HUBUNGAN FATIGUE DENGAN SELF CARE PADA PASIEN PENYAKIT GINJAL KRONIS (PGK) YANG MENJALANI HEMODIALISIS

Penulis

  • Zakiah Rahman Prodi D-III keperawatan, Stikes Hang Tuah Tanjungpinang, Kepri, Indonesia
  • Umu Fadhilah Prodi D-III keperawatan, Stikes Hang Tuah Tanjungpinang, Kepri, Indonesia
  • Mawar Eka Putri Prodi D-III keperawatan, Stikes Hang Tuah Tanjungpinang, Kepri, Indonesia
  • Ayu Putri Ananda Prodi S-1 Keperawatan, Stikes Hang Tuah Tanjungpinang, Kepri, Indonesia

DOI:

https://doi.org/10.35328/4ckz4t07

Kata Kunci:

Fatigue, Gagal Ginjal Kronik, Hemodialisa, Self-Care

Abstrak

 Penyakit ginjal kronik (PGK) adalah gangguan yang terjadi pada fungsi ginjal, sehingga perlu dilakukan tindakan hemodialisis untuk membuang sisa metabolisme dimana terapi hemodialisis memiliki efek samping yaitu fatigue atau kelelahan dan self-care pasien. Tujuan Penelitian ini untuk mengetahui hubungan fatigue dengan self-care pada pasien PGK yang menjalani hemodialisis di Ruang Hemodialisa RS-BLUD Kota Tanjungpinang. Metode Penelitian ini menggunakan desain studi Correlation dengan pendekatan Cross Sectional. Teknik pengambilan sampel menggunakan Purposive Sampling. Sampel sebanyak 58 orang pasien hemodialisa. Alat pengumpulan data menggunakan kuesioner FACIT Version-4 dan Self Care of CKD Index. Hasil: Hasil uji Spearman Rank dengan nilai p value 0,001, nilai r = 0,472 menunjukkan arah hubungan positif dengan tingkat kekuatan hubungan sedang. Kesimpulan: ada hubungan fatigue dan self-care pada pasien GGK yang menjalani hemodialisis. Saran bagi pasien hemodialisis agar dapat menjaga dan merawat diri sebagai upaya untuk mencegah dampak buruk bagi kesehatan sehingga kualitas hidup baik dan melakukan aktivitas sehari-hari dengan semestinya.

Unduhan

Data unduhan tidak tersedia.

Referensi

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

Diterbitkan

2026-06-30

Cara Mengutip

HUBUNGAN FATIGUE DENGAN SELF CARE PADA PASIEN PENYAKIT GINJAL KRONIS (PGK) YANG MENJALANI HEMODIALISIS. (2026). Jurnal Ilmu Keperawatan, 15(1), 10-18. https://doi.org/10.35328/4ckz4t07