scholarly journals High Ultrafiltration Increasing Intradialytic Blood Pressure on Hemodialysis Patients

2021 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Yunie Armiyati ◽  
Suharyo Hadisaputro ◽  
Shofa Chasani ◽  
Untung Sujianto
Keyword(s):  
Blood Pressure ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Hemodialysis Patients ◽  
Ultrafiltration Rate ◽  
Cross Sectional ◽  
Controlling Variables ◽  
Cross Sectional Design ◽  
The Relationship

The increase in blood pressure when the patient is undergoing hemodialysis is experienced by patients with intradialytic hypertension. This condition can be very dangerous for the patient, must be prevented and needs to be controlled. Prevention can be done by controlling variables that can affect intradialytic blood pressure, including ultrafiltration during hemodialysis. This study aims to analyze the relationship between ultrafiltration (ultrafiltration goal, ultrafiltration rate) and intradialytic blood pressure. This research was a descriptive-analytic study with a cross-sectional design, with 112 samples at two centres of dialysis in Semarang. Data were analyzed using the Spearman Rho. The finding obtained showed that ultrafiltration goal (UFG) and ultrafiltration rate (UFR) correlated with intradialytic blood pressure (systolic, diastolic and mean arterial pressure). The magnitude of UFG an associated with increase in intradialytic systolic (p=0,024; r=0,213), increase in intradialytic diastolic (p=0,007; r=0,252) and increase in mean arterial pressure (p=0,016; r=0,227). High UFR is associated with with increase in intradialytic systolic (p=0,037; r=0,211), increase in intradialytic diastolic (p=0,001; r=0,320) and increase in mean arterial pressure (p=0,034; r=0,200). Determination of ultrafiltration during hemodialysis must be done carefully and precisely to prevent an increase in intradialytic blood pressure.

scholarly journals The Relationship between Partner Support and Interdialytic Weight Gain (IDWG) Hemodialysis Patient

Jurnal NERS ◽  
2020 ◽  
Vol 14 (2) ◽  
pp. 210
Author(s):  
Mundakir Mundakir ◽  
Nur Fadlilah ◽  
Retno Sumara ◽  
Asri Asri ◽  
Yuanita Wulandari
Keyword(s):  
Weight Gain ◽  
Family Support ◽  
Hemodialysis Patient ◽  
Hemodialysis Patients ◽  
Partner Support ◽  
Cross Sectional ◽  
Interdialytic Weight Gain ◽  
Cross Sectional Design ◽  
Spiritual Problems ◽  
The Relationship

Introduction: Patients undergoing hemodialysis experience an influence in terms of the biological, psychological, social and spiritual problems that they encounter. In particular, there are biological aspects that affect weight gain between dialysis sessions. In terms of the psychological aspect, there is an influence on emotional vulnerability, such as anxiety, fear and despair. They need family support, especially as part of a couple. This study aimed to determine the relationship between partner support and IDWG in hemodialysis patients.Methods: This study used a descriptive cross-sectional design. The population consisted of 60 hemodialyzed people. The sample was recruited using purposive sampling, resulting in 42 respondents who met the inclusion criteria. The study was conducted in a Private Hospital in Surabaya. The independent variable was partner support and the dependent variable was the IDWG in the hemodialysis patient. The data was collected through a questionnaire and it was analyzed using the Spearman test.Results: The results show that there was a relationship between partner support and IDWG hemodialysis patients with p = 0.025 (α ≤0.05).Conclusion: Good partner support reduces the low IDWG in hemodialysis patients. Therefore, determining the level of family support especially that given by a partner of a IDWG hemodialysis patients will positively support better IDWG hemodialysis patients, thus preventing them from the potential side effects of IDWG such as hypotension, muscle cramps, shortness of breath and cardiovascular problems. 

scholarly journals Correlation between Work Load and Work Period with Blood Pressure among Workers of PT. X

2019 ◽  
Vol 55 (2) ◽  
pp. 117
Author(s):  
Noeroel Widajati ◽  
Nur Laili Rizkiawati
Keyword(s):  
Blood Pressure ◽  
Work Load ◽  
Cross Sectional ◽  
Work Period ◽  
Construction Company ◽  
Correlation Tests ◽  
Negative Impacts ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Observational Descriptive Study

Industry that uses technology nowadays, beside having positive impacts, also having negative impacts such as adverse effects on workers and work environment. Every person who works will have workload and responsibility on their work. This will affect health of the workers, including their blood pressure. The purpose of this study was to study the relationship between work load and work period with blood pressure among workers in ship construction company, PT. X. This study was an observational descriptive study, using cross sectional design. Total population involved 41 individuals, taken from the respondents who met the inclusion criteria. Data collection included pulse and blood pressure measurements. Data analysis used in this study was Pearson and Spearman correlation tests. The result showed that there was a level of correlation between blood pressure and age (0.478), blood pressure and work period (0.432), blood pressure and work load (0.448). The conclusions of this study was that blood pressure related to age, nutritional status, work period, work load and noise intensity. PT X needs to pay attention to the health of the workers, such as blood pressure examination, and provide socialization on nutritious foods that are appropriate to the work performed.

