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Background: Chronic Kidney Disease (CKD) patients undergoing long-term hemodialysis often experience anxiety due to therapy dependency, changes in health conditions, and uncertainty regarding the disease. Unresolved anxiety can reduce quality of life, comfort, and patient adherence to treatment. Therefore, non-pharmacological interventions are needed that are safe, easy to implement, and aligned with the patient's spiritual values. Mantram Tri Sandya has the potential to provide relaxation and psychological calm, thus helping to reduce anxiety. However, scientific evidence regarding the effectiveness of this therapy in hemodialysis patients is still limited, making this research crucial.  Purpose: The aim of this research is to determine the effect of the Tri Sandya mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital. Methods: Pre-Experimental One Group Pre-Test & Post-Test research design with the Wilcoxon Signed Rank Test conducted at the Buleleng Regency Regional General Hospital. Data were collected using the HARS (Hamilton Anxiety Rating Scale) questionnaire sheet with Purposive Sampling technique with a sample size of 88 people. Results: The results obtained from this study were that there was a decrease in anxiety levels when given Mantra Tri Sandya therapy to CKD patients who were undergoing hemodialysis with a P value <0.001 (p<0.05). Conclusion: There is a significant effect of administering the Tri Sandy mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital.

Chronic kidney disease is a progressive disease requiring long-term hemodialysis therapy that may cause physical, psychological, social, and spiritual problems. Patients undergoing hemodialysis often experience spiritual distress due to changes in health conditions and dependence on therapy. This study aimed to determine the relationship between the duration of hemodialysis and the level of spiritual distress in chronic kidney disease patients at the Hemodialysis Unit of Baiturrahim Hospital Jambi. This study used a quantitative design with a cross sectional approach. The sample consisted of 57 respondents selected using a purposive sampling technique. The research instrument used a spiritual distress questionnaire that had been tested for validity and reliability with a Cronbach’s Alpha value of 0.955. Data were analyzed using the Chi-Square test with a significance level of 0.05. The results showed that most respondents underwent hemodialysis for ≥12 months, totaling 39 respondents (68.4%), and the majority experienced moderate spiritual distress, totaling 20 respondents (35.1%). Statistical analysis showed a p-value of 0.030 (p<0.05), indicating a significant relationship between the duration of hemodialysis and the level of spiritual distress in chronic kidney disease patients. The longer patients undergo hemodialysis, the lighter the spiritual distress tends to be because patients gradually adapt to their disease condition and therapy.

Malaria is a global health problem, especially in tropical countries like Indonesia. Papua, with 14,586 cases, and Jayapura City in 2023 had 29,938 cases. This is due to nocturnal activities, knowledge, and preventive measures, which contribute to the high incidence of malaria. The purpose of this study was to identify factors associated with malaria incidence at Bhayangkara Hospital Class II, Jayapura. This research was an analytical study with a cross-sectional design. Data collection was conducted using a questionnaire. A total of 82 respondents were recruited using a simple accidental sampling technique. The data obtained were statistically analyzed using the chi-square test. Based on the analysis results, it was found that of the 82 respondents, the characteristics of the respondents were mostly aged > 20 years (74 people (90.2%), male (48 people (58.5%) and unemployed (53 people (64.6%). There was a significant relationship between nighttime activities and malaria incidence at Bhayangkara Hospital Level II Jayapura. (p-value 0.015 <α (0.05). There was a significant relationship between knowledge and malaria incidence at Bhayangkara Hospital Level II Jayapura (p-value 0.000 <α (0.05). There was a significant relationship between malaria prevention measures and malaria incidence at Bhayangkara Hospital Level II Jayapura (p-value 0.008 <α (0.05). Nighttime activities, knowledge and malaria prevention measures were significantly associated with malaria incidence.

Background: Patients with chronic kidney failure must undergo hemodialysis/dialysis therapy. Chronic kidney failure patients undergoing hemodialysis experience several changes in their lives due to the patient's illness. Objective: This study aims to gain an in-depth understanding of the life experiences of chronic kidney failure patients undergoing hemodialysis. Methods: This research uses a qualitative research method with a phenomenological approach. The instruments for this research were the researcher himself, voice recorder, field notes, stationery, interview guide, and informed consent form. The informants used in this research were 7 informants. Results were analyzed using thematic analysis techniques. Results: Based on the results obtained in this study, 4 themes were found, namely (1) physiological, psychological, social, spiritual and economic changes, (2) Coping techniques in overcoming problems or changes due to chronic kidney failure, (3) Experiences in undergoing the hemodialysis process , (4) The hardest experience while suffering from chronic kidney failure. Conclusion: All informants experienced physiological, psychological and spiritual changes, while only a few informants experienced social and economic changes. Coping techniques for dealing with these changes are good except for economic changes where there is no solution for these changes. Experiences in undergoing the hemodialysis process include some being positive and some being negative. Meanwhile, the hardest experiences while suffering from chronic kidney failure vary according to what happens in the informant's life.

