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Chronic Kidney Disease (CKD) is a growing global health concern that significantly affects patients’ quality of life. At Bhakti Asih General Hospital, Tangerang, the number of hemodialysis patients increased by 20.42% and dialysis procedures by 25.06% between 2023 and 2024. Despite this service expansion, preliminary findings revealed that 32% of patients reported poor quality of life, 31% experienced low engagement in care, 34% demonstrated low self-efficacy particularly in dietary and fluid management and 32% faced accessibility barriers. These findings indicate a gap between increased service volume and patient-centered outcomes. This study aimed to analyze the effects of patient engagement and self-efficacy on the quality of life of hemodialysis patients, with healthcare accessibility as a mediating variable. A quantitative cross-sectional design was employed. Active hemodialysis patients were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Structural Equation Modeling (SEM).The results demonstrated that patient engagement and self-efficacy had significant positive effects on quality of life, both directly and indirectly through accessibility. Accessibility also significantly influenced quality of life and strengthened the relationships between patient engagement, self-efficacy, and quality of life.These findings highlight the importance of integrating patient engagement strategies, strengthening self-efficacy through education, and improving service accessibility to enhance quality of life among hemodialysis patients

Background: Dietary adherence is a crucial component in the management of patients with chronic kidney disease (CKD) undergoing hemodialysis. Non-adherence may lead to metabolic imbalance, increased morbidity, and reduced quality of life.Objective: To identify factors associated with dietary non-adherence among patients with CKD undergoing hemodialysis at Imelda Hospital, Medan. Methods: A cross-sectional study was conducted among patients undergoing routine hemodialysis. Data were collected using structured questionnaires assessing knowledge, attitudes, and family support related to dietary adherence. Statistical analysis was performed using chi-square tests and logistic regression with a significance level of p < 0.05. Results: Knowledge, attitudes, and family support were significantly associated with dietary non-adherence (p < 0.05). Family support was identified as the most influential factor. Conclusion: Dietary non-adherence among hemodialysis patients is influenced by knowledge, attitudes, and family support. Strengthening patient education and family-centered nursing interventions is essential to improve dietary adherence.

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.

Chronic Kidney Disease (CKD) or chronic kidney failure is a condition that occurs due to a decrease in the kidney's ability to maintain balance in the body so that hemodialysis therapy is needed to replace the kidney function. Hemodialysis therapy can cause various physical effects and mental conditions of patients so that it can affect the patient's quality of life. Objective : to determine the relationship between anxiety levels and quality of life of CKD patients undergoing hemodialysis at Lakipada Hospital. Research Method : the research design used is quantitative research with a Cross Sectional approach, using a " saturated sampling" sampling technique with a sample size of 40 respondents. The independent variable is the level of anxiety and the dependent variable is the quality of life. Data were analyzed using the Chi-Square statistical test at a significance level of α <0.05. Research Results : it was found that there was a relationship between anxiety levels and quality of life in CKD patients undergoing hemodialysis with a p-value = 0.000. Conclusion : there is a relationship between anxiety levels and quality of life in CKD patients undergoing hemodialysis.

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.

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

Hemodialysis (HD) is the main therapy for end-stage chronic kidney failure (CKF) patients. Various factors, including age and gender, influence HD patients' quality of life (QoL). Studies on the relationship between these two factors and the QoL of HD patients in the RI-RDTL border area are still limited. This study aims to analyze the relationship between age and gender and HD patients' quality of life at Mgr. Gabriel Manek Hospital, SVD Atambua. This study used an observational analytical design with a cross-sectional approach. The study sample consisted of 50 HD patients who met the inclusion and exclusion criteria. QoL was measured using the WHOQoL instrument, and data were analyzed using the chi-square statistical test. The results showed no significant relationship between age and the quality of life of HD patients (p = 0.245). In addition, gender also had no significant relationship with the quality of life of HD patients (p = 0.643). Age and gender were not significantly related to the quality of life of HD patients. Other more influential factors need to be studied further to improve the quality of life of HD patients.

