Progressive Muscle Relaxation (PMR) terhadap Tingkat Fatigue (Kelelahan) pada Pasien Chronic Kidney Disease (CKD) yang Melakukan Hemodialisa
Abstract
This study aims to determine the effect of Progressive Muscle Relaxation (PMR) on the level of Fatigue (tiredness) in Chronic Kidney Disease (CKD) patients who carry out Hemodialysis at the Hemodialysis Unit at Wangaya Hospital, Denpasar. The method used in this study is a case study with a total sample of 1 patient who identified nursing care problems with complaints of fatigue who underwent hemodialysis. The results of this study are that the intervention given is in accordance with the diagnosis, namely active and passive movement exercises according to the Progressive Muscle Relaxation SOP. After the client is given progressive muscle relaxation, they feel less tired than before and feel more relaxed. This shows that progressive muscle relaxation therapy is effective for CKD sufferers who are undergoing hemodialysis. The conclusions from the results of this study are based on the analysis of the therapy giving progressive muscle relaxation effectively to relieve fatigue in patients undergoing hemodialysis, so that patients appear more relaxed and complain of fatigue reduced. Keywords: Chronic Kidney Disease (CKD), Fatigue, Progressive Muscle Relaxation (PMR)References
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Chelluboina, B., & Vemuganti, R. (2019). Chronic Kidney Disease in the Pathogenesis of Acute Ischemic Stroke. Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism, 39(10), 1893–1905. https://doi.org/10.1177/0271678X19866733
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Feng, X., Hou, N., Chen, Z., Liu, J., Li, X., Sun, X., & Liu, Y. (2023). Secular Trends of Epidemiologic Patterns of Chronic Kidney Disease Over Three Decades: An Updated Analysis of The Global Burden of Disease Study 2019. BMJ Open, 13(3), e064540. https://doi.org/10.1136/BMJOPEN-2022-064540
Hasbi, H. Al, & Sutanta. (2020). Effect of Progressive Muscle Relaxation on Sleep Quality of Hemodialisa Patients. Jurnal Kesehatan Samodra Ilmu, 11(1), 29–37. https://stikes-yogyakarta.e-journal.id/JKSI/article/view/12
Herlina, S., Sitorus, R., Studi Ilmu Keperawatan, P., Ilmu -Ilmu Kesehatan, F., Medikal Bedah, K., & Ilmu Keperawatan, F. (2015). Perubahan Tingkat Fatigue Melalui Latihan Progressive Muscle Relaxation (PMR) pada Pasien Gagal Ginjal Kronis yang menjalani Hemodialisa. Jurnal Keperawatan Widya Gantari Indonesia, 2(1). https://doi.org/10.52020/JKWGI.V2I1.846
Hustrini, N. M., Susalit, E., & Rotmans, J. I. (2022). Prevalence and Risk Factors for Chronic Kidney Disease in Indonesia: An Analysis of the National Basic Health Survey 2018. Journal of Global Health, 12, 4074. https://doi.org/10.7189/JOGH.12.04074
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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), 2251–2264. https://doi.org/10.36418/SYNTAX-LITERATE.V6I5.1263
Liyanage, T., Toyama, T., Hockham, C., Ninomiya, T., Perkovic, V., Woodward, M., Fukagawa, M., Matsushita, K., Praditpornsilpa, K., Hooi, L. S., Iseki, K., Lin, M. Y., Stirnadel-Farrant, H. A., Jha, V., & Jun, M. (2022). Prevalence of Chronic Kidney Disease in Asia: A Systematic Review and Analysis. BMJ Global Health, 7(1), e007525. https://doi.org/10.1136/BMJGH-2021-007525
Metekohy, F. A. (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. https://doi.org/10.32695/JKIT.V1I1.230
Paath, C. J. G., Masi, G., & Onibala, F. (2020). Study Cross Sectional: Dukungan Keluarga dengan Kepatuhan Hemodialisa pada Pasien Gagal Ginjal Kronis. Jurnal Keperawatan, 8(1), 106–112. https://doi.org/10.35790/JKP.V8I1.28418
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
Riyana, A., Siti Nurhalimah, W., & Keperawatan Poltekkes Tasikmalaya, J. (2023). Pengaruh Progressive Muscle Relaxation terhadap Tingkat Fatigue pada Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis. Jurnal Keperawatan Galuh, 5(1), 23–30. https://doi.org/10.25157/JKG.V5I1.9583
Rustandi, H., Tranado, H., & Pransasti, T. (2018). Faktor-faktor yang mempengaruhi kualitas hidup pasien Chronic Kidney Disease (CKD) yang menjalani hemodialisa. Jurnal Keperawatan Silampari, 1(2), 32-46. https://doi.org/10.31539/jks.v1i2.8
Septiani, N. W. (2017). Analisis Praktik Klinik Keperaatan pada Pasien Chronic Kidney Disease (CKD) dengan Intervensi Inovasi Relaksasi Nafas Dalam dengan Kombinasi Massage Kaki terhadap Penurunan Kelelahan di Ruang Hemodialisa RSUD Abdul Wahab Sjahrane Samarinda Tahun 2017. (Skripsi). Universitas Muhammadiyah Kalimantan Timur. https://dspace.umkt.ac.id//handle/463.2017/412
Vaidya, S. R., & Aeddula, N. R. (2022). Chronic Kidney Disease, the Scientific Basis of Urology, Second Edition (pp. 257–264). StatPearls Publishing. https://doi.org/10.29309/tpmj/2009.16.04.2736
