Claim Missing Document
Check
Articles

Found 2 Documents
Search

Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Kedokteran Brawijaya Vol 31, No 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Fatigue is the primary complaint most frequently reported by patients on hemodialysis. The importance of knowing the factors related to fatigue is a strategy that can be carried out by health workers in optimally applying interventions to reduce patient fatigue problems. This systematic review aimed to determine the factors associated with fatigue in patients undergoing hemodialysis. The systematic review method began by identifying research articles in the Pubmed, ProQuest, Ebsco, and ScienceDirect databases in 2011–2020. Articles were selected using PRISMA. Based on the results of the analysis, it was obtained 23 articles that discussed demographic factors, physiological factors, socioeconomic factors, situational factors, and psychological factors that could be associated with fatigue in hemodialysis patients. There is much to learn about fatigue in patients undergoing hemodialysis, including causative factors, assessment of severity, and effective management of fatigue so that it can be used as a benchmark for determining appropriate interventions
Correlational Analysis of Physiological and Psychological Factors with Fatigue on Chronic Kidney Disease Patients Undergoing Hemodialysis Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.641 KB) | DOI: 10.30604/jika.v7i1.803

Abstract

Fatigue is a major problem commonly experienced by chronic kidney disease patients undergoing hemodialysis. However, currently, the factors that correlate with fatigue in chronic kidney diseases patients undergoing hemodialysis are not comprehensive studies and there are still contradictory results from previous studies in Indonesia. This study aims to investigate the correlational analysis of physiological and psychological factors with fatigue on chronic kidney disease patients undergoing hemodialysis. This studi use a cross-sectional study with a sample count of 80 patients undergoing hemodialysis in Yarsi Public Hospital Pontianak, Indonesia. The sampling was carried out using the total sampling approach. A FACIT fatigue scale tool and depression and anxiety stress scale (DASS) 42 were employed to measure fatigue and depression, while hemoglobin and urea levels were taken based on medical history. The Spearman’s Rho test shows the physiological factor from the urea level had an insignificant correlation with fatigue (p-value 0.585). The physiological factor of hemoglobin level had a weak positive correlation (p-value 0.001 and r= 0.349) with fatigue. The psychological factor of depression had a strong negative correlation (p-value 0.000 and r = -0.812) with fatigue. The psychological factor of depression was the dominant factor causing fatigue than other factors based on the standardized coefficient beta value of -0.717. Factors that correlate with fatigue on chronic kidney disease patients undergoing hemodialysis are hemoglobin levels and depression. The most dominant factor influencing fatigue in chronic kidney disease patients undergoing hemodialysis is depression.Abstrak: Kelelahan merupakan masalah utama yang sering dialami oleh pasien gagal ginjal kronik yang menjalani hemodialisis. Namun, saat ini faktor-faktor yang berkorelasi dengan kelelahan pada pasien gagal ginjal kronik yang menjalani hemodialisis belum diteliti secara komprehensif dan masih terdapat hasil yang kontradiktif dengan penelitian-penelitian sebelumnya di Indonesia. Penelitian ini bertujuan untuk mengetahui analisis korelasi faktor fisiologis dan psikologis dengan kelelahan pada pasien gagal ginjal kronis yang menjalani hemodialisis. Penelitian ini menggunakan studi potong lintang dengan jumlah sampel 80 pasien yang menjalani hemodialisis di RSU Yarsi Pontianak, Indonesia. Pengambilan sampel dilakukan dengan menggunakan pendekatan total sampling. Alat FACIT Fatigue Scale dan depression and anxiety stress scale (DASS) 42 digunakan untuk mengukur kelelahan dan depresi, sementara kadar hemoglobin dan urea diambil berdasarkan riwayat medis. Uji Spearman's Rho menunjukkan faktor fisiologis dari kadar urea tidak terdapat korelasi dengan kelelahan (p-value 0,585). Faktor fisiologis kadar hemoglobin memiliki korelasi positif yang lemah (p value 0,001 dan r= 0,349) dengan kelelahan. Faktor psikologis depresi memiliki korelasi negatif yang kuat (p-value 0,000 dan r = -0,812) dengan kelelahan. Faktor psikologis depresi merupakan faktor dominan penyebab kelelahan dibandingkan faktor lainnya berdasarkan nilai koefisien standar beta sebesar -0,717. Faktor yang berhubungan dengan kelelahan pada pasien penyakit ginjal kronik yang menjalani hemodialisis adalah kadar hemoglobin dan depresi. Faktor yang paling dominan mempengaruhi kelelahan pada pasien penyakit ginjal kronis yang menjalani hemodialisis adalah depresi.