scholarly journals LOW OXYGENATION STATUS INCREASES NAUSEA-VOMITING INCIDENCE IN HEMODIALYSIS PATIENTS

Author(s):  
Cornelia DY Nekada ◽  
Mohamad Judha

Background and Objective: Data from Indonesia Basic Health Research (2013) states that the chronic renal failure in Indonesia is increasing, especially in Yogyakarta with the prevalence of chronic renal failure of 0,3%. If the patients of chronic renal failure are in End Stage Renal Disease (ESRD), the kidney needs replacement therapy to help its function. This therapy is called Continuous Renal Replacement Therapy (CRRT) or Hemodialysis (HD). Hemodialysis therapy may influence to the imbalance of oxyhemoglobin in the blood. Patients undergoing hemodialysis may experience intradialytic nausea and vomiting. The objective of this study is to identify whether there is a relationship between pre-dialysis oxygenation status through oxygen saturation (SpO2) and respiratory rate (RR) examination and the intradialytic nausea-vomiting occurrence. Method: This research is a comparative research with analytical cross sectional design. This research was conducted in hemodialysis room in Public Hospital of Panembahan Senopati Bantul. The subject of the research was taken using total sampling, by paying attention to research ethics. The total research subjects are 183 respondents. The researchers measured the oxygen saturation and patients’ respiratory rate and examined the intradialytic nausea and vomiting complaints. Result: The analysis result of Fisher’s exact in this research shows p value of 0,000 both in bivariate analysis of oxygen saturation to the nausea and vomiting occurrence and in bivariate analysis of the respiratory rate to the nausea and vomiting occurrence. The multivariate analysis employing regression logistic shows that the OR of oxygen saturation is 73,57, this means that the measurement of the abnormal oxygen saturation has the chance of seventy three times more to the nausea and vomiting occurrence, if compared to the patients with normal oxygen saturation. Conclusion and Suggestion: Intradialytic nausea and vomiting is one of the causes of the imbalance of oxyhemoglobin. The readiness of pre-dialysis oxygenation status needs to be noticed so that the nausea and vomiting complaints can be anticipated earlier.

2020 ◽  
Vol 10 (2) ◽  
pp. 80-88
Author(s):  
Sara Sara Tania Aprianty ◽  
Hani Siti Hanifatun Fajria

Chronic Renal Failure (CRF) is a disease that has occurred after various diseases that damage the kidney nephrons period up to the point the two are not capable of functioning regulatory and ekstetoriknya to maintain homeostasis. Number of patients with kidney failure in Indonesia is estimated to reach 300.000 people. As many as 12.804 patients with renal failure undergoing hemodialysis. To determine correlation family support patient compliance with chronic renal failure undergo hemodialysis therapy in RS PMI Bogor. This type of research is descriptive quantitative analytical research with cross sectional design. How sampling in this study with purposive sampling with a sample of 152 respondents. The instrument used is questionnaire while data analysis techniques using univariate and bivariate analysis using statistical test Chi-Square. Of the 152 respondents with a family to support as many as 139 respondents (91.4%), adherent patients as many as 128 respondents (84.2%) and family support with adherent patients as many as 121 respondents (79.6%). Statistical test results using Chi-square test p value value 0,007 (p <0.05) and the value of OR 5.762. The conclusion of this research that, There is a correlation between family support patient compliance with chronic renal failure through hemodialysis therapy in PMI Hospital Bogor, 2016. The researchers recommend that increased family support by distributing leaflets to the patients and families about the importance of family support for compliance patients undergo hemodialysis therapy.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Tendy Ar Riqi ◽  
Sutejo Sutejo ◽  
Erika Nurwidayanti

Hemodialysis would affect body image and have an impact on the spiritual wellbeing of patients due to the variety of changes in the patient’s body. The purpose of this study was to determine the relationship between body image and the spiritual wellbeing of patients undergoing hemodialysis. The research method is descriptive correlative with a cross-sectional approach. The study was conducted in PKU Muhammadiyah Hospital Gamping with a sample of 60 respondents. The sampling method is purposive sampling. Data collection tool in this study is a questionnaire with 22 statements. Data were analyzed using univariate and bivariate analysis using chi square tests. The results showed that there is a relationship between body image and the spiritual wellbeing of patients with chronic renal failure undergoing hemodialysis with p-value (0,027) < α (0,05). This study recommends hemodialysis unit to improve further performance in providing comprehensive care nursing practice both physical and psychosocial in patients with chronic renal failure undergoing hemodialysis especially on the subject of body image disturbance that will affect the spiritual wellbeing of patients.


