Terapi Komplementer untuk Mengatasi Fatigue pada Pasien Hemodialisis: Literatur Review

Swastika Sekar Utami; Siti Arifah; Faizah Betty Rahayuningsih

doi:10.22146/jkesvo.68769

Terapi Komplementer untuk Mengatasi Fatigue pada Pasien Hemodialisis: Literatur Review

https://doi.org/10.22146/jkesvo.68769

Swastika Sekar Utami⁽¹⁾, Siti Arifah^(2*), Faizah Betty Rahayuningsih⁽³⁾

(1) Mahasiswa Program Profesi Ners/Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta
(2) Dosen Program Studi Keperawatan/Fakultas Ilmu Kesehatan, Universitas Muhammadiyah
(3) Dosen Program Studi Keperawatan/Fakultas Ilmu Kesehatan, Universitas Muhammadiyah
(*) Corresponding Author

Abstract

Latar belakang: Masalah fisik yang paling banyak dirasakan oleh pasien hemodialisis di antaranya kelelahan. Fatigue atau kelelahan diartikan sebagai perasaan kelelahan luar biasa, baik saat istirahat ataupun ketika melakukan aktivitas. Kondisi ini akan memengaruhi semua sisi kualitas hidup pada penderita gagal ginjal kronis yang menjalani terapi hemodialisis. Terapi komplementer adalah salah satu terapi yang saat ini berkembang dengan pesat untuk membantu menurunkan fatigue pascahemodialisis melalui pikiran dan tubuh.

Tujuan: Mengetahui jenis dan efektivitas terapi komplementer untuk mengatasi kelelahan pada pasien yang menjalani hemodialisis.

Metode: Tahap yang digunakan dalam review ini adalah mengidentifikasi berdasarkan kata kunci, mengskrining judul dan abstrak, menyeleksi kelayakan artikel, menyeleksi artikel berdasarkan kriteria inklusi, dan mengekstraksi data. Review ini menggunakan artikel jangka waktu dari 2016‒2021.

Hasil: Total keseluruhan artikel yang di-review sebanyak 17 artikel. Terapi komplementer yang dapat dilakukan adalah terapi pijat, aromaterapi, relaksasi, terapi musik, dan terapi footbath.

Kesimpulan: Secara keseluruhan, terapi komplementer dapat menurunkan skala fatigue pasien hemodialisis.

Keywords

Terapi komplementer, kelelahan, hemodialisis

Full Text:

PDF

References

Ahmadidarrehsima, S., Mohammad Pourhodki, R., Ebrahimi, H., Keramati, M., & Dianatinasab, M. (2018). Effect of foot reflexology and slow stroke back massage on the severity of fatigue in patients undergoing hemodialysis: A semi-experimental study. Journal of Complementary and Integrative Medicine, 15(4), 1–6. https://doi.org/10.1515/jcim-2017-0183

Ahmady, S., Rezaei, M., & Khatony, A. (2019). Comparing effects of aromatherapy with lavender essential oil and orange essential oil on fatigue of hemodialysis patients: A randomized trial. Complementary Therapies in Clinical Practice, 36(May), 64–68. https://doi.org/10.1016/j.ctcp.2019.05.005

Almasdy, D., Eptiyeni, E., Khamri, D., & Kurniasih, N. (2018). Use of complementary and alternative medicine (CAM) among breast cancer patients in a public hospital in padang, Indonesia. Journal of Young Pharmacists, 10(2), s145–s147. https://doi.org/10.5530/jyp.2018.2s.30

Andoko, & Ermawati. (2020). Guided imagery terhadap tingkat fatigue pada pasien dengan gagal ginjal kronik yang menjalani hemodialisis. Holistik Jurnal Kesehatan, 13(4), 365–372. https://doi.org/10.33024/hjk.v13i4.1661

Artana, I. W. (2017). Analisis Fungsional Terapi Tradisional dan Terapi Komplementer Alternatif Diera Jaminan Kesehatan Nasional (JKN). Journal Center of Research Publication in Midwifery and Nursing, 1(1), 53–61. https://doi.org/10.36474/caring.v1i1.17

Bagheri-Nesami, M., Shorofi, S. A., Nikkhah, A., Espahbodi, F., & Ghaderi Koolaee, F. S. (2016). The effects of aromatherapy with lavender essential oil on fatigue levels in haemodialysis patients: A randomized clinical trial. Complementary Therapies in Clinical Practice, 22, 33–37. https://doi.org/10.1016/j.ctcp.2015.12.002

Balouchi, A., Masinaeinezhad, N., Abdallahimohammad, A., Firouzkouhi, M. R., & Sepehri, Z. (2016). Comparison of effects of orange and lavender extract on fatigue in hemodialysis patients. Der Pharmacia Lettre, 8(8), 50–54.

