Chronic kidney disease (CKD) is a progressive chronic condition that requires long-term hemodialysis and is frequently associated with fatigue, which can negatively affect patients' physical functioning and quality of life. Qigong exercise delivered through smartphone-based instructional videos may provide an accessible intervention to help reduce fatigue among patients undergoing hemodialysis. This study aimed to determine the effect of a Qigong-based mHealth intervention on fatigue among patients with CKD undergoing hemodialysis. A quantitative pre-experimental study was conducted using a one-group pretest-posttest design. The study involved 30 patients undergoing routine hemodialysis at Bhayangkara Setukpa Lemdiklat Polri Hospital, Sukabumi City, who were selected using purposive sampling. Fatigue was measured using a modified Functional Assessment of Chronic Illness Therapy–Fatigue (FACIT-F) questionnaire consisting of 25 items, which had been tested for validity and reliability. Participants received Qigong exercise through smartphone-based instructional videos three times per week. Data were analyzed using a paired-samples t-test. The results showed that fatigue scores decreased from 55.67 before the intervention to 44.63 after the intervention, with a statistically significant difference (p < 0.001). It was concluded that mHealth based Qigong exercise significantly reduced fatigue among patients with CKD undergoing hemodialysis.
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