Chronic Kidney Disease (CKD) is a medical condition that requires renal replacement therapy such as hemodialysis. Patient compliance with this therapy is essential to prevent complications and maintain quality of life. Patient motivation, both intrinsic and extrinsic, plays a significant role in determining the level of compliance. This study aims to examine the relationship between patient motivation and compliance with hemodialysis treatment in CKD patients at RSI PKU Muhammadiyah Pekajangan Pekalongan. This research uses a quantitative correlational design with purposive sampling, involving 67 respondents from a population of CKD patients undergoing hemodialysis, with an average of 80 patients per month. The instruments used were patient motivation questionnaires and hemodialysis compliance questionnaires. The results showed that most respondents had good motivation (74.6%) and positive compliance (76.1%). Bivariate analysis using the Spearman Rank test revealed a significant relationship between motivation and compliance (p = 0.000) with a strong correlation (r = 0.685). This study suggests nursing interventions that focus on enhancing patient motivation to support long-term therapy success. The limitations of this study include the cross-sectional design, which cannot prove causal relationships, and the potential social bias in the self-report instruments.

Patients undergoing hemodialysis require effective and adaptive coping mechanisms to manage both the physical and psychological stress experienced during treatment. Inadequate or maladaptive coping strategies may result in physiological disturbances and heightened emotional distress, ultimately reducing the quality of life of patients with chronic kidney disease (CKD). This study aims to analyze the relationship between coping mechanisms and anxiety levels among patients undergoing hemodialysis. The research employed a quantitative approach with a cross-sectional correlational design. A total of 35 respondents were recruited using purposive sampling based on specific inclusion criteria, including diagnosis of CKD and ongoing hemodialysis treatment. The study was conducted in the hemodialysis unit of RSUI Harapan Anda, Tegal, in 2025. Data collection was carried out through structured questionnaires, while statistical analysis utilized the Pearson Chi-Square test. Results indicated a p-value of 0.001 (p < 0.05), confirming a statistically significant association between coping mechanisms and anxiety levels. Patients who employed adaptive coping strategies demonstrated lower levels of anxiety, whereas those relying on maladaptive strategies experienced heightened anxiety. These findings highlight the importance of targeted nursing interventions that focus on strengthening adaptive coping skills to reduce psychological burden. Furthermore, the study emphasizes the need for comprehensive patient education and structured psychosocial support programs to promote resilience, improve coping capacity, and enhance overall psychological well-being in patients undergoing long-term hemodialysis.

Latar belakang: Hemodialisa merupakan suatu teknologi canggih yang digunakan sebagai alternatif pengganti fungsi ginjal untuk menyaring produk-produk limbah metabolik atau racun tertentu dari darah, seperti air, natrium, kalium, hidrogen, urea, dan zat lainnya dengan memanfaatkan membran semipermeabel. Salah satu faktor yang mempengaruhi hemodialisa ialah akses vaskuler, akses vaskuler yang berfungsi dengan baik dapat digunakan untuk jangka Panjang yang adekuat dapat menghasilkan aliran darah yang lancar serta meminimalkan komplikasi. Tujuan: dilakukan penelitian ini ialah untuk mengetahui bagaimana gambaran pengetahuan dan perawatan akses vaskuler pada pasien hemodialisa. Metode: Penelitian ini menggunakan metode deskriptif dengan pendekatan potong lintang (cross sectional). Sebanyak 90 pasien hemodialisa terlibat sebagai responden yang dipilih melalui teknik pengambilan sampel total. Data dikumpulkan dengan menggunakan kuesioner yang mengukur pengetahuan dan perawatan akses vaskuler. Dalam menganalisis data, digunakan uji distribusi frekuensi. Hasil: penelitian ini menjelaskan bahwasannya mayoritas responden mempunyai tingkat pengetahuan akses vaskuler kategori baik sebanyak 71 (78,9%), sedangkan sebagian besar memiliki Tingkat perawatan akses vaskuler kategori baik sebanyak 69 (76,7%). Adanya Gambaran pengetahuan dan perawatan akses vaskuler yang baik pada pasien hemodialisa sehingga, penelitian ini dapat digunakan perawat dalam intervensi keperawatan untuk lebih meningkatkan pengetahuan dan perawatan akses vaskuler pasien dalam hemodialisa.