Relationship between the renin–aldosterone system and atrial natriuretic polypeptide in rats

1987 ◽  
Vol 72 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Yasunobu Hirata ◽  
Masao Ishii ◽  
Tokuichiro Sugimoto ◽  
Matsuoka Hiroaki ◽  
Toshihiko Ishimitsu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Blood Pressure Reduction ◽  
Plasma Concentrations ◽  
Inhibitory Effect ◽  
Atrial Natriuretic Polypeptide ◽  
Body Fluid Volume ◽  
The Relationship ◽  
Atrial Natriuretic

1. In order to examine the relationship between the renin–aldosterone system and atrial natriuretic polypeptide (ANP), we investigated the effects of α-human atrial natriuretic polypeptide (α-hANP) on the plasma concentrations of renin (PRC) and aldosterone (PAC), as well as the effects of captopril pretreatment on the natriuresis and blood pressure reduction induced by α-hANP in rats. 2. Although α-hANP infused into conscious rats at 0.67 μg min−1 kg−1 markedly increased the urinary excretion of sodium and decreased mean arterial pressure, its infusion did not change PRC; however, it significantly lowered PAC. Frusemide infusion at 20.8 μg min−1 kg−1 induced natriuresis comparable with that of α-hANP and it elevated both PRC and PAC, but mean arterial pressure was not altered. 3. Pretreatment of rats with captopril did not have any significant influence on the acute natriuretic and hypotensive effects of α-hANP. 4. Although the inhibitory effect of ANP on the renin-aldosterone system may be involved in the chronic modulation of body fluid volume and blood pressure, this effect does not seem to be directly involved in the acute natriuretic and hypotensive effects of the peptide.

scholarly journals Penggunaan CONUT Score sebagai Prediktor Komplikasi Pasca Pem-bedahan Kanker Kolorektal di RSUP Prof. Dr. R. D. Kandou Manado

2019 ◽  
Vol 11 (1) ◽  
pp. 55
Author(s):  
Hendry Sundah ◽  
Toar Mambu ◽  
Ferdinand Tjandra ◽  
Heber B. Sapan ◽  
Winfrid M. Sumanti
Keyword(s):  
Colorectal Cancer ◽  
Postoperative Complications ◽  
Nutritional Status ◽  
Screening Method ◽  
Diagnostic Value ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Conut Score