Wiliyanarti, P. F., & Muhith, A. (2019). Life Experience of Chronic Kidney Diseases Undergoing Hemodialysis Therapy. NurseLine Journal, 4(1), 54–60. https://doi.org/10.19184/NLJ.V4I1.9701
Bikbov, B., Purcell, C. A., 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., … Murray, C. J. L. (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
Centers for Disease Control and Prevention. (2023). Chronic Kidney Disease in the United States, 2023. In Centers for Disease Control and Prevention. https://www.cdc.gov/kidneydisease/publications-resources/ckd-national-facts.html
Chelluboina, B., & Vemuganti, R. (2019). Chronic Kidney Disease in the Pathogenesis of Acute Ischemic Stroke. Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism, 39(10), 1893–1905. https://doi.org/10.1177/0271678X19866733
Dinkes Provinsi Bali. (2017). Profil Kesehatan Provinsi Bali 2017. https://diskes.baliprov.go.id/wp-content/uploads/2019/06/Bali_Profil_2017_ds.pdf
Fari, A. I. (2019). Efektifitas Progressive Muscle Relaxation (PMR) dan Relaxation Breathing Exercise (RBE) Terhadap Tingkat Fatigue dan Selfcare Pasien GGK. Jurnal Kesehatan Saelmakers Perdana, 2(1), 99-110. http://ojs.ukmc.ac.id/index.php/JOH
Feng, X., Hou, N., Chen, Z., Liu, J., Li, X., Sun, X., & Liu, Y. (2023). Secular Trends of Epidemiologic Patterns of Chronic Kidney Disease Over Three Decades: An Updated Analysis of The Global Burden of Disease Study 2019. BMJ Open, 13(3), e064540. https://doi.org/10.1136/BMJOPEN-2022-064540
Hasbi, H. Al, & Sutanta. (2020). Effect of Progressive Muscle Relaxation on Sleep Quality of Hemodialisa Patients. Jurnal Kesehatan Samodra Ilmu, 11(1), 29–37. https://stikes-yogyakarta.e-journal.id/JKSI/article/view/12
Herlina, S., Sitorus, R., Studi Ilmu Keperawatan, P., Ilmu -Ilmu Kesehatan, F., Medikal Bedah, K., & Ilmu Keperawatan, F. (2015). Perubahan Tingkat Fatigue Melalui Latihan Progressive Muscle Relaxation (PMR) pada Pasien Gagal Ginjal Kronis yang menjalani Hemodialisa. Jurnal Keperawatan Widya Gantari Indonesia, 2(1). https://doi.org/10.52020/JKWGI.V2I1.846
Hustrini, N. M., Susalit, E., & Rotmans, J. I. (2022). Prevalence and Risk Factors for Chronic Kidney Disease in Indonesia: An Analysis of the National Basic Health Survey 2018. Journal of Global Health, 12, 4074. https://doi.org/10.7189/JOGH.12.04074
Kemenkes. (2018). Hasil Utama RISKESDAS 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Kovesdy, C. P. (2022). Epidemiology of Chronic Kidney Disease:An Update 2022. Kidney International Supplements, 12(1), 7. https://doi.org/10.1016/J.KISU.2021.11.003
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), 2251–2264. https://doi.org/10.36418/SYNTAX-LITERATE.V6I5.1263
Liyanage, T., Toyama, T., Hockham, C., Ninomiya, T., Perkovic, V., Woodward, M., Fukagawa, M., Matsushita, K., Praditpornsilpa, K., Hooi, L. S., Iseki, K., Lin, M. Y., Stirnadel-Farrant, H. A., Jha, V., & Jun, M. (2022). Prevalence of Chronic Kidney Disease in Asia: A Systematic Review and Analysis. BMJ Global Health, 7(1), e007525. https://doi.org/10.1136/BMJGH-2021-007525
Metekohy, F. A. (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. https://doi.org/10.32695/JKIT.V1I1.230
Paath, C. J. G., Masi, G., & Onibala, F. (2020). Study Cross Sectional: Dukungan Keluarga dengan Kepatuhan Hemodialisa pada Pasien Gagal Ginjal Kronis. Jurnal Keperawatan, 8(1), 106–112. https://doi.org/10.35790/JKP.V8I1.28418
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
Riyana, A., Siti Nurhalimah, W., & Keperawatan Poltekkes Tasikmalaya, J. (2023). Pengaruh Progressive Muscle Relaxation terhadap Tingkat Fatigue pada Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis. Jurnal Keperawatan Galuh, 5(1), 23–30. https://doi.org/10.25157/JKG.V5I1.9583
Rustandi, H., Tranado, H., & Pransasti, T. (2018). Faktor-faktor yang mempengaruhi kualitas hidup pasien Chronic Kidney Disease (CKD) yang menjalani hemodialisa. Jurnal Keperawatan Silampari, 1(2), 32-46. https://doi.org/10.31539/jks.v1i2.8
Septiani, N. W. (2017). Analisis Praktik Klinik Keperaatan pada Pasien Chronic Kidney Disease (CKD) dengan Intervensi Inovasi Relaksasi Nafas Dalam dengan Kombinasi Massage Kaki terhadap Penurunan Kelelahan di Ruang Hemodialisa RSUD Abdul Wahab Sjahrane Samarinda Tahun 2017. (Skripsi). Universitas Muhammadiyah Kalimantan Timur. https://dspace.umkt.ac.id//handle/463.2017/412
Vaidya, S. R., & Aeddula, N. R. (2022). Chronic Kidney Disease, the Scientific Basis of Urology, Second Edition (pp. 257–264). StatPearls Publishing. https://doi.org/10.29309/tpmj/2009.16.04.2736
Wiliyanarti, P. F., & Muhith, A. (2019). Life Experience of Chronic Kidney Diseases Undergoing Hemodialysis Therapy. NurseLine Journal, 4(1), 54–60. https://doi.org/10.19184/NLJ.V4I1.9701
Published
2023-12-20
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