Psychological Impact of Chronic Kidney Disease and Hemodialysis: Narrative Review

Alkhaqani, Ahmed Lateef

doi:10.53388/202209

Cited by 5 publications

(6 citation statements)

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“…ESRD patients undergoing hemodialysis to improve outcomes (blood pressure, IDWG, sodium levels, and functional independence), the patient need to improve self-care compliance in undergoing hemodialysis therapy regimens [31]. Nursing interventions to increase compliance based on self-regulation are able to improve the expected outcomes in the hemodialysis therapy process [32], so that ESRD patients undergoing hemodialysis are able to maintain good IDWG values, control in sodium level, blood pressure, and functional independence [32].…”

Section: Outer Model Evaluationmentioning

confidence: 99%

Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis

Melastuti,

Nursalam,

Sukartini

et al. 2024

IJPHS

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Self-management in regulating diet, fluids, activities, and medication in chronic renal failure patients which getting hemodialysis is still worse. This research aimed to develop the theory of compliance based on self-regulation to increase patient obedience and awareness. A cross-sectional approach of 130 respondents was recruited using simple random sampling. Structural equation modeling partial least square (SEM-PLS) was the statistical analysis for this study. All indicators in the outer model showed outer loading value >0.7, it declared feasible to predict each of the latent variables. The R-square value of appraisal latent was 0.576, Coping was 0.897, and self-care compliance was 0.713. The model was relevant when applied in other research studies with a Q-Square value=0.832. The goodness of fit (GoF) was 0.832>0.36, which means that the model was applied well. The appraisal variable is the strongest variable that influences coping, based on the hypothesis test. The self-regulation-based compliance model for blood pressure, interdialytic weight gain (IDWG), sodium levels, and functional independence can be developed through analysis of the structural model.

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Section: Outer Model Evaluationmentioning

confidence: 99%

Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis

Melastuti,

Nursalam,

Sukartini

et al. 2024

IJPHS

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“…CKD akan menyebabkan kerusakan ginjal progresif dan irreversibel yang berakibat fatal dan ditandai dengan uremia serta komplikasinya (anemia, azotemia, dan asidosis metabolik) jika tidak dilakukan dialisis atau transplantasi ginjal (Lopez et al, 2010). Hemodialisis merupakan salah satu intervensi yang dilakukan sepanjang usia pasien, namun demikian dampak intervensi tersebut akan mempengaruhi aspek fisik, psikologis, sosioekonomi dan lingkungan dapat terpengaruh secara negatif, berdampak pada kualitas hidup pasien CKD (Alkhaqani, 2022;Olsen & Van Galen, 2022). Meskipun terapi ini dapat mempertahankan hidup, pasien masih tetap menghadapi masalah fisik, sosial, dan psikologis seumur hidup yang terkait dengan penyakit mereka.…”

Section: Pendahuluanunclassified

“…Intervensi hemodialisis pada pasien dapat menghadirkan tantangan fisik dan psikososial sepanjang perjalanan penyakit (Alkhaqani, 2022). Identifikasi permasalahan pasien hemodialisis menjadi krusial, dan kecermatan perawat dalam mengevaluasi kondisi pasien serta riwayat penyakitnya sangat penting.…”

Section: B Pembahasanunclassified

Pelatihan Pengkajian Komprehensif Perubahan Fisik, Psikososial, dan Frailty Bagi Perawat dalam Meningkatkan Kualitas Pelayanan Pasien Hemodialisis

