Fatigue Dan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis Dengan Terapi Hemodialisa
DOI:
https://doi.org/10.30651/jkm.v5i2.6540Kata Kunci:
Hemodialysis, Chronic Kidney Disease, fatigue, quality of lifeAbstrak
Objective: The aim of this study was to investigate the relationship of fatigue to the quality of life among patients who undergo hemodialysis
Methods: A descriptive correlative study with purposive sampling technique was applied in this study. Data obtained from direct observation using the FACIT-F questionnaire and WHOQOL BREF. A total of 80 respondents was recruited.
Results: Â Â The results of the study showed the average age of the subject were 47 years, 56% of them were male, and the majority had a high school educational background. Most of the patients had a length of hemodialysis for more than two years. Hemodialysis patients were experienced fatigue with a mean value of 26,50 (SD = 7.07). Among domains of quality of life, the social domain had the lowest score (9.38). Multivariate analysis showed there was a consistent correlation between fatigue and four domains of quality of life.
Conclusion:   Fatigue is a major problem experienced by the patient’s hemodialysis and influences their quality of life. The researchers suggest the health services can improve promotive and preventive efforts through education, training, related to fatigue to promote quality of life for clients who undergo hemodialysis, especially female, older age, and lower educational status. Further research is expected to examine the other variables such as social support and environmentReferensi
Anggraini, Y. Dwi. (2016). Kualitas Hidup Pasien Gagal Ginjal yang Menjalani Hemodialisis di RSUD Blambangan Banyuwangi. Naskah Publikasi Fakultas Kesehatan Masyarakat Universitas Jember.
Aroem, H.R., Maliya, A., Ambarwati, R. (2013). Gambaran Kecemasan dan Kualitas Hidup pada Pasien yang Menjalani Hemodialisa. Naskah Publikasi.
Aryanti, Ani. (2015) Hubungan antara Aktivitas Fisik dan Kualitas Hidup pada Pasien Hemodialisis di RSUP Fatmawati Jakarta. Naskah Publikasi Fakiltas Ilmu Keperawatan Universitas Indonesia.
Baradero, M., Dayrit, M., & Siswadi, Y. (2008). Klien Gangguan Ginjal: Seri Asuhan Keperawatan. Jakrta: EGC: 136
Black, J., & Hawks, M. J, H. 2009. Medical Surgical Nursing: Clinical management for positive outcomes, 8th ed. By Saunders. An important of elsevier Inc.
Bonner, A., Wellard, S., Caltabiano, M. levels of fatigue in people with ESRD living in far North Queensland. J Clinical Nurs. 2008, 17;90-98.
Brooker, Chris. (2009). Ensiklopedia Keperrawatan. Jakarta: EGC.
Butar , Aguswina. Siregar, Cholina Trisa, (2012) Karakteristik Pasien Dan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa. http://jurnal.usu.ac.id/index.php/jkk/article/.../1058/160. Di akses 26 Desember 2016.
Cohen, Prasetyawati, EA., (2011). Kesehatan Ibu dan Anak (KIA) Dalam Millenium Development Goals (MDGs).Yogyakarta : Nuha Medika
Corwin, H., Marik, P. (2008). Efficacy of red blood cell transfusion in the critically ill: a systematic review of the literature. Critical care medicine, 36(9), 2667-2674.
Curtin, R. B., Sitter, D. C. B., Schatell, D., Chewning, B. A. Self-Management Knowledge and Functioning and Weil-Being of Patients on Hemodialysis. Nephrology Nursing Journal. 2002, 31, 4, 378-388.
Daugirdas, Argyropoloulos, C., Steel, J.L., Platinga,L. (2007). Handbook of dialysis 4th Edition. Philadelphia: Lippincott
Davey, C. H., Webel, A. R., Sehgal, A. R., Voss, J. G., & Huml, A. (2019). Fatigue in Individuals with End Stage Renal Disease. Nephrology nursing journal : journal of the American Nephrology Nurses' Association, 497-508.