Individuals who experience GGK and have undergone hemodialysis will experience many changes in their lives. This can affect the patient's psychological condition. Changes that occur can have an impact on individual perceptions related to their lives including the quality of their lives and perceptions about themselves including self esteem. To find out the relationship of self esteem with the quality of life in chronic kidney failure patients who are undergoing hemodialysis in the hemodialysis room of RSUD R Syamsudin SH Sukabumi City in 2025. Research uses correlational design. The number of samples was 219 people. The instruments used were the CSEI and KDQOL-S questionnaire. The statistical test used is Chi Square's correlation. There is a relationship between self esteem and the quality of life of chronic kidney failure patients who are undergoing hemodialysis, the results of the chi square test with a p-value of 0.00 or smaller than the alpha value (a = 0.05). The results of this study can provide information for RSUD R Syamsudin SH to increase health knowledge and insight to improve the quality of life of chronic kidney failure patients in hemodialysis. One step that can be taken is to provide education to increase the patient's self esteem.

Kidney failure is one of the diseases that increases every year and becomes a major health problem in the world, the occurrence of failure is a risk of heart and blood vessel disease and increases morbidity and mortality. The purpose of this study was to determine the experience of dialysis patients' families in helping to prepare food at home. The research method used was a qualitative descriptive study. The location of this study was carried out in the Hemodialysis Room of the Imelda Buruh Indonesia General Hospital, Medan . The time of this study conducted in March to July 2024. The number of participants in this study was 6 participants . Research data were collected through in-depth interviews with participants and analyzed thematically. The results of the study consisted of 3 (three) themes, namely: (1) Eating habits , (2) obstacles or challenges in preparing food, (3) family support for patients. The conclusion of this study is that all participants expressed that the eating patterns of patients with hemodialysis therapy showed normal eating patterns, but when hemodialysis was carried out, patients felt weak and their appetite decreased, but all patients still ate 3 times a day in small portions . Overall, participants provided strong support for patients, both moral support, material in efforts to provide patient food needs, reminding patients to eat regularly according to doctor's recommendations, and faithfully accompanying them during hemodialysis. Although obstacles and challenges were found from both patients and families in overall food management, they could be overcome.

Chronic renal failure patients undergoing hemodialysis often experience sleep problems. This condition can affect the patient's quality of life physically and mentally. This study examined the relationship between the level of spirituality, coping mechanisms, and sleep disturbances in chronic renal failure patients undergoing hemodialysis. Psychological factors such as the level of spirituality and coping mechanisms can affect patients' adaptation to stress due to chronic illness, including sleep disturbances. Using a cross-sectional design, this study involved several patients who were in the hemodialysis room of the hospital. The purposive sampling method was used to conduct this study on seventy samples. Data processing was done with the chisquare test. The results showed that the sign value of 0.034 < 0.005 and 0.038 < 0.05, which indicates that H0 is rejected and Ha is accepted. There is a relationship between age, gender, level of spirituality, coping mechanisms, sleep disorders in chronic renal failure patients undergoing hemodialysis. In addition, adaptive coping mechanisms were also found to have a positive correlation with good sleep quality. This study concludes that increasing spirituality with adaptive coping mechanisms can contribute to the improvement of sleep quality in chronic renal failure (CKD) patients undergoing hemodialysis.

Chronic kidney failure is a terminal illness that requires hemodialysis therapy to sustain life. However, this therapy often impacts patients' quality of life, including physical, mental, social, and spiritual aspects. Low spiritual well-being can significantly affect the quality of life, causing stress, anxiety, and a decline in emotional balance. This research aims to analyze the relationship between spiritual well-being and the quality of life of hemodialysis patients, providing insights to support the improvement of their quality of life. This study is a type of Quantitative research with an Observational Analytic research design with a correlational study. Data collection was carried out using the KDQOL-SF and SWBS questionnaires. The number of respondents was 61 people with a total sampling technique. The obtained data were statistically processed using the Chi-square test. The result of this study shows that there is a relationship between spiritual well-being and the quality of life of hemodialysis patients with a P value = 0.000 (P value < 0.05). This study concludes that there is a significant relationship between spiritual well-being and the quality of life of hemodialysis patients. Improving spiritual well-being can enhance patients' quality of life; therefore, it is important to provide spiritual support in therapy to help patients overcome their health challenges.

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.

Chronic Kidney Disease (CKD) is a condition caused by structural or functional abnormalities characterized by a decrease in the glomerular filtration rate (GFR). One of the treatments for CKD patients is hemodialysis (HD). Sleep disorders are among the complications of hemodialysis. Administering lavender aromatherapy is a method to improve the sleep quality of patients. This study uses a literature review method. Articles were searched on ScienceDirect, PubMed, and Google Scholar using advanced search with the keywords "Chronic Kidney Disease, Hemodialysis, Lavender Aromatherapy," resulting in 10 relevant articles to compile this review. The results showed that lavender aromatherapy was effective in addressing complications such as poor sleep quality, fatigue, pain, and anxiety in hemodialysis patients. In conclusion, lavender aromatherapy has been proven effective in improving the sleep quality of HD patients.

