skip to main content

Gambaran Activity Daily Living (ADL) Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RS Setia Mitra Jakarta

*Farahdina Bachtiar orcid publons  -  Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
Purnamadyawati Purnamadyawati  -  Universitas Pembangunan Nasional Veteran Jakarta, Indonesia

Citation Format:
Abstract

Background: In many studies, patients with Chronic Kidney Disease (CKD) who undergoing Hemodialysis (HD) have been evident to have low levels of physical functioning as well as difficulty performing activities of daily living (ADL) compared to the healthy population. This study aims to describe the activities of daily living performance among CKD patients with HD. 

Methods: Subjects were 42 CKD outpatients (27 men, 15 women; mean age 50 ± SD=9,49) undergoing maintenance HD one to two times a week. This study employed a cross-sectional descriptive study design. Data were collected from September to October 2020 in Setia Mitra Hospital, Jakarta, Indonesia. Assessment of Activity Daily Living (ADL) was administered using the Katz Index.

Result: In this study, we assessed six items of patient’s functional status including bathing, dressing, toileting, transferring, continence, and feeding. The majority of participants (33 people, 79%) had complete independence in performing activities of daily living. However, there were 9 participants (21%) who still need assistance in performing activities of daily living. 

Conclusion: Although this study found that most participants did not have difficulty in ADL, some participants reported that they needed assistance while performing ADL. Physiotherapy is an important element in the management of CKD patients with HD. The physiotherapy program can help to improve patient’s health, independence in carrying out activities of daily living, reduce stress and depression, improve self-esteem as well as quality of life.

Fulltext View|Download
Keywords: Chronic Kidney Disease (CKD); Hemodialysis (HD); Activity Daily Living (ADL)

Article Metrics:

  1. Kementerian Kesehatan Republik Indonesia [Internet]. [cited 30 December 2020]. Available from: http://www.p2ptm.kemkes.go.id/kegiatan-p2ptm/subdit-penyakit-jantung-dan-pembuluh-darah/ginjal-kronis
  2. Kemenkes RI. Situasi penyakit ginjal kronis. InfoDATIN. Pusat Data dan Informasi Kementrian Kesehatan RI. Jakarta. ISSN. 2017:2442-7659
  3. Decreased, G. 2013. Definition and classification of CKD. Kidney International. 3: 19-62
  4. Kementrian Kesehatan Republik Indonesia
  5. .2013. Laporan Nasional Riskesdas 2013
  6. http://www.depkes.go.id
  7. Luyckx VA, Tonelli M, Stanifer JW. 2018. The global burden of kidney disease and the sustainable development goals. Bulletin of the World Health Organization. 1;96 (6): 414
  8. Ikizler TA & Himmelfarb, J. 2006. Muscle Wasting in Kidney Disease: Let's Get Physical. Journal of the American Society of Nephrology. 17 (8): 2097-98
  9. Cruz MC, Andrade C, Urrutia M, Draibe S, Nogueira-Martins LA, Sesso RD. 2011. Quality of life in patients with chronic kidney disease. Clinics. 66 (6): 991-5
  10. Edemekong PF, Bomgaars DL, Levy SB. 2020. Activities of daily living (ADLs).. [Updated 2020 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470404/
  11. Stolić R, Mihailović B, Matijašević I, Jakšić, M. 2018 Effects of physiotherapy in patients treated with chronic hemodialysis. Biomedicinska Istrazivanja. 9 (1): 103-111
  12. Mayuda A, Chasani S, Saktini F. Hubungan antara lama hemodialisis dengan Kualitas hidup pasien penyakit ginjal kronik (studi di RSUP dr. Kariadi Semarang) (Doctoral dissertation, Faculty of Medicine)
  13. Watanabe T, Kutsuna T, Yoneki K, Harada M, Shimoda T, Matsunaga Y, Murayama N, Matsuzawa R, Takeuchi Y, Yoshida A, Matsunaga A. 2018. Determinants of difficulty in activities of daily living in ambulatory patients undergoing hemodialysis. Renal Replacement Therapy. 4 (1): 1-8
  14. Iseki K. 2008. Gender differences in chronic kidney disease. Kidney international. 74 (4): 415-7
  15. Campos I, Chan L, Zhang H, Deziel S, Vaughn C, Meyring-Wösten A, Kotanko P. 2016. Intradialytic hypoxemia in chronic hemodialysis patients. Blood purification. 41 (1-3):177-87
  16. Black J.M & Hawks J.H. 2009. Medical surgical nursing. 8 th Edition, Philadelphia: Elsevier Saunders
  17. Sucipto A, Pranatha IG, Rahil NH. 2019. Studi Komparatif Status Hemodinamik Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa. Infokes. 9 (02): 113-21
  18. Sucipto A, Pranatha IG, Rahil NH. 2019. Studi Komparatif Status Hemodinamik Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa. Infokes. 9 (02): 113-21.`
  19. Kantili, M. 2015. Konsep Dasar Hemodinami. PPNI Sulawesi Tengah. Available from: http://www.ppni-sulteng.or.id/konsepdasar-hemodinamik/#more-317
  20. Johns Hopkins Medicine. Vital Signs (Body Temperature, Pulse Rate, Respiration Rate, Blood Pressure) [Internet]. [cited 30 December 2020]. Available from: https://www.hopkinsmedicine.org/health/conditions-and-diseases/vital-signs-body-temperature-pulse-rate-respiration-rate-blood-pressure#:~:text=When%20checking%20respiration%2C%20it%20is,to%2016%20breaths%20per%20minute
  21. American Heart Association. 2016. How High Blood Pressure Can Lead to Kidney Damage or Failure. URL: https://www. heart. org/en/health-topics/high-blood-pressure/healththreats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-kidney-damageor-failure [as of 23 December 2016]
  22. Agustina I. Activity Daily Living (ADL) Pada Pasien Crhonic Kidney Desease (CKD) (Doctoral dissertation, STIKes BTH Tasikmalaya)
  23. Bowling CB, Sawyer P, Campbell RC, Ahmed A, Allman RM. 2011. Impact of chronic kidney disease on activities of daily living in community-dwelling older adults. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 66 (6): 689-94
  24. Fadlulloh SF, Upoyo AS, Hartanto YD. 2014. Hubungan Tingkat Ketergantungan dalam Pemenuhan Aktivitas Kehidupan Sehari-Hari (AKS) dengan Harga Diri Penderita Stroke di Poliklinik Syaraf RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jurnal Keperawatan Soedirman. 1;9 (2):134-45

Last update: 2021-07-25 11:48:56

No citation recorded.

Last update: 2021-07-25 11:48:56

No citation recorded.