Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions

Yunie Armiyati; Suharyo Hadisaputro; Shofa Chasani; Untung Sujianto

doi:10.26714/mki.4.3.2021.208-217

Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions

Yunie Armiyati^(1*), Suharyo Hadisaputro⁽²⁾, Shofa Chasani⁽³⁾, Untung Sujianto⁽⁴⁾

(1) Universitas Muhammadiyah Semarang
(2) Poltekkes Kemenkes Semarang
(3) RS Roemani Semarang
(4) Universitas Diponegoro
(*) Corresponding Author

Abstract

Intradialytic hypertension can reduce the quality of life in hemodialysis patients. Providing appropriate nursing interventions will reduce morbidity, and improve the quality of intradialytic hypertensive patients. Provision of “SEHAT” nursing intervention package in the form of providing support, education and empowering, holistically with attention to therapeutic sensitivity can be applied to overcome patients problems. The purpose of the study was to analyze the "SEHAT" nursing intervention package to improve the quality of life of intradialytic hypertensive patients. The research method was a randomized controlled trial on 40 samples of hemodialysis patients which were divided into 20 group samples and 20 control group samples. The research instrument uses the Indonesian version of the Kidney Disease Quality of Life (KDQOL-36). The intervention was carried out for 4 weeks using the SEHAT nursing intervention package. The results showed an increase in the quality of life scores of respondents in the intervention group after being given SEHAT nursing intervention (p=0.000). There was a significant difference in the quality of life scores between the intervention group and the control group after being given the intervention (p=0.000). The “SEHAT” nursing intervention package is effective for improving the quality of life of intradialytic hypertensive patients.

Keywords

Intradialysis Hypertension; Quality of Life; SEHAT intervension; Hemodialysis

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References

Balitbangkes. Hasil utama Riskesdas 2018 Jakarta: Kemenkes; 2018 [cited 2019 07 November ]. Available from: http://www.depkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf.

Hinkle JL, Cheever KH. Brunner and Suddarth's textbook of medical surgical nursing. Philadelphia: Wolters Kluwer; 2018.

11th Report Of Indonesian Renal Registry [Internet]. Indonesia Renal Registry. 2018. Available from: https://www.indonesianrenalregistry.org/.

Georgianos PI, Sarafidis PA, Zoccali C. Intradialysis hypertension in end-stage renal disease patients clinical epidemiology, pathogenesis, and treatment. Hypertension 2015;66:456-63.

Choi C-Y, Park JS, Yoon KT, Gil HW, Lee EY, Hong SYJPo. Intra-dialytic hypertension is associated with high mortality in hemodialysis patients. 2017;12(7):e0181060.

Buren PNV, Kim C, Toto RD, Inrig JK. The prevalence of persistent intradialytic hypertension in a hemodialysis population with extended follow-up. Int J Artif Organs. 2012;35(12):1031-8.

Nayak R, Attur RP, Arya MJEE. Intradialytic Hypertension in Patients Unergoing Hemodialysis in Tertiary Care Hospital. 2020;11(12):78.

Armiyati Y, Hadisaputro S, Chasani S, Sujianto U. High Ultrafiltration Increasing Intradialytic Blood Pressure on Hemodialysis Patients. South East Asia Nursing Research. 2021;3(1):8-15.

Perdhana L, Chasani S. Intradialytic hypertension and six month–all cause mortality in hemodialysis patients. Journal of Hypertension. 2021;39:e11.

Pebriantari KG, Dewi IPA. Hubungan komplikasi intra hemodialisis dengan kualitas hidup pada pasien Chronic Kidney Disease (CKD) stage V yang menjalani hemodialisis di Ruang Hemodialisa BRSU Tabanan Tahun 2017. Jurnal Riset Kesehatan Nasional

;2(1):9-17.

Gathmyr D, Nugroho P, Awang I, Lydia A, Bawazier LA, Khumaedi I, et al. Contributing factors of intradialytic hypertension in maintenance haemodialysis patients. Journal of Hypertension. 2021;39:e409.

Aji YGT. Gambaran kejadian hipertensi intradialisis pada pasien yang menjalani hemodialisis dI RSAU DR. Esnawan Antariksa. Jurnal Akademi Keperawatan Husada Karya Jaya. 2018;4(2).

Flythe JE, Chang TI, Gallagher MP, Lindley E, Madero M, Sarafidis PA, et al. Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. 2020;97(5):861-76.

Inrig J, Oddone E, Hasselblad V, Gillespie B, Patel U, Reddan D, et al. Association of intradialytic blood pressure changes with hospitalization and mortality rates in prevalent ESRD patients. Kidney international. 2007;71(5):454-61.