Abstract: Nutritional status is one of the factors that influence the metabolic and physiological conditions. Cancer patients, especially colorectal cancer (CRCA), will suffer from decreased nutritional status during their sickness. CONUT score is beneficial to evaluate the nutritional and immunity status of the patients and has been proved to correlate with post operative complications and length of stay. This study was aimed to evaluate the relationship between CONUT score and postoperative complications in CRCA patients. This was an analytical observational study with a cross sectional design. Subjects were 38 patients of CRCA that underwent operation and were admitted at Surgery Inpatients Installation of Prof. Dr. R. D. Kandou Hospital Manado. The result of logistic regression analysis indicated that there was a significant correlation between CONUT score and the risk of complication. The higher the CONUT score, the higher the risk of complication. The determination of complication diagnostic value based on CONUT score was obtained by using ROC curve. The ROC analysis showed that the AUC of CONUT score was 0.977 >0.700 and the cutoff point of CONUT score was 5.5. Patients with CONUT score >5.50 had a tendency to get postoperative complications with the sensitivity of 86.6%, specifity of 95.6%, and accuracy of 94.74%. Conclusion: CONUT score can be used as a screening method to predict the occurence of postoperative complications in CRCA patients.Kata kunci: colorectal cancer, CONUT score, postoperative complicationsAbstrak: Salah satu faktor yang memengaruhi keadaan metabolik dan fisiologik ialah status nutrisi. Penderita kanker terlebih kanker kolorektal (KKR) akan mengalami pengurangan nutrisi selama perjalanan penyakit. CONUT score bermanfaat untuk mengevaluasi status gizi dan imunitas pasien serta terbukti berkolerasi dengan komplikasi serta jumlah hari rawat di rumah sakit pasca pembedahan. Penelitian ini bertujuan untuk mengetahui hubungan CONUT score dengan komplikasi pasca pembedahan KKR. Jenis penelitian ialah analitik obser-vasional dengan desain potong lintang. Subyek penelitian ialah 38 pasien KKR yang menjalani operasi dirawat di Instalasi Rawat Inap Bedah RSUP Prof. Dr. R. D. Kandou Manado. Hasil analisis regresi logistik menyatakan terdapat hubungan yang sangat bermakna antara CONUT score dan kejadian komplikasi. Hubungan ini menyatakan bahwa makin tinggi CONUT score makin besar risiko terjadinya komplikasi. Penentuan nilai diagnostik kom-plikasi berdasarkan CONUT score diperoleh melalui kurva ROC. Berdasarkan analisis ROC diperoleh AUC CONUT score 0,977 >0,700. Hasil analisis ROC memperoleh titik potong CONUT score = 5,5. Pasien dengan CONUT score >5,50 memiliki kecenderungan mengalami komplikasi dengan sensitivitas 86,6%, spesifitas 95,6%, dan nilai akurasi 94,74%. Simpulan: CONUT score dapat digunakan sebagai metode skrining untuk memrediksi terjadinya komplikasi pasca pembedahan kanker kolorektal.Kata kunci: karsinoma kolorektal (KKR), CONUT score, komplikasi pasca pembedahan

scholarly journals HUBUNGAN INTERDIALYTIC WEIGHT GAIN DENGAN TEKANAN DARAH PREDIALISIS PADA PASIEN HEMODIALISIS

2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Baskoro Abdiansyah ◽  
Laily Isro'in ◽  
Saiful Nurhidayat
Keyword(s):  
Blood Pressure ◽  
Weight Gain ◽  
Antihypertensive Drugs ◽  
Hemodialysis Patients ◽  
Control Blood Pressure ◽  
Chi Square ◽  
Cross Sectional ◽  
Interdialytic Weight Gain ◽  
Cardiovascular Morbidity And Mortality ◽  
The Relationship

AbstractThe increase in blood pressure in hemodialysis patients is affected by an increase in interdialytic weight gain (IDWG). Increased blood pressure is the most often complication problem that occur during hemodialysis and became one of the causes of cardiovascular morbidity and mortality in patients. This study aims to identify and analyze the relationship between interdialytic weight gain and predialysis blood pressure in hemodialysis patients. This study uses a correlational design that assess and reveals the relationship between variables with cross sectional approach. This study was conducted with 53 subjects who underwent hemodialysis at Hemodialysis Unit of dr. Harjono’s Regional General Hospital of Ponorogo. Data were collected using a recording sheet, weight, and sphymonanometer. Data were analyzed by Chi-Square statistic test with significance level <0,05. The results showed a significant relationship between interdialytic weight gain (IDWG) with predialysis blood pressure (p=0.049). The study also found that subjects with high IDWG (>3%) were 3 times more likely to have hypertensive predialysis blood pressure (OR=3.102, p=0.052). It conclude that Interdialytic weight gain (IDWG) is associated with predialysis blood pressure, so control of interdialysis weight gain can be performed to control blood pressure predialysis in hemodialysis patients.The use of antihypertensive drugs to control blood pressure in hemodialysis patients have to be explored in more detail.Keywords : Interdialytic Weight Gain, Predialysis Blood Pressure, Hemodialysis AbstrakPeningkatan tekanan darah pada pasien hemodialisis dipengaruhi oleh peningkatan interdialytic weight gain (IDWG). Peningkatan tekanan darah merupakan masalah penyulit yang paling sering muncul selama hemodialisis dan menjadi salah satu penyebab morbiditas serta mortalitas kardiovaskuler pada pasien. Penelitian ini bertujuan untuk mengindentifikasi dan menganalisis hubungan antara interdialytic weight gain dengan tekanan darah predialisis pada pasien hemodialisis. Penelitian ini menggunakan rancangan korelasional yang mengkaji dan mengungkapkan hubungan antar variabel dengan pendekatan cross sectional. Penelitian ini dilakukan dengan 53 subjek penelitian yang menjalani hemodialisis pada Unit Hemodialisis Rumah Sakit Umum dr. Harjono Ponorogo. Data dikumpulkan menggunakan instrumen berupa lembar pencatatan, timbangan berat badan, dan sphymomanometer. Analisis data dilakukan dengan menggunakan uji statistik Chi-Square dengan tingkat signifikan <0,05. Hasil menunjukkan adanya hubungan yang signifikan antara interdialytic weight gain (IDWG) dengan tekanan darah predialisis (p=0,049). Pada penelitian ini juga ditemukan fakta bahwa subjek penelitian yang memiliki IDWG tinggi (>3%) berisiko 3 kali untuk untuk memiliki tekanan darah predialisis hipertensif (OR=3,102, p=0,052). Kesimpulan dari penelitian ini adalah interdialytic weight gain (IDWG) berhubungan dengan tekanan darah predialisis, sehingga pengendalian penambahan berat badan interdialisis dapat dilakukan untuk mengendalikan tekanan darah predialisis pada pasien hemodialisis. Penggunaan obat anti hipertensi untuk mengendalikan tekanan darah pada pasien hemodialisis masih perlu ditelusuri lebih rinci.Kata Kunci : Interdialytic Weight Gain, Tekanan Darah Predialisis, Hemodialisis

