Pengaruh Intradialytic Exercise terhadap Penurunan Tekanan Darah pada Pasien Hemodialisis di Mayapada Hospital Tangerang: The Effect of Intradialytic Exercise on Blood Pressure Reduction in Hemodialysis Patients at Mayapada Hospital Tangerang

Background: Patients undergoing hemodialysis may experience changes in blood pressure during dialysis. Intradialytic exercise is a non-pharmacological intervention that can be performed during hemodialysis and may help improve hemodynamic responses. Objective: This study aimed to analyze the effect of intradialytic exercise on blood pressure among hemodialysis patients at Mayapada Hospital Tangerang. Purpose of the study: A quasi-experimental one-group pretest-posttest design without a control group was used. The study population consisted of 103 hemodialysis patients, with total sampling according to the inclusion and exclusion criteria. The intervention consisted of intradialytic exercise/active range-of-motion exercises for 20–30 minutes. Results: Tekanan darah diukur sebelum dan sesudah intervensi menggunakan tensimeter digital. Analisis dilakukan dengan uji normalitas Shapiro–Wilk dan uji paired t-test dengan α= 0,05. Hasil: Rata-rata tekanan darah sistolik sebelum intervensi adalah 153,36±9,087 mmHg dan diastolik 91,69 ± 5,860 mmHg. Setelah intervensi, rata-rata sistolik menjadi 142,35±7,462 mmHg dan diastolik 84,13±4,783 mmHg. Hasil uji statistik menunjukkan p<0,001, yang menunjukkan adanya perbedaan bermakna antara tekanan darah sebelum dan sesudah intradialytic exercise Conclusions and suggestions: In the studied group, blood pressure changed significantly after intradialytic exercise. This intervention may be considered as a non-pharmacological intervention with appropriate monitoring of the patient's clinical condition and hemodynamic response.