Pengabdian Masyarakat melalui Terapi Pijat dan Relaksasi sebagai Intervensi Nonfarmakologis pada Fatigue Penderita Gagal Ginjal Kronis

Penulis

  • Esti Dwi Widayanti Poltekkes Kemenkes Semarang
  • Maisje M. Kuhu Poltekkes Kemenkes Semarang
  • Taat Sumedi Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.56359/kolaborasi.v5i6.717

Kata Kunci:

chronic kidney failure, fatigue, massage, relaxation

Abstrak

Introduction: Individuals with CKD who undergo hemodialysis frequently experience fatigue, a physical and psychological burden that diminishes daily functioning and quality of life. Fatigue is reported as one of the most common symptoms among dialysis patients, with a large proportion experiencing moderate to severe levels. Complementary therapies such as massage and relaxation techniques have been increasingly used to alleviate fatigue due to their accessibility, safety, and potential to support patient well-being.

Objective: This community engagement program aimed to reduce fatigue among individuals with chronic kidney disease undergoing hemodialysis through guided hand and foot massage and progressive muscle relaxation involving family participation.

Method: The intervention was conducted in Karangtengah Village, Kemangkon District, involving 20 participants diagnosed with CKD and receiving routine hemodialysis. Baseline data were collected through patient history and the FACIT-Fatigue Scale to measure fatigue severity. Family members were trained and accompanied to perform hand and foot massage as well as relaxation techniques. The program included group education sessions, practical demonstrations, and scheduled home visits over one month, with therapy performed twice weekly. Evaluation was carried out using the same fatigue instrument at the end of the intervention.

Result: Before the intervention, 65% of participants demonstrated moderate fatigue (scores 18–34). After one month of consistent massage and relaxation therapy, 90% showed improvement with fatigue levels reduced to the mild category (scores 0–17). Participants also reported increased comfort, reduced muscle tension, and improved energy.

Conclusion: Regular and guided massage combined with progressive relaxation effectively reduced fatigue among individuals undergoing hemodialysis. Family involvement strengthened adherence and continuity of therapy, highlighting its potential as a practical complementary approach to improving patient well-being.

Unduhan

Data unduhan belum tersedia.

Referensi

Anggraini, S., & Fadila, Z. (2023). Kualitas hidup pasien gagal ginjal kronik dengan dialisis di Asia Tenggara: A systematic review, 11(1).

Andoko, A., & Ermawati, E. (2020). Guided imagery terhadap tingkat fatigue pada pasien dengan gagal ginjal kronik yang menjalani hemodialisis. Holistik Jurnal Kesehatan, 13(4), 365–372. https://doi.org/10.33024/hjk.v13i4.1661

Brady, A.-M., McCabe, C., & McCann, M. (2014). Fundamentals of medical-surgical nursing: A systems approach. Wiley Blackwell.

Embong, N. H., Soh, Y. C., Ming, L. C., & Wong, T. W. (2017). Perspectives on reflexology: A qualitative approach. Journal of Traditional and Complementary Medicine, 7(3), 327–331. https://doi.org/10.1016/j.jtcme.2016.08.008

Fadli Fratama, F., Nurhayati, N., & Apriansyah, F. (2024). Edukasi dan pelatihan kelompok hipertensi tentang terapi akupresure pada titik Taichong dan Hegu acupoint di wilayah kerja Puskesmas Martapura 1 Kabupaten Banjar. Jurnal Rakat Sehat Pengabdian Kepada Masyarakat, 3(2), 125–132. https://doi.org/10.31964/jrs.v3i2.73

Gliselda, V. K. (2021). Diagnosis dan manajemen penyakit ginjal kronis (PGK). Jurnal Medika Hutama, 2(4), 1135–1141.

Hustrini, N. M., Susalit, E., & Rotmans, J. I. (2022). Prevalence and risk factors for chronic kidney disease in Indonesia: An analysis of the National Basic Health Survey 2018. Journal of Global Health, 12. https://doi.org/10.7189/JOGH.12.04074

Iskandar, Hartoyo, Sumarwan, U., & Khomsan, A. (2010). Faktor-faktor yang memengaruhi kesejahteraan keluarga. Kesehatan Masyarakat, 1.

Kamelani, K., & Prijayanti, E. (2024). Penerapan metode pijat refleksi kaki pada lansia penderita hipertensi di Desa Palur Kabupaten Sukoharjo. Jurnal Siti Rufaidah, 2(3), 106–119. https://doi.org/10.57214/jasira.v2i3.100

Kazancio, R. (2025). Faktor risiko penyakit ginjal kronis: Pembaruan abstrak. https://doi.org/10.1038/kisup.2013.79

Kemenkes RI. (2024). RISKESDAS 2024: Prevalensi gagal ginjal kronis. Jakarta.

Kyenes, V. (2021). Diagnosis dan manajemen penyakit ginjal kronis (PGK). Jurnal Medika Hutama, 2(4), 1135–1142.

Moeloek, H. A., & Lampung, P. (2020). Artikel ilmiah kesehatan masyarakat, 2(September), 667–676.

Mufaj, E. N., Fitri, S. U. R., & Pebrianti, S. (2024). Penerapan slow deep breathing untuk menurunkan keletihan pada pasien chronic kidney disease: Studi kasus. Jurnal Medika Nusantara, 2(3), 63–76. https://doi.org/10.59680/medika.v2i3.1220

Muttaqin, A. (2011). Asuhan keperawatan gangguan sistem perkemihan. Salemba Medika.

Normawati, A. T., & Uripno, P. S. (2024). Kajian karakteristik penderita gagal ginjal kronis dalam terapi hemodialisis. Jurnal Studi Keperawatan, 3–6.

Pangesti, T. A., Sutrisno, R. Y., & Widiyanto, P. (2024). Pengaruh terapi foot massage terhadap penurunan tingkat keletihan pada pasien gagal ginjal kronik yang menjalani hemodialisis.

Rahayuningsih, F. B. (2023). Terapi komplementer untuk mengatasi fatigue pada pasien hemodialisis: Literatur review, 8(2).

Singh, J. A., & Cleveland, J. D. (2019). Gout is associated with a higher risk of chronic renal disease in older adults: A retrospective cohort study of U.S. Medicare population. BMC Nephrology, 20(1), 93. https://doi.org/10.1186/s12882-019-1274-5

Utami, S. S., Arifah, S., & Rahayuningsih, F. B. (2023). Terapi komplementer untuk mengatasi fatigue pada pasien hemodialisis: Literatur review, 8(2).

Unduhan

Diterbitkan

16-11-2025

Cara Mengutip

Widayanti, E. D., Kuhu, M. M., & Sumedi, T. . (2025). Pengabdian Masyarakat melalui Terapi Pijat dan Relaksasi sebagai Intervensi Nonfarmakologis pada Fatigue Penderita Gagal Ginjal Kronis. Kolaborasi: Jurnal Pengabdian Masyarakat, 5(6), 1115–1124. https://doi.org/10.56359/kolaborasi.v5i6.717