eprintid: 49277 rev_number: 20 eprint_status: archive userid: 10931 dir: disk0/00/04/92/77 datestamp: 2025-06-05 06:12:21 lastmod: 2025-06-05 06:12:21 status_changed: 2025-06-05 06:12:21 type: thesis metadata_visibility: show creators_name: Maulany, Siti Salsabila creators_id: 8884210016 contributors_type: http://www.loc.gov/loc.terms/relators/THS contributors_type: http://www.loc.gov/loc.terms/relators/THS contributors_name: Rustiawati, Epi contributors_name: Sulastri, Tuti contributors_id: 197811042005022001 contributors_id: 197108141995032001 corp_creators: Universitas Sultan Ageng Tirtayasa corp_creators: Fakultas Kedokteran dan Ilmu Kesehatan corp_creators: Prodi Keperawatan title: Pengaruh Latihan Peregangan Otot Ekstremitas Bawah terhadap Tingkat Kelelahan pada Pasien End Stage Renal Disease (ESRD) di Ruang Hemodialisis RSUD dr. Drajat Prawiranegara Tahun 2025 ispublished: pub subjects: RT subjects: RZ divisions: FK divisions: Keperawatan full_text_status: restricted keywords: End Stage Renal Disease, Fatigue, Hemodialysis, Lower Extremity Muscle Stretching End Stage Renal Disease, Hemodialisis, Kelelahan, Latihan Peregangan Otot Ekstremitas Bawah note: Latar belakang: End Stage Renal Disease (ESRD) merupakan tahap akhir penyakit ginjal kronis yang membutuhkan hemodialisis sebagai terapi utama, namun prosedur ini kerap menimbulkan kelelahan. Salah satu intervensi non-farmakologis yang berpotensi mengurangi kelelahan adalah latihan peregangan otot ekstremitas bawah. Penelitian ini bertujuan untuk mengetahui pengaruh latihan peregangan otot ekstremitas bawah terhadap tingkat kelelahan pada pasien ESRD. Metode: Penelitian ini menggunakan desain quasi-eksperimental dengan pendekatan nonequivalent control group. Sebanyak 32 pasien ESRD dipilih secara purposive sampling dan dibagi menjadi kelompok intervensi dan kontrol (masing-masing 16 responden). Latihan ini dilakukan selama sesi hemodialisis. Tingkat kelelahan diukur menggunakan kuesioner FACIT Fatigue Scale dengan skor 0–52, di mana skor ≤30 menunjukkan kelelahan berat dan >30 menunjukkan kelelahan ringan. Analisis data menggunakan uji paired t-test dan uji independent t-test. Hasil: Rata-rata skor FACIT Fatigue Scale pada kelompok intervensi meningkat dari 25,25 menjadi 40,44 (p = 0,000), yang menunjukkan penurunan tingkat kelelahan dari kategori berat menjadi ringan. Sementara pada kelompok kontrol tidak terdapat perbedaan signifikan (p = 0,203). Hasil uji independent t-test menunjukkan perbedaan signifikan antar kelompok (p = 0,000). Kesimpulan: Latihan peregangan otot ekstremitas bawah efektif menurunkan tingkat kelelahan pada pasien ESRD. Intervensi ini layak diterapkan karena mudah dilakukan, tidak menggunakan biaya, dan dapat dilakukan selama sesi hemodialisis. abstract: Background: End Stage Renal Disease (ESRD) is the final stage of chronic kidney disease that requires hemodialysis as the primary treatment, but this procedure often causes fatigue. One non-pharmacological intervention that has the potential to reduce fatigue is lower extremity muscle stretching exercise. This study aimed to examine the effect of lower extremity muscle stretching on fatigue levels in ESRD patients. Methods: This research employed a quasi-experimental design with a nonequivalent control group approach. A total of 32 ESRD patients were selected using purposive sampling and divided into intervention and control groups (16 respondents each). The exercise was performed during hemodialysis sessions. Fatigue levels were measured using the FACIT Fatigue Scale with score range 0–52, where scores ≤30 indicate severe fatigue and >30 indicate mild fatigue. Data were analyzed using Paired t-tests and Independent t-tests. Results: The mean FACIT Fatigue Scale score in the intervention group increased from 25.25 to 40.44 (p = 0.000), indicating a reduction in fatigue from severe to mild. No significant difference was found in the control group (p = 0.203). Independent t-test results showed a significant difference between the two groups (p = 0.000). Conclusion: Lower extremity muscle stretching is effective in reducing fatigue levels in ESRD patients. This intervention is feasible as part of nursing care because it is easy to perform, cost-free, and can be done during hemodialysis sessions. date: 2025 date_type: published pages: 157 institution: Universitas Sultan Ageng Tirtayasa department: Keperawatan thesis_type: sarjana thesis_name: sarjana citation: Maulany, Siti Salsabila (2025) Pengaruh Latihan Peregangan Otot Ekstremitas Bawah terhadap Tingkat Kelelahan pada Pasien End Stage Renal Disease (ESRD) di Ruang Hemodialisis RSUD dr. Drajat Prawiranegara Tahun 2025. S1 thesis, Universitas Sultan Ageng Tirtayasa. document_url: https://eprints.untirta.ac.id/49277/1/Siti%20Salsabila%20Maulany_8884210016_Fulltext.pdf document_url: https://eprints.untirta.ac.id/49277/2/Siti%20Salsabila%20Maulany_8884210016_CP.pdf document_url: https://eprints.untirta.ac.id/49277/3/Siti%20Salsabila%20Maulany_8884210016_01.pdf document_url: https://eprints.untirta.ac.id/49277/4/Siti%20Salsabila%20Maulany_8884210016_02.pdf document_url: https://eprints.untirta.ac.id/49277/5/Siti%20Salsabila%20Maulany_8884210016_03.pdf document_url: https://eprints.untirta.ac.id/49277/6/Siti%20Salsabila%20Maulany_8884210016_04.pdf document_url: https://eprints.untirta.ac.id/49277/7/Siti%20Salsabila%20Maulany_8884210016_05.pdf document_url: https://eprints.untirta.ac.id/49277/8/Siti%20Salsabila%20Maulany_8884210016_06.pdf document_url: https://eprints.untirta.ac.id/49277/9/Siti%20Salsabila%20Maulany_8884210016_Ref.pdf document_url: https://eprints.untirta.ac.id/49277/10/Siti%20Salsabila%20Maulany_8884210016_Lamp.pdf