Latihan Intradialitik sebagai Intervensi Adaptif dalam Menurunkan Fatigue pada Pasien Hemodialisis

Authors

  • Devy Hapsari Lubis Universitas Muhammadiyah Purwokerto Author

DOI:

https://doi.org/10.64845/clinergy.v1i2.116%20

Keywords:

Fatigue, Hemodialisis, Intradialytic Exercise , Keperawatan , Model Adaptasi Roy

Abstract

Fatigue merupakan salah satu masalah utama yang sering dialami oleh pasien hemodialisis dan berdampak signifikan terhadap kualitas hidup serta kepatuhan terhadap terapi. Penelitian ini bertujuan untuk menganalisis hubungan antara intradialytic exercise dan penurunan fatigue pada pasien hemodialisis dalam kerangka Model Adaptasi Roy. Penelitian ini menggunakan pendekatan konseptual melalui tinjauan literatur terhadap publikasi nasional dan internasional terkini periode 2022–2025. Hasil sintesis literatur menunjukkan bahwa intradialytic exercise, yaitu aktivitas fisik yang dilakukan selama proses hemodialisis, efektif menurunkan tingkat fatigue melalui peningkatan perfusi otot, keseimbangan hormonal, dan fungsi kardiovaskular. Dalam perspektif Model Adaptasi Roy, fatigue dipahami sebagai respons maladaptif terhadap stimulus fisiologis dan psikologis yang berlangsung kronis, sedangkan intradialytic exercise berperan sebagai mekanisme koping adaptif yang mendukung penyesuaian positif pada empat mode adaptasi Roy, yaitu fisiologis, konsep diri, fungsi peran, dan interdependensi. Temuan ini memberikan landasan teoretis bagi pengembangan intervensi keperawatan yang komprehensif dan berkelanjutan guna meningkatkan kualitas hidup pasien hemodialisis.

References

Afriyanto, Wati, N., dan Ramadi, D. (2019). Analisis Sistem Manajemen Keselamatan dan Kesehatan Kerja di Rumah Sakit Umum Daerah Tais Kabupaten Seluma. Jurnal Ilmiah Avicenna, 14 (3), 94-103

Afrasiabifar, A., Karimi, Z., & Hassani, P. (2022). Roy’s adaptation model-based patient education for promoting the adaptation of hemodialysis patients. Iranian Red Crescent Medical Journal, 15(7), 566–572. https://doi.org/10.5812/ircmj.12024

Astri Zeini Wahida, Hotma Rumahorbo, M. (2023). The effectiveness of intradialytic exercise in ameliorating fatigue symptoms in patients with chronic kidney failure undergoing hemodialysis : A systematic literature review and meta-analysis. Journal of Taibah University Medical Sciences, 18(3), 512–525. https://doi.org/10.1016/j.jtumed.2022.11.004

Balconi, M., Angioletti, L., Filippis, D. De, & Bossola, M. (2022). Association between fatigue , motivational measures ( BIS / BAS ) and semi-structured psychosocial interview in hemodialytic treatment. BMC Psychology, 1–11.

Cebrian, A., Escobar, C., Aranda, U., Palacios, B., Capel, M., Sicras, A., Sicras, A., Hormigo, A., Manito, N., Botana, M., & Alcázar, R. (2022). The 2021 European Society of Cardiology Cardiovascular Disease Prevention Guidelines : adding albuminuria to the SCORE scale increases the prevalence of very high / high cardiovascular risk among patients with chronic kidney disease. Clinical Kidney Journal, 15(6), 1204–1208.

Chakraborty, S., Kundu, M., & Mukherjee, C. (2024). Assesment of Quality of Life of Chronic Kidney Disease Patient Attending in Selected Hospitals, West Bengal. Jurnal Internasional Granthaalayah, 12, 106–119. https://doi.org/10.29121/granthaalayah.v12.i2.2024

Esquivel-garzon, N., Marquez-herrera, M., & Parra, D. I. (2025). Development of a caring model applying the conceptual , theoretical and empirical structure from caring science theory. Journal of Research in Nursing, 3. https://doi.org/10.1177/17449871241303396

Eugenio, R., Burdelis, M., José, F., Melo, S., & Ii, C. (2023). Prevalence and predisposing factors for fatigue in patients with chronic renal disease undergoing hemodialysis : a cross-sectional study. Sao Paulo Med, 141(5), 1–9.

