Currently, End Stage Renal Desease (ESRD) became a global problem because of its increasing prevalence. ESRD occurs related to kidneys damaged and cannot filter blood so that the patient requires kidney therapy, such as hemodialysis. Adequate dialysis is a method of evaluating the effectiveness of hemodialysis. This study aims to determine the effect of range of motion (ROM) and tai chi intradialisis on the adequacy of ESRD patients who undergo hemodialysis. The design of this study used a quasi experiment with a pretest-posttest control group approach and used a purposive sampling method. The results showed that there were differences in adequacy before and after the intervention. Wilcoxon test (p = 0.005) showed that there was a significant effect on adequacy before and after intervention ROM and tai chi. The difference between the control and intervention groups tested using Mann Whitney was found to have a significant difference (p = 0.045). In conclusion, ESRD patients who underwent ROM and taiichi intradialysis exercises were more effective in increasing the adequacy of hemodialysis.

Keywords: adequacy of hemodialysis, ESRD, hemodialysis, range of motion, taichi intradialysis