Holistic Support Program for Inpatient Chronic Kidney Disease Patients at PKU Muhammadiyah Delanggu Hospital
Main Article Content
Abstract
Chronic Kidney Disease (CKD) is a progressive condition that significantly affects patients’ physical, psychological, and social well-being, particularly for those undergoing inpatient care. The prolonged hospitalization period often leads to decreased functional ability, emotional distress, and reduced quality of life. This community service program aimed to implement a Holistic Support Program for CKD inpatients at PKU Muhammadiyah Delanggu Hospital, focusing on physical, psychological, spiritual, and social aspects of care. The program involved 30 inpatient CKD patients, conducted through a series of activities including health education sessions on CKD management, relaxation techniques, spiritual counseling, and family involvement workshops. A participatory approach was applied to encourage patient engagement and ensure the continuity of care after discharge. Evaluation was carried out using pre- and post-intervention assessments, showing increased patient knowledge, reduced stress levels, and improved motivation to adhere to treatment regimens. Feedback from patients and families indicated high satisfaction with the comprehensive and personalized care approach. This initiative emphasizes the importance of integrating multidisciplinary and holistic strategies into CKD inpatient care to improve health outcomes and patient quality of life.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Barbieri, M., Chiodini, P., Di, P., Hafez, G., Liabeuf, S., Malyszko, J., Mani, L., Mattace-raso, F., Pepin, M., Perico, N., Simeoni, M., Zoccali, C., Tortorella, G., Capuano, A., Remuzzi, G., & Capasso, G. (2024). Efficacy of erythropoietin as a neuroprotective agent in CKD-associated cognitive dysfunction : A literature systematic review. 203(March). https://doi.org/10.1016/j.phrs.2024.107146
Bolignano, D., Simeoni, M., Hafez, G., Pepin, M., Gallo, A., Altieri, M., & Liabeuf, S. (2025). Cognitive impairment in CKD patients : a guidance document by the CONNECT network CONNECT Action ( Cognitive Decline in Nephro-Neurology European Cooperative Target ) collaborators. Clinical Kidney Journal, 2025, Vol. 18, No. 2, Sfae294, 18(2), 1–16. https://doi.org/10.1093/ckj/sfae294
Chertow, G. M., Correa-rotter, R., Eckardt, K., Kanda, E., Karasik, A., Li, G., Christiansen, F., Stafylas, P., Holt, S. G., Hagen, E. C., Garcia, J., Barone, S., Cabrera, C., & Nolan, S. (2024). Articles Projecting the clinical burden of chronic kidney disease at the patient level ( Inside CKD ): a microsimulation modelling study. EClinicalMedicine, 72, 102614. https://doi.org/10.1016/j.eclinm.2024.102614
Conley, M. M., Mayr, H. L., Hepburn, K. S., Holland, J. J., Mudge, D. W., Tonges, T. J., Modderman, R. S., Gerzina, S. A., Johnson, D. W., Viecelli, A. K., & Maclaughlin, H. L. (2025). ( SLOW-CKD Randomized Feasibility Study ). Kidney International Reports. https://doi.org/10.1016/j.ekir.2025.04.021
Farial Nurhayati, & Ritianingsih, N. (2022). FAKTOR-FAKTOR YANG MEMPENGARUHI STRESS DAN KECEMASAN PADA PASIEN PENYAKIT GINJAL KRONIK DENGAN. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG Vol 14 No 1, Mei 2022, 14(1), 206–214.
Ghimire, A., Wanner, C., & Tonelli, M. (2025). Closing CKD Treatment Gaps: Why Practice Guidelines and Better Drug Coverage Are Not Enough. American Journal of Kidney Diseases, 85(4), 406–408. https://doi.org/10.1053/j.ajkd.2025.01.006
Heerspink, H. J. L., Agarwal, R., Bakris, G. L., Cherney, D. Z. I., Lam, C. S. P., Neuen, B. L., Sarafidis, P. A., Tuttle, K. R., Wanner, C., Brinker, M. D., Dizayee, S., & Kolkhof, P. (2025). Design and baseline characteristics of the Finerenone , in addition to standard of care , on the progression of kidney disease in patients with Non-Diabetic Chronic Kidney Disease ( FIND-CKD ) randomized trial. Nephrol Dial Transplant, 2025, 40, 308–319, June 2024, 308–319. https://doi.org/10.1093/ndt/gfae132
Jha, V., & Guisen, S. M. G. A. (2023). Global Economic Burden Associated with Chronic Kidney Disease : A Pragmatic Review of Medical Costs for the Inside CKD Research Programme. Advances in Therapy, 40(10), 4405–4420. https://doi.org/10.1007/s12325-023-02608-9
Kollerits, B., Kotsis, F., Schneider, M. P., Schultheiss, U. T., Weissensteiner, H., Forer, L., Meiselbach, H., Wanner, C., Eckardt, K., Dieplinger, H., & Sch, S. (2025). Association of Serum Afamin Concentrations With Kidney Failure in Patients With CKD: Findings From the German CKD Cohort Study. 85(April). https://doi.org/10.1053/j.ajkd.2024.11.004
Laganovi, M., Nikolova, M., Petrov, P., Radi, J., & Miti, I. (2025). Chronic Kidney Disease in Balkan Countries — A Call for Optimal Multidisciplinary Management. 1–11.
