Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study

Oksiati Khoirunnisa; Wahyu Hidayati; Anggorowati Anggorowati

doi:10.5455/rmj.20260623081004

2026, Vol: 51, Issue: 4

51 / 4Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

Required files to be uploaded

Author_Certificate-old
Bank Reciept

« Previous Article

Original Research
Online Published: 29 Oct 2026

RMJ. 2026; 51(4): 922-926

doi: 10.5455/rmj.20260623081004

Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study

Oksiati Khoirunnisa, Wahyu Hidayati, Anggorowati Anggorowati.

Abstract
Objective: To analyse factors associated with mental fatigue among patients undergoing maintenance hemodialysis.
Methodology: This cross-sectional study included 134 patients undergoing maintenance hemodialysis recruited through purposive sampling at Dr. Moewardi Hospital between October and November 2025. Data were obtained through standardized questionnaires and analyzed using the Chi-square tests and binary logistic regression.
Results: Mental fatigue was identified in 55.2% of the participants. Duration of hemodialysis, stress, anxiety, and depression demonstrated significant association with mental fatigue (p<0.05). In the multivariable model, stress (OR=7.179; 95% CI: 2.903–17.757; p<0.001) and anxiety (OR=13.565; 95% CI: 2.882–63.858; p=0.001) were significantly associated with mental fatigue.
Conclusion: Stress and anxiety were significantly associated with mental fatigue among hemodialysis patients, with anxiety emerging as the most dominant associated factor. Routine psychological assessment should be integrated into hemodialysis nursing care to support the early detection and management of mental fatigue.

Key words: Mental fatigue, renal dialysis, anxiety, stress.

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	How to cite this article
	Citation Tools
	Related Records
	Articles by Oksiati Khoirunnisa Articles by Wahyu Hidayati Articles by Anggorowati Anggorowati
	on Google
	on Google Scholar

How to Cite this Article

Pubmed Style

Khoirunnisa O, Hidayati W, Anggorowati A. Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study. RMJ. 2026; 51(4): 922-926.

doi:10.5455/rmj.20260623081004

Web Style

Khoirunnisa O, Hidayati W, Anggorowati A. Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study. https://www.rmj.org.pk/?mno=325407 [Access: November 11, 2026].

doi:10.5455/rmj.20260623081004

AMA (American Medical Association) Style

Khoirunnisa O, Hidayati W, Anggorowati A. Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study. RMJ. 2026; 51(4): 922-926.

doi:10.5455/rmj.20260623081004

Vancouver/ICMJE Style

Khoirunnisa O, Hidayati W, Anggorowati A. Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study. RMJ. (2026), [cited November 11, 2026]; 51(4): 922-926.

doi:10.5455/rmj.20260623081004

Harvard Style

Khoirunnisa, O., Hidayati, . W. & Anggorowati, . A. (2026) Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study. RMJ, 51 (4), 922-926.

doi:10.5455/rmj.20260623081004

Turabian Style

Khoirunnisa, Oksiati, Wahyu Hidayati, and Anggorowati Anggorowati. 2026. Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study. Rawal Medical Journal, 51 (4), 922-926.

doi:10.5455/rmj.20260623081004

Chicago Style

Khoirunnisa, Oksiati, Wahyu Hidayati, and Anggorowati Anggorowati. "Factors associated with mental fatigue in Indonesian patients undergoing maintenance hemodialysis: A cross-sectional study." Rawal Medical Journal 51 (2026), 922-926.

doi:10.5455/rmj.20260623081004

MLA (The Modern Language Association) Style

doi:10.5455/rmj.20260623081004

APA (American Psychological Association) Style

doi:10.5455/rmj.20260623081004

Author Login Reviewer Login Editorial Policies Conflict of Interest Policy Plagiarism Policy Advertising Policy

About Rawal Medical Journal

Contact Information

How to cite this article


About Rawal Medical Journal Publication, subscription and Editorial office PMA House G/220-B Liaquat Road, Rawalpindi. Phone: 051-555-9812, Fax: 051-553-7088 Email: drnkhokhar@ya ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information