Pengalaman Mengatasi Fatigue Pada Pasien Hemodialisa
Keywords:
ESRD, Hemodialisa, Fatigue
Abstract
Fatigue merupakan gejala yang paling sering dikeluhkan oleh pasien ESRD yang menjalani terapi hemodialisa (HD) yaitu sebanyak 60-97% dari total pasien yang menjalani HD. Hal tersebut memiliki pengaruh sangat negatif pada kualitas hidup pasien dan memiliki masalah yang serius pada psikologis, fisiologis, implikasi sosial-demografis (untuk pasien, keluarga dan komunitas). Tujuan: Penelitian ini bertujuan untuk memperoleh pemahaman yang mendalam tentang pengalaman, faktor yang mendukung dan menghambat dalam mengatasi fatigue pada pasien HD. Metode: Studi kualitatif ini dilakukan untuk menggali pengalaman pasien mengatasi fatigue pada pasien HD dengan jumlah partisipan 5 perempuan dan 1 laki –laki. Hasil: Terdapat empat tema yang diperoleh dalam penelitian ini yaitu perubahan akibat fatigue, cara pasien mengatasi fatigue, faktor penghambat dalam mengatasi fatigue dan faktor pendukung dalam mengatasi fatigue. Kesimpulan: Keempat tema tersebut saling berkaitan atau saling berkesinambungan sehingga perlu adanya dukungan dari semua pihak baik itu keluarga, lingkungan dan penyedia pelayanan kesehatan. Sehingga hal ini dapat memberikan dampak terhadap peningkatan kualitas hidup pasien. Saran: Keterlibatan keluarga sangat diperlukan dalam pemberian edukasi dan konsultasi psikologis oleh pelayanan kesehatan, sehingga keluarga dapat mengetahui permasalahan yang dihadapai pasien.
References
Alligood, M.R (2014), Pakar Teori Keperawatan dan Karya Mereka, Edisi Indonesia Ke-8 volume 1, Elsevier
Broccop D.Y & Tolsma M.T.H., (1995). Fundamentals of Nursing Research. Boston: Jones & Bartlett Publishers. Inc
Black, J.M., & Hawks, J.H. (2005). Medical Surgical Nursing; Clinical Management For Posittive Outcome. 7th Edition. Philadelphia: W.B Sounders Company.
Day., 2001. MASSAGE: The Power of Therapeutic Touch. https://search.proquest.com/docview/197269465?accountid=25704. Diakses tanggal 18 february 2017.
Evan, W.J & Lambert, C.P (2007). Physiological Basis of Fatigue . American Journal of Physical Medicine & Rehabilitation, 86 (I Suppl), S29-S46. Https://www.ncbi.nlm.nih.gov/pubmed/17370370. Diakses Tanggal 02 Februari 2017.
Friedman,. (2002). Buku Ajar Keperawatan Keluarga Riset, Teori, dan Praktek, Edisi kelima, Fakultas Kedokteran Universitas Indonesia, Jakarta.
Guyton., (1991). Buku Teks Fisiologi Kedokteran. Alih Bahasa Adji Dharmadan P. Lukmanto. Jakarta : EGC.
Horigan, A.E. (2012). Fatigue In Hemodialysis Patients: A Review Of Current Knowledge J Pain Symptom Volume 44, Issue 5, Pages 715–724.. Http://www.jpsmjournal.com/article/S0885-3924(12)00156-X/abstract. Diakses Tanggal 06 Maret 2017.
Handayani .F., (2008). Studi fenomenologi Tentang Pengalaman ILWHA (Injecting Drugs Users Living With HIV/AIDS) Dalam Menjalani Terapi Antriretroviral Saat Terapi Rumatan Metadon Di RS Ketergantungan Obat Jakarta. Tesis. FIK Pasca Sarjana UI
Jhamb, et al, (2013), Prevalence and Correlates of Fatigue in CKD and ESRD: Are Sleep Disorders a Key to Understanding Fatigue?. Am J Nephrol; 38(6): 489–495. doi:10.1159/000356939. Https://www.ncbi.nlm.nih.gov/pubmed/24335380. Diakses Tanggal 09 Januari 2017.