Departemen Kesehatan Republik Indonesia, (2013). Riset Kesehatan Dasar. Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI
Desita. (2010). Pengaruh Dukungan Keluarga Terhadap Peningkatan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di RSUP HAM Medan
ESRD. 2012. ESRD Patients in 2012 A Global Perspective. Germany: Fresenius Medical Care
Fatayi, Dian. (2008). Kualitas Hidup Penderita Gagal Ginjal yang Menjalani Terapi CAPD (Continous Ambulatory Peritoneal Dialisis) di wilayah Balik Papan Kalimantan Timur
Flythe, J. E., Hilliard, T., Lumby, E., Castillo, G., Orazi, J., Abdel-Rahman, E. M., . . . Peter, W. L. (2019). Fostering innovation in symptom management among hemodialysis patients: paths forward for insomnia, muscle cramps, and fatigue. Clinical Journal of the American Society of Nephrology, 150-160.
Hidayat. (2007). Metode Penelitian Kebidanan Teknik Analisis Data, Salemba Medika, Jakarta.
Holley, J. L., Berns, J. S., & Post, T. W. (2009). Acute complications during hemodialysis. Up To Date online, 13.
Ibrahim, Kusman. (2009). Kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisa. http://www.mkbonline.Org/index.php?option= com_content&view=article&id=130:kualitas-hiduppasien-gagalginjal kronis-yangmenjalanihemodialisis&catid=1:kumpulanartikel&Itemid=55. Diakses tgl 20 Desember 2016.
Jhamb, M., Weisbord, S.D., Steel, J.L., & Unruh, M. Fatigue in patients receiving maintenance dialysis: a review of definitions, measures and contributing factors. American Journal of Kidney Disease. 2008, 52 (2), 353-365.
Jhamb, M., Argyropoloulos, C., Steel, J.L., Plantinga, L., Wu, A. W., Fink, N.K., Unruh, M.L. Correlates and outcomes of fatigue among incident dialysis patient. Clinical Journal of American Society of Nephrology. 2009, 4, 179-1786.
Jhamb, M., Liang, K., Yabes, J., Steel, J. L., Dew, M. A., Shah, N., & Unruh, M. (2013). Prevalence and correlates of fatigue in chronic kidney disease and end-stage renal disease: are sleep disorders a key to understanding fatigue? American journal of nephrology, 489-495.
Jhamb, M., Pike, F., Ramer, S., Argyropoulos, C., Steel, J., Dew, M. A., . . . Unruh, M. (2011). Impact of Fatigue on Outcomes in the Hemodialysis (HEMO) Study. American Journal of Nephrology, 515-523.
Kaptein, A. A., van Dijk, S., Broadbent, E., Falzon, L., Thong, M., & Dekker, F. W. (2010). Behavioural research in patients with end-stage renal disease: A review and research agenda. Patient Education and Counseling, 81(1), 23-29. doi: http://dx.doi.org/10.1016/j.pec.2009.10.031
Kastrouni M, Sarantopoulou E, Aperis G, Alivanis P, .(2010). Quality Of Life Of Greek Patient With End Stage Renal Disease Undergoing Haemodialysis. Journal Of Renal Care 36(3) pp 126-132.
Kefale, B., Alebachew, M., Tadesse, Y., & Engidawork, E. (2019). Quality of life and its predictors among patients with chronic kidney disease: A hospital-based cross-sectional study. PloS One, 14(2).
Kimmel, P. L., & Patel, S. S. (2006). Quality of life in patients with chronic kidney disease: focus on end-stage renal disease treated with hemodialysis. Paper presented at the Seminars in Nephrology.
Kring & Crane. (2009). Factors affecting quality of life in person on hemodyalisis. Nephrology nursing Journal, 36 (5), 15-55
Letchmi, S., Das, S., Halim, H., Zakariah, F.A., Hassan, H., Mat, S., Packiavathy, R. Fatigue ecperienced by patients receiving maintenance dialysis in hemodialysis units. Nursing and Healt Scienes.2009, 13, 60-64.
