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Penerapan Intradialytic Stretching Exercise pada Dewasa Muda yang Menjalani Hemodialisis dengan Kram Otot: Laporan Kasus Dhea Natashia; Erwan Setiyono; Rizki Nugraha Agung; Siti Nafisah; Laela Nur Adzmi; Siti Aisyah Afifah
Jurnal Kesehatan Holistic Vol. 10 No. 2 (2026): Jurnal Kesehatan Holistic Volume 10/Nomor 2/July/2026
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

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Abstract

Background: Intradialytic muscle cramps are common complications experienced by patients with Chronic Kidney Disease (CKD) undergoing hemodialysis and may interfere with patient comfort and dialysis effectiveness. Intradialytic stretching exercise is a non-pharmacological nursing intervention that may help reduce these symptoms. Case Presentation: Two young adult patients with CKD undergoing routine hemodialysis at Jakarta Islamic Hospital, Cempaka Putih, experienced recurrent lower-extremity muscle cramps during hemodialysis sessions, particularly during the final hours of treatment. The first patient was 21 years old with an initial pain score of 4, while the second patient was 22 years old with an initial pain score of 5 based on the Numeric Rating Scale (NRS). Intervention and Outcomes: Both patients received intradialytic stretching exercises during two hemodialysis sessions, including ankle dorsiflexion movements and stretching of the gastrocnemius, soleus, hamstring, and quadriceps muscles. Following the intervention, both patients demonstrated reduced pain intensity and fewer muscle cramp complaints. The patients also appeared more relaxed and comfortable during hemodialysis sessions. Conclusion: Intradialytic stretching exercise may serve as an effective non-pharmacological nursing intervention to help reduce muscle cramp pain in patients with CKD undergoing hemodialysis. This intervention is simple to implement and may be considered as part of routine nursing care in hemodialysis units. Keywords: Chronic Kidney Disease; Hemodialysis; Intradialytic Stretching Exercise; Muscle Cramps; Nursing Intervention
Implementation of Stretching Exercise Intradialytics in Improving Muscle Cramps Symptoms in Patients Undergoing Hemodialysis Asep Novi Taufiq Firdaus; Ari Yulistianingsih; Rizki Nugraha Agung; Iyar Siswandi
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.384

Abstract

Hemodialysis is the most successful and most frequent therapy used as form therapy replacement kidney therapy hemodialysis own One of the impacts felt by patients is that is cramps muscle cramps is one of the symptom the most common physical problems experienced patient dialysis. This is contraction muscle sudden that is not deliberate and marked with painful great thing happened repeatedly in patients hemodialysis. The purpose of study This analyze influence implementation implementation stretching exercise intradialytic in repair symptom cramps muscles in patients undergoing hemodialysis at Al Ihsan Regional Hospital Bandung. Data collection uses questionnaire, observation and interviews. Research sample as many as 15 patients shared into 2 groups. Research conducted at Al Ihsan Regional Hospital Bandung, room intermittent hemodialysis May -August 2025. results testing use one-way ANOVA test sig. value < 0.05 so that can concluded that there is influence significant before and after given stretching exercise intervention on cramps. Multivariate test on week first and second p value 1,000 or > 0.05 then No There is influence, on week to three 0.106>0.05 no There is influence and on the week to four p values 0.015<0.05 exist influence. Implementation Intradialytic exercise range of motion (ROM) intervention according to SOP shows success in a way practical All participants who received intervention report feeling more comfortable, calm, relaxed, and not too focus to action will therapy hemodialysis.