Jhamb, et al, (2011), Impact of Fatigue on Outcomes in the Hemodialysis (HEMO) Study. Https://www.ncbi.nlm.nih.gov/pubmed/21555875. Di Akses Tanggal 09 Januari 2017.
Jhamb, et al, (2008), Fatigue in Patients Receiving Maintenance Dialysis: A Review of Definitions, Measures, and Contributing Factors. Am J Kidney Dis; 52(2): 353–365. doi:10.1053/j.ajkd.2008.05.005. Https://www.ncbi.nlm.nih.gov/pubmed/18572290. Diakses Tanggal 09 Januari 2017.
Jeong, H.J,. & Kim, H. J. (2007). Fatigue Associated With Kidney Disease Symptoms In Female Patients Undergoing Hemodialysis. Journal Of Korean Academy of Fundamentals Of Nursing. Volume 14, Issue 4, pp.474-482.
Kao, Y.H., Huang, Y.C., Chen. P.Y., & Wang. K. M. (2012). The Effects Of Exercise Education Intervention On The Exercise Behaviour, Depression, And Fatigue Status Of Chronic Kidney Disease Patients. Health Education, Vol. 112 No. 6. Http://www.emeraldinsight.com/doi/abs/10.1108/09654281211275827. Diakses Tanggal 09 Januari 2017.
Kallenbach.J.C., Gutch.C.F., Martha, S.H & Corla, A.L (2005). Review Of Hemodialisis For Nurses And Dialysis Personal 7th Edition. St. Louis: Elsevier Mosby.
Lingerfelt, K., Thornton, K., (2011). An Educational Project for Patients on Hemodialysis to Promote Self-Management Behaviors of end Stage Renal Disease. Nephrology Nursing Journal. 38 No. 6, 483-488. http://search.proquest.com/openview/d9fcab501fb68c49f64e8050a0b94a14/1?pq-origsite=gscholar&cbl=45638. Diakses Tanggal 31 Maret 2017.
Lin, C. H., Lee, L. S., Su, L. H., Huang, T. C., & Liu, C. F. (2011). Thermal therapy in dialysis patients – A randomized trial. The American Journal of Chinese Medicine, 39(5, 839-851. doi: doi:10.1142/S0192415X1100924X
Malisa & Ibrahim, (2016), Manajemen Diri Untuk Mengatasi Fatigue Pada Pasien Hemodialisis: Kajian Literatur Sistematis. Jurnal Kesehatan Bakti Tunas Husada Volume 16. Http://ejurnal.stikes-bth.ac.id/index.php/P3M/article/view/172. Diakses Tanggal 02 Februari 2017.
Matsumoto, Y et al., (2007). The Impact of Pre-dialytic Endurance Training on Nutritional Status and Quality of Life in Stable Hemodialysis Patients (Sawada Study). Renal Failure 29 (5), 587-593. Http://www.tandfonline.com/doi/abs/10.1080/08860220701392157. Diakses Tanggal 31 Maret 2017.
Parvan., et al (2015). Coping methods to stress among patients on hemodialysis and peritoneal dialysis, Volume 26. http://www.sjkdt.org/text.asp?2015/26/2/255/152409. Di akses tanggal 27 juli 2017.
Potter, P.A., & Perry, A.G., (2005). Fundamental Of Nursing Concept, Process And Practice. 4th Edition. St Louis: Mosby Company.
Potter, P.A., & Perry, A.G., (2010). Fundamental Of Nursing Concept, Process And Practice. Edisi 7 vol.3.Jakarta: EGC.
Polit, D.F & Hungler, B.F,. (1999). Nursing research, principle and method. 6th Edition Philadelphia: Lippincott William & Wilkins.
Rasmun., 2004, Stres, koping dan adaptasi. (ed.1). Jakarta : Sagung Seto.
