Introduction: Chronic Kidney Disease (CKD) has a slow progression in the treatment process. The use of IT (information technology) media as an innovation to support health education in patients with chronic kidney failure to improve their knowledge and self-management nowadays is becoming a trend.Methods: We analyzed the literature to identify the effectiveness of IT using as education media on chronic kidney disease patients. Articles were obtained by PRISMA approach from Scopus, ScienceDirect, CINAHL, PubMed, and Proquest limited to the 5 years; from 2013 to 2018 and obtained 12 articles with RCTs design study. We identified interventions based on IT devices such as smartphones, PDAs (Personal Digital Assistant), computer-based applications, telehealth, film, SMS, and website-based applications.Results: This studies assessed 12 journals. According to the outcomes, there were 38 outcomes in total which are divided into three groups. They were 13 clinical outcomes, 14 caring process outcomes, and 11 usability and feasibility outcomes.Conclusion: Overall, the percentage of intervention which had a positive effect on the outcomes was about 47%. Smartphone and computer-based technologies are the most effective to help the patient find information about aspects related to caring, self and disease management which are recommended by the health care team.

Background: Chronic kidney disease is a condition where kidney has declining its function. It can cause a loss of physical capacity characterized by decreased body fitness, muscle strength and muscle endurance. Exercise programs to overcome the problem are still not common in dialysis clinics but there are several studies on exercise programs that have a positive effect on hemodialysis patients. Objectives: This study aimed to review aerobic and anaerobic exercise to enhance physical fitness for chronic kidney disease patients on hemodialysis. Design: The study design used was systematic review with using The Center for Review and Dissemination for writing guideline and the Joanna Briggs Institute Guideline for assessing the quality of summarized studies. Data Sources: Search for articles accessed through database, such as ProQuest, Scopus, Science Direct, SAGE, and PubMed with keywords: Chronic kidney disease, aerobic exercise, anaerobic exercise, physical function and hemodialysis. The literature was published 2015-2021. Review Methods: Joanna Briggs Institute Guidelines was used to assess the quality of the summarized studies. The presentation of the data will be done using descriptive techniques. Results: The result of this systematic review shows that both aerobic and anaerobic exercise have a significant result for chronic kidney disease patient who undergo hemodialysis therapy. But aerobic exercise had a long-term impact for patients than anaerobic exercise. Combination of aerobic (ergometer cycle) and anaerobic exercise (resistance training exercise) also show a significant effect for physical fitness. The mechanism for enhancing physical fitness is done by strengthen the body muscle. The side effect of exercise is found minimum in most of study. Conclusion: The combination of cycle ergometer exercise and resistance training exercise is one of the best exercises. The exercise could enhance the physical fitness by strengthen the muscle. The exercise could be done home based or intradialytic, but some articles state that intradialytic exercise is better than home based exercise.