Lukman, N., Kanine, E., & Wowiling, F. 2013. Hubungan Tindakan Hemodialisa dengan Tingkat Depresi Klien Penyakit Ginjal Kronik di BLU RSUP Prof. Dr. R. D. Kandou Manado. Ejournal keperawatan (e-Kp). 1(1).
Mansjoer, Arif, dkk. (2008). Kapita Selekta Kedokteran (Edisi 3). Jakarta : Media Aesculap
McClellan WM, Knight DF, Karp H, Brown WW. Early detection and treatment of renal disease in hospitalized diabetic and hypertensive patients: important differences between practice and published guidelines. Am J Kidney Dis. 1997;29:368-75. [PMID: 9041212
Mc Clellan, W.M., Schoolwerth, A.C., Gehrt, T. (2006). Management of Chronic Kidney od Disease First Edition. USA; Profesional Communication Inc.
National Kidney Foundation. K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease. Evaluation, Classification and Stratification. Am J Kidney; 2002.39(2) http://www.kidney.org/professionals/kdoqi/guidelines_ckd/toc.htm.18. Diakses pada tanggal 23 Desember 2016..
Murtagh F.E., Addington-Hall J, Higginsn I.J: The Prevalence of symptomps in end-stage renal disease: A systemc review. Adv Chronic Kindey Dis 14: 82-99, 2007
Muttaqin, Arif & Kumala Sari. 2014. Asuhan Keperawatan Gangguan Perkemihan. Jakarta: Salemba Medika
Notoatmojo, S. (2010). Metodologi Penelitian Kesehatan . Jakarta: PT. Rineka Cipta.
Nursalam. (2014). Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika.
Pardede, S. O. Pruritus Uremik. Sari Pedriati. 2010, 11(5): 348-354.
Patzer, L., Ringelmann, F., Kentouche, K., Fuchs, D., Zintl, F., Brandis, M., ... & Misselwitz, J. (2001). POST-TRANSPLANT COMPLICATIONS-Renal function in long-term survivors of stem cell transplantation in childhood. A prospective trial. Bone marrow transplantation, 27(3), 319-328.
Price & Wilson. (2005). Patofisisologi Konsep Klinis Proses- proses Penyakit Jilid 2 Ed 4. Jakarta: EGC
PERNEFRI. (2013). Report Of Indonesian Renal Registry. Jakarta: Perhimpunan Nefrolog Indonesia
Petchrung, T. (2004). Experience, management strategies and outcomes of fatigue in hemodialysis patient /Teeranuch Petchrung. Bangkok: Mahidol University.
Putri, R., Sembiring, L. P., & Bebasari, E. (2014). Gambaran Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Continuous Ambulatory Peritoneal Dialysis Di RSUD Arifin Achmad Provinsi Riau Dengan Menggunakan Kuesioner KDQOL-SFTM. Jurnal Online Mahasiswa (JOM) Bidang Kedokteran, 1(2), 1-16.
Saglimbene, V., Natale, P., Palmer, S., Scardapane, M., Craig, J. C., Ruospo, M., . . . Celia, E. (2017). The prevalence and correlates of low sexual functioning in women on hemodialysis: A multinational, cross-sectional study. PloS one, e0179511.
Samudra, D. (2005). Fungsi Seksual pada Penderita Penyakit Ginjal Kronik (PGK) Pria yang Menjalani Hemodialisis (Doctoral dissertation, Program Pascasarjana Universitas Diponegoro).
Sathvik, B.S.,Parthasarathi, G., Narahari, M.G, Gurudev, K.C. (2008). An Assessment Of The Quality Of Life In Hemodialysis Patients. Indian J Nephrol. 2008;18:141-149.
Robinson, J.M., (2013). Profesional Guide t Desease Tenth Edition. Philadelphia: Lippincot Willia, & Walkins.