2018 ◽  
Vol 1 (2) ◽  
pp. 78
Author(s):  
Moh. Rivandi Dengo ◽  
Ari Suwondo ◽  
Suroto Suroto

AbstractAir pollution from toxic materials is one of the world's health problems. The study was aimed to measure and analyze carbon monoxide (CO) exposure with oxygen saturation and work fatigue in parking attendants. The research method was quantitative research with cross sectional study approach that was the measurement of variables carried out simultaneously. The non-random sampling method of sampling with total sampling technique that all parking attendants on the Setiabudi street in Semarang City. The number of research subjects was 30 people. The results showed that as much as 26.7% with abnormal CO exposure, 70.0% abnormal oxygen saturation, 56.7% of the study subjects experienced moderate fatigue and 43.3% mild fatigue. The results of bivariate analysis showed that CO exposure not normal with abnormal oxygen saturation 75.0%, while normal CO exposure with abnormal oxygen saturation 62.8%, statistical test results obtained p value = 1,000. Analysis of abnormal CO exposure with moderate work fatigue 25.0%, while normal CO exposure with moderate work fatigue 68.2%, statistical test results obtained p value = 0.035. It was concluded that CO exposure was not associated with oxygen saturation and CO exposure had a significant associated with work fatigue.Keywords; CO exposure, work fatigue, oxygen saturationAbstrakPencemaran udara yang berasal dari bahan toksik merupakan salah satu masalah kesehatan dunia. Penelitian ini bertujuan untuk mengukur dan menganalisis paparan karbon monooksida (CO) terhadap saturasi oksigen dan kelelahan kerja pada petugas parkir. Metode penelitian adalah penelitian kuantitatif dengan pendekatan cross sectional study yakni pengukuran variabel dilakukan secara bersamaan. Metode pengambilan sampel non random sampling dengan tekhnik total sampling yakni seluruh petugas parkir di jalan Setiabudi Kota Semarang. Jumlah subjek penelitian sebanyak 30 orang. Hasil penelitian menunjukkan sebanyak 26,7% dengan paparan CO tidak normal, 70,0% saturasi oksigen tidak normal, 56,7% subjek penelitian mengalami kelelahan sedang dan 43,3% kelelahan ringan. Hasil analisis bivariat menunjukkan bahwa paparan CO tidak normal dengan saturasi oksigen tidak normal 75,0%, sementara paparan CO normal dengan saturasi oksigen tidak normal sebanyak 62,8%, hasil uji statistic diperoleh nilai p value = 1,000. Analisis paparan CO tidak normal dengan kelelahan kerja sedang 25,0%, sementara paparan CO normal dengan tingkat kelelahan kerja sedang 68,2%, hasil uji statistic diperoleh nilai p value = 0,035. Disimpulkan bahwa paparan CO tidak berhubungan dengan saturasi oksigen dan paparan CO memiliki hubungan signifikan dengan kelelahan kerja.Kata kunci; kelelahan kerja, paparan CO, saturasi oksigen


2018 ◽  
Vol 1 (2) ◽  
pp. 139-153
Author(s):  
Fitri Rahayu ◽  
Topan Fernandoz ◽  
Rafika Ramlis

The aim of this study was to determine whether there is a relationship between hemodialysis frequency stress levels in patients with chronic renal failure undergoing hemodialysis  at hemodialysis installation  of dr. M. Yunus hospital Bengkulu City 2016. The study design used was a descriptive analytic method to explain each variable studied. The results showed that there was a significant relationship between the frequency of hemodialysis with the level of stress in patients with chronic renal failure, almost all respondents often undergo hemodialysis in hemodialysis installation in dr. M.Yunus hospital in Bengkulu city, of a total of 67 respondents almost half of respondents suffered moderate stress levels and no significant association between HD frequency with the stress levels of patients with CKD in Haemodialysis installation with p value 0.041 smaller than 0.05. The results of this study are expected to add insight and knowledge about the disease of CKD, and and is expected to continue this research in the context of a deeper and broader variables. Keywords: Frequency, Hemodialysis, Stress Levels.  


Chronic Renal Failure (CRF) is a disease caused due to kidney damage or deterioration glomerulus filtrate rate (GFR/GFR/Glomerular Filtration Rate) <60 ml/min /1.73 m2 for ≥ 3 months. One of the complications that often appears in CRF is anemia or decrease of hemoglobin level in the blood that is related to the relationship intake of nutrients (protein, vitamin C, folic acid and iron). The purpose of this study was to determine the relationship Intake of nutrients (protein, vitamin C, folic acid and iron) on Hb levels of chronic renal failure patients undergoing hemodialysis in RSI Siti Khadijah Palembang. This type of research is an observational analytic with a cross-sectional study design. Population in this study were all outpatients with chronic renal failure undergoing hemodialysis in RSI Siti Khadijah Palembang with total research subjects were 50 subjects, taken using purposive sampling and analyzed using chi-square test. The result showed that there are 52% of patients with chronic renal failure are male more than female. The aged 50-64 years old is 44% and 30-49 years old are 32%. The percentage of outpatients who had an adequate intake of protein, vitamin C, folic acid and iron were 28%, 10%, 0%, and 18% respectively, meanwhile, most of the patients had low hemoglobin levels which were 94%. There was not a significant association between intake of nutrients (protein, vitamin C, folic acid and iron) on Hb levels of chronic renal failure patients undergoing hemodialysis in RSI Siti Khadijah Palembang. Based on these results, should be noted again nutrient intake (protein, vitamin C, folic acid and iron) outpatient before and after undergoing hemodialysis to support the optimal outcome of hemodialysis therapy.


