Comparison of Fatigue Levels Among Chronic Kidney Disease Patients Undergoing Hemodialysis Via Arteriovenous Fistula (Avf) and Catheter Double Lumen (Cdl) Vascular Access at the Hemodialysis Unit of Bengkulu Regional General Hospital 2026

DAYANTO, INDO PUTRA ALI and Heriyanto, Hendri and Wulandari, Dwi (2026) Comparison of Fatigue Levels Among Chronic Kidney Disease Patients Undergoing Hemodialysis Via Arteriovenous Fistula (Avf) and Catheter Double Lumen (Cdl) Vascular Access at the Hemodialysis Unit of Bengkulu Regional General Hospital 2026. Diploma thesis, Bengkulu Health Polytechnic Ministry of Health.

	Text HALAMAN DEPAN.pdf Download (1MB)
	Text BAB I.pdf Download (331kB)
	Text BAB II.pdf Download (952kB)
	Text BAB III.pdf Download (356kB)
	Text BAB IV.pdf Download (635kB)
	Text BAB V.pdf Restricted to Repository staff only Download (491kB) | Request a copy
	Text BAB VI.pdf Restricted to Repository staff only Download (369kB) | Request a copy
	Text BAB VII.pdf Download (269kB)
	Text HALAMAN BELAKANG.pdf Download (5MB)
	Text SKRIPSI ENGLISH FULL.pdf Restricted to Repository staff only Download (7MB) | Request a copy

Abstract

Background: Fatigue is a predominant symptom among patients with chronic kidney disease (CKD) undergoing hemodialysis, with a prevalence in Indonesia ranging from 60% to 97%. The severity of fatigue is influenced by several clinical factors, one of which is the type of vascular access used, namely Arteriovenous Fistula (AVF) and Catheter Double Lumen (CDL). Objective: To analyze the difference in the mean level of fatigue between CKD patients undergoing hemodialysis using AVF and CDL vascular access at the Bengkulu Regional General Hospital. Methods: This study employed a comparative analytical observational design with a cross-sectional approach. A total of 136 respondents participated in the study, consisting of 68 patients using AVF vascular access and 68 patients using CDL vascular access. The sampling technique used was consecutive sampling. Fatigue levels were measured using the FACIT-Fatigue Scale Version 4, which has been validated for use in clinical research. Results: The results of the study using independent samples T-test analysis showed a significant difference in the average level of fatigue between patients using AVF and CDL vascular access. Patients with AVF access had a higher average FACIT-fatigue scale score (32.03 ± 5.89) compared to the average FACIT-fatigue scale score of patients with CDL access (24.49 ± 5.92), with a p-value of 0.000 (p ≤ 0.05). Conclusion: The findings of this study indicate that patients with AVF vascular access have less severe fatigue complaints compared with patients using CDL vascular access. Recommendation: Nurses working in hemodialysis units are expected to routinely assess the level of fatigue in patients undergoing hemodialysis, to serve as a basis for providing self-care education at home, with the aim of minimizing fatigue-related complications and improving patients’ quality of life.

Actions (login required)

View Item