Chronic kidney disease (CKD) that is left untreated can lead to serious complications, one of which is hypertension in hemodialysis patients. Intradialytic hypertension can impair quality of life and increase mortality risk. Benson relaxation therapy, which combines breathing techniques with the repetition of positive words, has the potential to lower blood pressure. The purpose of this research is to measured blood pressure during and subsequent to Benson relaxation therapy in hemodialysis patients. This quantitative research employed a pre-experimental methodological approach with a case study approach. The subjects consisted of 3 respondents selected from a population of 24 hemodialysis patients at a hospital. Blood pressure data were collected using a digital sphygmomanometer and analyzed descriptively. After three sessions of Benson relaxation therapy lasting approximately 10 minutes each, systolic blood pressure decreased with the maximum reduction of 18 mmHg and the lowest reduction of 2 mmHg, while diastolic blood pressure decreased with the maximum reduction of 20 mmHg and the lowest reduction of 1 mmHg. Benson relaxation therapy can reduce blood pressure in patients undergoing hemodialysis. Benson relaxation therapy may be considered as a non-pharmacological intervention to help lower blood pressure in hemodialysis patients. After three sessions of Benson relaxation therapy lasting approximately 10 minutes each, systolic blood pressure decreased with the maximum reduction of 18 mmHg and the lowest reduction of 2 mmHg, while diastolic blood pressure decreased with the maximum reduction of 20 mmHg and the lowest reduction of 1 mmHg. These results indicate that Benson relaxation therapy can significantly reduce blood pressure in hemodialysis patients. The therapy’s effectiveness in reducing blood pressure may be attributed to the deep breathing exercises and the relaxation response it induces, which helps to reduce the overall stress on the cardiovascular system.

Chronic Kidney Failure (CKD) is a condition of permanent and progressive decline in kidney function. CKD patients undergoing hemodialysis often experience sleep disturbances, which impact their physical and psychological condition. Non-pharmacological interventions such as deep breathing relaxation and lavender aromatherapy can be alternative therapies to address these disorders. This study analyzes nursing care for sleep disturbances in CKD patients undergoing hemodialysis and evaluates the effectiveness of deep breathing relaxation therapy combined with lavender aromatherapy inhalation. This study used a case study approach with three CKD patients undergoing hemodialysis and experiencing sleep disturbances. The intervention was carried out for three days with a combination of deep breathing relaxation therapy and lavender aromatherapy inhalation. After three days of intervention, complaints of insomnia decreased in all three patients. The sleep pattern score increased to 5, indicating undisturbed sleep patterns. Deep breathing relaxation therapy combined with lavender aromatherapy inhalation is effective in addressing sleep disturbances in CKD patients undergoing hemodialysis. This therapy is recommended as an additional intervention in the hospital and should be carried out with family support to increase patient comfort.

Latar Belakang: Hemodialisa merupakan terapi pengganti ginjal pada pasien gagal ginjal terminal yang dilakukan seumur hidup atau sampai pasien mendapatkan donor ginjal. Terapi ini dapat menimbulkan berbagai keluhan seperti fatigue dan gangguan tidur. Akibatnya pasien mengalami penurunan konsentrasi dan aktivitas fisik, serta penurunan kualitas hidup. Tujuan: Mengidentifikasi dan menganalisa fatigue dan gangguan tidur pada pasien hemodialisa, serta mengaplikasikan pemanfaatan lilin aromaterapi untuk mengatasi masalah tersebut. Metode: Mengkaji fatigue dan gangguan tidur, memberikan penyuluhan tentang fatigue dan gangguan tidur, serta menerapkan lilin aromaterapi untuk mengatasi fatigue dan gangguan tidur pada pasien hemodialisa. Hasil: Setelah diberikan lilin aromaterapi terdapat penurunan fatigue dari rerata 20.00 menjadi rerata 15.40. serta terdapat penurunan gangguan tidur dari rerata 10.14 menjadi rerata 5.29. Kesimpulan: Lilin aromaterapi mampu dimanfaatkan untuk mengurangi keluhan fatigue dan gangguan tidur pada pasien hemodialisa.

