Penerapan intradialytic stretching exercise dalam mengurangi kram otot pada pasien chronic disease yang menjalani hemodialisa di kota Palembang

Background: Chronic Kidney Disease (CKD) is a progressive condition
characterized by a gradual decline in kidney function, often requiring hemodialysis
therapy. One of the most common complications experienced during hemodialysis
is muscle cramping, particularly in the lower extremities, which can reduce patient
comfort and interfere with the effectiveness of treatment. Intradialytic Stretching
Exercise is a non-pharmacological intervention that has been shown to help reduce
muscle cramps in hemodialysis patients.
Objective: To analyze the implementation of Intradialytic Stretching Exercise in
reducing muscle cramps among patients with CKD undergoing hemodialysis.
Methods: This case study used an Evidence-Based Practice (EBP) approach
involving a CKD patient on hemodialysis who experienced muscle cramps. The
intervention consisted of Intradialytic Stretching Exercise performed for 20
minutes, twice a week during hemodialysis sessions. Muscle cramp levels were
assessed using the Cramp Questionnaire Chart before and after the intervention.
Results: The implementation of Intradialytic Stretching Exercise resulted in a
reduction in muscle cramp severity. Previous studies supporting this EBP
intervention demonstrated significant improvements in the frequency, duration, and
intensity of muscle cramps following regular intradialytic stretching exercises.
Conclusion: Intradialytic Stretching Exercise is an effective non-pharmacological
intervention for reducing muscle cramps in patients with CKD undergoing
hemodialysis.
Suggestion:Hemodialysis nurses are encouraged to incorporate Intradialytic
Stretching Exercise into routine nursing care and provide patient education to
promote regular exercise participation, thereby preventing and reducing muscle
cramps during hemodialysis.