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Pengalaman Hidup Pasien Chronic Kidney Disease yang Menjalani Hemodialisis: Scoping Review Rahmah, Tira Nur; Pujikurniawati, Citra Reza; Hendriyani, Desy; Handayani, Meyla Sari; Wahyuni, Hera; Sridiawati, Essy; Trisyani, Yanny
MAHESA : Malahayati Health Student Journal Vol 5, No 8 (2025): Volume 5 Nomor 8 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i8.18937

Abstract

ABSTRACT Chronic Kidney Disease is a global health problem that occurs every year. Patients can survive by undergoing hemodialysis therapy, but it still leaves a number of important issues as a result of hemodialysis therapy. The purpose of this study was to identify the life experiences of chronic kidney disease patients undergoing hemodialysis. This study used a literature review method with a scoping review approach to explore the experiences of chronic kidney failure patients undergoing hemodialysis. Searches of three databases includes EBSCOhost, PubMed, and Scopus. The keywords used in English were “chronic kidney disease” OR “chronic renal failure” OR “CKD” OR “ESRD” AND “life experiences” OR “lived experiences” AND “during hemodialysis” OR “undergoing hemodialysis”. There were several interrelated themes in exploring the experiences of chronic kidney failure patients undergoing hemodialysis, including emotional and social support, physical and life limitations, psychological impact, economic difficulties, changes in health and knowledge about treatment, and dependence. These findings suggest that the experiences felt by patients with chronic renal failure undergoing hemodialysis are interconnected and have a significant influence on patients' overall quality of life. The implications of these findings suggest that a holistic approach in the care of hemodialysis patients is necessary so that medical interventions cover the physical, emotional, social, and economic aspects of patients. This study provides important insights for healthcare professionals to design more comprehensive and patient-centered interventions. Keywords: Chronic Kidney Disease, Hemodialysis, Life experience  ABSTRAK Chronic Kidney Disease adalah masalah kesehatan global yang sering terjadi di setiap tahunnya. Pasien bisa bertahan hidup dengan menjalani terapi hemodialisis, namun masih menyisakan sejumlah persoalan penting sebagai dampak dari terapi hemodialisis. Tujuan penelitian ini adalah untuk mengidentifikasi pengalaman hidup pasien chronic kidney disease yang menjalani hemodialisis. Penelitian ini menggunakan metode literature review dengan pendekatan scoping review untuk mengeksplorasi pengalaman pasien gagal ginjal kronis yang menjalani hemodialisis. Pencarian menggunakan tiga database terdiri dari EBSCOhost, PubMed, dan Scopus. Kata kunci yang digunakan dalam bahasa Inggris yaitu “chronic kidney disease” OR “chronic renal failure” OR “CKD” OR “ESRD” AND “life experiences” OR “lived experience” AND “during hemodialysis” OR “undergoing hemodialysis”. Terdapat beberapa tema yang saling berkaitan satu sama lain dalam mengeksplorasi pengalaman pasien gagal ginjal kronis yang menjalani hemodialisis, diantaranya dukungan emosional dan sosial, keterbatasan fisik dan hidup, dampak psikologis, kesulitan ekonomi, perubahan kesehatan dan pengetahuan tentang perawatan, serta ketergantungan. Temuan ini menunjukkan bahwa pengalaman yang dirasakan oleh pasien dengan gagal ginjal kronis yang menjalani hemodialisis saling berhubungan dan memiliki pengaruh signifikan terhadap kualitas hidup pasien secara keseluruhan. Implikasi dari temuan ini menunjukkan bahwa pendekatan holistik dalam perawatan pasien hemodialisis sangat diperlukan agar intervensi medis mencakup aspek fisik, emosional, sosial, dan ekonomi pasien. Penelitian ini memberikan wawasan penting bagi tenaga kesehatan untuk merancang intervensi yang lebih komprehenif dan berpusat pada pasien.  Kata Kunci: Chronic Kidney Disease, Hemodialisis, Pengalaman Hidup
Mapping Self-Care Interventions for Improving Quality of Life Among Patients with Hypertension: A Scoping Review Pujikurniawati, Citra Reza; Ibrahim, Kusman; Purba, Chandra Isabella Hostanida; Fauzan, Naufal Hafizh
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.642

Abstract

Background: Hypertension is a leading cause of cardiovascular disease and premature death worldwide. Despite the growing use of multidisciplinary self-care interventions to support patient-centred hypertension management, evidence on their effectiveness in improving quality of life remains fragmented. This scoping review aims to map and synthesise the available evidence on the effectiveness of self-care–based interventions in improving the quality of life of patients with hypertension. Methods: This scoping review followed PRISMA-ScR guidelines, the PCC framework, and the JBI-refined Arksey & O’Malley methodology. Literature searches were conducted in PubMed, ScienceDirect, Scopus, and EBSCOhost (2021–2026). Eligible studies included experimental studies and systematic reviews involving treated hypertensive patients. After independent PRISMA-based screening by four reviewers, 13 articles were included. Data were appraised using JBI tools and synthesised through thematic analysis to classify intervention models by lead professionals, delivery modes, and key self-care components. Results: From 1,328 identified records, the literature spans a broad international scope; however, it remains dominated by studies originating in High-Income Countries (HICs) or those using advanced digital health infrastructures. In contrast, evidence on the specific impact of these interventions on quality of life in Low- and Middle-Income Countries (LMICs), including Indonesia, remains relatively limited. The synthesis results identified three main categories of self-care-based intervention models: (1) professional-led models (facilitated by nurses, pharmacists, physicians, or community health workers and multidisciplinary collaborative care models), (2) digital health delivery modes (including mHealth, tele-nursing, and hybrid models), and (3) structured self-care components (focusing on self-monitoring, medication management, lifestyle modification, and psychosocial support). Although these models have proven effective in significantly lowering systolic and diastolic blood pressure while enhancing patient self-efficacy and quality of life, a research gap remains regarding the lack of direct comparative analysis between models in resource-limited settings and the systematic evaluation of long-term psychosocial outcomes. Conclusion: Nurse-led, multidisciplinary, and technology-supported interventions can improve blood pressure control and quality of life in hypertension. Future research should evaluate their effectiveness and efficiency across different settings, particularly in Indonesia.