Hu, H., Yan, J., Kwok, Y., & Ho, M. (2023). Effects of Different Exercises on Physical Function , Dialysis Adequacy , and Health-Related Quality of Life in Maintenance Hemodialysis Patients : A Systematic Review and Network Meta-Analysis. American Journal of Nephrology, 379–390. https://doi.org/10.1159/000532109

Huang, M., Li, S., & Wang, J. (2024). The effects of exercise training interventions on depression in hemodialysis patients. Frontiers in Psychology, January, 1–12. https://doi.org/10.3389/fpsyt.2023.1321413

Io, H., Muto, M., Sasaki, Y., Ishizaka, M., Kano, T., & Fukuzaki, H. (2023). Impact of anemia treatment for left ventricular hypertrophy using long ‑ acting erythropoietin ‑ stimulating agents from the pre ‑ dialysis to maintenance dialysis period in patients with chronic kidney disease , retrospective longitudinal cohort study. BMC Nephrology, 1–9. https://doi.org/10.1186/s12882-023-03133-1

Khairallah, H. R., & Al-Ashour, I. A. (2025). Impact of evidence-based nursing interventions on the health status of hemodialysis patients: a quasi-experimental study. Anaesthesia, Pain and Intensive Care, 29(6), 616–622. https://doi.org/10.35975/apic.v29i6.2837

Khemchandani, M., Nasir, K., Qureshi, R., Dhrolia, M., & Ahmad, A. (2023). From Exhaustion to Empowerment : Investigating Fatigue and Its Associations in Patients With End-Stage Renal Disease on Maintenance Hemodialysis. Cureus, 15(11). https://doi.org/10.7759/cureus.49070

Kim, J., Lee, S., Kim, J. H., Im, D. W., & Lee, D. (2023). Comparing predictions among competing risks models with rare events : application to KNOW ‑ CKD study — a multicentre cohort study of chronic kidney disease. Scientific Reports, 1–13. https://doi.org/10.1038/s41598-023-40570-2

Krismiadi, D. (2024). Adaptasi pada Pasien Gagal Ginjal Kronik yang Melakukan Terapi Hemodialisis Berdasarkan Teori Sister Calista Roy: Literatur Review. Indonesian Health Science Journal, 4(1), 27–34.

Lai, Y., Wang, C., Lin, H., & Lin, Y. (2025). Intradialytic Exercise : Effects on Arterial Stiffness and Gait Speed in Patients Undergoing Hemodialysis. Clinical Research, 1–12. https://doi.org/10.12659/MSM.947604

Lin, C. H., Hsu, Y. J., Hsu, P. H., Lee, Y. L., Lin, C. H., Lee, M. S., & Chiang, S. L. (2022). Effects of intradialytic exercise on dialytic parameters, health‐related quality of life, and depression status in hemodialysis patients: A randomized controlled trial. International Journal of Environmental Research and Public Health, 18(17), 1–16. https://doi.org/10.3390/ijerph18179205

Minanton, Tina Muzaenah, S. (2022). Latihan Intradialitik Meningkatkan Kinerja Dialisis dan Hasil Kesehatan Pasien: Mini Review. Penelitian Keperawatan Kontemporer, 27, 24–33.

Nassar, M. K., Tharwat, S., Gawad, S. M. A., Elrefaey, R., & Elsawi, A. A. (2023). Symptom burden , fatigue , sleep quality and perceived social support in hemodialysis patients with musculoskeletal discomfort : a single center experience from Egypt. BMC Musculoskeletal Disorders, 1–12. https://doi.org/10.1186/s12891-023-06910-z

Picariello, F., Moss-morris, R., Macdougall, I. C., & Chilcot, J. (2022). The role of psychological factors in fatigue among end-stage kidney disease patients : a critical review. Clinical Kidney Journal, 10(1), 79–88. https://doi.org/10.1093/ckj/sfw113

Ren, N., Yang, H., Cai, Z., Wang, R., Wang, Z., Zhao, Y., Miao, C., & Chen, Y. (2023). Comparative efficacy of nine exercise methods on the prognosis in chronic kidney disease patients with hemodialysis : a systematic review and network meta ‑ analysis. European Journal of Medical Research, 1–11. https://doi.org/10.1186/s40001-023-01270-9

Rhee, S. Y., Song, J. K., Hong, S. C., Choi, J. W., Jeon, H. J., Shin, D. H., Ji, E. H., Choi, E. H., Lee, J., Kim, A., Choi, S. W., & Oh, J. (2022). Intradialytic exercise improves physical function and reduces intradialytic hypotension and depression in hemodialysis patients. Korean Journal of Internal Medicine, 34(3), 588–598. https://doi.org/10.3904/kjim.2017.020

Sakiqi, J., Vasilopoulos, G., Koutelekos, I., Polikandrioti, M., & Dousis, E. (2022). Depression Among Hemodialysis Patients : Related Factors and the Impact of Insomnia and Fatigue. Cureus, 14(5). https://doi.org/10.7759/cureus.25254