Mazzaferro, S., Tartaglione, L., Cohen-solal, M., Tran, M. H., Pasquali, M., Rotondi, S., & Torres, P. U. (2025). Pathophysiology and therapies of CKD-associated secondary hyperparathyroidism. Clinical Kidney Journal, 2025, Vol. 18, Suppl 1, I15–I26, 18, 15–26. https://doi.org/10.1093/ckj/sfae423
Merlino, L., Rainone, F., Chinnadurai, R., Hernandez, G., Tollitt, J., Battini, G. G., Colombo, P. M., Trivelli, M., Stewart, S., Dunne, R. A., & Kalra, P. A. (2025). Health outcomes in chronic kidney disease patients with cognitive impairment or dementia : a global collaborative analysis. Clinical Kidney Journal, 18(1), 1–9. https://doi.org/10.1093/ckj/sfae401
Namira Anfi Normalitasari, & Rosyid, F. N. (2024). THE RELATIONSHIP BETWEEN SELF-EFFICACY AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS. Indonesian Journal of Global Health Research Volume 6 Number S6, December 2024 e-ISSN 2715-1972; p-ISSN 2714-9749 Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/IJGHR, 6(March), 247–254.
Nurlaili, Z., Rosyid, F. N., & Puji Kristini. (2024). THE RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND QUALITY OF LIFE IN CHRONIC KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS. Indonesian Journal of Global Health Research Volume 6 Number S6, December 2024 e-ISSN 2715-1972; p-ISSN 2714-9749 Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/IJGHR, 6(December), 603–612.
Porteny, T., Kenne, K., Lynch, M., Velasquez, A. M., Damron, K. C., Rosas, S., Allen, J., Weiner, D. E., Kalloo, S., Rizzolo, K., & Ladin, K. (2025). The Need for Culturally Tailored CKD Education in Older Latino Patients and Their Families. AJKD, 85(February), 253–261. https://doi.org/10.1053/j.ajkd.2024.06.015
Puspasari, D., & Syafriati, A. (2023). PENGARUH PEMBERIAN EDUKASI BOOKLET “ MANAJEMEN KESEHATAN GAGAL GINJAL KRONIK ” PENDAHULUAN Gagal Ginjal Kronik ( GGK ) adalah penurunan faal ginjal yang menahun mengarah pada kerusakan jaringan ginjal yang tidak reversible dan Indonesia menderita Batu Gin. Babul Ilmi_Jurnal Ilmiah Multi Science Kesehatan Https://Jurnal.Stikes-Aisyiyah-Palembang.Ac.Id/Index.Php/Kep/Article/View/126 Vol. 15, No. 1, Juni 2023, Hal. 165-175 e-ISSN, 15(1).
Rika Iffriani, & Syafriati, A. (2023). PENGARUH MUROTAL SURAH AL-MULK TERHADAP KECEMASAN, TANDA- TANDA VITAL DAN INSOMNIA PADA PASIEN GAGAL GINJAL DIRUANG HEMODIALISA. Jurnal Kesehatan Akper Kesdam II Sriwijaya Palembang, Volume 12 No. 1, Januari 2023, 12(1).
Shang, Y., Tian, Y., Lyu, K., Zhou, T., & Zhang, P. (2024). Electronic Health Record – Oriented Knowledge Graph System for Collaborative Clinical Decision Support Using Multicenter Fragmented Medical Data : Design and Application Study Corresponding Author : J Med Internet Res 2024 | Vol. 26 |, 26, 1–21. https://doi.org/10.2196/54263
Simorangkir, R., Andayani, T. M., & Wiedyaningsih, C. (2021). Faktor-Faktor yang Berhubungan dengan Kualitas Hidup Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis. Jurnal Farmasi Dan Ilmu Kefarmasian Indonesia Vol. 8 No. 1 April 2021, 8(1), 83–90.
Tarun, T., Ghanta, S. N., Ong, V., Kore, R., Menon, L., Kovesdy, C., Mehta, J. L., & Jain, N. (2024). Updates on New Therapies for Patients with CKD. Kidney International Reports, 9(1), 16–28. https://doi.org/10.1016/j.ekir.2023.10.006