Mujais SK, Story K, Brouillette J, Takano T, Soroka S, Franek C, et al. Health-related quality of life in CKD patients: correlates and evolution over time. 2009;4(8):1293-301.

Jablonski A. The multidimensional characteristics of symptoms reported by patients on hemodialysis. Nephrology Nursing Journal. 2007;34(1):29.

Kalantar-Zadeh K, Kopple JD, Block G, Humphreys MHJJotASoN. Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. 2001;12(12):2797-806.

Murali KM, Mullan J, Roodenrys S, Hassan HC, Lambert K, Lonergan MJPo. Strategies to improve dietary, fluid, dialysis or medication adherence in patients with end stage kidney disease on dialysis: A systematic review and meta-analysis of randomized intervention trials. 2019;14(1):e0211479.

Hare J, Clark-Carter D, Forshaw M. A randomized controlled trial to evaluate the effectiveness of a cognitive behavioural group approach to improve patient adherence to peritoneal dialysis fluid restrictions: a pilot study. Nephrology Dialysis Transplantation. 2014;29(3):555-64.

Kafil RF, Ropi H, Rahayu UJJKRY. Pengaruh intervensi edukasi suportif terhadap kepatuhan dalam pengontrolan tekanan darah pasien hemodialisis DI RSUP Dr. Hasan Sadikin Bandung. 2018;5:45-50.

Potter PA, Perry AG, Stockert PA, Hall AM. Fundamental of nursing. 9 ed. Pensylvania: Elsevier; 2017.

RAND. Kidney Disease Quality of Life Instrument (KDQOL) 2015 [Available from: https://www.rand.org/health-care/surveys_tools/kdqol.html.

Supriyadi R, Rakhima F, Gondodiputro RS, Darmawan GJTIJoIM. Validity and Reliability of the Indonesian Version of Kidney Disease Quality of Life (KDQOL-36) Questionnaire in Hemodialysis Patients at Hasan Sadikin Hospital, Bandung, Indonesia. 2019;51:318-23.

Meiresearch. About the KDQOL-36 2009 [Available from: https://www.kdqol-complete.org/about/kdqol.

Peipert JD, Nair D, Klicko K, Schatell DR, Hays RDJJotASoN. Kidney Disease Quality of Life 36-Item Short Form Survey (KDQOL-36) normative values for the United States Dialysis population and new single summary score. 2019;30(4):654-63.

Bowling A. Quality of life: measures and meanings in social care research. 2014.

Sharma S, ShobhaRani R, Subramanyam G, Iram MJIJoPP. Evaluation of impact of counseling on quality of life of chronic kidney disease and Hemodialysis patients. 2013;6(3).

Purwati H, Wahyuni S. Hubungan antara lama menjalani hemodialisis dengan kualitas hidup pasien gagal ginjal kronik di RS Gatoel Mojokerto. Jurnal Keperawatan. 2016;5(2):57-65.

Bulechek GM, Butcher HK, Dochterman JM, Wagner C. Nursing interventions classification (NIC)Nursing interventions classification (NIC). 7 ed. St. Louis: Elsevier Health Sciences; 2018.

Spinale J, Cohen SD, Khetpal P, Peterson RA, Clougherty B, Puchalski CM, et al. Spirituality, social support, and survival in hemodialysis patients. Clinical journal of the American society of Nephrology. 2008;3(6):1620-7.

Purnomo MW, Yusuf A, Kartini Y, editors. Pengaruh edukasi kesehatan berbasis Theory of Planned Behavior terhadap penurunan nilai Interdialiytic Weight Gain (IDWG) dan kecemasan pasien hemodialisa di RS Islam Jemursari Surabaya. Emergency Nursing In Respiratory Failure And Chocking; 2018 29 Juli 2018; Kediri. Kediri: Lembaga Cakra Bramanda Lentera; 2018.

Beg S, Rahman M, Barkat MA, Ahmad FJ. Nanomedicine for the treatment of disease : from concept to application. Toronto ; New Jersey: Apple Academic Press,; 2019.

Fadlalmola HA, Elkareem EMAJIJoANS. Impact of an educational program on knowledge and quality of life among hemodialysis patients in Khartoum state. 2020;12:100205.

Moattari M, Ebrahimi M, Sharifi N, Rouzbeh J. The effect of empowerment on the self-efficacy, quality of life and clinical and laboratory indicators of patients treated with hemodialysis: a randomized controlled trial. Health and Quality of life outcomes. 2012;10(1):115.