Skip to main navigation menu Skip to main content Skip to site footer
jkp-logo

Original

Vol. 8 No. 1 (2020): Jurnal Keperawatan Padjadjaran

The Relationship between Dialysis Adequacy and Fatigue in Patients on Maintenance Hemodialysis

DOI
https://doi.org/10.24198/jkp.v8i1.1165
Submitted
March 20, 2019
Published
2020-04-01

Abstract

Fatigue and inadequacy dialysis are common problem in hemodialysis patients. The dialysis inadequacy can cause an increased progression of impaired renal function, as well as the increased morbidity and mortality, and declining productivity of hemodialysis patients. Fatigue prevalence ranged from 44,7-97% from mild to severe. Fatigue is a common complaint of hemodialysis patients that can lower physical function and life quality. To determine the correlation between adequacy and the fatigue level of the patients with End Stage Renal Disease (ESRD) undergoing hemodialysis. This study used a descriptive analytic and cross sectional approach involving 75 respondents and the FACIT-G Questionnaire was used to collect the data. The inclusion criteria are male and female patients aged 18-70, undergoing hemodialysis for more than 3 months with a frequency of 2 times at least 4 hours, composmentis patients. The adequacy hemodialysis was assessed using the Kt/V formula. All data were collected during the session of hemodialysis. Pearson Product moment test wes used to analyze the data. The mean dialysis adequacy was 1.43±0.380, 57(76%) only 13 (17.3%) patients had adequate dialysis (minimum laboratory standard Kt / v = 1.8) and inadequate were 62 (82.7%) patients. The mean of fatigue was 20.07 and 62 (82.7%) respondents experienced severe fatigue. There was no significant correlation between adequacy and the fatigue level of the patients with ESRD undergoing hemodialysis with p value 0.504 (α> 0.05). Mostly patients had inadequate dialysis, both adequate and inadequate dialysis patients had experience fatigue from mild to severe. Multiple individuale and personnel factors affect dialysis adequacy directly or conversely.

Article Matrics
Abstract views : 1159 times PDF Downloads: 659

Downloads

Download data is not yet available.