scholarly journals Correlation between Work Load and Work Period with Blood Pressure among Workers of PT. X

2021 ◽  
Vol 55 (2) ◽  
pp. 117
Author(s):  
Noeroel Widajati ◽  
Nur Laili Rizkiawati
Keyword(s):  
Blood Pressure ◽  
Work Load ◽  
Cross Sectional ◽  
Work Period ◽  
Construction Company ◽  
Correlation Tests ◽  
Negative Impacts ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Observational Descriptive Study

Industry that uses technology nowadays, beside having positive impacts, also having negative impacts such as adverse effects on workers and work environment. Every person who works will have workload and responsibility on their work. This will affect health of the workers, including their blood pressure. The purpose of this study was to study the relationship between work load and work period with blood pressure among workers in ship construction company, PT. X. This study was an observational descriptive study, using cross sectional design. Total population involved 41 individuals, taken from the respondents who met the inclusion criteria. Data collection included pulse and blood pressure measurements. Data analysis used in this study was Pearson and Spearman correlation tests. The result showed that there was a level of correlation between blood pressure and age (0.478), blood pressure and work period (0.432), blood pressure and work load (0.448). The conclusions of this study was that blood pressure related to age, nutritional status, work period, work load and noise intensity. PT X needs to pay attention to the health of the workers, such as blood pressure examination, and provide socialization on nutritious foods that are appropriate to the work performed.

scholarly journals Hubungan Karakteristik, Indeks Massa Tubuh (IMT) dengan Tekanan Darah pada Lanjut Usia di Posbindu

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Vinda Prihatini Rahmatillah ◽  
Tantut Susanto ◽  
Kholid Rosyidi Muhammad Nur
Keyword(s):  
Blood Pressure ◽  
Random Sampling ◽  
Rank Correlation ◽  
The Elderly ◽  
Cross Sectional ◽  
Spearman Rank ◽  
History Of ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Cluster Random Sampling

