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  • Fitria Ramadhanti, Ns.


Services in the health sector are one of the services most needed by the community. The place for conducting health services is mostly carried out in hospitals. In providing health services the nursing profession takes part and enters the health team. Based on the National Workshop in July 1983 it was agreed that nursing is a form of professional service which is an integral part of health services, based on the knowledge and tips of nursing, in the form of comprehensive bio-psycho-social-spiritual- services, aimed at individuals, families and society, both sick and healthy which includes all processes of human life.

One of the nursing services provided is for special patients who need dialysis, which is often called hemodialysis. Hemodialysis is a kidney replacement therapy that uses special devices with the aim of removing uremic toxins by regulating body fluids and electrolytes. Hemodialysis is used for patients suffering from end-stage renal failure or patients who have an acute illness that requires short-term dialysis. Hemodialysis does not cure or reverse kidney disease and is unable to compensate for the loss of metabolic or endocrine activity performed by the kidneys and the impact of kidney failure and its treatment on the patient's quality of life

Hemodialysis patients usually think that dialysis is the end of everything, they think they cannot move and their lives will no longer be the same as people and society in general. Successful management of chronic kidney disease (CKD) usually involves considering lifestyle changes and treatments that can improve the patient's health outcomes. The complexity of behavior changes and treatment decisions that patients must make, with support from their care team, can reduce their motivation to overcome CKD and lead to poorer treatment outcomes.

The main goal of Hemodialysis is to restore the condition of extra and intracellular fluid which is actually a normal function of the kidney. Dialysis is performed by moving some solutes such as urea from the blood into the dialysate, and by transferring other solutes such as bicarbonate from the dialysate into the blood. Collaboration between nurses and chronic kidney disease patients undergoing hemodialysis therapy is one of the factors that can improve the patient's quality of life. Such as the role of the nurse by providing holistic nursing care and a good attitude to chronic kidney disease patients undergoing hemodialysis. Another factor that is also able to affect the patient's quality of life is the understanding of spiritual/religious values ​​that are believed by every individual, which makes a person able to calm himself by having good prejudice against what he is suffering from.

The nurse on duty in the hemodialysis room certainly has sufficient competence and experience to help patients who do need hemodialysis. Hemodialysis nurses are usually required to have a special training certificate for the hemodialysis unit. These competencies are important to be able to provide intensive care for hemodialysis patients. According to the American Nurse Association stipulates that the practice of hemodialysis nursing is an advanced nursing practice given by nurses with an undergraduate education level and having a dialysis training certificate. Thus, the quality of life of hemodialysis clients can be guaranteed properly. Hemodialysis action is very closely related to the patient's quality of life. Many studies have been conducted to examine the quality of life of clients after carrying out dialysis. According to research, it shows that hemodialysis clients experience emotional instability, psychological pressure, financial burden, lack of social support, and lack of knowledge about their disease. Therefore, the role of nurses in the hemodialysis unit is not only to help carry out dialysis to patients, but also to be able to overcome the psychological problems of patients after carrying out hemodialysis.


Black, J. M., & Hawk, J. H. (2005). Medical Surgical Nursing Clinical Management for Positive Outcome 7th Edition.

Philadelphia: W. B Sounders Company.

Broccop, D. Y., & Tolsma, M. T. H. (2005). Fundamentals of Nursing Research. Boston: Jones & Bartlett Publishers, Inc.

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