Brys, A. D. H., Lenaert, B., Van Heugten, C. M., Gambaro, G., & Bossola, M. (2019). Exploring the Diurnal Course of Fatigue in Patients on Hemodialysis Treatment and Its Relation With Depressive Symptoms and Classical Conditioning. Journal of Pain and Symptom Management, 57(5), 890-898.e4. https://doi.org/10.1016/j.jpainsymman.2019.02.010

Das, G., Asokan, R., & Lenka, A. (2018). Effectiveness of warm footbath on fatigue among patient with chronic renal failure. International Journal of Nursing Education, 10(4), 15. https://doi.org/10.5958/0974-9357.2018.00092.2

Davey, C. H., Webel, A. R., Sehgal, A. R., Voss, J. G., & Huml, A. (2019). Fatigue in Individuals with End Stage Renal Disease. Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, 46(5), 497–508.

Dewi, N. L. P. T., Arifin, M. T., & Ismail, S. (2020). The influence of gayatri mantra and emotional freedom technique on quality of life of post-stroke patients. Journal of Multidisciplinary Healthcare, 13, 909–916. https://doi.org/10.2147/JMDH.S266580

El-Anssary, A. A. K. E. (2020). Aromatherapy as Complementary Medicine. Essential Oils - Bioactive Compounds, New Perspectives and Applications. https://doi.org/10.5772/intechopen.92021

Embong, N. H., Soh, Y. C., Ming, L. C., & Wong, T. W. (2017). Perspectives on reflexology: A qualitative approach. Journal of Traditional and Complementary Medicine, 7(3), 327–331. https://doi.org/10.1016/j.jtcme.2016.08.008

Fari, A. I., Sofiani, Y., & Warongan, A. W. (2019). Efektifitas Progressive Muscle Relaxation (PMR) dan Relaxation Breathing Exercise (RBE) Terhadap Tingkat Fatigue dan Selfcare Pasien GGK. Jurnal Kesehatan Saelmakers Perdana, 2(1), 99–110.

Flythe, J. E., Hilliard, T., Castillo, G., Ikeler, K., Orazi, J., Abdel-Rahman, E., Pai, A. B., Rivara, M. B., St. Peter, W. L., Weisbord, S. D., Wilkie, C., & Mehrotra, R. (2018). Symptom prioritization among adults receiving in-center hemodialysis: A mixed methods study. Clinical Journal of the American Society of Nephrology, 13(5), 735–745. https://doi.org/10.2215/CJN.10850917

Guerraoui, A., Kolko-Labadens, A., Prezelin-Reydit, M., Chauveau, P., Lasseur, C., Lino-Daniel, M., Haesebaert, J., & Cailette-beaudoin, A. (2021). Fatigue is the predominant patient-reported outcome measure in hemodialysis patients: Results of a multicenter cross-sectional ePROMs Study. Nephrology Dialysis Transplantation, 36. https://doi.org/10.1093/ndt/gfab100.008

Habibzadeh, H., Dalavan, O. W., Alilu, L., Wardle, J., Khalkhali, H., & Nozad, A. (2019). Effects of Foot Massage on Severity of Fatigue and Quality of Life in Hemodialysis Patients: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery (IJCBNM), 8(2), 92–102. https://doi.org/10.30476/IJCBNM.2020.81662.0.92

Hadadian, F., Jalalvandi, F., Karimi, S., Abdi, A., Salari, N., & Ghobadi, A. (2017). Studying the effect of progressive muscle relaxation technique on fatigue in hemodialysis patients – Kermanshah‑ Iran. Annals of Tropical Medicine and Public Health, 10(6), 1587–1590. https://doi.org/10.4103/ATMPH.ATMPH

Haghi, S., & Zadeh, S. M. (2018). The Effect of Music on Fatigue and Anxiety of Patients Undergoing Hemodialysis. Advances in Nursing & Midwifery, 28(1), 20–25. https://doi.org/10.22037/anm.v28i2.18374

Hassanzadeh, M., Kiani, F., Bouya, S., & Zarei, M. (2018). Comparing the effects of relaxation technique and inhalation aromatherapy on fatigue in patients undergoing hemodialysis. Complementary Therapies in Clinical Practice, 31, 210–214. https://doi.org/10.1016/j.ctcp.2018.02.019

Karadag, E., & Samancioglu Baglama, S. (2019). The Effect of Aromatherapy on Fatigue and Anxiety in Patients Undergoing Hemodialysis Treatment: A Randomized Controlled Study. Holistic Nursing Practice, 33(4), 222–229. https://doi.org/10.1097/HNP.0000000000000334

Khusniyati, N., Yona, S., & Kariasa, I. M. (2019). Fatigue, Depresi, Terhadap Kualitas Hidup Pada Pasien Hemodialisa. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 1(2), 1. https://doi.org/10.32807/jkt.v1i2.30

Kramer, A., Pippias, M., Noordzij, M., Stel, V. S., Andrusev, A. M., Aparicio-Madre, M. I., Arribas Monzón, F. E., Åsberg, A., Barbullushi, M., Beltrán, P., Bonthuis, M., Caskey, F. J., Castro De La Nuez, P., Cernevskis, H., De Meester, J., Finne, P., Golan, E., Heaf, J. G., Hemmelder, M. H., … Jager, K. J. (2019). The European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report 2016: A summary. In Clinical Kidney Journal (Vol. 12, Issue 5). https://doi.org/10.1093/ckj/sfz011

Musniati, Muhsinin, Z. S., & Puspitasari, P. (2020). Gambaran Fatigue Pada Pasien Hemodialisa Di RSUP NTB. Jurnal Keperawatan Dan Kebidanan, 7–11.