ABSTRACT The aging process and changes in the gastrointestinal make the elderly experience health problems in maintaining body mass index (BMI), due to consuming unhealthy nutrition. This can cause the elderly to experience hypertension. The objective of this study was to analyze the relationship between characteristic, BMI and Blood Pressure (BP) in the elderly in Integrated Development Post (posbindu), Bondowoso District. Descriptive analytic research using cross-sectional design on 95 elderly chosen based on cluster random sampling. Data collection was carried out by interview to measure sociodemography status and measurement of BP, weight, and height of the elderly using spigmomanometer, scales and measuring tape. Analysis of the relationship between BMI and BP using spearman rank correlation test. The results showed that most BMI was normal (22,18 ± 3,833). As for systolic blood pressure with median 130.0 mmHg (120.0 – 150.0 mmHg) and diastolic with median 80.0 mmHg (72.0 – 90.0 mmHg). There was no relationship between BMI and systolic BP (r = 0,155; p = 0,134) and diastolic BP (r = 0,200; p = 0,052). However, there was a significant relationship between history of hypertension and systolic BP (Z = -6,351; p = ≤ 0,001) and diastolic BP (Z = -5,834; p = ≤ 0,001) in the elderly. BMI is not related to BP both systolic and diastolic. However, a history of hypertension is associated with systolic and diastolic BP in the elderly in posbindu, Bondowoso district. Therefore, it is necessary to control BMI, so that normal BMI can be maintained and BP is more controlled through the elderly in posbindu.    ABSTRAK Proses penuaan dan perubahan dalam gastrointestinal membuat lansia mengalami masalah kesehatan dalam mempertahankan indeks massa tubuh (IMT) karena mengonsumsi gizi yang tidak sehat. Hal ini dapat mengakibatkan lansia mengalami hipertensi. Tujuan dari penelitian ini untuk menganalisis hubungan antara karakteristik, indeks massa tubuh dengan tekanan darah pada lansia di Posbindu Kabupaten Bondowoso. Penelitian ini deskriptif analitik dengan menggunakan metode cross sectional pada 95 lansia yang dipilih berdasarkan cluster random sampling. Pengumpulan data dilakukan dengan wawancara untuk mengukur status sosio-demografi dan pengukuran tekanan darah, berat badan, dan tinggi badan lanjut usia menggunakan spigmomanometer, timbangan, dan pita pengukur. Analisis hubungan antara IMT dengan tekanan darah menggunakan uji korelasi Spearman Rank. Hasil penelitian menunjukkan bahwa sebagian besar indeks massa tubuh yaitu normal (22,18 ± 3,833). Sedangkan untuk tekanan darah sistolik median 130,0 mmHg (120,0-150,0 mmHg) dan diastolik median 80,0 mmHg (72,0-90,0 mmHg), menunjukkan lansia paling banyak adalah prehipertensi. Tidak ada hubungan antara IMT dengan tekanan darah sistolik (r = 0,155; p = 0,134) dan tekanan darah diastolik (r = 0,200; p = 0,052). Namun, ada hubungan yang signifikan antara riwayat hipertensi dengan tekanan darah sistolik (Z = -6.351; p = ≤ 0,001) dan tekanan darah diastolik (Z = -5.834; p = ≤ 0,001) pada lansia. IMT tidak berhubungan dengan tekanan darah baik sistolik maupun diastolik. Akan tetapi, karakteristik riwayat hipertensi berhubungan dengan tekanan darah sistolik dan diastolik pada lansia di Posbindu Kabupaten Bondowoso. Oleh karena itu, perlu pengontrolan IMT, sehingga dapat dipertahankan IMT normal dan tekanan darah lebih terkontrol melalui posbindu lansia.

scholarly journals Contribution of serum lipids as effect modifiers to a relationship between mean arterial pressure and coronary heart disease in Chinese rural population: the Henan Rural Cohort Study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e029179
Author(s):  
Xia Zhang ◽  
Yuqian Li ◽  
Yanhua Wang ◽  
Kai Hu ◽  
Runqi Tu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Cohort Study ◽  
Heart Disease ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Rural Population ◽  
Serum Lipids ◽  
Increased Risk ◽  
The Relationship

ObjectivesThe aim of this study was to evaluate the relationship between mean arterial pressure (MAP) and coronary heart disease (CHD) in Chinese rural population. In addition, we hypothesised that this relationship might be mediated by some degree of serum lipids.DesignThis is a cross-sectional study.SettingThe participants were from the Henan Rural Cohort Study, initiated in five rural areas (Tongxu county of Kaifeng city, Yima county of Sanmenxia city, Suiping county of Zhumadian city, Xinxiang county of Xinxiang city and Yuzhou county of Xuchang city) in Henan Province, China, during July 2015 and September 2017.ParticipantsThe study included 39 020 subjects aged 18–79 years as current research population.Outcome measuresSystolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured using an electronic sphygmomanometer. MAP was calculated by one-third SBP plus two-thirds DBP. The study used restricted cubic splines and logistic regression models to evaluate the ORs and 95% CIs. Mediation analysis using bootstrap was performed to examine the contribution of serum lipids to MAP-related CHD.ResultsThe adjusted OR (95% CI) for the highest MAP quartile with the risk of CHD was 1.45 (1.24 to 1.69) compared with the lowest quartile. Simultaneously, each 1-SD increment in MAP was significantly associated with a 12% increased risk of CHD. A linear dose–response relationship between MAP and CHD was found (p value for non-linear=0.1169) in the fully adjusted model. We further reported that 36.07% of proportion explained risk of CHD was mediated through serum lipids.ConclusionsIncreased MAP was a significant marker of CHD in Chinese rural population. Meanwhile, the relationship was mediated by some degree of serum lipids, and triglyceride was the strongest mediator.Trial registration numberHenan Rural Cohort study has been registered at Chinese Clinical Trial Register (ChiCTR-OOC-15006699) and the stage it relates to is Post-results.

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