Perbandingan Efektivitas Latihan Intradialisis dan Profiling Suhu dalam Meningkatkan Mutu Layanan Hemodialisis
Abstract
This study aims to describe the effectiveness of intradialytic exercises and HD temperature profiling in improving the quality of HD services. The literature search method is based on the compilation of PICO through online database searches on Clinicalkey, Clinicalkey Nursing, ScienceDirect, EBSCO, ProQuest, and Scopus. Journal search results obtained 20,106 articles; after the selection stage, nine reports were obtained for analysis, consisting of 5 RCT articles, one systematic review article, two quasi-experimental articles, and one meta-analysis article. The results showed that HD patients who were routinely given intradialytic exercises would show an increase in HD adequacy achievements, suppress inflammatory reactions, increase albumin and hemoglobin values, reduce the erythropoietin resistance index, increase phosphate clearance, improve the quality of life of HD patients and minimize the risk of both acute and chronic complications. Chronic disease caused by HD. Meanwhile, temperature profiling can reduce the incidence of intradialytic hypotension, pruritus, and fatigue and reduce the severity of Restless Leg Syndrome (RLS) without interfering with the achievement of HD adequacy. This study concludes that intradialytic training and temperature profiling effectively improve the quality of HD services.
Keywords: HD Quality, HD Patient Quality of Life, Intradialysis Exercise, Temperature Profiling
References
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Assawasaksakul, N., Sirichana, W., Joosri, W., Kulaputana, O., Eksakulkla, S., Ketanun, C., Kittiskulnam, P., Chantadisai, M., Takkavatakarn, K., Susantitaphong, P., Praditpornsilpa, K., Eiam-Ong, S., & Tiranathanagul, K. (2021). Effects of Intradialytic Cycling Exercise on Daily Physical Activity, Physical Fitness, Body Composition, and Clinical Parameters in High-Volume Online Hemodiafiltration Patients: A Pilot Randomized-Controlled Trial. International Urology and Nephrology, 53(2), 359–371. https://doi.org/10.1007/s11255-020-02677-7
Biabani, F., Tavakolizadeh, J., Basiri-Moghadam, M., Kianmehr, M., Moradi, Z., & Beydokhti, T. B. (2018). The Effect of Muscle Relaxation on Dialysis Adequacy in Hemodialysis Patients. World Family Medicine Journal/Middle East Journal of Family Medicine, 16(1), 41–47. https://doi.org/10.5742/MEWFM.2018.93195
Brito, J. S., Reis, D., Silva, G., Fonseca, L., Ribeiro, M., Chermut, T., Oliveira, L., Borges, N. A., Ribeiro-Alves, M., & Mafra, D. (2022). Bicycle Ergometer Exercise During Hemodialysis and Its Impact on Quality of Life, Aerobic Fitness and Dialysis Adequacy: A Pilot Study. Complementary Therapies in Clinical Practice, 49(July), 1–9. https://doi.org/10.1016/j.ctcp.2022.101669
Dasgupta, I., Odudu, A., Baharani, J., Fergusson, N., Griffiths, H., Harrison, J., Maruff, P., Thomas, G. N., Woodhall, G., Youseff, S., & Tadros, G. (2020). Evaluation of the Effect of Cooled Haemodialysis on Cognitive Function in Patients Suffering with End-Stage Kidney Disease (E-CHECKED): Feasibility Randomised Control Trial Protocol. Trials, 21(1), 1–23. https://doi.org/10.1186/s13063-020-04725-0
Golestaneh, L. (2018). Decreasing Hospitalizations in Patients on Hemodialysis: Time For A Paradigm Shift. Seminars in Dialysis, 31(3), 278–288. https://doi.org/10.1111/SDI.12675
Hattori, K., Sakaguchi, Y., Kajimoto, S., Asahina, Y., Doi, Y., Oka, T., Kaimori, J. Y., & Isaka, Y. (2022). Intradialytic Hypotension and Objectively Measured Physical Activity Among Patients on Hemodialysis. Journal of Nephrology, 35(5), 1409–1418. https://doi.org/10.1007/s40620-021-01222-8
