely and strongly associated with WAI (ρ=-0.41, p<0.012) and all QoL scales even after adjustment for known confounders. Conclusion Our study suggests that psychosocial workplace factors may play a substantial role in modulating patients’ health perception and ability to continue working. The causal relationship between Occupational Stress, perceived health, and work ability should be further investigated. Occupational Health professionals and nephrologists should closely collaborate to meet the needs of occupationally active hemodialysis patients.

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