Pengaruh Progressive Muscle Relaxation terhadap Penurunan Tingkat Keletihan Gagal Ginjal Kronik yang Menjalani Hemodialisa
DOI:
https://doi.org/10.61132/obat.v2i3.414Keywords:
Chronic Kidney Disease, Fatigue, Hemodialysis, Progressive Muscle RelaxationAbstract
Chronic Kidney Failure (CKD) is a progressive and irreversible disease characterized by a decrease in the glomerular filtration rate (GFR). In this disease, uremia impairs the kidney's ability to maintain metabolism and water and electrolyte balance. Fatigue is one of the most common symptoms in patients undergoing hemodialysis which impacts quality of life. Progressive muscle relaxation is a type of non-pharmacological nursing intervention that can be used to treat fatigue in CKD patients undergoing hemodialysis. The aim of this research is to determine the application of progressive muscle relaxation therapy to fatigue in CKD patients undergoing hemodialysis therapy. The research design used is a case report. The instrument used to measure the level of fatigue is the Functional Assessment Chronic Illness Therapy (FACIT) fatigue scale. The intervention was carried out for ten to fifteen minutes over three days in the hospital hemodialysis unit and four days at the patient's home. Evaluation of respondents' level of fatigue was carried out on days 1, 5, and 8. The results of this study showed that the fatigue level score after intervention on day 1 was 16 (severe category), the score on day 5 was 20 (moderate category), and day 8 was 24 (moderate category). It can be concluded that progressive muscle relaxation therapy can reduce fatigue in CKD patients undergoing hemodialysis. The results of this research can be applied independently by nurses for CKD patients undergoing hemodialysis to reduce fatigue levels.
Downloads
References
Anggraini, S., & Fadila, Z. (2022). Kualitas hidup pasien gagal ginjal kronik dengan dialisis di Asia Tenggara: A systematic review. Hearty, 11(1), 77. https://doi.org/10.32832/hearty.v11i1.7947
Bikbov, B., Purcell, C., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., Ahmadian, E., Al-Aly, Z., Alipour, V., Almasi-Hashiani, A., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Andrei, T., Andrei, C. L., ... Vos, T. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3
Boughdady, A. M., Ibrahim, N., Elashri, E., & Elsayed, S. M. (2024). Effect of Jacobson’s progressive muscle relaxation on fatigue and sleep quality among geriatric patients undergoing hemodialysis. Zagazig Nursing Journal, 20(1), 149–167.
Cecen, S., & Lafci, D. (2022). Integrated treatment methods applied for fatigue in hemodialysis patients. Bezmialem Science, 10(4), 523–528. https://doi.org/10.14235/bas.galenos.2021.5188
Fari, A. I., Sofiani, Y., Warongan, A. W., Kesehatan, F. I., Katolik, U., Charitas, M., Keperawatan, F. I., & Jakarta, U. M. (2019). Efektifitas progressive muscle relaxation (PMR) dan relaxation breathing exercise (RBE) terhadap tingkat fatigue dan self-care pasien GGK. Jurnal Kesehatan Saelmakers Perdana, 2(1), 99–110. https://core.ac.uk/download/pdf/189169594.pdf
Febrian, F., Wahyudi, N., Rantung, J., Keperawatan, F. I., Indonesia, U. A., Barat, B., Kronik, G. G., & Hidup, K. (2024). Hubungan fatigue dengan kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa di Rumah Sakit Swasta Bandar Lampung. Klabat Journal of Nursing, 6(1).
Febriani, R., & Sutrisno, R. (2023). Pengaruh progressive muscle relaxation terhadap penurunan tekanan darah pada pasien hipertensi: Case report Rizky. Healthy Journal, 12(2), 69–74.
Ghozhdi, M. K., Ghaljeh, M., & Khazaei, N. (2022). The effect of progressive muscle relaxation technique on fatigue, pain and quality of life in dialysis patients: A clinical trial study. Evidence Based Care Journal, 12(4), 7–16. https://doi.org/10.22038/EBCJ.2022.65275.2708
Iswara, L., & Muflihati, S. K. (2021). Hubungan kepatuhan menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis: Literature review. Borneo Student Research, 2(2), 958–967.
Kaplan Serin, E., Ovayolu, N., & Ovayolu, Ö. (2020). The effect of progressive relaxation exercises on pain, fatigue, and quality of life in dialysis patients. Holistic Nursing Practice, 34(2), 121–128. https://doi.org/10.1097/HNP.0000000000000347
Khusniyati, N., Forwaty, E., & Delvira, W. (2023). Pengaruh kepatuhan batasan cairan, dukungan keluarga terhadap kualitas hidup pada pasien hemodialisa. JKEP, 8(2), 137–156. https://doi.org/10.32668/jkep.v8i2.1353
Krisnawardhani, K. K., & Noviekayati, I. (2021). Terapi SEFT (Spiritual Emotional Freedom Technique) untuk meredakan gangguan cemas menyeluruh pada subjek dewasa. Syntax Literate: Jurnal Ilmiah Indonesia, 6(5), 2251. https://doi.org/10.36418/syntax-literate.v6i5.1263
Kusuma, A. H. (2022). Hubungan lama menjalani hemodialisis dengan kualitas hidup pasien gagal ginjal kronik di ruang hemodialisa RSUD Merauke. Jurnal Ilmiah Obsgin, 14(4), 156–163.
