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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.

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.

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 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 refers to the decline in kidney’s ability to maintain body fluid balance. Hemodialysis, as a kidney function replacement therapy, is needed to remove toxins and control electrolyte fluids in the body. One of the psychological impacts of hemodialysis is anxiety in patients. One way to reduce patient anxiety levels is by conducting murottal Al-Qur’an therapy. This study uses a case report method and was conducted in the Hemodialysis room of PKU Muhammadiyah Yogyakarta from May 2 to May 9, 2024. Two people with a diagnosis of chronic kidney failure were respondents in this study. The Hamilton Anxiety Rating Scale (HARS) was used as an instrument in this study, which was conducted before and after intervention. The results of the study showed that the respondents’ anxiety scores were in the moderate category (24 and 23) and changed to the mild category with a score of 14 after the application of therapy. This therapy has proven effective in reducing anxiety levels in patients with chronic kidney failure who are undergoing hemodialysis therapy.

Kidney failure is a chronic disease where the kidneys are no longer able to remove toxic substances in the body, resulting in a buildup of toxins as a result. Patients suffering from kidney failure must undergo therapy to remove toxic substances, one of the therapies is hemodialysis. This therapy is carried out in approximately 4-5 hours to remove toxins, there are several accesses, namely with CDL and Cimino. which will cause changes in the physical, socio-economic and psychological conditions of patients undergoing Hemodialysis therapy. These changes will have an impact on the patient's coping mechanisms. Patients undergoing hemodialysis often experience several problems including psychological problems, one of which is often experienced is anxiety. Anxiety is an emotional response to a subjective individual assessment, related to feelings of uncertainty and helplessness and to overcome it is necessary family support. This study aims to determine the biological and social relationship between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis. This research was quantitative using a correlation method involving 99 patients in the hemodialysis unit at Cibinong Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. This method was carefully chosen to ensure that the data obtained could be used to evaluate the relationship between biological and social levels of anxiety in hemodialysis patients. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of service in the hemodialysis unit at Cibinong Hospital.  

Hemodialysis is one of the installations in the hospital that handles blood washing therapy, by removing excess waste or harmful compounds, through a semi-permeable membrane which is carried out to replace kidney function that is no longer functioning properly. Hemodialysis is given to patients with a diagnosis of acute renal failure, terminal renal failure and patients who have severe poisoning with certain drugs. The research design was carried out descriptively. The aim of this research was to determine whether there was formalin exposure to hemodialysis workers or nurses when reusing or cleaning hemodialysis equipment, using a qualitative test. In this research, the results were obtained from 15 blood plasma samples, namely 6 positive formalin blood samples, with Schiff, Tollens, KMnO4 and Fehling reagents. It is known from the table of analysis results of qualitative test of formalin exposure on hemodialysis workers in one of the East Java Hospitals. For further research, it is hoped that quantitative tests will be carried out in determining the level of formalin in the blood using the instrument.

Hemodialisis merupakan terapi pengganti ginjal bagi pasien chronic kidney disease stage v. Meskipun hemodialisis mampu membuang kelebihan cairan dan sisa metabolisme, namun banyak pasien hemodialisis tidak patuh terhadap dietnya. Hal ini ditandai tingginya keluhan hipervolemi karena pasien maupun caregiver khususnya keluarga tidak paham dan kesulitan dalam manajemen cairan maupun nutrisi. Sementara upaya pelayanan kesehatan dalam meningkatkan pengetahuan caregiver belum maksimal. Keberhasilan manajemen cairan maupun nutrisi sangat dipengaruhi oleh peran caregiver. Baik pelayanan kesehatan maupun keluarga merupakan caregiver yang mampu mendukung pasien hemodialisis dalam memahami manajemen diet ginjal dan strategi pembatasan cairan. Tujuan kegiatan ini adalah memberikan pelatihan berupa edukasi cairan dan nutrisi kepada caregiver pasien hemodialisis. Strategi kegiatan ini melalui pemberian pelatihan sebanyak 2 kali dengan pre – posttest. Pelatihan menggunakan metode ceramah dan tanya jawab. Hasil kegiatan pengabdian masyarakat diperoleh bahwa terdapat peningkatan rerata tingkat pengetahuan caregiver terhadap edukasi C-Nut (Cairan dan Nutrisi) untuk mencegah kegawatan pada pasien hemodialisis.                     