Shapiro. (2008). Home dialysis and employment. Davita home dialysis education. Diakses pada tanggal 25 Desemberl 2016 dari http://www. davita.com/home-dialysis/home-dialysis-basics/a/1573.
Smeltzer & Bare . (2008). Textbook of Medical Surgical Nursing Vol.2. Philadelphia: Linppincott William & Wilkins.
Septiwi, Cahyu. (2010) Hubungan Antara Adekuasi Hemodialisa dengan Kualitas Hidup Pasien Hemodialisa Di Unit Hemodialisis Rs Prof. Dr. Margono Soekarjo Purwokerto. http://lib.ui.ac.id/file?file=digital/137263T%20cahyui%20Septiwi.pdf. Di akses tanggal 27 Desember 2016.
Septiwi, Cahyu. (2013).pengaruh breathing exercise terhadap level faitgue pasien hemodialisis di RSPAD Gatot Subroto Jakarta. Jurnal Keperawatan Sudirman, vol.8, 14-21.
Sugiyono. (2009). Statistik untuk penelitian. PT Rineke Cipta. Jakarta
Sulistini, R. (2010). Gambaran Faktor Yang Berhubungan Dengan Fatigue Pada Pasien Yang Menjalani Hemodialisis di RSUP Dr. Moh. Hoesin Palembang. Tesis telah dipublikasikan FIK UI. Jakarta
Sulistini, R., Yetti, K., Rr. Hariyati, T.S. (2012). Faktor – fakor yang mempengaruhi fatigue pada pasien yang menjalani hemodialisis. Jurnal Keperawatan Indonesia, vol.2: 75-82.
Suliswati,( 2005). Konsep Dasar Kesehatan Jiwa. Jakarta: Buku Kedokteran. EGC.
Sullivan, D., & McCarthy, G. (2009). Exploring the Symptom of Fatigue in Patients with End Stage Renal Disease. Nephrology Nursing Journal, 36(1), 37-39, 47.
Suma’mur. (2009). Ergonomi untuk Produktifvitas Kerja. Jakarta: CV. Haji Massagung.
Tarwaka. (2010). Ergonomi Industri: Dasar-dasar Pengetahuan Ergonomi dan Aplikasi di Tempat Kerja. Surakarta: Harapan Press Solo.
Terril, B. (2002). Renal Nursing: A partical approach. Melbourne: Ausmed Publications
U.S Renal Data System. (2014). USRDS 2014 Annual Data Report : Atlas of end stage renal disease in the United State.
Urquhart-Secord, R., Craig, J. C., Hemmelgarn, B., Tam-Tham, H., Manns, B., Howell, M., … Tong, A. (2016). Patient and Caregiver Priorities for Outcomes in Hemodialysis: An International Nominal Group Technique Study. American Journal of Kidney Diseases, 68(3), 444–454. https://doi.org/10.1053/j.ajkd.2016.02.037
WHO Quality of Life-BREF. (1994). http://www.who.int/research_tools /whoqolbref/en diakses tanggal 26 Desember 2016
WHO. (2004). The Word Health Organization Quality Of Life (WHOQOL)-BREF. www.who.int/substance_abuse/research-tools/en/indonesian-whoqol.pdf. Diakses 19 Desember 2016
Wyld, M. L., Morton, R. L., Clayton, P., Wong, M. G., Jardine, M., Polkinghorne, K., & Chadban, S. (2019). The impact of progressive chronic kidney disease on health-related quality-of-life: a 12-year community cohort study. Quality of Life Research, 28(8), 2081-2090.
Young, S. (2009). Rethinking and integrating nephrology palliative care: A nephrology nursing perspective. CANNT Journal, 19(1), 36-44.
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
- Penulis tetap memegang hak atas karyanya dan memberikan hak publikasi pertama kepada jurnal ini yang secara simultan karya tersebut dilisensikan di bawah:Â Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
