Pengaruh Dual-Task Training Terhadap Keseimbangan Dinamis Pasien Gagal Ginjal Kronik Dengan Hemodialisis (Studi Quasi Eksperimental di RS Haji Jakarta)

  • Achwan Achwan Poltekkes Kemenkes Jakarta 3
  • Restu Arya Pambudi
Keywords: Keywords: Kidney failure, hemolysis, dynamic balance, dual task traini

Abstract

The quality of CKD is damage to the structure and function of the kidneys that lasts for more than 3 months with or without a decrease in the glomerular filtration rate and the damage develops progressively, causing a buildup of metabolic waste which results in disturbances in water, electrolyte and acid base balance [ 16]. According to the Global Burden of Disease study, it has been shown that CKD has emerged as a non-communicable disease which has become one of the main causes of death worldwide in the last 2 decades.[4] The prevalence of CKD continues to increase, in 2017 around 843.6 million people experienced it worldwide. The most common causes of CKD are hypertension (37%) and diabetes mellitus (27%).[8] Hemodialysis is the most widely used treatment but is unable to cure and compensate for the loss of metabolic or endocrine activity carried out by the kidneys and does not restore the quality of life of CKD patients. [14] Dual-Task Training is carried out by adding cognitive tasks to motor tasks so that attention will be divided to respond to stimuli and complete the two tasks simultaneously. [5] Addition of tasks is essential to reduce the risk of falls in patients. Almost all activities in daily life involve two tasks simultaneously. [1 The measuring tool in this study is the Timed Up and Go Test (TUGT) which aims to observe gait and predict the risk of falling. This test consists of how long it takes a person to stand up from a chair, walk 3 meters, turn around, and sit down again. The aim of this research is to determine the effect of Dual-Task Training on the Dynamic Balance of CKD Patients on Hemodialysis at Haji Hospital Jakarta in 2024. This research uses a quasi-experimental research design with a pre and post test two group design. Purposive sampling technique with predetermined inclusion and exclusion criteria. The number of samples in this study was 50 people. Data collection was carried out using TUGT and checklists for carrying out sample selection and interventions. Data analysis was carried out using univariate to determine the characteristics of the sample and bivariate to determine the effect of Dual-Task Training on Dynamic Balance. Bivariate analysis was preceded by a normality test with Shapiro Wilk and the data was found to be normally distributed so that the next test was carried out with the Paired T Test to determine the effect of Dual-Task Training. The final data analysis was using the Independent T test with the results of differences in influence between the treatment and control groups which concluded that there was a significant effect of Dual-Task Training in improving the dynamic balance of hemodialysis patients with kidney failure. The final stage is interpretation and conclusion.

 

References

Ahmed M. Negm & Alexandra Papaioannou, 2022, in Osteosarkopenia, https://www.sciencedirect.com/topics/medicine-and-dentistry/timed-up-and-go-test
Alex Rizzato et al., 2021; Are Static And Dynamic Postural Balance Assessments Two Sides Of The Same Coin? A Cross-Sectional Study In The Older Adults; Department Of Biomedical Sciences, University Of Padova, Padova, Italy And School Of Human Movement Sciences, University Of Padova, Padova, Italy Brief Research Report Article Sec. Exercise Physiology, Volume 12 – 2021.
Amanda McVey, AuD, CCC-A & Eric Bostwick AuD, CCC-A, FAAA, 2016: How Do
Chronic Conditions Affect the Balance System?, Temple Health, https://www.templehealth.org/about/blog/how-do-chronic-conditions-affect-balance- system-part-1 diakses 4 Januari 2023.
Csaba P. Kovesdy, 2022: Epidemiology of chronic kidney disease: an update 2022, Division of Nephrology, Department of Medicine, University of Tennessee Health Science Center, Memphis,Kidney International Supplements, Volume 12, Issue 1, April 2022, Pages 7-11
Fritz, N. E., Cheek, F. ., & Nichols-Larsen, D. S. (2015). Motor-cognitive dual-task trianing in neurologic disorders: a systematic review. J Neurol Phys Ther, 39(3), 142–153. https://doi.org/10.1097/NPT.0000000000000090.Motor-Cognitive
Herold, F., Hamacher, D., Schega, L., & Müller, N. G. (2018). Thinking while moving or moving while thinking - concepts of motor-cognitive training for cognitive performance enhancement. Frontiers in Aging Neuroscience, 10(AUG), 1–11. https://doi.org/10.3389/fnagi.2018.00228
Ignatius Perez-Gurbindo et al., 2020: Haemodialysis patients have worse postural balance with an associated risk of falls, Observational Study, Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, Spain and Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutenese de Madrid, Madrid, Spain, Nefrologia, ww w.revistanefrologia.com.
Indonesian Renal Registry (IRR). (2014). The Report of Indonesian Renal Registry
Lv, J. C., & Zhang, L. X. (2019). Prevalence and Disease Burden of Chronic Kidney Disease. In Advances in Experimental Medicine and Biology (Vol. 1). Springer Singapore. https://doi.org/10.1007/978-981-13-8871-2_1
MacKinnon, C. D. (2018). Sensorimotor anatomy of gait, balance, and falls. In Handbook of Clinical Neurology (1st ed., Vol. 159). Elsevier B.V. https://doi.org/10.1016/B978-0- 444-63916-5.00001-X
Nobuyuki Shirai , et al, 2023; Dynamic and static balance functions in hemodialysis patients and non-dialysis dependent CKD patients, National Library of Medicine, Pubmed.
Pernefri. (2018). 11th report of Indonesian Renal Registry 2018. In Indonesian Renal Registry. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Purnamasari, N., Bachtiar, F., & Puspitha, A. (2019). Efektivitas Dual-Task Training Motorik-Kognitif dalam Menurunkan Risiko Jatuh pada Lansia The Effectiveness of Motoric-Cognitive Dual-Task Training in Reducing Risk of Falls on Elderly. Jurnal MKMI, 15(3), 284–291.
Smeltzer, S.C. & Bare, B.G. (2013). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth, edisi 8. Jakarta : EGC

3. The Note Ninjas, 2022; Dual Task Training For Older Adults, Treatments And Documentation For Physical And Occupational Therapists, https://thenoteninjas.com/blog/f/dual-task-training-for-older- adults?blogcategory=documentation
4. Utami, I. A. A., Santhi, D. G. D. D., & Lestari, A. A. W. (2020). Prevalensi dan Komplikasi pada Penderita Gagal Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit Umum Pusat Sanglah Denpasar tahun 2018. Intisari Sains Medis, 11(3), 1216–1221. https://doi.org/10.15562/ism.v11i3.691
5. Yulinar anwar, 2019: Pengaruh Dual-Task Training (Motor-Cognitive) Terhadap Keseimbangan Dinamis Pada Anak Usia Sekolah, Program Studi Fisioterapi Fakultas Keperawatan Universitas Hasanuddin Makassar 2019, http://repository.unhas.ac.id/id/eprint/5075/2/19 C13115302(FILEminimizer)%201-2.pdf
Published
2024-12-05
How to Cite
Achwan, A., & Pambudi, R. (2024). Pengaruh Dual-Task Training Terhadap Keseimbangan Dinamis Pasien Gagal Ginjal Kronik Dengan Hemodialisis (Studi Quasi Eksperimental di RS Haji Jakarta). Jurnal Fisioterapi Dan Kesehatan Indonesia, 4(02), 258-267. https://doi.org/10.59946/jfki.2024.359