Unresolved anxiety can lead to some impact on which a person tends to have a negative assessment of the meaning of life, decreased quality of life, emotional changes such as chronic depression and psychosis disorders. The general objective in this research is to find out the symptoms of anxiety symptoms of chronic kidney disease patients undergo hemodialysis. This research employed cross sectional design. This study used non-probability sampling type quota sampling. Sample was calculated using the Slovin formula obtained a sample size of 171. The proportion of patient with chronic kidney disease treated with hemodialysis based on the anxiety level resulting mild anxiety (86.5%) and moderate anxiety (13.5%). There are symptoms of anxiety symptoms in patients with chronic kidney disease undergoing hemodialysis.

Fasting is one of the five pillars of Islam. Fasting entails more than abstaining from food and drink, fasting improves impulse control and aids in the development of good behavior. The holy month of Ramadan falls on the 9th month of the lunar calendar. Ramadan is a month-long fasting period that takes place between dawn and sunset. Some people with diabetes and those who are sick or have certain medical conditions may be exempt. The majority of people with diabetes, on the other hand, choose to fast; even against medical advice. Many studies have been conducted to determine the health benefits of fasting. Apart from the benefits to the body’s organs, Ramadan fasting is also beneficial for the growth of the gut microbiota and gene expression and is believed to impact the body’s autophagy process. Furthermore, Ramadan fasting has an impact on mental health; TC and LDL were lower, while HDL and TG were higher, lowers inflammation, and oxidative stress markers.

Chronic kidney disease (CKD) is a pathological process with various etiologies, causing decreased kidney function progressively and irreversibly. The prevalence of CKD in the last ten years has increased. Causative factors of CKD vary highly in each countries around the world. Hemodialysis is still the primary kidney therapy besides peritoneal dialysis and kidney transplantation. This study aims to discover the causative factors of chronic kidney disease in patients with hemodialysis therapy at the Medan Rasyida Kidney Specialty Hospital in 2019. The design of this research is a descriptive method, the respondents were 307 chronic kidney disease patients with hemodialysis therapy taken by total sampling. The most common factors causing chronic kidney disease in patients with hemodialysis therapy were hypertension (59.6%), diabetes mellitus (32.2%), obstructive nephropathy (2.6%), and gout nephropathy (2.3%), polycystic kidney (2.0%) and glomerulonephritis (1.3%). Hypertension is the most common cause of CKD in Medan Rasyida Kidney Hospital in 2019.

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