HUBUNGAN FATIGUE DENGAN SELF CARE PADA PASIEN PENYAKIT GINJAL KRONIS (PGK) YANG MENJALANI HEMODIALISIS
DOI:
https://doi.org/10.35328/4ckz4t07Keywords:
Fatigue, Chronic Kidney Failure, Hemodialysis, Self-CareAbstract
Chronic kidney disease (CKD) is a disorder that occurs in kidney function, so hemodialysis is necessary to remove metabolic waste. where hemodialysis therapy has side effects, namely fatigue and patient self-care. The purpose of this study was to determine the relationship between fatigue and self-care in CKD patients undergoing hemodialysis in the Hemodialysis Room of RS-BLUD Tanjungpinang City. This Method used a Correlation study design with a Cros Sectional approach. The sampling technique used Purposive Sampling. A sample of 58 hemodialysis patients. Data collection tools used the FACIT Version-4 questionnaire and the Self Care of CKD Index. Results: The results of the Spearman Rank test with a p value of 0.001, r = 0.472 indicate a positive relationship with a moderate level of relationship strength. Conclusion: there is a relationship between fatigue and self-care in CKD patients undergoing hemodialysis. Suggestions for hemodialysis patients are to maintain and care for themselves as an effort to prevent adverse effects on health so that the quality of life is good and carry out daily activities properly.
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Al-Naamani, Z., Gormley, K., Noble, H., Santin, O., Al Omari, O., Al-Noumani, H., & Madkhali, N. (2024). The lived experiences of fatigue among patients receiving haemodialysis in Oman: A qualitative exploration. BMC Nephrology, 25(1). https://doi.org/10.1186/s12882-024-03647-2.
Al-Naamani, Z., Gormley, K., Noble, H., Santin, O., Omari, O. A., Al-Noumani, H., & Madkhali, N. (2025). Navigating strategies used to manage fatigue by patients undergoing hemodialysis: A qualitative exploratory design. BMC Nephrology, 26(1), 226. https://doi.org/10.1186/s12882-025-04140-0
Alshammari, M. S., Alqahtani, M. A., & Almutairi, A. F. (2024). Fatigue and its impact on quality of life among hemodialysis patients. BMC Nephrology, 25, 112. https://doi.org/10.1186/s12882-024-03456-7
Bossola, M., Di Stasio, E., Antocicco, M., & Pepe, G. (2023). Fatigue in patients on chronic hemodialysis: Current knowledge and future directions. Journal of Clinical Medicine, 12(5), 1765. https://doi.org/10.3390/jcm12051765
Davey, C. H., Webel, A. R., Sehgal, A. R., Voss, J. G., & Huml, A. M. (2019). Fatigue in individuals with end stage renal disease. Nephrology nursing journal: journal of the American Nephrology Nurses' Association, 46(5), 497. PMID: 31566345; PMCID: PMC7047987.
Debnath, S., Mandal, S. K., & Ray, S. (2021). Fatigue and quality of life in patients undergoing maintenance hemodialysis. Journal of Clinical and Diagnostic Research, 15(3), VC01–VC05. https://doi.org/10.7860/JCDR/2021/47045.14594
Flythe, J. E., Hilliard, T., Castillo, G., Ikeler, K., Orazi, J., Abdel-Rahman, E., & Miskulin, D. C. (2019). Symptom prioritization among adults receiving in-center hemodialysis: A mixed methods study. Clinical Journal of the American Society of Nephrology, 13(5), 735–745. https://doi.org/10.2215/CJN.10850917
Griva, K., Nandakumar, M., Ng, J. A. H., Lam, K. F. Y., McBain, H., & Newman, S. P. (2018). Hemodialysis self-management intervention randomized trial (HED-SMART): A practical low-intensity intervention to improve adherence and clinical markers in patients receiving hemodialysis. American Journal of Kidney Diseases, 71(3), 371–381. https://doi.org/10.1053/j.ajkd.2017.09.012
Indonesian Renal Registry. (2020). 13th Annual report of Indonesian Renal Registry 2020. Perhimpunan Nefrologi Indonesia. https://www.indonesianrenalregistry.org
KDOQI. (2020). KDOQI clinical practice guideline for hemodialysis adequacy. National Kidney Foundation.https://www.kidney.org
Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia 2023. Kementerian Kesehatan RI.
