Asuhan Keperawatan Pada Pasien CKD On HD dengan Penerapan Intervensi Latihan Fisik Range Of Motion (ROM) Terhadap Tingkat Fatigue

Authors

  • Muocharla Frisca Universitas Katolik Musi Charitas
  • Aniska Indah Fari Universitas Katolik Musi Charitas
  • Keristina Ajul Universitas Katolik Musi Charitas

DOI:

https://doi.org/10.59841/jumkes.v2i4.1511

Keywords:

CKD on HD, fatigue, Hemodialysis, Range of Motion (ROM)

Abstract

Background: Decreased kidney function which causes metabolic waste and fluids in the body to accumulate can disrupt the body's homeostatic balance and this is known as chronic kidney failure. One of the treatments that can be done is hemodialysis/dialysis. One of the side effects of hemodialysis is fatigue, this is because the kidneys cannot carry out their function of producing the hormone erythropoietin so the number of red blood cells is low. The physical exercises that can be done to overcome fatigue are range of motion exercises: Range of Motion (ROM). Objective: To analyze nursing care for CKD on HD patients by implementing Range of Motion (ROM) physical exercise interventions on fatigue levels. Method: The application of EBP is a case study using a pre-experimental method and a One group pretest-posttest design approach with a sample of 3 respondents, the instrument uses a questionnaire sheet. Range of Motion (ROM) intervention was carried out during the first 2 hours of intradialysis for 20 minutes. Results: After applying it for 3 times, there was a decrease in the level of fatigue in the three respondents can be concluded that there is a change in the level of fatigue before and after the Range of Motion (ROM) intervention. Suggestion: The results can provide motivation and a source of information for patients undergoing Hemodialysis who can apply Range of Motion (ROM) independently as an effort to reduce fatigue levels.

References

Darmawan, I.P.E., Nurhesti, P.O.. and Suardana, I.K. (2019) ‘Hubungan Lamanya Menjalani Hemodialisis dengan Fatigue pada Pasien Chronic Kidney Disease’, Community of Publishin in Nursing (COPING), 7(3), pp. 139–146.

Djupri, diana rhismawati;, Yetti, K. and Masfuri (2019) ‘The effect of breathing exercise and range of motion (ROM) exercise towards the decrease of intradialysis fatigue level in Hemodialysis Unit at Dr. Adjidarmo Hospital, Banten’, Health Science and Nursing, 15.

Firmansyah, M.F., Yuniartika, W. and Nurjannah, F. (2022) ‘Evidence Based Nursing : Pengaruh Range of Motion terhadap kelelahan pasien hemodialisa di PMI surakarta’, SEMNASKEP [Preprint], (1).

Hakim, A. (2020) ‘faktor-faktor yang berhubungan dengan fatigue pada pasien end-stage renal disease yang menjalani hemodialisis di rumah sakit islam pondok kopi jakarta timur’, 22, pp. 0–9.

Hasanuddin, F. (2022) adekuasi hemodialisa pasien gagal ginjal kronik. Edited by Nasrudin. Jawa Tengah: PT Nasya Expanding Management.

Hutagol, R. and Aji, Y.G.T. (2020) ‘pengaruh latihan range of motion (ROM) terhadap tingkat fatigue pada pasien hemodialisis dirumah sakit angkatan udara (RSAU) dr Esnawan Antartika’, jurnal keperawatan cikini, 1(1).

Joni, Y.N., Nur, B.M. and Rayasari, F. (2019) ‘Efektivitas Exercise Intradialisis Menggunakan Barbell dan Range of Motion (ROM) terhadap Adekuasi Hemodialisa pada Pasien Penyakit Ginjal Kronik’, Jurnal Keperawatan Silampari, 2(2), pp. 189–200

Kuntoadi, G. bagus (2022) Buku ajar anatomi fisiologi 2. Yogyakarta: Pantera Publishing.

Maesaroh;, Waluyo, A. and Jumaiyah, W. (2020) ‘Faktor-Faktor Yang Berhubungan Dengan Terjadinya Fatigue Pada Pasien Hemodialisis’, Syntax Literate ; Jurnal Ilmiah Indonesia, 5(4), p. 110. Available at: https://doi.org/10.36418/syntax-literate.v5i4.1074.

