Chronic Kidney Disease (CKD) patients undergoing long-term hemodialysis therapy often experience fatigue due to physical stress, metabolic disorders, and decreased physiological function. Fatigue is a dominant complaint that impacts patients' physical work capacity, quality of life, and daily activities. One safe and effective non-pharmacological intervention to reduce fatigue is intradialytic Range Of Motion (ROM) exercise.
The research design used was a case study with a nursing process approach, including assessment, diagnosis determination, action plan development, intervention implementation, and evaluation. The subject was one hemodialysis patient with fatigue as a nursing problem. The main intervention was Range Of Motion (ROM) exercise for 20 minutes, three times a week, during the first two hours of each dialysis session. The study was conducted in the hemodialysis unit of Amal Sehat Wonogiri Hospital from December 1, 2025, to December 5, 2025.
The evaluation results showed a gradual improvement in fatigue, although the patient still felt slightly weak and tired. Thus, the fatigue problem has not been completely resolved, but it shows good progress.
Energy management with Range Of Motion (ROM) exercises has been proven to have a positive impact on reducing fatigue levels and is recommended to be implemented continuously for optimal results.