Shi, R., Zhu, J., Zhu, L., Zhao, W., Li, H., Chen, Q., & Pan, H. (2024). Exploring the nexus between fatigue , body composition , and muscle strength in hemodialysis patients. European Journal of Medical Research, 1–8. https://doi.org/10.1186/s40001-024-01852-1

Sri, A., Purba, G., Sepadha, D., Sagala, P., Hasibuan, A. S., & Lubis, S. (2024). Efektivitas Intradialytic Exercise Terhadap Kekuatan Otot dan Skor Fatigue Pada Pasien Gagal Ginjal Kronik ( GGK ) di Ruang Hemodialisa Grandmed Effectiveness of Intradialytic Exercise on Muscle Strength and Fatigue Score in Chronic Kidney Failure ( CKF ). Jurnal Keperawatan Dan Fisioterapi (JKF), c, 15–20.

Tabibi, M. A., Cheema, B., Salimian, N., Corrêa, H. de L., & Ahmadi, S. (2023). The effect of intradialytic exercise on dialysis patient survival: a randomized controlled trial. BMC Nephrology, 24(1), 1–9. https://doi.org/10.1186/s12882-023-03158-6

Vergara, A., Wang, K., Colombo, D., Gheblawi, M., Rasmuson, J., Mandal, R., Del, F., Chiu, B., Scholey, J. W., Soler, M. J., Wishart, S., & Oudit, G. Y. (2023). Urinary angiotensin-converting enzyme 2 and metabolomics in COVID-19-mediated kidney injury. Clinical Kidney Journal, 16(2), 272–284.

Verrelli, D., Sharma, A., Alexiuk, J., Tays, Q., Rossum, K., Sharma, M., Ford, E., Iansavitchene, A., Al-jaishi, A. A., Whitlock, R., Mcintyre, C. W., Garg, A. X., & Bohm, C. (2024). Original Investigation Effect of Intradialytic Exercise on Cardiovascular Outcomes in Maintenance Hemodialysis : A Systematic Review and Meta-Analysis. Kidney 360, 5.

Yabe, H., Yamaguchi, T., Kono, K., Sakakibara, A., Sugimoto, H., & Ishikawa, Y. (2023). Effect of intradialytic exercise on fall occurrences in older patients undergoing hemodialysis : a single ‑ center non ‑ randomized study. Renal Replacement Therapy, 1–8. https://doi.org/10.1186/s41100-023-00503-1

Yogalakshmi, S., Sasikala, D., Varughese, S., & Sundararajan, V. (2024). Integrated Dialysis Nursing Intervention for Ameliorating Fatigue in Hemodialysis Patients. Ethiopian Journal of Health Sciences, 34(5), 389–396. https://doi.org/10.4314/ejhs.v34i5.7

You, Q., Bai, D., Wu, C., Chen, H., Hou, C., & Gao, J. (2022). Prevalence and Risk Factors of Postdialysis Fatigue in Patients Under Maintenance Hemodialysis : A Systematic Review and Meta-Analysis. Asian Nursing Research, 16(5), 292–298. https://doi.org/10.1016/j.anr.2022.11.002

Zheng, X., Zhang, Z., Cheng, Y., Yang, Q., & Xu, B. (2023). Factors associated with subgroups of fatigue in maintenance hemodialysis patients : a cross- sectional study. Renal Failure, 45(1). https://doi.org/10.1080/0886022X.2023.2221129

Zou, Z. H., Zhang, J. Q., Yi, Z. H., Chen, X., & Qing, W. (2025). Effects of intradialytic exercise on frailty in maintenance hemodialysis patients : a systematic review and. Frontiers in Psychology, November. https://doi.org/10.3389/fphys.2025.1600219

Zuo, M., Zhu, W., Lin, J., Zhuo, J., He, X., Jing, X., & Tang, J. (2022). The impact of nurse ‑ led nonpharmacological multidisciplinary holistic nursing care on fatigue patients receiving hemodialysis : a randomized , parallel ‑ group , controlled trial. BMC Nursing, 1–9. https://doi.org/10.1186/s12912-022-01126-3

Downloads

Published

2025-12-20

Issue

Vol. 1 No. 2 (2025): Journal Public Health and Clinical Science

Section

Articles

License

Copyright (c) 2025 Devy Hapsari Lubis (Author)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Latihan Intradialitik sebagai Intervensi Adaptif dalam Menurunkan Fatigue pada Pasien Hemodialisis. (2025). Journal Public Health and Clinical Science , 1(2), 48-67. https://doi.org/10.64845/clinergy.v1i2.116

Similar Articles

1-10 of 11

You may also start an advanced similarity search for this article.