Latihan Fisik Meningkatkan Kekuatan Otot Pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis

Physical Exercise Improves Muscle Strength in Patients with Chronic Kidney Disease Undergoing Hemodialysis

Abstract

Introduction: Patients with chronic kidney failure who undergo hemodialysis have the majority of weak muscle strength. One action that can be done is physical exercise The purpose of this study was to determine the effect of physical exercise on muscle strength in patients with chronic renal failure undergoing hemodialysis. Chronic kidney disease (CKD) patients who undergo hemodialysis experience progressive muscle weakness, fatigue, and decreased physical performance due to protein-energy wasting, inflammation, and physical inactivity. Exercise interventions have been proven effective in improving physical capacity and muscle strength in these patients. This study aims to determine the effect of regular physical exercise on muscle strength in patients with chronic kidney disease undergoing hemodialysis.

Methods: The method used in this study was quasi-experimental (onegroup pre-test post-test) in 30 respondents with a marginal homogeneity test analysis. A quasi-experimental approach was used with pre- and post-intervention design. The sample consisted of patients undergoing hemodialysis for at least 6 months. The intervention consisted of a structured intradialytic exercise program performed three times per week for eight weeks. The muscle strength was measured using a handgrip dynamometer before and after the intervention.

 Results: The results showed that there was a significant effect of physical exercise on muscle strength in patients with chronic renal failure undergoing hemodialysis (p-value = 0,000). The findings showed a significant increase in mean muscle strength after the exercise intervention. Patients reported reduced fatigue, improved daily activity tolerance, and enhanced quality of life.

Discussion: Physical exercise can be applied as a program to increase muscle strength in patients with chronic failure who undergo hemodialysis. Regular physical exercise, particularly intradialytic exercise, can effectively improve muscle strength and physical function in chronic kidney disease patients undergoing hemodialysis. This program should be integrated into routine nursing care to promote better physical and psychological outcomes.