Chronic kidney failure is a pathophysiological condition that can arise due to various etiologies. Hemodialysis patients with chronic kidney failure who experience problems and clinical difficulties can affect anxiety levels, one of the non-pharmacological treatments that can be given to patients is Intradialytic exercise because the movements are simple, do not interfere with the hemodialysis procedure, and are useful in reducing anxiety levels. This study aims to determine the effect of intradialytic exercise on anxiety levels in patients with chronic kidney failure in the hemodialysis room of Tanjungpinang City Hospital. This study uses a quantitative research method with a quasi-experimental design without control design, the design form used is pre and post test. The sample in this study of patients treated at Tanjungpinang City Hospital amounted to 30 people with random sampling techniques. The anxiety level measurement instrument uses the Hamilton Anxiety Rating Scale (HARS) questionnaire. The statistical analysis used was a normality test with a sig value. > 0.005, t paired sample t test and independent t test. There was a significant influence between the average anxiety level score at the pre-test and post-test in the intervention group (intradialytic exercise) (mean pre-test = 24.60 to mean post-test = 18.33) with a p-value of 0.000. Conclusion this study found the effect of intradialytic exercise on anxiety levels in patients with chronic kidney failure in the hemodialysis room of Tanjungpinang City Hospital. Suggestion for Tanjungpinang City Hospital, intradialytic exercise therapy can be considered as a non-pharmacological management in patients with chronic kidney failure in the Hemodialysis room to reduce anxiety levels

Penyakit ginjal merupakan masalah serius di seluruh dunia. Penderita penyakit ginjal kronis harus menjalani terapi pengganti ginjal, seperti hemodialisis (HD). Masalah klinis yang sering ditimbulkan oleh pasien gagal ginjal kronis yang menjalani hemodialisa yaitu berdampak negatif terhadap fisik dan aspek psikologis yang dapat mempengaruhi tingkat kecemasan pada pasien. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan tingkat kecemasan pada pasien Hemodialisa di RSUD. (H.C.) Ir. Soekarno Provinsi Kepulauan Bangka Belitung Tahun 2024.        Metode penelitian ini menggunakan penelitian kuantitatif dengan pendekatan cross - sectional. Pengumpulan data dilakukan dengan menggunakan kuesioner. Populasi pada penelitian ini adalah tindakan pasiel n GGK yang mel njalani hel modialisis di RSUD l Dr. (H.C) Ir.Soekarnol Provinsi Kepul l laul an Bangka Bel litul ng Tahul n 2024 pada bul lan oktober sebanyakl 36 kali tindakan.        Hasil penelitian ini membuktikan bahwa terdapat hubungan antara faktor usia (P-value = 0,017) faktor jenis kelamin (P-value = 0,008), faktor dukungan keluarga (P-value = 0,016) dengan tingkat kecemasan pada pasien Hemodialisa di RSUD Dr. (H.C.) Ir. Soekarno Provinsi Kepulauan Bangka Belitung Tahun 2024. Saran dari penelitian ini yaitu diharapkan perawat mampu memahami kondisi pasien secara komprehensif meliputi biopsikologis, sosial, biologis, lingkungan, spiritual, fisik serta dukungan sosial.

Chronic kidney failure or chronic kidney disease (CKD) is a non-communicable disease that has increased the prevalence of mortality and morbidity in the last 20 years. The prevalence according to RISKESDAS in 2013 showed CKD was 2% and increased to 3.8% (739,208) in 2018. Dialysis is a kidney replacement therapy (TPG) which is used to prevent kidney deterioration. TPG carried out throughout life will change the patient's life physically, cognitively, psychologically, socially, and spiritually. When undergoing dialysis, patients experience ambivalent feelings towards the hemodialysis process that they are currently undergoing, namely positive feelings in the form of happiness when washing freely and negative feelings including feelings of anxiety and worry about the disease they are experiencing. This study aims to determine the existence of family relationships and the length of undergoing hemodialysis on the level of anxiety in patients with chronic kidney failure at Hospital X Jakarta. The method used is quantitative analysis with a cross-sectional research design on 45 respondents with the Spearman Rank correlation test. The results show a significant relationship between family support and the length of time undergoing hemodialysis with the level of anxiety in chronic kidney failure patients with values of ? = 0.001 < ? and ? = 0.007 < ?, correlation coefficient (rs) = 0.472 and (rs) = -0.397, so H0 is rejected and H1 is accepted with a moderate level of significance. In conclusion, family support and the length of time undergoing hemodialysis have a moderate relationship to anxiety levels in chronic kidney failure patients.