References

  1. Amini, M., Aghighi, M., Masoudkabir, F., Zamyadi, M., Norouzi, S., Rajolani, H., & Pourbakhtyaran, E. (2011). Hemodialysis adequacy and treatment in Iranian Patients. Iranian journal of kidney disease, 5(2), 103.
  2. Anees, M., Malik, M. R., Abbasi, T., Nasir, Z., Hussain, Y., & Ibrahim, M. (2014). Demographic factors affecting quality of life of hemodialysis patients-Lahore, Pakistan. Pakistan journal of medical sciences, 30(5), 1123-1127. https://dx.doi.org/10.12669%2Fpjms.305.5239
  3. Biniaz, V., Tayybi, A., Nemati, E., Shermeh, M. S., & Ebadi, A. (2013). Different aspects of fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nephro-urology monthly, 5(4), 897-900. https://doi.org/10.5812/numonthly.11667
  4. El-Sheikh, M., & El-Ghazaly, G. (2016). Assessment of hemodialysis adequacy in patients with chronic kidney disease in the hemodialysis unit at Tanta University Hospital in Egypt. Indian Journal of Nephrology, 26(6), 398-404. https://doi.org/10.4103/0971-4065.168141
  5. Chayati, N., & Ibrahim, K. (2014). Prediktor Adekuasi Dialisis pada Pasien Haemodialisis di Rumah Sakit PKU Muhammadiyah Yogyakarta. (Predictors of dialysis adequacy in hemodialysis patients at PKU Muhammadiyah Hospital Yogyakarta). Majalah Kedokteran Bandung, 47(1), 29-34. http://dx.doi.org/10.15395/mkb.v47n1.410
  6. Dadgari, A., Dadvar, L., & Eslam-Panah, H. (2015). Multidimensional fatigue Syndrome and dialysis adequacy among elderly Patients under Hemodialysis Treatment. International Journal of Health Studies, 1(2), 5-8. http://dx.doi.org/10.22100/ijhs.v1i2.20
  7. Dahlan, M. S. (2014). Statistik untuk kedokteran dan kesehatan: Deskriptif. bivariat, dan multivariat, dilengkapi dengan menggunakan SPSS. (Statistics for medicine and health: Descriptive, bivariate and multivariate, supplemented using SPSS (6th Edition)). Salemba Medika.
  8. Gorji, M. A. H., Mahdavi, A., Janati, Y., Illayi, E., Yazdani, J., Setareh, J., ... & Gorji, A. M. H. (2013). Physiological and psychosocial stressors among hemodialysis patients in educational hospitals of northern Iran. Indian journal of palliative care, 19(3), 166-169. https://dx.doi.org/10.4103%2F0973-1075.121533
  9. Hany, A., Noviyanti, L. W., & Susilowati, E. (2019). Association between hemodialysis adequacy and quality of life in chronic renal patients undergoing hemodialysis. Jurnal Ilmu Keperawatan, 7(1), 93-104. https://doi.org/10.21776/ub.jik.2019.007.01.9
  10. Horigan AE (2012). Fatigue in hemodialysis patients: a review of current knowledge. Journal Pain Symptom Managament, 44(5), 715-24. https://doi.org/10.1016/j.jpainsymman.2011.10.015
  11. Jhamb, M., Liang, K., Yabes, J., Steel, J. L., Dew, M. A., Shah, N., & Unruh, M. (2013). Prevalence and correlates of fatigue in chronic kidney disease and end-stage renal disease: are sleep disorders a key to understanding fatigue?. American journal of nephrology, 38(6), 489-495. https://doi.org/10.1159/000356939
  12. Maduell, F., Ramos, R., Palomares, I., Martín-Malo, A., Molina, M., Bustamante, J., ... & ORD group. (2013). Impact of targeting K t instead of K t/V. Nephrology Dialysis Transplantation, 28(10), 2595-2603. https://doi.org/10.1093/ndt/gft255
  13. Nafar, M., Samavat, S., Khoshdel, A., & Abedi, B. A. (2017). Dialysis adequacy, dialyzer clearance, and strategies to achieve target: A nationwide multicenter study. Nephro-Urology Monthly, 9(1).
  14. National Kidney Foundation. KDOQI clinical practice guideline for hemodialysis adequacy: 2015 update. Am J Kidney Dis. 2015;66(5):884-930. http://dx.doi.org/10.5812/numonthly.42769
  15. Perhimpunan Nefrologi Indonesia (PERNEFRI). (2017). Annual Report Indonesian Real Registry (IRR). Perhimpunan Nefrologi Indonesia.
  16. Rezaiee, O., Shahgholian, N., & Shahidi, S. (2016). Assessment of hemodialysis adequacy and its relationship with individual and personal factors. Iranian Journal of Nursing and Midwifery research, 21(6), 577-582. https://dx.doi.org/10.4103%2F1735-9066.197673
  17. Septiwi,C., Yetti K., Gayatri, D.(2011). Hubungan Adekuasi Hemodialisis Dengan Kualitas Hidup Pasien Di Unit Hemodialisis RS Prof. dr. Margono Soekarjo Purwokerto Jawa Tengah. (The relationship between hemodialysis adequacy and quality of life of patients in the Hemodialysis Unit of Prof. Hospital. dr. Margono Soekarjo, Purwokerto, Central Java). Majalah Keperawatan Unpad, 13(1).
  18. Sihombing, J. P., Hakim, L., Andayani, T. M., & Irijanto, F. (2016). Validasi Kuesioner Skala Kelelahan FACIT pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis Rutin. . (Validation of the FACIT fatigue scale questionnaire in chronic kidney disease patients undergoing routine hemodialysis). Indonesian Journal of Clinical Pharmacy, 5(4), 231-237. https://doi.org/10.15416/ijcp.2016.5.4.231
  19. Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical-surgical nursing (11th ed.). Lippincott Williams & Wilkins.
  20. Sodikin, & Suparti, S., (2015). Fatigue pasien Gagal Gnijal Terminal yang menjalani hemodialisis di RSUD prof. Dr. Margono Soekarjo Purwokerto. (Fatigue of terminal renal failure patients undergoing hemodialysis at Prof. Hospital. Dr. Margono Soekarjo Purwokerto). Prosiding Seminar Publikasi hasil-hasil Penelitian LPPM UMP. Volume 1 (1): 57-67.
  21. Sulistini, R., Yetti, K., & Hariyati, R. T. S. (2012). Factors Affecting the Fatigue in Patients Undergoing Hemodialysis. Indonesia Nursing Journal, 15 (2), 2012.
  22. Tennant, K. (2015). Assessment of fatigue in older adults: the FACIT Fatigue Scale (version 4). Supportive Care in Cancer, 23(5), 1355-1364. https://dx.doi.org/10.1007%2Fs00520-014-2484-9
  23. Vanholder, R., Glorieux, G., & Eloot, S. (2015). Once upon a time in dialysis: the last days of Kt/V?. Kidney international, 88(3), 460-465. https://doi.org/10.1038/ki.2015.155
  24. Wang, S. Y., Zang, X. Y., Fu, S. H., Bai, J., Liu, J. D., Tian, L., ... & Zhao, Y. (2016). Factors related to fatigue in Chinese patients with end-stage renal disease receiving maintenance hemodialysis: a multi-center cross-sectional study. Renal failure, 38(3), 442-450. https://doi.org/10.3109/0886022x.2016.1138819
  25. Yamasaki, A., Yoda, K., Koyama, H., Yamada, S., Tsujimoto, Y., Okuno, S., … Inaba, M. (2016). Association of Erythropoietin Resistance with Fatigue in Hemodialysis Patients: A Cross-Sectional Study. Nephron, 134(2), 95-102. https://doi.org/10.1159/000448108
  26. Yeun, J.Y., Ornt, D.B., Depner, T.A.(2015). Hemodialysis. In M.W., Taal & G.M, Chertow (eds). Brenner and Rector’s the kidney. Edisi ke-9 (pp.235-278). Saunders Elsevier.