Sakkas G.K & Karatzaferi.C., (2012). Hemodialysis fatigue: just “simple” fatigue or a syndrome on its own right? Volume 3, Article 306. Frontiers in Physiology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3429077/pdf/fphys-03-00306.pdf. Diakses Tanggal 02 Februari 2017.
Su, L.H., Wu, K.D., Lee, L.S., Wang, H., & Liu, C.F. (2009). Effects of far infrared acupoint stimulation on autonomic activity and quality of life in hemodialysis patients. The American Journal of Chinese Medicine, 37(2), 215-226.
Sheridan, D dan Radmacher, A. 1992. Personal and Contextual Determinant Strategies. Journal of personality and Social Psychology, Vol 52, 945-955.
Sulistini, R., Yetti, K., & Hariyati, Rr. Tutik Sri. (2012). Faktor-Faktor Yang Mempengaruhi Fatigue Pada Pasien Yang Menjalani Hemodialisa. Jurnal Keperawatan Indonesia, Volume 15. Http://www.jki.ui.ac.id/index.php/jki/article/view/30. Diakses Tanggal 24 Januari 2017.
Streubert, H.J., & Carpenter, D.J, (1999), Qualitativ Research In Nursing Advascing the Humanistc Imperative. 2th edition. Philadelphia: Lippincott
Veronica., (1989). Hukum dan Etika Dalam Praktek Kedokteran. Pustaka Sinar Harapan. Jakarta.
Wu, C.Y, et al. (2014). Effect Of Qigong Training On Fatigue In Haemodialysis Patients: A Non-Randomized Controlled Trial. Elsevier Inc. Volume 22, Issue 2, Pages 244–250. Http://www.complementarytherapiesinmedicine.com/article/S0965-2299(14)00007-7/abstract. Diakses Tanggal 02 Maret 2017.
Wang, et al, (2016). Faktor Related to fatigue In China Patients With End Stage Renal Disease Receiving Maitenance Hemodialysis: A Multi-Center-Cros-Sectional Study. Http://dx.doi.org/10.3109/0886022X.2016.1138819. Diakses Tanggal 02 Maret 2017.
Van Vilsteren, M.C., de Greef, M.H., & Huisman, R.M. (2005). The effects of a low-to-moderate intensity preconditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in thenetherlands: Results of a randomized clinical trial. Nephrology, Dialysis, Transplantation, 20(1), 141-146. doi:10.1093/ndt/gfh560
Yurtkuran, M., Alp, A., Yurtkuran, M., & Dilek, K. (2007). A modified yoga based exercise program in hemodialysis patients: A randomized controlled study. Complementary Therapies in Medicine, 15(3)(164-171). doi: doi: 10.1016/j.ctim.2006.06.008.
8th Report Of Indonesia Ranal Registry, (2015). Http://www.indonesianrenalregistry.org/data/INDONESIAN%20RENAL%20REGISTRY%202015.pdf. Diakses Tanggal 02 Maret 2017.
Broccop D.Y & Tolsma M.T.H., (1995). Fundamentals of Nursing Research. Boston: Jones & Bartlett Publishers. Inc
Black, J.M., & Hawks, J.H. (2005). Medical Surgical Nursing; Clinical Management For Posittive Outcome. 7th Edition. Philadelphia: W.B Sounders Company.
Day., 2001. MASSAGE: The Power of Therapeutic Touch. https://search.proquest.com/docview/197269465?accountid=25704. Diakses tanggal 18 february 2017.
Evan, W.J & Lambert, C.P (2007). Physiological Basis of Fatigue . American Journal of Physical Medicine & Rehabilitation, 86 (I Suppl), S29-S46. Https://www.ncbi.nlm.nih.gov/pubmed/17370370. Diakses Tanggal 02 Februari 2017.
Friedman,. (2002). Buku Ajar Keperawatan Keluarga Riset, Teori, dan Praktek, Edisi kelima, Fakultas Kedokteran Universitas Indonesia, Jakarta.
Guyton., (1991). Buku Teks Fisiologi Kedokteran. Alih Bahasa Adji Dharmadan P. Lukmanto. Jakarta : EGC.