Hemodialysis is a therapeutic method used to remove fluids and waste products from the body. This study aims to determine the description of diet compliance and compliance with fluid restrictions in hemodialysis patients. Method : This research is descriptive research, with a cross sectional approach. The patient sample size was 98 respondents with a sampling technique using total sampling. Measuring diet compliance using a questionnaire and measuring fluid compliance using measuring instruments (IDWG). Result : The results of this study show that the majority of respondents showed dietary compliance as much as 85.7%. This shows that the majority of respondents have good awareness in implementing dietary compliance. Respondents with light fluid compliance were 72.4%, moderate 25.5%, severe 2.0%. Conclusion : Dietary compliance and fluid compliance in hemodialysis patients shows that the majority of respondents have good awareness in implementing dietary compliance and fluid compliance.

Chronic kidney failure patients experience excess fluid, so fluid restrictions are needed. Fluid restrictions in hemodialysis patients cause dry mouth.  The dry mouth experienced by the patient can cause high thirst, high thirst can cause non-compliance with a fluid restricted diet. As a result of limiting fluid intake carried out ini hemodialysis patients, it results in a feeling of thirst which causes the patient to have the desire to drink. The aim of this study is to determine the effect of giving slimber ice on the intensity of thirst in patients with chornic kidney failure undergoing hemmodialysis. This research uses one group pretest-posttest design. The sampling technique is purposive sampling with a total of 20 respondents. The instrument used in this research is the Visual Analogue Scale fo Assessment of Thirst Intensity. The research results showed that the average thirst intensity score of patients with chronic kidney failure undergoing pre-intervention hemodialysis was 4.80, standard deviation 1,936, and post test intervention 3.10,, standard deviation 1,410. The result of statistical tests show that there is an effect of giving slimber ice on the intensity of thirst in patients with chronic kidney failure undergoing hemodialysis. The results of the paired t-test, obtain p value = 0.001. This intervention can be a form of therapeutic management that can be applied to reduce complaints of thirst at home or in hospital.

Chronic Kidney Disease (CKD) is a clinical condition characterized by an irreversible decline in kidney function to a degree that requires permanent renal replacement therapy, in the form of dialysis or kidney transplantation. One of the clinical syndromes that occurs in kidney failure is uremia. This is caused by decreased kidney function. CKD disease will cause kidney function and role to continue to decline (progressive) and cannot return (irreversible) (Sherwood, 2016). This study aims to determine the effect of Murotal Al-Qur'an distraction therapy on reducing anxiety levels in CKD patients undergoing hemodialysis at Toto Kabila Regional Hospital. This research uses a quantitative research design with a Quasy Experimental research design involving an intervention group and a control group. The population in this study were all CKD patients undergoing hemodialysis at Toto Kabila Regional Hospital. The sample in this research consisted of 15 respondents, the data collection technique was making observations and using a questionnaire sheet. Based on the results of the analysis in the treatment group, the results showed that the level of moderate anxiety was 5 respondents (62.5%), and mild anxiety was 3 respondents (37.5%). In the control group, the results showed that the level of moderate anxiety was 5 respondents (71.4%), and the results of severe anxiety were 2 respondents (28.6%). The results of statistical tests in the treatment group obtained a P-value of 0.01 and in control group 0.03 which means <0.05 so it can be concluded that Ha is accepted which means there is an effect of Murotal Al-Quran Distraction Therapy on reducing anxiety levels in CKD patients undergoing hemodialysis at Toto Kabila Regional Hospital.

Chronic Kidney Failure is a condition when kidney function is impaired because it cannot filter blood normally. Patients with kidney failure will experience impaired function of regulating fluid and electrolyte balance. This condition can occur over the years which is progressive and irreversible, requiring hemodialysis therapy. Kidney damage can reduce a person's quality of life. Quality of life includes physical dimensions, psychological dimensions, social dimensions, and environmental dimensions. Objective: Knowing the description of quality of life in chronic renal failure patients undergoing hemodialysis at RSUD Ibu Fatmawati Soekarno Surakarta. Method: This type of research uses descriptive methods with a quantitative approach. The patient sample size was 44 respondents with Accidental Sampling. Measurement of quality of life using the Kidney Disease Quality of Life Short Form 1.3 (KDQOL SFTM 1.3) questionnaire. Result: The results of this study indicate that chronic renal failure patients undergoing hemodialysis have a good quality of life as many as 15 respondents (34,1%) and very good 23 respondents (52,3%) while 6 respondents (13,6%) have a moderate quality of life. Conclusion: Chronic renal failure patients have a good quality of life at RSUD Ibu Fatmawati Soekarno Surakarta.