Lisa Lolowang, N. N., Lumi, W. M., & Rattoe, A. A. (2021). Kualitas hidup pasien gagal ginjal kronis dengan terapi hemodialisa. Jurnal Ilmiah Perawat Manado (JUIPERDO), 8(02), 21–32. https://doi.org/10.47718/jpd.v8i01.1183
Metekohy, F. (2021). Latihan progressive muscle relaxation (PMR) terhadap penurunan fatigue pada pasien penyakit ginjal kronik di unit hemodialisa RSUD Dr. M. Haulussy Ambon. Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal), 1(1), 12–21.
Mohamed, S., Darwish, A., Elarousy, W., & Abdel-Salam, N. (2023). Effect of progressive muscle relaxation on fatigue and sleep quality in children undergoing hemodialysis. Alexandria Scientific Nursing Journal, 25(1), 102–112. https://doi.org/10.21608/asalexu.2023.300015
Patrick, F. M., Umboh, O. R. H., & Rotty, L. W. A. (2019). Hubungan kadar hemoglobin dengan laju filtrasi glomerulus pada pasien penyakit ginjal kronik stadium 3 dan 4 di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2017 - Desember 2018. E-CliniC, 8(1), 115–119. https://doi.org/10.35790/ecl.8.1.2020.27190
Putri, P., & Afandi, A. T. (2022). Eksplorasi kepatuhan menjalani hemodialisa pasien gagal ginjal kronik. Jurnal Keperawatan, 11(2), 37–44. https://doi.org/10.47560/kep.v11i2.367
Riyana, A., & Nurhalimah, W. S. (2023). Pengaruh progressive muscle relaxation terhadap tingkat fatigue pada pasien gagal ginjal kronis yang menjalani hemodialisis. Jurnal Keperawatan Galuh, 5(1), 23. https://doi.org/10.25157/jkg.v5i1.9583
Santoso, D., Sawiji, S., Oktantri, H., & Septiwi, C. (2022). Faktor-faktor yang berhubungan dengan fatigue pada pasien gagal ginjal kronik yang menjalani hemodialisa di RSUD Dr. Soedirman Kebumen. Jurnal Ilmiah Kesehatan Keperawatan, 18(1), 60. https://doi.org/10.26753/jikk.v18i1.799
Sitanggang, T. W., Anggraini, D., & Utami, W. M. (2021). Hubungan antara kepatuhan pasien menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronis di ruang hemodialisa RS. Medika BSD tahun 2020. Jurnal Medikes (Media Informasi Kesehatan), 8(1), 129–136. https://doi.org/10.36743/medikes.v8i1.259
Syahputra, E., Laoli, E., Alyah, J., HSB, E., Tumorang, E., & Nababan, T. (2023). Hubungan dukungan keluarga dengan kualitas hidup pasien gagal ginjal kronik (GGK) yang menjalani terapi hemodialisa. Jurnal Surya Medika, 9(3), 32–35. https://doi.org/10.33084/jsm.v9i3.6463
Tambunan, E. H., & Siagian, E. (2023). Depresi, kecemasan, stres dan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa. MAHESA: Malahayati Health Student Journal, 3(2), 563–571. https://doi.org/10.33024/mahesa.v3i2.9709
Utami, S. S., Arifah, S., & Rahayuningsih, F. B. (2023). Terapi komplementer untuk mengatasi fatigue pada pasien hemodialisis: Literatur review. Jurnal Kesehatan Vokasional, 8(2), 123. https://doi.org/10.22146/jkesvo.68769
Wisudayanti, M., Heri, M., & Putra, G. (2023). Progressive muscle relaxation (PMR) terhadap tingkat fatigue (kelelahan) pada pasien chronic kidney disease (CKD) yang melakukan hemodialisa. Journal of Telenursing (JOTING), 5.
Yang, X., Chen, Y., Meng, F., Road, P., Area, W., Town, T. N., & District, J. (2021). Effects of progressive muscle relaxation therapy on maintenance hemodialysis patients: A systematic review and meta-analysis. TMR Integrative Medicine, 5. https://doi.org/10.12032/TMRIM202105003
Yuniarti, W. (2021). Anemia pada pasien gagal ginjal kronik. Journal Health and Science: Gorontalo Journal Health & Science Community, 5(2), 341–347.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
