Observasi Latihan Relaksasi Nafas Pada Pasien Chronic Kidney Diseases Dengan Fatigue
DOI:
https://doi.org/10.32584/jpi.v4i1.452Keywords:
CKD, fatigue, latihan relaksasi nafasAbstract
Menilai fatigue merupakan hal yang sangat penting karena fatigue sering meningkat secara langsung setelah dialysis.Masalah akan timbul jika fatigue pada pasien CKD tidak teratasi salah satunya adalah kualitas hidup yang buruk. Latihan nafas adalah teknik alami merupakan bagian strategi holistik self care untuk mengatasi keluhan seperti fatigue. Menggunakan teknik pernafasan yang efektif untuk menurunkan tingkat fatigue dapat menjadi manajemen fatigue yang dapat ditawarkan pada pasien CKD. Studi kasus ini bertujuan untuk mengobservasi penggunaan latihan nafas untuk mengatasi fatigue pada pasien CKD di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan kriteria: pasien CKD stadium 5 dengan usia > 18 tahun, menjalani hemodialisis kurang dari 1 tahun, yang mengalami fatigue, dan lama rawat inap minimal 3 hari. Ketiga pasien mengalami fatigue dengan skor rata-rata fatigue hari pertama sebelum latihan relaksasi nafas 59.6 dan skor rata-rata setelah latihan relaksasi nafas adalah 55.6, skor rata-rata fatigue hari kedua sebelum latihan 54.6 dan setelah latihan 49, terdapat penurunan skor rata-rata setelah pasien mempraktikan latihan nafas pada hari pertama dan kedua. Hasil latihan relaksasi nafas yang dilakukan pasien dapat menurunkan level fatigue yang dirasakan pasien.Breathing relaxation observation in chronic kidney diseases patients with fatigue. Assessing fatigue is very important because fatigue often increases directly after dialysis. Problems will arise if fatigue in CKD patients is not resolved, one of which is poor quality of life. Breath training is a natural technique that is part of a holistic self care strategy to deal with complaints such as fatigue. Using effective breathing techniques to reduce the level of fatigue can be a management of fatigue that can be offered to CKD patients. This case study aims to observe the use of breathing exercises to overcome fatigue in CKD patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with criteria: stage 5 CKD patients> 18 years old, undergoing hemodialysis less than 1 year, who experienced fatigue, and a minimum stay of 3 days. All three patients experienced fatigue with an average score of fatigue the first day before breathing relaxation exercise 59.6 and the average score after breathing relaxation exercise was 55.6, the average score of fatigue the second day before exercise 54.6 and after exercise 49, there was a decrease in the average score after the patient practices breathing exercises on the first and second day. Conclusion: The results of breathing relaxation exercises by the patient can reduce the level of fatigue that is felt by the patient.ÂReferences
Butarbutar. (2014). Uji Reliabilitas Dan Validitas Fatigue Severity Scale Versi Bahasa Indonesia Pada Dokter Residen RSUP Dr ., 0–10.
Cabrera, V. J., Hansson, J., Kliger, A. S., & Finkelstein, F. O. (2017). Evidence-Based Nephrology Symptom Management of the Patient with CKD : The Role of Dialysis, 12(3), 687–693.
Campbell, M. L. (2017). Fatigue in Patients with Chronic Kidney Disease : Evidence and Measures. Continuing Nursing Education, 44(4), 337–345.
Davey, C. H., Webel, A. R., Sehgal, A. R., Voss, J. G., & Huml, A. M. (2019). Fatigue in Individuals with End Stage Renal Disease. Continuing Nursing Education, 46(5).
Ghimire, S., Castelino, R. L., Jose, M. D., & Zaidi, S. T. R. 2017. Medication adherence perspectives in haemodialysis patients : a qualitative study, 1–9. https://doi.org/10.1186/s12882-017-0583-9
Hayama, Y., & Inoue, T. (2012). Complementary Therapies in Clinical Practice The effects of deep breathing on ‘ tension e anxiety ’ and fatigue in cancer patients undergoing adjuvant chemotherapy. Complementary Therapies in Clinical Practice, 18(2), 94–98. https://doi.org/10.1016/j.ctcp.2011.10.001
Horigan, Rocchiccioli, T. (2012). Dialysis and fatigue: Implication for nurses- A Case Study Analysis. NIH Public Access Author, 21(3), 1–12.
Jhamb et al. (2008). Fatigue in Patients Receiving Maintenance Dialysis : A Review of, 52(2), 353–365. https://doi.org/10.1053/j.ajkd.2008.05.005
Kallenbach Judith Z. 2012. Review of hemodialysis for nurses and dialysis personnel 8 th ed. Elsevier Mosby
Khoshkesht, S. (2011). The Effect of Breathing exercises on The Fatigue Levels of Patients with Chronic Obstructive Pulmonary Disease, 29–33.
Kim, S., Kim, H., & Kim, H. (2005). Effects of a relaxation breathing exercise on fatigue in haemopoietic stem cell transplantation patients, (Winningham 1991), 51–55.
Leither, T. W., & Sindelir, C. (2011). Benefits of a Holistic Breathing, 38(2), 149–153.
Nursalam. (2014). Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis, Edisi 3. Jakarta : Salemba Medika
Ossareh, S., Roozbeh, J., Krishnan, M., Bargman, J. M., & Dimitrios, G. (2004). Fatigue in chronic peritoneal dialysis patients, 535–541.
Rosenthal, T. C. (2008). Fatigue: An Overview. American Family Physician Volume 78, Number 10.
Rosyidi, Kholid. 2013. Prosedur Praktik Keperawatan Jilid 1. Trans Info Media. Jakarta
Sulistini, R., & Yetti, K. (2012). Faktor faktor yang mempengaruhi Fatigue Pada Pasien yang menjalani Hemodialisis. Jurnal Keperawatan Indonesia Volume 15 No 2 Hal 75-82.
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