Natashia, D., Irawati, D., & Hidayat, F. (2020). Fatigue dan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis dengan Terapi Hemodialisa. Jurnal Keperawatan Muhammadiyah, 5(2), 209–218.

Nugroho, S., Karyono, T. H., Dwihandaka, R., & Pambudi, K. (2020). Efektivitas terapi air hangat , dingin dan kontras terhadap nyeri , kelelahan , dan daya tahan otot. Jurnal SPORTIF: Jurnal Penelitian Pembelajaran, 6(2), 466–482.

Padehban, V., Mohammadpourhodki, R., Bazghale, M., Moghadasi, A., & Sargolzaei, M. S. (2018). Comparing palm reflexology and slow-stroke massage on fatigue in hemodialysis patients. Prensa Medica Argentina, 104(5), 3–6. https://doi.org/10.4172/0032-745X.1000307

Papadakis, maxine a, Mcphee, stephen j, & Rabow, michael w. (2019). current medical diagnosis & treatment. mc graw hill.

Pernefri. (2018). 11th Report Of Indonesian Renal Registry 2018. Report of Indonesian Renal Registry, 1–46.

Puspitosari, A., Panas, A., & Tidur, K. (2021). Warm Water Footbath Theraphy Improving Sleep Quality on Elderly. Jurnal Jamu Kusuma, 1(1), 7–13.

Rohaeti, S. E., Ibrahim, K., & Pratiwi, S. H. (2021). Hubungan Terapi Komplementer dengan Psychological Well Being pada Pasien Penyakit Ginjal Kronis Stadium 5. The Indonesian Journal of Health Science, 13(1), 12–24. https://doi.org/10.32528/ijhs.v13i1.4004

Sajidah, A., Wilutono, N., & Safitri, A. (2021). Hubungan Hipotensi Intradialisis dengan Tingkat Fatigue pada Pasien Gagal Ginjal Kronis ( GGK ) di Rsud Ratu Zalecha Martapura. Jurnal Citra Keperawatan, 9(1), 32–40.

Sari, L. M., Yuliano, A., & Febri, A. A. (2017). Pengaruh Eight-Forms Of Moving Meditation Terhadap Penurunan Fatique Pada Pasien Post-Haemodialysis. Jurnal Kesehatan Perintis.

Sariati, S., Sholikhah, D. U., Narendri, C. M., Sari, G. M., & Yahya, Q. N. Q. (2019). Music Therapy and Aromatherapy Interventions in Patients undergoing Hemodialysis: A Systematic Review. Jurnal Ners, 14(3), 81. https://doi.org/10.20473/jn.v14i3.16990

Şentürk, A., & Tekinsoy Kartin, P. (2018). The effect of lavender oil application via inhalation pathway on hemodialysis patients’ anxiety level and sleep quality. Holistic Nursing Practice, 32(6), 324–335. https://doi.org/10.1097/HNP.0000000000000292

Serin, E. K., Ovayolu, R. N. N., & Ozlem, R. N. (2019). The Effect of Progressive Relaxation Exercises on Pain , Fatigue , and Quality of Life. Holistic Nursing Practice, 1–8. https://doi.org/10.1097/HNP.0000000000000347

Shafeik, H. F. (2018). Effect Of Warm Water Foot Bath On Fatigue In Patients Undergoing Hemodialysis. International Journal of Nursing Didactics, 08(02), 26–32. https://doi.org/10.15520/ijnd.2018.vol8.iss2.276.

Sharifi, S., Navidian, A., Jahantigh, M., & Shamsoddini Lori, A. (2018). Investigating the Impact of Foot Reflexology on Severity of Fatigue in Patients Undergoing Hemodialysis: A Clinical Trial Study. Medical - Surgical Nursing Journal, In Press(In Press), 1–5. https://doi.org/10.5812/msnj.81634

Sharma M, Kacker S, Saboo N, KapoorM, & Sharma M. (2017). Effect of advance meditation program on electrocardiogram, blood pressure, and stress level in young healthy adults. Heart India, 5(1), 17–23. https://doi.org/10.4103/heartindia.heartindia

Wati, N. M. N., Dewi, N. L. P. T., Meilena, N. L. G. D., Juanamasta, I. G., & Lestari, R. T. R. (2021). Emotional Freedom Technique (EFT) Therapy on Chronic Kidney Disease (CKD) Patients to Reduce Fatigue. Journal of Nursing, 12(1), 76–82. https://doi.org/10.22219/jk.v12i1.9763

DOI: https://doi.org/10.22146/jkesvo.68769