Background: According to the World Health Organization (WHO), in 2018 the incidence of CKD worldwide reached 10% of the population, chronic kidney failure patients undergoing hemodialysis are estimated to reach 1.5 million people worldwide. Chronic kidney failure sufferers who will undergo hemodialysis often experience anxiety. One technique that can overcome the level of anxiety in patients undergoing hemodialysis is distraction technique. The distraction technique that will be given to reduce anxiety is the application of classical music, apart from being able to influence mood, now music is known to have amazing powers both physically, emotionally and spiritually. Objective: To find out the results of implementing classical music therapy for anxiety in patients with chronic kidney failure. who underwent hemodialysis in the ICU Room at Pandan Arang Boyolali Regional Hospital. Method: descriptive case study. To create a picture of classical music therapy nursing care for anxiety in Chronic Kidney Failure patients undergoing hemodialysis in the ICU room at Pandan Arang Hospital, Boyolali Regency. Results: Application of classical music therapy to 2 responses in Mr. A before therapy 4 statements of very severe anxiety after therapy 1 statement of mild symptoms, while for Mr. S before therapy 3 statements of severe anxiety and after therapy 1 statement of mild anxiety. Conclusion: there was a decrease in anxiety in both respondents after classical music therapy.      

Latar Belakang : Penyakit gagal ginjal kronik (GGK) merupakan kondisi di mana fungsi ginjal menurun. Salah satu terapi dari gagal ginjal kronik adalah hemodialisa. Pasien GGK yang menjalani hemodialisa tentu harus mengikuti penatalaksanaan salah satunya yaitu diet. Kepatuhan diet dapat mengurangi risiko terjadinya komplikasi. Tujuan penelitian ini adalah untuk mengetahui gambaran kepatuhan diet pada pasien gagal ginjal kronik (ggk) dengan hemodialisa di Rumah Sakit X Ubung. Metode : Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian deskriptif. Teknik sampling yang digunakan adalah jenis non probability sampling yaitu purposive sampling, dengan jumlah responden 60 responden. Alat pengumpulan data yang digunakan yaitu kuesioner kepatuhan diet sejumlah 13 pertanyaan. Analisa data yang digunakan peneliti yaitu dengan analisa univariat dan hasil yang diperoleh menggunakan program IBM SPSS Statistic 25. Hasil : Hasil penelitian dari 60 responden adalah sebanyak (85%) patuh terhadap diet. Proporsi tertinggi usia 46-59 tahun sebanyak 26 orang (43,3%). Sebagian besar subyek berjenis kelamin laki – laki sebanyak (61,7%). Dari tingkat pendidikan sebagian besar berada pada tingkat pendidikan SMA sebanyak (40%). Sedangkan jenis pekerjaan, sebagian besar responden Wiraswasta yaitu sebanyak (55%) dan Lama Hemodialisa sebanyak (50%) menjalani hemodialisa selama 1-24 bulan. Simpulan : Pasien sudah banyak yang patuh terhadap diet yang dianjurkan oleh tenaga medis. Untuk mempertahankan kepatuhan dapat dilakukan dengan pemberian edukasi setiap selesai hemodialisa. Peran tenaga medis dan pasien serta keluarga sangat dibutuhkan dalam menjaga kondisi pasien selama program hemodialisa.

Chronic Kidney  Disease (CKD) is defined when kidney damage lasts more than 3 months. Chronic Kidney  Disease (CKD) is a disease with various causes in the form of structural or functional abnormalities, accompanied by a decrease in glomerular filtration rate (GFR). People with chronic kidney disease and kidney failure often require kidney replacement therapy or hemodialysis. Sleep disorders are one of the complications of hemodialysis and often occur in patients with chronic kidney disease and over a long period of time. This can affect the quality of sleep of people with chronic kidney disease, both in terms of quantity and duration of sleep, which ultimately affects the individual's daily function. Non-pharmacological methods such as aromatherapy are important to relieve, prevent or treat certain diseases using natural plant spices or aromatic essential oils. Lavender aromatherapy belongs to the Lamiaceae family and its scientific name is Lavandula angustifolia. Inhaling lavender oil is a simple method that has been proven to have a positive effect on various symptoms, especially in hemodialysis patients with sleep disorders.