ANALISIS KARAKTERISTIK DAN PERAN FISIOTERAPI TERHADAP PENDERITA PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS DI RUMAH SAKIT UMUM PUSAT Dr. TADJUDDIN CHALID MAKASSAR TAHUN 2025

Background. Chronic kidney disease (CKD) is a significant global health problem with an increasing prevalence. In Indonesia, more than 140,000 patients are actively undergoing hemodialysis. However, the role of physiotherapy in hemodialysis patients remains very limited. Objective. This study aimed to analyze the characteristics and role of physiotherapy in CKD patients undergoing hemodialysis at Dr. Tadjuddin Chalid General Hospital Makassar in 2025. Methods. A retrospective descriptive quantitative study with a cross-sectional approach was conducted using secondary data from the medical records of hemodialysis patients in 2025. A total of 123 medical records from 152 data were selected using total sampling. Variables included age, sex, hemodialysis frequency, eGFR value, comorbidities, survival rate, mortality, and physiotherapy intervention. Data were analyzed using descriptive statistics with SPSS. Results. Patients were predominantly in the early and late elderly group (46–65 years, 61.8%), mostly male (59.3%). The most common hemodialysis frequency was twice weekly (54.5%). The majority of patients were in the eGFR G5 category (<15 mL/min/1.73 m²) at 94.3%. The most prevalent comorbidity was cardiovascular disease (94.4%). Mortality was 26%, with the highest ratio in patients with once-weekly hemodialysis (33.3%). The mean survival was 23 ± 20.10 months. Only 5.7% of patients received physiotherapy intervention. Conclusions. Hemodialysis patients were predominantly elderly with severe kidney function decline (eGFR G5), high cardiovascular comorbidities, and short-to-medium-term survival. The role of physiotherapy remains very limited; thus, optimizing physiotherapy interventions as part of comprehensive rehabilitation is highly necessary to improve functional capacity and quality of life in hemodialysis patients. Latar Belakang. Penyakit ginjal kronik (PGK) merupakan masalah kesehatan global yang signifikan dengan prevalensi yang terus meningkat. Di Indonesia, tercatat lebih dari 140.000 pasien aktif menjalani hemodialisis. Namun, peran fisioterapi pada pasien hemodialisis masih sangat terbatas. Tujuan. Penelitian ini bertujuan menganalisis karakteristik dan peran fisioterapi terhadap penderita PGK yang menjalani hemodialisis di RSUP Dr. Tadjuddin Chalid Makassar tahun 2025. Metode. Penelitian kuantitatif deskriptif retrospektif dengan pendekatan cross-sectional menggunakan data sekunder rekam medis pasien hemodialisis tahun 2025. Sampel sebanyak 123 rekam medis dari 152 data menggunakan teknik total sampling. Variabel meliputi usia, jenis kelamin, frekuensi hemodialisis, nilai eGFR, komorbiditas, angka harapan hidup, mortalitas, dan intervensi fisioterapi. Analisis menggunakan statistik deskriptif dengan SPSS. Hasil. Pasien didominasi kelompok lansia awal dan akhir (46–65 tahun, 61,8%), mayoritas berjenis kelamin laki-laki (59,3%). Frekuensi hemodialisis terbanyak 2 kali/minggu (54,5%). Sebagian besar pasien berada pada kategori eGFR G5 (<15 mL/menit/1,73 m²) sebanyak 94,3%. Komorbid terbanyak penyakit kardiovaskular (94,4%). Mortalitas sebesar 26% dengan rasio tertinggi pada frekuensi hemodialisis 1x/minggu (33,3%). Rerata angka harapan hidup 23 ± 20,10 bulan. Hanya 5,7% pasien mendapatkan intervensi fisioterapi. Simpulan. Pasien hemodialisis didominasi kelompok usia lanjut dengan penurunan fungsi ginjal berat (eGFR G5), komorbid kardiovaskular yang tinggi, dan angka harapan hidup jangka pendek hingga menengah. Peran fisioterapi masih sangat terbatas sehingga optimalisasi intervensi fisioterapi sebagai bagian dari rehabilitasi komprehensif sangat diperlukan untuk meningkatkan kapasitas fungsional dan kualitas hidup pasien hemodialisis.