Kementerian Kesehatan Republik Indonesia. (2018). Laporan nasional Riset Kesehatan Dasar (Riskesdas) 2018. Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2018
Laia, A., Barone, S., D'Angelo, A., Giarin, M., & Riegel, B. (2021). Self-care in patients with chronic kidney disease: A concept analysis. International Journal of Nursing Studies, 122, 104044. https://doi.org/10.1016/j.ijnurstu.2021.104044
Lee, H., & Cho, M.-K. (2025). Effects of shared decision-making, health literacy, and self-care knowledge on self-care behavior among hemodialysis patients. Healthcare, 13(2), 175. https://doi.org/10.3390/healthcare13020175
Lin, C. C., Lee, B. O., Hicks, F. D., & Chiang, C. L. (2020). The impact of self-management on health outcomes among patients with chronic kidney disease: A systematic review. Journal of Advanced Nursing, 76(8), 1883–1895. https://doi.org/10.1111/jan.14379.
Mehraeen, E., SeyedAlinaghi, S., Mohammadi, S., et al. (2025). Self-care behaviors in patients receiving hemodialysis: A systematic review of recent evidence. International Journal of Preventive Medicine, 16, 71. https://doi.org/10.4103/ijpvm.ijpvm_126_24
Murniati, M., & Kusumawardani, D. (2019). Gejala fatigue pada pasien hemodialisa menggunakan skala FSS. Jurnal Keperawatan dan Kebidanan, 11(2), 1–8. https://doi.org/10.53388/TMRIN2021163169
Natashia, D., Yen, M., Chen, H. M., & Fetzer, S. J. (2020). Self-management behaviors in patients undergoing hemodialysis: A systematic review. Journal of Clinical Nursing, 29(17–18), 3318–3330. https://doi.org/10.1111/jocn.15344
National Kidney Foundation. (2024). Hemodialysis.https://www.kidney.org/kidney-topics/hemodialysis
Nursalam, N., Efendi, F., & Tristiana, R. D. (2022). Metodologi penelitian ilmu keperawatan: Pendekatan praktis (5th ed.). Salemba Medika.
Rahman, Z., Khariroh, S., & Abdi, F. N. (2022). Kualitas Hidup Pasien Gagal Ginjal Kronik Dengan Komorbid Diabetes Melitus Dan Hipertensi Yang Menjalani Hemodialisa. Menara Medika, 5(1), 121-127.https://doi.org/10.31869/mm.v5i1.3541
Riegel, B., Jaarsma, T., Lee, C. S., & Strömberg, A. (2021). Integrating symptoms into the middle-range theory of self-care of chronic illness. Advances in Nursing Science, 44(3), 206–215. https://doi.org/10.1097/ANS.0000000000000358
Suparti, S., & Nurjanah, S. (2018). Hubungan depresi dengan fatigue pada pasien hemodialisis. JeS (Journal of Health Studies), 2(1), 62-74. http://doaj.org/toc/2549-3353
Sułkowski, Ł., Dąbrowska-Bender, M., Banasik, J., & Staniszewska, A. (2025). Fatigue and quality of life in patients undergoing hemodialysis: A multicenter study. BMC Nephrology, 26, 695. https://doi.org/10.1186/s12882-025-04550-0
Sulistyaningsih, D., Widyawati, M. N., & Sari, Y. P. (2023). Self-care behavior and adaptation in chronic kidney disease patients undergoing hemodialysis. Jurnal Keperawatan Indonesia, 26(2), 85–93. https://doi.org/10.7454/jki.v26i2.1234
Utomo, D. E., Ratnasari, F., & Andrian, A. (2019). Hubungan Self Care Management Dengan Kualitas Hidup Pasien Congestive Heart Failure. Jurnal Kesehatan, 8(2), 98–108. https://doi.org/10.37048/kesehatan.v8i2.145
Wahyudi, A., Hidayati, L., & Sari, N. P. (2022). Hubungan tingkat kelelahan dengan kemampuan self-care pada pasien gagal ginjal kronik yang menjalani hemodialisis. Jurnal Keperawatan Klinis dan Komunitas, 6(2), 85–92.
Watson, E. L., Baker, L. A., Wilkinson, T. J., Gould, D. W., Graham-Brown, M. P. M., Major, R. W., McPhee, J. S., & Smith, A. C. (2020). Reductions in skeletal muscle mitochondrial mass are not restored following exercise training in patients with chronic kidney disease. FASEB Journal, 34(1), 1755–1767. https://doi.org/10.1096/fj.201901936RR
Wembenyui, E., Mwangome, M., & Mbugua, E. (2025). Self-care practices among patients undergoing maintenance hemodialysis: A cross-sectional study. BMC Nephrology, 26(1), 118.
World Health Organization. (2022). Kidney disease. World Health Organization. Retrieved from https://www.who.int/health-topics/kidney-disease
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