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Journal : Nurse and Health: Jurnal Keperawatan

THE EFFECTIVENESS OF INTRADIALYSIS STATIC BIKE EXERCISE TOWARD FUNCTIONAL CAPACITY IN HEMODIALYSIS PATIENTS Ria Desnita; Vivi Syofia Sapardi
Nurse and Health: Jurnal Keperawatan Vol 8 No 2 (2019)
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.357 KB) | DOI: 10.36720/nhjk.v8i2.118

Abstract

Background: Patients with terminal renal failure require renal replacement therapy in the form of hemodialysis. Although already have hemodialysis therapy, there is still buildup of metabolic waste in patients’ body that results in a decrease in functional capacity. Decreased functional capacity in hemodialysis patients causes limitations in carrying out physical activities that reduces their quality of life. However, intradialysis physical exercise by using static bike can be a therapy to increase patients’ functional capacity.Objective: This study was aimed to determine the effectiveness of static bike exercise toward functional capacity in hemodialysis patients.Method: This research is a quantitative study with a quasi-experimental method using pre and post approach with control group design. Intervention and control groups were included in this study. There were 20 people in each group that were selected through consecutive sampling technique as samples of this study. The study was carried out in the hemodialysis room of RSUP Dr. M. Djamil, Padang.Result: The analysis was done using Paired T-Test with a degree of confidence of 95% and showed that intradialysis static bike exercise effectively increased the functional capacity in hemodialysis patients (p = 0.001).Conclusion: Intradialysis static bike exercise can be used as a nursing intervention to increase the functional capacity in hemodialysis patients. Key words: Hemodialysis, exercise, functional capacity.
EFFECTIVENESS OF VIRGIN COCONUT OIL TO XEROSIS IN HEMODIALYSIS PATIENTS AT RST III REKSODIWIRYO PADANG Ria Desnita; Vivi Syofia Sapardi
Nurse and Health: Jurnal Keperawatan Vol 9 No 2 (2020): Nurse and Health: Jurnal Keperawatan July-December 2020
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v9i2.201

Abstract

Background: Progressive and irreversible decline in renal function in chronic renal failure requires renal replacement therapy. The most commonly used renal replacement therapy is hemodialysis. Hemodialysis therapy can maintain patient survival and control uremia syndrome. However, uremic toxins cannot be completely resolved by hemodialysis. The uremic toxins that accumulate on the patient's skin can cause xerosis (dry skin). Xerosis can be overcome by providing a moisturizer that has emollient content. One of the natural ingredients that contain emollients and can be used for skin care for hemodialysis patients is virgin coconut oil (VCO).Objective: To determine the effectiveness of virgin coconut oil (VCO) administration against xerosis in patients undergoing hemodialysis.Research Method: This research is a quantitative study with a quasi experimental design approach using one group pre and post test approaches without control group design. The research was conducted in the hemodialysis room RST III Reksodiwiryo Padang. Sampling was done by consecutive sampling technique with a sample size of 11 people. VCO intervention was carried out for 12 days, 2 times a day. Score of xerosis degree before and after intervention was assessed by Overal Dry Skin Score (ODSS).Result: The mean score of degree of xerosis before VCO administration was 3.06 and after VCO administration was 1.39. Based on the t-dependent test statistical test, it was found that the p value = 0.001 (ρ<0.05), meaning that virgin coconut oil was effective in overcoming the problem of xerosis in patients undergoing hemodialysis at RST III Dr. Reksodiwiryo Padang.Conclusion: Virgin coconut oil can be used for skin care to treat xerosis problems in chronic kidney failure patients undergoing hemodialysis.Key words: Hemodialysis, xerosis, virgin coconut oil.