2020 ◽  
Vol 7 (2) ◽  
pp. 27-31
Author(s):  
Bambang Adi Purnomo ◽  
Yani Kamasturyani ◽  
Cecep Wahyudin

Chronic renal failure is a disease that results in a progressive and gradual decline in renal function that requires hemodialysis therapy. In Indonesia, there were 198,575 patients chronic kidney failure in 2018. The number of undergoing hemodialysis therapy is 132,142 patients. The hemodialysis routine causes tension, anxiety, stress and depression in patient. The purpose of this study was to determine the relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy ant Waled Hospital. The method of this research was descriptive correlational with a cross sectional approach. This research used purposive sampling technique amounted to 79 respondents. The instrument of this research was a questionnaire Jaloweic Coping Scale (JCS) and stress adaptation questionnaire. Data analysis used the spearman rank test. Place of research at Waled Hospital, Cirebon Regency during July 2020.  The result showed that most respondents had an adaptive category as many as 55 adaptation showed the results of most respondents had an adaptive category as many as 55 respondents with a percentage (69.6%). The spearman rank test showed p value <α and r<1, which means that there was a moderate an positive relationship between coping mechanisms and stress adaptation (p value=0,000 < α=0.05 and r=0.593). The is a relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy. The better coping mechanism is carries out, the adaptive stress that arises will be adaptive so that the patient can adjust and be able to cope with the stress he is experiencing.


1999 ◽  
Vol 19 (5) ◽  
pp. 571-575 ◽  
Author(s):  
Johan T.M. Frieling ◽  
Henk W. van Hamersvelt ◽  
John Wijdenes ◽  
Thijs Hendriks ◽  
Robert W. Sauerwein ◽  
...  

2013 ◽  
Vol 16 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Rahmadevita S.A.M ◽  
Yeni Rustina ◽  
Elfi Syahreni

AbstrakNeonatus yang menggunakan ventilasi mekanik akibat gangguan pernapasan mengalami masalah oksigenisasi dan frekuensi denyut jantung. Berbagai upaya perlu dilakukan agar neonates tenang sehingga kebutuhan oksigen dapat diminimalkan, salah satu upaya tersebut adalah terapi musik. Penelitian ini bertujuan untuk menguji pengaruh terapi musik terhadap saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan neonatus yang menggunakan ventilasi mekanik. Penelitian kuasi eksperimen dengan rancangan pretest-posttest without control meibatkan 13 neonatus yang dipilih secara konsekutif. Intervensi yang diberikan adalah terapi musik dengan Brahm’s Lullaby selama 30 menit dengan headphone. Pengumpulan data menggunakan observasi dan dianalisis dengan Paired t test. Hasil penelitian menunjukkan adanya perbedaan bermakna antara rerata saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan sebelum dan setelah pemberian terapi musik. Pada saturasi oksigen terjadi peningkatan, sedangkan pada frekuensi denyut jantung dan pernapasan mengalami penurunan. Terapi musik dapat digunakan sebagai pendamping terapi medis untuk memperbaiki oksigenisasi pada neonatus yang menggunakan ventilasi mekanik.Kata kunci: denyut jantung neonatus, pernapasan, saturasi oksigen, terapi musik, ventilasi mekanikAbstractImproving Oxygen Saturation, Heart Rate, and Respiratory Rate of Neonates Using Mechanical Ventilation with Music Therapy. Neonates using mechanical ventilation cause of respiratory disorder experience oxygenation and heart rate problems. Interventions should be made in order to calm neonates so that the need of oxygen can be minimized, one of these interventions is music therapy. This study aimed to identify the effect of music therapy on oxygen saturation, heart rate and respiratory rate of neonates using mechanical ventilation. This quasi experiment study with a pretest-posttest design without control involved 13 neonates selected by consecutive sampling. Data collected through observation and analyzed by paired t test. There was a significant difference on the average of oxygen saturation, heart rate and respiratory rate of infants using mechanical ventilation before and after music therapy (p value <0,05). Music therapy can be used as a complementary medical therapies to improve oxygenation in neonates using mechanical ventilation.Key words: heart rate, mechanical ventilation, music therapy, neonate, oxygen saturation, respiratory rate


Sign in / Sign up

Export Citation Format

Share Document