Horigan, A.E. (2012). Fatigue In Hemodialysis Patients: A Review Of Current Knowledge J Pain Symptom Volume 44, Issue 5, Pages 715–724.. Http://www.jpsmjournal.com/article/S0885-3924(12)00156-X/abstract. Diakses Tanggal 06 Maret 2017.
Handayani .F., (2008). Studi fenomenologi Tentang Pengalaman ILWHA (Injecting Drugs Users Living With HIV/AIDS) Dalam Menjalani Terapi Antriretroviral Saat Terapi Rumatan Metadon Di RS Ketergantungan Obat Jakarta. Tesis. FIK Pasca Sarjana UI
Jhamb, et al, (2013), Prevalence and Correlates of Fatigue in CKD and ESRD: Are Sleep Disorders a Key to Understanding Fatigue?. Am J Nephrol; 38(6): 489–495. doi:10.1159/000356939. Https://www.ncbi.nlm.nih.gov/pubmed/24335380. Diakses Tanggal 09 Januari 2017.
Jhamb, et al, (2011), Impact of Fatigue on Outcomes in the Hemodialysis (HEMO) Study. Https://www.ncbi.nlm.nih.gov/pubmed/21555875. Di Akses Tanggal 09 Januari 2017.
Jhamb, et al, (2008), Fatigue in Patients Receiving Maintenance Dialysis: A Review of Definitions, Measures, and Contributing Factors. Am J Kidney Dis; 52(2): 353–365. doi:10.1053/j.ajkd.2008.05.005. Https://www.ncbi.nlm.nih.gov/pubmed/18572290. Diakses Tanggal 09 Januari 2017.
Jeong, H.J,. & Kim, H. J. (2007). Fatigue Associated With Kidney Disease Symptoms In Female Patients Undergoing Hemodialysis. Journal Of Korean Academy of Fundamentals Of Nursing. Volume 14, Issue 4, pp.474-482.
Kao, Y.H., Huang, Y.C., Chen. P.Y., & Wang. K. M. (2012). The Effects Of Exercise Education Intervention On The Exercise Behaviour, Depression, And Fatigue Status Of Chronic Kidney Disease Patients. Health Education, Vol. 112 No. 6. Http://www.emeraldinsight.com/doi/abs/10.1108/09654281211275827. Diakses Tanggal 09 Januari 2017.
Kallenbach.J.C., Gutch.C.F., Martha, S.H & Corla, A.L (2005). Review Of Hemodialisis For Nurses And Dialysis Personal 7th Edition. St. Louis: Elsevier Mosby.
Lingerfelt, K., Thornton, K., (2011). An Educational Project for Patients on Hemodialysis to Promote Self-Management Behaviors of end Stage Renal Disease. Nephrology Nursing Journal. 38 No. 6, 483-488. http://search.proquest.com/openview/d9fcab501fb68c49f64e8050a0b94a14/1?pq-origsite=gscholar&cbl=45638. Diakses Tanggal 31 Maret 2017.
Lin, C. H., Lee, L. S., Su, L. H., Huang, T. C., & Liu, C. F. (2011). Thermal therapy in dialysis patients – A randomized trial. The American Journal of Chinese Medicine, 39(5, 839-851. doi: doi:10.1142/S0192415X1100924X
Malisa & Ibrahim, (2016), Manajemen Diri Untuk Mengatasi Fatigue Pada Pasien Hemodialisis: Kajian Literatur Sistematis. Jurnal Kesehatan Bakti Tunas Husada Volume 16. Http://ejurnal.stikes-bth.ac.id/index.php/P3M/article/view/172. Diakses Tanggal 02 Februari 2017.
Matsumoto, Y et al., (2007). The Impact of Pre-dialytic Endurance Training on Nutritional Status and Quality of Life in Stable Hemodialysis Patients (Sawada Study). Renal Failure 29 (5), 587-593. Http://www.tandfonline.com/doi/abs/10.1080/08860220701392157. Diakses Tanggal 31 Maret 2017.