Karema, A. F., Rahardjo, E., Airlangga, P, S., & Semedi, B. P. (2019). Hipoglikemia Berat pada Pasien Syok Sepsis karena Perforasi Gaster Severe Hypoglycemia in Septic Shock Patients Because of Gastric Perforation. Jurnal Anestesiologi Indonesia, 11(3), 145–152. https://doi.org/10.14710/jai.v11i3.23947
Karimi, M., Dideban, D., & Heidari, H. (2022). Using the Intelligent System to Improve the Delivered Adequacy of Dialysis by Preventing Intradialytic Complications. Journal of Healthcare Engineering, 2022, 8160269. https://doi.org/10.1155/2022/8160269
Kashani, E., Mirhosseini, Z., Rastaghi, S., & Rad, M. (2019). The Effect of the Cool Dialysate on the Restless Leg Syndrome in Hemodialysis Patients: Randomized Triple-Blind Clinical Trial. Iranian Journal of Nursing and Midwifery Research, 24(3), 200–205. https://doi.org/10.4103/ijnmr.IJNMR_133_18
Kim, S., Park, H. J., & Yang, D. H. (2022). An Intradialytic Aerobic Exercise Program Ameliorates Frailty and Improves Dialysis Adequacy and Quality of Life Among Hemodialysis Patients: A Randomized Controlled Trial. Kidney Research and Clinical Practice, 41(4), 462–472. https://doi.org/10.23876/j.krcp.21.284
Kirkman, D. L., Scott, M., Kidd, J., & Macdonald, J. H. (2019). The Effects of Intradialytic Exercise on Hemodialysis Adequacy: A Systematic Review. In Seminars in Dialysis, 32(4), 368–378. https://doi.org/10.1111/sdi.12785
Maheshwari, V., Lau, T., Samavedham, L., & Rangaiah, G. P. (2015). Effect of Cool Vs. Warm Dialysate on Toxin Removal: Rationale and Study Design. BMC Nephrology, 16(1), 1–5. https://doi.org/10.1186/s12882-015-0017-5
Malini, H., Forwaty, E., Cleary, M., Visentin, D., Oktarina, E., & Lenggogeni, D. P. (2022). The Effect of Intradialytic Range of Motion Exercise on Dialysis Adequacy and Fatigue in Hemodialysis Patients. Journal of Nursing Research, 30(4), E221. https://doi.org/10.1097/jnr.0000000000000506
Momb, B., Headley, S. A., Matthews, T., & Germain, M. J. (2019). Intradialytic Exercise Increase Cardiac Power Index. Journal of Nephropathology, 9(1), e07-e07. http://dx.doi.org/10.15171/jnp.2020.07
Mostafi, M., & Jabin, M. (2019). Dualysis Adequacy - a Difficult Challange. Journal of Bangladesh College of Physicians and Surgeons, 37(40), 165-166. https://www.banglajol.info/index.php/JBCPS/article/view/43343/32045
Oliva, E. M., Villafañe, J. H., Pérez, J. L. A., Sal, A. A., Carlier, G. M., GarcÃa, A. Q., Turroni, S., MartÃnez-Pozas, O., Izquierdo, N. V., & Romero, E. A. S. (2022). Effect of Exercise on Inflammation in Hemodialysis Patients: A Systematic Review. Journal of Personalized Medicine, 12(7), 1188. https://doi.org/10.3390/jpm12071188
PERNEFRI. (2018). 11th Report of Indonesian Renal Registry 2018. Indonesian Renal Registry (IRR), 14–15. https://www.indonesianrenalregistry.org/data/IRR%202018.pdf
Raja, S. M., & Seyoum, Y. (2020). Intradialytic Complications Among Patients on Twice-Weekly Maintenance Hemodialysis: An Experience From A Hemodialysis Center In Eritrea. BMC Nephrology, 21(1), 163. https://doi.org/10.1186/S12882-020-01806-9
Rootjes, P. A., Chaara, S., Zuijdewijn, C. L. M., Nubé, M. J., Wijngaarden, G., & Grooteman, M. P. C. (2022). High-Volume Hemodiafiltration and Cool Hemodialysis Have a Beneficial Effect on Intradialytic Hemodynamics: A Randomized Cross-Over Trial of Four Intermittent Dialysis Strategies. Kidney International Reports, 7(9), 1980–1990. https://doi.org/10.1016/j.ekir.2022.06.021
Zhianfar, L., Nadrian, H., & Shaghaghi, A. (2020). Enhancement of Adherence to Therapeutic and Lifestyle Recommendations Among Hemodialysis Patients: An Umbrella Review of Interventional Strategies. Therapeutics and Clinical Risk Management, 16, 233–243. https://doi.org/10.2147/TCRM.S240125