Chronic kidney failure in the end stage requires kidney replacement therapy in the form of haemodialysis. Haemodialysis is not to cure but as a replacement therapy for kidney function to clean the blood from various substances that cannot be excreted naturally by the kidneys which must be done for life. Chronic kidney failure patients undergoing haemodialysis can cause life changes that will affect the patient’s quality of life. This study aims to determine the relationship between the duration of haemodialysis therapy and age and the quality of life in chronic kidney failure patients at PKU Muhammadiyah Gamping Hospital. This study employed a descriptive correlation study with a cross-sectional method. The study population was 165 patients with a sample of 115 respondents. The instrument to determine the quality of life was the Kidney Disease Quality of Life (KDQOL) Questionnaire and interviews were done to determine the age and duration of haemodialysis therapy. The results of statistical tests using the Kendall Tau test showed a p-value> 0.05, which is 0.059 for the test of the duration of haemodialysis therapy with quality of life. Thus, it can be concluded that there is no significant relationship between the duration of haemodialysis therapy and quality of life in chronic kidney failure patients at PKU Muhammadiyah Gamping Hospital. Statistical tests for age with quality of life using the Kendall Tau test showed a p-value> 0.05, which is 0.694. Therefore, it can be concluded that there is no significant relationship between age and quality of life in chronic kidney failure patients at PKU Muhammadiyah Gamping Hospital.

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.

Background : One of the most prominent negative impacts in patients with kidney failure undergoing hemodialysis is fatigue. Breathing and range of motion exercises are therapies that can be applied to reduce fatigue in patients with chronic kidney failure. Objective: to provide breathing and range of motion exercise interventions in patients with chronic renal failure. Method: used in this study is a case study. Assessment of Mrs. S conducted for 3 consecutive days. Results: After the intervention for 3 days, the results showed that the level of fatigue and anxiety in Mrs. S decreased. Conclusions and suggestions: The interventions given have an effect on reducing the level of anxiety and fatigue of patients. It is expected that nurses can provide optimal nursing care to patients with chronic kidney failure to improve the quality of life of patients.

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.

Restless legs syndrome (RLS) is a sensorimotor disorder that affects a person's desire to move the legs. Physical activity is considered to be one way to reduce RLS symptoms. The purpose of this study was to analyze the relationship of physical activity with RLS in patients with chronic kidney disease (CKD) in the hemodialysis room of RSUD Kab Subang. This research is a type of quantitative research, correlational descriptive research design using cross-sectional. The sample in this study was 62 respondents, with purposive sampling techniques. Data collection using the Global Physical Activity Questionaire (GPAQ) and International Restless Legs Syndrome Group (IRLS) questionnaires, and data analysis using the spearmen rank test. The results showed that most respondents had a low level of physical activity, with a prevalence of 64.5%, and most respondents experienced severe symptoms of RLS, with a prevalence of 40.3%. Statistical tests show that there is a relationship between the physical activity variable and RLS (p-value 0.001), with the coefficient value is -0.741. It can be concluded that there is a solid relationship between physical activity and RLS in CKD patients in the hemodialysis room of RSUD Kab Subang with an antagonistic relationship direction. It is expected that nurses can intervene in chronic kidney disease patients to perform physical activity in accordance with their ability to reduce RLS.

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.      

Poor fluid management among hemodialysis patients can lead to detrimental outcomes such as high Interdialytic Weight Gain (IDWG), contributing to increased cardiovascular morbidity and mortality. While conventional education on fluid restriction exists in hospitals, non-compliance remains prevalent, highlighting the need for educational approaches grounded in self-efficacy theory to enhance patients' self-confidence in self-management. This study aimed to assess the impact of educational interventions based on self-efficacy theory on IDWG in hemodialysis patients at Malahayati Islamic Hospital. Using a quantitative quasi-experimental pretest-posttest control group design, the study included a total of 68 participants selected through purposive sampling. Statistical analysis revealed a significant difference (p < 0.05) in IDWG scores between the intervention and control groups post-intervention, indicating the effectiveness of self-efficacy-based education in improving compliance with fluid intake restrictions among chronic kidney failure patients undergoing hemodialysis.