Irawati,

Natashia,

Slametiningsih

et al. 2024

Creat J. Cumn Enga

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ABSTRAK Penyakit Ginjal Kronis (PGK) adalah kondisi medis yang cukup kompleks. Kejadian PGK cukup tinggi di Indonesia, sehingga diperlukan intervensi jangka panjang. Pengobatan hemodialisis jangka panjang ini berdampak signifikan pada pasien secara fisik, psikologis, dan sosial. Selain itu, prevalensi frailty juga tinggi di antara pasien yang menjalani HD. Frailty pada pasien dengan penyakit ginjal kronis (PGK) dapat memperburuk perkembangan penyakit dari aspek fisik dan psikologis, meningkatkan kematian, dan menurunkan kualitas hidup. Saat ini, para perawat menghadapi tantangan dalam melakukan pengkajian komprehensif terhadap pasien akibat pengetahuan terbatas tentang prosedur dan format pengkajian. Program pelatihan perawat dikembangkan untuk meningkatkan kemampuan mereka dalam mengkaji perubahan fisik, psikososial, dan status frailty yang dapat berdampak terhadap kualitas hidup pasien. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk memberikan pelatihan pengkajian komprehensif kepada 18 perawat di ruang hemodialysis rumah sakit islam Jakarta cempaka putih. Kegiatan PkM ini menggunakan pendekatan intervensi keperawatan berbasis edukasi (educative-based nursing intervention) yang terdiri dari beberapa sesi yaitu sesi edukasi, role-play dan bedside teaching praktik dan sesi diskusi. Analisa data dilakukan menggunakan metode analisis kuantitatif one group pre-post-test design dengan menggunakan paired t-test. Hasil PkM ini menunjukan peningkatan pengetahuan dan keterampilan peserta terhadap pengkajian komprehensif pada pasien penyakit ginjal kronik yang menjalani Hemodialisa. Peningkatan signifikan dalam pengetahuan dan keterampilan peserta menunjukkan keberhasilan pendekatan intervensi keperawatan berbasis edukasi dalam pengabdian masyarakat untuk pengaplikasian dalam praktik klinis. Kata Kunci: Hemodialisis, Gejala Fisik, Perubahan Psikologis, Kelemahan, Pengkajian ABSTRACT Chronic Kidney Disease (CKD) is an advanced medical condition. The incidence of CKD is significantly high in Indonesia, necessitating long-term interventions. This prolonged haemodialysis treatment significantly impacts patients physically, psychologically, socially, with various signs and symptoms emerging during the process. Besides, the incidence of frailty is also high among patients undergoing HD. Frailty in patients with chronic kidney disease (CKD) may worsen disease progression, increase mortality, and decrease quality of life. Nurses currently face challenges in conducting comprehensive patient assessments due to limited knowledge of assessment procedures and formats. To address this issue, nurse training programs are being developed to improve their skills in assessing physical, psychosocial, and quality-of-life changes. Enhanced assessment proficiency will aid in identifying patient issues and implementing targeted interventions, ultimately improving patient care and quality of life. Community Service Activity (CSA) activities aim to provide comprehensive assessment training to 18 nurses in the haemodialysis unit of Jakarta Islamic Hospital Cempaka Putih. This CSA activity employs an educative-based nursing intervention approach, consisting of several sessions, including education sessions, role-play, bedside teaching practices, and discussion sessions. Data analysis is conducted using the quantitative analysis method with a one-group pre-post-test design, utilising paired t-tests. The results of CSA show an improvement in participants' knowledge and skills in conducting comprehensive assessments on chronic kidney disease patients undergoing Haemodialysis. The results show the positive impact of Community Service Activity (CSA) activities in strengthening the competencies of HD nurses in comprehensive patient assessment, not just routine tasks. The significant improvement in participants' knowledge and skills after the community service activity is a positive outcome. This indicates that the nursing based educational approach applied in community service has successfully enhanced the participants' competencies for application in clinical practice routine. Keywords: Haemodialysis, Physical Symptoms, Psychological Changes, Frailty, Assessment

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“…ESRD patient who do not compliance will have a negative impact, the patient's age which is expected to last longer becomes shorter because of self-regulation that is not maintained [21]. Restriction of fluids, diet, activity and taking drugs should be routinely carried out, many patients also begin to show boredom and ignore these conditions [21]. Non-compliance in ESRD patients requires treatment in the form of implementing education through learning media to improve patient compliance [13].…”

Section: Introductionmentioning

confidence: 99%

Self-regulatory-based compliance module improve chronic kidney failure patients condition

Melastuti,

Nursalam,

Priyantini

2024

IJPHS

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Adherence is very important to pay attention to in health management and the quality of life among end-stage renal disease (ESRD) patients, in the fact that adherence is still lacking. This study aimed to analyze the effect of self-regulatory-based compliance modules improving interdialytic weight gains (IDWG), blood pressure (BP), sodium levels, and functional independence. A quantitative research design with a quasi-experiment approach (pre and post-test control study). A total of 28 samples for each group were taken using purposive sampling. Self-regulation based on health promotion was given using module and IDWG, sodium levels, BP measured with laboratories and physical examination, and Functional Independence measured using a questionnaire. Wilcoxon signed-rank test and Mann-Whitney test were the selected analyses for this study. There was a significant effect on self-regulation-based compliance to IDWG (p=0.012), sodium levels (p=0.001), systolic pressure (p=0.003), and functional independence (p=0.002) in the intervention group. A significant difference was also shown between the two groups (p<0.05). The self-regulation-based compliance module showed improved patient compliance in terms of fluid restriction, taking drugs, paying attention to diet, and managing activities. Adherence to patients increases good outcomes in controlling IDWG, BP, sodium levels, and functional independence in ESRD patients.

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Psychological Impact of Chronic Kidney Disease and Hemodialysis: Narrative Review

Cited by 5 publications

References 0 publications

Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis

Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis

Pelatihan Pengkajian Komprehensif Perubahan Fisik, Psikososial, dan Frailty Bagi Perawat dalam Meningkatkan Kualitas Pelayanan Pasien Hemodialisis

Self-regulatory-based compliance module improve chronic kidney failure patients condition

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