PENGARUH LATIHAN AEROBIK INTRADIALITIK BERBASIS VIRTUAL REALITY DENGAN SATU ANGGOTA GERAK ATAS TERHADAP DAYA TAHAN KARDIORESPIRASI DAN KUALITAS HIDUP PASIEN HEMODIALISIS KRONIK

Abstract

ABSTRACT : Background Chronic Kidney Disease (CKD) is a highly urgent global health problem. The number of hemodialysis patients in developing and middle-income countries such as Indonesia is estimated to increase exponentially by 2030. Chronic kidney disease (CKD) patients, particularly those on hemodialysis, can experience reduced functional capacity, levels of physical activity, and quality of life, which correlate with elevated morbidity among this patient population. Morbidities risk was 62% higher for sedentary compared to active classified HD patients. The low level of compliance is one major issue physicians experience with increasing the physical activity of HD patients. Studies indicated that regular physical exercise may sufficiently enhance dialysis adequacy in chronic hemodialysis patients, as well as cardiorespiratory endurance and quality of life; thus, as a part of a complementary therapy for chronic hemodialysis patients. Recent studies indicate that not only can VR-based exercise programs improve patient compliance among dialysis patients, but can also further enhance patients' muscle strength, balance, flexibility, and BIA (bioelectrical impedance analysis) results while minimizing fatigue [7,8]. Less than 10% of hemodialysis clinics worldwide are using new intra-dialytic exercise programs for CKD Patients on Chronic HD. Purpose: To assess the effect of one upper limb virtual reality based intradialytic aerobic exercise on hemodialysis patients/ cardiorespiratory endurance and quality of life. Methods: This study uses an experimental, pre-test- post-test one-group design. The virtual exercise program was performed on one upper limb. Participants included in the study were all subjects satisfying the inclusion and exclusion criteria who were undergoing hemodialysis. Intervention setting: Hemodialysis Unit, Prof. Dr. R.D. Kandou Hospital, Manado, Indonesia (May 2024 to August 2024) Results: Statistically significant improvement on cardiorespiratory endurance, general quality of life and mental quality of life was found after Supreme VR based intradialytic aerobic exercise with the application of one upper limb. The fact that a higher quality of life means more self-sufficiency, social participation and less mobility and hospitalization restrictions means a virtual reality-based exercise significantly swim the cardiorespiratory endurance and quality of life in chronic hemodialysis patients. One-sided upper limb strengthening exercises are a safe and feasible exercise program for chronic hemodialysis patients.