Parvan., et al (2015). Coping methods to stress among patients on hemodialysis and peritoneal dialysis, Volume 26. http://www.sjkdt.org/text.asp?2015/26/2/255/152409. Di akses tanggal 27 juli 2017.
Potter, P.A., & Perry, A.G., (2005). Fundamental Of Nursing Concept, Process And Practice. 4th Edition. St Louis: Mosby Company.
Potter, P.A., & Perry, A.G., (2010). Fundamental Of Nursing Concept, Process And Practice. Edisi 7 vol.3.Jakarta: EGC.
Polit, D.F & Hungler, B.F,. (1999). Nursing research, principle and method. 6th Edition Philadelphia: Lippincott William & Wilkins.
Rasmun., 2004, Stres, koping dan adaptasi. (ed.1). Jakarta : Sagung Seto.
Sakkas G.K & Karatzaferi.C., (2012). Hemodialysis fatigue: just “simple” fatigue or a syndrome on its own right? Volume 3, Article 306. Frontiers in Physiology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3429077/pdf/fphys-03-00306.pdf. Diakses Tanggal 02 Februari 2017.
Su, L.H., Wu, K.D., Lee, L.S., Wang, H., & Liu, C.F. (2009). Effects of far infrared acupoint stimulation on autonomic activity and quality of life in hemodialysis patients. The American Journal of Chinese Medicine, 37(2), 215-226.
Sheridan, D dan Radmacher, A. 1992. Personal and Contextual Determinant Strategies. Journal of personality and Social Psychology, Vol 52, 945-955.
Sulistini, R., Yetti, K., & Hariyati, Rr. Tutik Sri. (2012). Faktor-Faktor Yang Mempengaruhi Fatigue Pada Pasien Yang Menjalani Hemodialisa. Jurnal Keperawatan Indonesia, Volume 15. Http://www.jki.ui.ac.id/index.php/jki/article/view/30. Diakses Tanggal 24 Januari 2017.
Streubert, H.J., & Carpenter, D.J, (1999), Qualitativ Research In Nursing Advascing the Humanistc Imperative. 2th edition. Philadelphia: Lippincott
Veronica., (1989). Hukum dan Etika Dalam Praktek Kedokteran. Pustaka Sinar Harapan. Jakarta.
Wu, C.Y, et al. (2014). Effect Of Qigong Training On Fatigue In Haemodialysis Patients: A Non-Randomized Controlled Trial. Elsevier Inc. Volume 22, Issue 2, Pages 244–250. Http://www.complementarytherapiesinmedicine.com/article/S0965-2299(14)00007-7/abstract. Diakses Tanggal 02 Maret 2017.
Wang, et al, (2016). Faktor Related to fatigue In China Patients With End Stage Renal Disease Receiving Maitenance Hemodialysis: A Multi-Center-Cros-Sectional Study. Http://dx.doi.org/10.3109/0886022X.2016.1138819. Diakses Tanggal 02 Maret 2017.
Van Vilsteren, M.C., de Greef, M.H., & Huisman, R.M. (2005). The effects of a low-to-moderate intensity preconditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in thenetherlands: Results of a randomized clinical trial. Nephrology, Dialysis, Transplantation, 20(1), 141-146. doi:10.1093/ndt/gfh560
Yurtkuran, M., Alp, A., Yurtkuran, M., & Dilek, K. (2007). A modified yoga based exercise program in hemodialysis patients: A randomized controlled study. Complementary Therapies in Medicine, 15(3)(164-171). doi: doi: 10.1016/j.ctim.2006.06.008.
8th Report Of Indonesia Ranal Registry, (2015). Http://www.indonesianrenalregistry.org/data/INDONESIAN%20RENAL%20REGISTRY%202015.pdf. Diakses Tanggal 02 Maret 2017.
Published
2017-03-02
How to Cite
Musniati, M., Suradika, A., & Irawati, D. (2017). Pengalaman Mengatasi Fatigue Pada Pasien Hemodialisa. Jurnal Ilmu Kesehatan Dan Farmasi, 5(1), 15-19. https://doi.org/10.51673/jikf.v5i1.545
Section
Articles