The patients with chronic kidney failure, if they do not limit their intake of fluids, food and an appropriate daily diet, it will cause malnutrition and accumulation of fluid in parts of the body, including the face, hands and feet. Fluid buildup can also occur in the abdominal area or what is usually called ascites. Ascites is an important problem and often occurs in patients undergoing hemodialysis. Ascites will cause stomach enlargement and excess weight gain. The aim of this study was to determine the effect of patient diet compliance on the development of ascites in kidney failure patients in the hemodialysis unit at Tk Hospital. II dr. Soedjono Magelang. This type of research is descriptive analytic using a cross-sectional method. The sampling technique used the Purposive Sampling method with a sample size of 46 respondents. Statistical analysis uses the chi-square test. The results of this study showed p=0.002, which means there is an influence between diet compliance and the incidence of ascites in the Hospital Hemodialysis Unit. Kindergarten II dr. Soedjono Magelang. The more patient compliance with a nutritional diet will have a better impact on the development of ascites.

Gagal ginjal kronik merupakan penyakit terjadi setelah berbagai macam penyakit merusak ginjal sampai pada titik keduanya tidak mampu menjalankan fungsinya mempertahankan homeostatis, penyakit ini dapat ditangani dengan melakukan hemodialisa namun salah satu masalah besar yang berkonstribusi pada kegagalan hemodialisa adalah masalah penolakan pasien karena minimnya pengetahuan pasien tentang hemodialisa. Tujuan penelitian untuk mengetahui gambaran pengetahuan pasien gagal ginjal kronik tentang hemodialisis. Desain penelitian deskriptif kuantitatif dengan jumlah sampel sebanyak 38 orang, tehnik pengambilan sampel accidental sampling. Hasil penelitian menunjukan pengetahuan pasien berada pada kategori cukup sebanyak 14 orang, pengetahuan baik sebanyak 13 orang dan pengetahuan kurang sebanyak 11 orang. Sehingga disimpulkan pengetahuan pasien gagal ginjal kronik tentang hemodialisis terbanyak yaitu kategori cukup sebanyak 14 orang atau 36,8%. Saran diharapkan kepada pasien dan masyarakat luas agar sering mencari tahu informasi tentang kesehatan terutama penyakit gagal ginjal kronik sebab penyakit ini menjadi salah satu penyakit yang tumbuh dengan cepat.  

Latar Belakang: Masa pandemi COVID-19 menimbulkan dampak negatif dalam kesehatan mental salah satunya kecemasan, pasien dengan GGK yang menjalani hemodialisis (HD), cenderung mengalami kecemasan karena pengobatan HD di rumah sakit yang tidak bisa dihindarkan membuat pasien HD lebih berisiko tertular COVID-19. Tujuan: Mengetahui gambaran tingkat kecemasan pasien gagal ginjal kronik yang menjalani hemodialisis di masa pandemi COVID-19 di RS Bhayangkaran dan RSUD Labuang Baji Makassar.Metode: Penelitian ini menggunakan desain deskriptif analitik. Responden berjumlah 45 orang, pengambilan sampel menggunakan teknik total sampling. Pengumpulan data dilakukan menggunakan kuesioner ZSAS (Zung Self-rating Anxiety Scale) yang dikembangkan oleh peneliti dan sudah teruji validitas dan reliabilitas. Hasil: Penelitian menunjukkan bahwa tingkat kecemasan dalam penelitian ini terbanyak mengalami kecemasan ringan sebanyak 35 responden (78%), terkecil mengalami kecemasan sedang sebanyak 10 responden (22%) dan tidak ada (0%) responden yang mengalami kecemasan berat.Simpulan: Diharapkan perawat di unit HD lebih memperhatikan intervensi untuk menurunkan kecemasan terutama di masa pandemi COVID-19.    

