Pengaruh Intradialytic Exercise terhadap Penurunan Tekanan Darah pada Pasien Hemodialisis di Mayapada Hospital Tangerang

The Effect of Intradialytic Exercise on Blood Pressure Reduction in Hemodialysis Patients at Mayapada Hospital Tangerang

Abstract

Background: Patients undergoing hemodialysis may experience changes in blood pressure during dialysis. Intradialytic exercise is a non-pharmacological intervention that can be performed during hemodialysis and may help improve hemodynamic responses. Objective: This study aimed to analyze the effect of intradialytic exercise on blood pressure among hemodialysis patients at Mayapada Hospital Tangerang.

Purpose of the study: A quasi-experimental one-group pretest-posttest design without a control group was used. The study population consisted of 103 hemodialysis patients, with total sampling according to the inclusion and exclusion criteria. The intervention consisted of intradialytic exercise/active range-of-motion exercises for 20–30 minutes.

Results: Tekanan darah diukur sebelum dan sesudah intervensi menggunakan tensimeter digital. Analisis dilakukan dengan uji normalitas Shapiro–Wilk dan uji paired t-test dengan α= 0,05. Hasil: Rata-rata tekanan darah sistolik sebelum intervensi adalah 153,36±9,087 mmHg dan diastolik 91,69 ± 5,860 mmHg. Setelah intervensi, rata-rata sistolik menjadi 142,35±7,462 mmHg dan diastolik 84,13±4,783 mmHg. Hasil uji statistik menunjukkan p<0,001, yang menunjukkan adanya perbedaan bermakna antara tekanan darah sebelum dan sesudah intradialytic exercise

Conclusions and suggestions: In the studied group, blood pressure changed significantly after intradialytic exercise. This intervention may be considered as a non-pharmacological intervention with appropriate monitoring of the patient's clinical condition and hemodynamic response.