ANALYSIS OF NURSING CARE IN PATIENTS WITH CHRONIC KIDNEY DISEASE AND INTERVENTIONS FOR PROVIDING ALOE VERA GEL TO REDUCE PRURITUS IN THE HEMODIALYSIS ROOM Rosalia Agustin1*, Ridho Kunto Prabowo2, Novi Dwi Irmawati3
1Department of Nursing, Ners Professional Program Study, Indramayu College of Health Science, Indonesia
2,3Department of Nursing, Indramayu College of Health Science, Indonesia
Background : Chronic kidney Disease is a condition with progressive decline in kidney function, which impairs the excretion of body wastes (uremia, creatinine, and other wastes) and fluid balance. As kidney function declines, uremic substances such as urea, creatinine and other nitrogenous products begin to accumulate in the blood and body tissues. These substances can stimulate nerve receptors on the skin, triggering itching (pruritus). One of the non-pharmacological nursing measures is complementary therapy by applying aloe vera gel to itchy body parts.
Purpose : This final scientific work was to provide nursing care to patients with chronic renal failure through aloe vera gel therapy interventions.
Methods : Used a descriptive approach with a case study and the application of Evidence-Based Nursing. Data were collected through interviews, physical examinations, and medical record reviews. The assessment revealed that the patients complained of itching, weakness, and high blood pressure, leading to the establishment of nursing diagnoses including impaired skin integrity, risk of bleeding, risk of infection, ineffective peripheral perfusion, and fatigue. Interventions to reduce pruritus were carried out on Mrs. S and Mrs. using aloe vera gel a twice a day, in the morning and evening, after bathing, for three consecutive days.
Results : Evidence-Based Nursing showed a decrease in the pruritus scale, with patient Mrs. S decreasing from scale 7 to 6, and patient Mrs. A from scale 18 to 9. The implementation resolved three nursing diagnoses impaired skin integrity, risk of bleeding, and risk of infection while two diagnoses, namely ineffective peripheral perfusion and fatigue, were partially resolved.
Conclusion : There was a decrease in the pruritus scale after the application of aloe vera gel therapy. It was suggested that nurses implement aloe vera gel therapy interventions to reduce pruritus symptoms.
Keywords: Aloe Vera Gel, Chronic Kidney Disease, Hemodialysis, Nursing Care, Pruritus
