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Journal : Community Empowerment

Improving the knowledge and skills of hemodialysis nurses about intradialytic exercise at Arifin Achmad Hospital, Riau Erni Forwaty; Usraleli Usraleli; Nia Khusniyati
Community Empowerment Vol 7 No 2 (2022)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.207 KB) | DOI: 10.31603/ce.6152

Abstract

The low quality of life of hemodialysis (HD) patients at the Riau Province referral hospital, Arifin Achmad Hospital, is due to dialysis adequacy and low activity levels of hemodialysis (HD) patients. Intradialytic exercise has been shown to improve dialysis adequacy and, as a result, patient quality of life. The aim of this community service is to improve HD nurses' intradialytic exercise knowledge and skills. Training HD nurses on intradialytic exercise is the method of performing community service activities, with implementation approaches including sharing material and skill simulation. The result is that HD nurses have more knowledge and abilities concerning intradialytic exercise, with an average score of 94.3 percent on the post-test. Furthermore, nurses are able to share intradialytic exercise knowledge and skills with HD patients, therefore it is believed that HD patients will be able to use intradialytic exercise to improve their quality of life.
Application of evidence based practice: Interdialytic weight gain (IDWG) management intervention in hemodialysis patients at Arifin Hospital, Riau Erni Forwaty; Nia Khusniyati; Usraleli Usraleli
Community Empowerment Vol 7 No 11 (2022)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.7844

Abstract

The physical problem that is often experienced by hemodialysis (HD) patients and is difficult to overcome is the problem of excess fluid. This can be seen from the patient's weight gain between dialysis times or called interdialytic weight gain (IDWG). A high IDWG is associated with a higher risk of cardiovascular causes of death and increased morbidity. The application of evidence based practice in the form of IDWG management interventions has been proven to be able to overcome excessive weight gain between the two HD or IDWG times. The purpose of this community service is to increase the knowledge and skills of HD patients regarding evidence based practice in the form of IDWG management interventions. The method of implementing community service activities is in the form of training packaged with HD patients on IDWG management with lectures, questions and answers, and demonstrations. The resulting impact is an increase in the knowledge and skills of HD patients regarding IDWG management with a standard percentage of IDWG weight gain of 22% and IDWG weight loss >3.5% of 14% after implementing IDWG management. In addition, the patient has been able to apply techniques to overcome thirst and xerosemia. Nurses and the patient's family must take part in providing support for patient compliance in implementing IDWG management so that patients can avoid complications from excess fluid problems which can ultimately improve the patient's quality of life.