Malik, muh zukri; et al. (2022) keperawatan medikal bedah II. Jakarta: Rizmedia Pustaka Indonesia.

Malini, H. et al. (2022) ‘The effect of intradialytic Range Of Motion exercise on dialysis adequacy and fatigue in hemodialysis patients’, the journal of nursing research, 30(4).

Mawarti, H.; et al. (2021) Pengantar Riset Keperawatan. Edited by R. Watrianthos. Jakarta: Yayasan Kita Menulis.

MenKes RI (2023) ‘Pedoman nasional pelayanan kedokteran tata laksana ginjal kronik’, Menteri kesehatan Republik Indonesia, August.

Notoatmodjo, S. (2018) Metodologi penelitian kesehatan. Jakarta: PT Rineka Cipta.

Patimah, I. (2020) Konsep relaksasi zikir dan implikasinya terhadap penderita gagal ginjal kronis (kajian teoritik dan praktik). Edited by M.B. Muvid. Indramayu: CV. Adanu Abimata.

Pattikawa, F.Y., Arafat, R.; and Rachmawaty, R. (2020) ‘Intervensi latihan fisik untuk mengatasi fatigue pada pasien hemodialisis’, jurnal keperawatan Muhammadiyah [Preprint].

PPNI (2016) Standar Diagnosis Keperawatan Indonesia : definisi dan indikator diagnostik. 1st edn. Jakarta: DPP PPNI.

PPNI (2018a) Standar Intervensi Keperawatan Indonesia : Definisi dan Kriteria Hasil Keperawatan. DPP PPNI.

PPNI (2018b) Standar Luaran Keperawatan Indonesia. Jakarta: Dewan Pengurus Pusat PPNI.

Prof.Dr. Soekidjo Notoadmodjo (2018) Metodologi Penelitian Kesehatan. 3rd edn. Jakarta: Rineka Cipta.

Rahmawati;, Hasanuddin, F. and Mokodompit, N.A. (2019) ‘latihan ROM pada pasien gagal ginjal kronik dalam pemenuhan kebutuhan aktivitas’, media keperawatan politeknik kesehatan makassar, 10(2).

Rauf, S. et al. (2021) Teori Keperawatan Medikal Bedah I. Edited by dewi suryandari. Aceh: Yayasan penerbit Muhammad zaini.

SDKI (2017) standar diagnosis keperawatan indonesi. jakarta selatan: Dewan Pengurus Pusat PPNI.

Silaen, H., Purba, jhon roby; and Hasibuan, muhammad taufic daniel; (2023) pengembangan rehabilitas non medik untuk mengatasi kelemahan pada pasien hemodialisa dirumah sakit. Edited by iis tentia agustin. Jawa barat: CV jejak.

siregar, cholina trisa (2020) Buku ajar manajemen komplikasi pasien hemodialisa. Edited by reni asmara Ariga. Yogyakarta: Deepublish.

Sukmawati, A.S. et al. (2023) Buku Ajar Pemenuhan Kebutuhan Dasar Manusia. 1st edn. Edited by P.I. Daryaswanti. Jambi: PT Sonpedia Publishing Indonesia.

Sulistini, R. (2020) Fatigue pasien yang menjalani hemodialisis pendekatan asuhan keperawatan. Kediri: Chakra Brahmanda Lentera.

Waluya, A. (2023) pengaruh relaksasi otot progresif pada kualitas tidur pasien dengan gagal ginjal kronis. Purwokerto: PT Pena Persada Kerta Utama.

Published

2024-07-10

How to Cite

Muocharla Frisca, Aniska Indah Fari, & Keristina Ajul. (2024). Asuhan Keperawatan Pada Pasien CKD On HD dengan Penerapan Intervensi Latihan Fisik Range Of Motion (ROM) Terhadap Tingkat Fatigue. Jurnal Mahasiswa Ilmu Kesehatan, 2(4), 01–14. https://doi.org/10.59841/jumkes.v2i4.1511

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