Latar belakang: Peningkatan Berat Badan Interdialitik (IDWG) adalah peningkatan volume cairan yang diwujudkan dengan kenaikan berat badan sebagai indikator untuk mengetahui jumlah asupan cairan selama periode interdialitik dan kepatuhan management mandiri pasien terhadap regulasi cairan pada pasien yang mendapat terapi hemodialisis. Pasien gagal ginjal yang menjalani hemodialisa harus dibatasi asupan cairannya. Upaya untuk mencegah peningkatan IDWG dapat dilakukan dengan pemberian intervensi self care management. Tujuan : Penelitian ini bertujuan untuk menggambarkan penerapan intervensi self care management terhadap IDWG pada pasien hemodialisa. Metode: Rancangan penelitian yang digunakan adalah deskriptif dengan metode pendekatan studi kasus Subyek dalam studi kasus ini adalah 2 orang pasien dengan kriteria pasien dengan gagal ginjal kronik yang menjalani hemodialisa, pasien yang bersedia diberikan intervensi self care management. Hasil studi kasus menunjukkan bahwa pemberian intervensi self care managementdapat menurunkan berat badan antar sesi hemodialisisyaitu pada subyek Idari 5 % (kategori sedang) turun menjadi 0,8 % (kategori ringan) dan pada subyek II dari 6 % (kategori sedang) turun menjadi 0,8 % (kategori ringan). Intervensi self care management terbukti efektif untuk mencegah peningkatan IDWG pada pasien hemodialisa. Saran Intervensi Self care Management direkomendasikan sebagai intervensi keperawatan untuk pasien yang menjalani hemodialisa

Chronic renal failure is a progressive and continuous destruction of kidney structures. Chronic renal failure occurs in susceptible individuals, analgesic nephropathy, destruction of renal papillae associated with daily use of analgesic drugs for years. Whatever the cause, there is a progressive deterioration of kidney function which is characterized by a progressive decrease in the Glomelurus Filter Rate (GFR) (Corwin, 2009). Chronic kidney failure is a failure of kidney function to maintain metabolism and fluid and electrolyte balance due to progressive destruction of kidney structures with manifestations of accumulation of residual metabolites (uremic toxicants) in the blood (Muttaqin & Sari, 2011). as well as electrolytes and acid-base composition of body fluids, removing metabolic wastes that are no longer needed by the body, regulating blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008).     

The main function of the kidneys under normal conditions is to regulate fluids and electrolytes and the acid-base composition of body fluids, remove metabolic wastes that are no longer needed by the body, regulate blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008). Cases of chronic kidney failure in the world have increased by more than 50%, in the United States which is a very developed country every year there are about 20 million adults suffering from chronic kidney failure and undergoing hemodialysis in more than 100,000 patients, while in Indonesia, according to the Indonesian Kidney Diatrans Foundation, YDGI), in 2007 there were about 100,000 chronic kidney failure patients but only a few patients were able to undergo hemodialysis. Kidney replacement therapy in Indonesia was started in 1972 in Jakarta (Dr. Cipto Mangunkusumo Hospital/FKUI), in Bandung in 1976 (Hasan Sadikin Hospital/FK UNPAD).

PGK merupakan suatu proses patofisiologi dengan etiologi beragam, mengakibatkan penurunan fungsi ginjal yang progresif dan umumnya berakhir dengan gagal ginjal. Selanjutnya gagal ginjal adalah suatu keadaan klinis yang ditandai dengan penurunan fungsi ginjal yang reversible, pada suatu derajat yang memerlukan terapi pengganti ginjal yang tetap, berupa dialysis atau transplantasi ginjal. Uremia adalah suatu sindroma klinik dan laboratorik yang terjadi pada semua organ, akibat penurunan fungsi ginjal pada penyakit ginjal kronik (Suwitra, 2009).   Gejala sindroma uremia dini ialah gangguan fungsi gastrointestinal. Penderita merasa  mual-mual,  muntah-muntah  dan  tidak  nafsu  makan.  Gejala-gejala  tersebut diduga akibat timbunan metabolit, antara lain: metilguanidin, asam guanidinosuksinat, asam parahidroksi-fenilasetat, fenol, indol, asam-asam aromatik, dan senyawa-senyawa amin. Metabolit-metabolit tersebut berasal dari degradasi protein (Syaifuddin, 2006).   Gejala gastrointestinal  yang lain ialah kerusakan epitel dan perdarahan, mulut kering, lidah terasa pahit, perdarahan gusi, hematemesis, melena. Kerusakan epitel dan gangguan fungsi epitel, diduga karena iritasi oleh timbunan metabolit dan gangguan metabolisme sel-sel- epitel. Gangguaan juga terjadi pada epitel kulit, garukan karena gatal meninggalkan ekskoriasi ditungkai, lengan dan di badan. Rasa gatal diduga akibat timbunan atau endapan kalsium dan ureum di dermis. Gejala kardiovaskuler dapat menyertai PGK, hipertensi, jantung hipertensif, payah jantung kongesif, perikarditis uremik, hemoperikardium, tamponade jantung (Syaifuddin, 2006).