Nursing Care of Chronic Kidney Disease with Activity Intolerance Nursing Problems: A Case Study
DOI:
https://doi.org/10.53713/htechj.v1i4.88Keywords:
activity intolerance, chronic kidney disease, nursing careAbstract
Nursing care for patients who experienced chronic kidney disease with intolerance of activities and nursing problems in the Bougenville Room at Dr.H.Koesnadi General Hospital, Bondowoso Regency. Chronic Kidney Disease (CKD) is an irreversible disease that develops slowly and progressively. The main factor causing this disease is adults with Diabetes Mellitus and Hypertension. Symptoms are pain, hematuria, anuria, and anemia. This of course results in a feeling of weakness and fatigue so that the problem of Activity Intolerance can arise. This study aims to carry out nursing care for clients who experience chronic kidney disease with activity intolerance nursing problems. The research design was a case study of one patient with chronic kidney disease with Activity Intolerance nursing problems in the internal care room (Bougenvile) Dr.H. Koesnadi Bondowoso. Data was collected on 15-16 May 2023 using interviews, observation, physical examination, documentation studies, and questionnaire techniques. The results of this study were obtained from the assessment, which then formulated a diagnosis in accordance with the theoretical review. Nursing interventions using SIKI adapted to the client's conditions, implementation, and evaluation referring to the results criteria obtained are 99% O2 saturation, RR 19 x/minute, decreased complaints of fatigue, and decreased feeling of weakness. Clients are expected to always maintain their health condition, especially fluid intake, and balanced nutrition to support kidney function and fulfill daily activities.
References
Anggraini, S., & Fadila, Z. (2023). Kualitas Hidup Pasien Gagal Ginjal Kronik dengan Dialisis di Asia Tenggara: A Systematic Review. HEARTY: Jurnal Kesehatan Masyarakat, 11(1), 77-83.
Astuti, D. K., Eriyani, T., & Setyorini, D. (2022). Ba Duan Jin Gymnastics to Overcome Activity Intolerance and Quality of Life in Coronary Artery Disease Patient. Padjadjaran Acute Care Nursing Journal, 3(3).
Christina, P., Indracahyani, A., & Yatnikasaria, A. (2019). Analisis Ketidaksinambungan Dokumentasi Perencanaan Asuhan Keperawatan: Metode Ishikawa. Jurnal Ilmiah Kesehatan, 12(2).
Guswanti, G. (2019). Asuhan Keperawatan Pada Pasien Gagal Ginjal Kronik Dengan Hemodialisa Di Ruang Flamboyan Rsud Abdul Wahab Sjahranie Samarinda.
Lutfiandini, F. A., Putra, K. W. R., Toha, M., & Sulistyowati, A. (2021). Asuhan Keperawatan Keluarga Pada Pasien Penyakit Jantung Koroner (PJK) dengan Masalah Keperawatan Intoleransi Aktivitas di Desa Pakijangan Wonorejo Pasuruan. Doctoral dissertation. Politeknik Kesehatan Kerta Cendekia).
Ningsih, S. A., Rusmini, H., Purwaningrum, R., & Zulfian, Z. (2021). Hubungan kadar kreatinin dengan durasi pengobatan HD pada penderita gagal ginjal kronik. Jurnal Ilmiah Kesehatan Sandi Husada, 10(1), 202-207.
Nurbadriyah. (2022). Masalah Dan Solusi Keseahatan Di Indonesia. CV Media Sains Indonesia.
Pertiwi, R. A., & Prihati, D. R. (2020). Penerapan slow deep breathing untuk menurunkan keletihan pada pasien gagal ginjal kronik. Jurnal Manajemen Asuhan Keperawatan, 4(1), 14-19.
Purwandari, R., Kurniawan, D. E., & Kotimah, S. K. (2022). Nursing documentation in accredited hospital. Jurnal Keperawatan Indonesia, 25(1), 42-51.
Warijan, W., Wahyudi, T., Astuti, Y., & Rahayu, R. D. (2021). Nursing care of hypertension in the elderly with a focus on study of activity intolerance in Dr. R. Soetijono Blora Hospital. Jurnal Studi Keperawatan, 2(1), 14-23.
Welly, W., & Rahmi, H. (2021). Self Efficacy Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa. Jurnal Keperawatan Abdurrab, 5(1), 38-44.
