NURSING CARE OF CHILDREN WITH CHRONIC RENAL FAILURE: A HOLISTIC APPROACH IN THE GENITOURINARY SYSTEM

Abstract

This article aims to comprehensively review the literature related to nursing care of children with CKD, especially through a holistic approach to the genitourinary system, as well as analyze the role of nurses in improving the quality of life of patients. The research uses a literature study approach by examining articles from the Google Scholar database, and Garuda. The keywords used include "pediatric chronic kidney disease", "holistic nursing care", and "genitourinary system". Of the 150 articles found, 35 articles were selected according to the inclusion criteria (2013–2024) and analyzed narratively. The findings show that GGK in children not only causes physical complications such as anemia, growth disorders, and hypertension, but also impacts the child's psychosocial, educational, and social relationships. The role of nurses is essential in a holistic approach, including: (1) medical and nursing interventions, (2) psychosocial and emotional support, (3) family education, (4) nutrition monitoring, and (5) innovation through telenursing. Family support has been shown to improve adherence to therapy, while nonpharmacological interventions such as counseling and relaxation therapy help reduce the child's anxiety. A holistic approach in nursing for children with GGK has been proven to improve the overall quality of life of patients. The application of multidisciplinary strategies, family involvement, and the use of technology are the main keys to the success of therapy. This article emphasizes the need to strengthen the role of nurses as educators, family facilitators, and emotional companions in the management of children's GGD.