Hubungan Fatigue dan Depresi dengan Kualitas Tidur Pasien Gagal Ginjal Kronik Yang menjalani Hemodialisis
Abstract
ABSTRACT
Hemodialysis is a replacement therapy used to treat chronic kidney disease patients. Hemodialysis requires long-term treatment, which can lead to various complications resulting in worsening of sleep quality. Decreased sleep quality can lead to fatigue, reduced immunity, and a higher risk of cardiovascular diseases, ultimately increasing morbidity and mortality in chronic kidney disease patients. Fatigue is a common symptom that occurs in chronic kidney disease, characterized by mental weakness, physical weakness, or both. Mental weakness can affect a patient’s psychological well-being and may lead to psychological stress, such as depression.This research aimed to examine the relationship between fatigue, depression, and sleep quality in chronic kidney disease patients undergoing hemodialysis. This study is an observational analytical study with a cross-sectional design. The study sample consisted of 102 chronic kidney disease patients undergoing hemodialysis at RSUP Prof. Dr. R.D Kandou Manado that meet the inclusion criteria. The study result showed a significant relationship between fatigue and sleep quality (p = 0.001) and between depression and sleep quality (p = 0.000). Fatigue and depression can affect sleep quality; therefore, it is need to perform an early assessment of fatigue and depression by healthcare professionals and develop a collaborative interprofessional treatment to improve the sleep quality of patients undergoing hemodialysis.
Keywords: depression, fatigue, hemodialysis, sleep quality
ABSTRAK
Hemodialisis merupakan metode terapi yang digunakan oleh pasien gagal ginjal kronik. Hemodialisis membutuhkan waktu jangka panjang sehingga dapat menimbulkan munculnya berbagai komplikasi yang dapat menimbulkan penurunan kualitas tidur. Kualitas tidur yang menurun dapat menimbulkan fatigue atau kelelahan, menurunkan imunitas dan risiko tinggi penyakit kardiovaskuler sehingga dapat meningkatkan morbiditas dan mortalitas pasien gagal ginjal kronik. Fatigue merupakan gejala umum pada pasien penyakit kronik seperti gagal ginjal kronik yang ditandai gejala kelemahan mental, kelemahan fisik atau keduanya. Kelemahan mental dapat mempengaruhi kondisi psikologis pasien yang dapat berdampak pada stres psikologis seperti depresi.Tujuan penelitian ini untuk mengetahui hubungan antara fatigue dan depresi dengan kualitas tidur pada pasien gagal ginjal kronik yang menjalani hemodialisis. Penelitian ini adalah penelitian analitik observasional dengan desain cross sectional. Sampel pada penelitian ini adalah pasien gagal ginjal kronik yang menjalani hemodialisa di RSUP Prof. R.D Kandou Manado berjumlah 102 sampel yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara Fatigue dengan kualitas tidur (p = 0,001) dan depresi dengan kualitas tidur (p = 0,000). Fatigue dan depresi dapat mempengaruhi kualitas tidur sehingga diperlukan pengkajian awal terhadap fatigue dan depresi oleh dokter maupun perawat serta berkerjasama dalam pengembangan tindakan kolaboratif interprofesional untuk meningkatkan kualitas tidur pasien yang menjalani hemodialisis.
Kata Kunci : Depresi, Fatigue, Hemodialisa, Kualitas tidur
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DOI: http://dx.doi.org/10.33846/sf.v14i4.4385
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