scholarly journals Proteinuria pada Penderita Gagal Ginjal Kronik di Rumah Sakit Martha Friska Multatuli Medan Tahun 2015-2016

2019 ◽  
Vol 1 (2) ◽  
pp. 77-80
Author(s):  
Juliana Ruminta Sijabat ◽  
Sartini Sartini ◽  
Abdul Karim

This study aims to determine the presence or absence of protein in urine in patients with chronic renal failure. From the results of the study it was found that patients with chronic kidney failure in Martha Friska Multatuli General Hospital Medan from the 80 most patients in positive +++. Many patients with chronic kidney failure are male patients (62.5%) compared to female patients (37.5%) and the results of the examination based on age increase with age, ie at the age of 45 years and above. This type of research is descriptive analytic. Data is taken by recording medical record data of patients with chronic kidney failure based on age, sex and year. The study was conducted from January 2015 to December 2016. The place for conducting the research was conducted at Martha Friska Multatuli General Hospital (RSU) Medan. The study sample was urine samples from all patients with chronic renal failure. It can be concluded that the picture of protein in urine in patients with chronic kidney failure increases every year.

2020 ◽  
Vol 1 (2) ◽  
pp. 61
Author(s):  
Anna Pradiningsih ◽  
Baiq Leny Nopitasari ◽  
Nur Furqani ◽  
Esi Wahyuningsih

ABSTRAKGagal ginjal kronik merupakan penurunan fungsi ginjal progresif yang  irreversible ketika ginjal tidak mampu mempertahankan keseimbangan metabolik. Gagal ginjal kronik di Rumah Sakit Umum Daerah Provinsi NTB memasuki daftar 10 penyakit terbanyak. Penelitian ini bertujuan untuk mengevaluasi penggunaan obat antihipertensi pada pasien gagal ginjal kronik rawat inap di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat. Penelitian ini merupakan  penelitian observasional deskriptif dengan mengambil data secara cross sectional, sampel yang memenuhi kriteria inklusi sebanyak 43 orang. Evaluasi penggunaan obat dalam penelitian ini meliputi tepat pasien, tepat obat, tepat dosis, tepat indikasi dan tepat frekuensi. Hasil penelitian menunjukkan ketepatan penggunaan obat antihipertensi pada pasien gagal ginjal kronik yaitu 100% tepat pasien, 100% tepat obat, 100% tepat indikasi, 100% tepat dosis, 88,37% dan tepat frekuensi 27,91%.Kata kunci: Gagal ginjal kronik; Antihipertensi; Evaluasi penggunaan obat. ABSTRACTChronic kidney failure is a decrease in progressive kidney function which is irregular when the kidneys are unable to maintain metabolic balance. Chronic kidney failure at the NTB Provincial General Hospital enters the list of the 10 most diseases. This study aimed to evaluate the use of antihypertensive drugs in patients with chronic renal failure hospitalization at the Regional General Hospital of West Nusa Tenggara Province. The study was a descriptive observational study by taking cross sectional data, samples that met the inclusion criteria were 43 people. Evaluation of drug use in this study included the exact patient, the right medication, the right dose, the right indication and the right frequency. The results showed the accuracy of the use of antihypertensive drugs in patients with chronic renal failure, namely 100% right patients, 100% exact drugs, 100% exact indications, 100% exact dosages, 88.37% and exact frequency 27,91%.Keywords: Chronic Kidney Failure; Antihypertension; Evaluation of drug use.


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.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Fadhil El Naser ◽  
Irvan Medison ◽  
Erly Erly

AbstrakPenyakit Paru Obstuktif Kronik (PPOK) adalah penyakit dengan karakteristik keterbatasan saluran napas yang tidak sepenuhnya reversibel dan dapat dicegah. Indonesia merupakan salah satu negara berkembang yang memiliki jumlah perokok aktif yang tinggi. Tujuan penelitian ini adalah untuk mengetahui gambaran derajat merokok pada penderita PPOK di Bagian Paru Rumah Sakit Umum Pusat Dr. M. Djamil Padang. Ini adalah penelitian deskriptif retrospektif dengan menggunakan data rekam medik penderita merokok dengan yang dirawat di Bagian Paru Rumah Sakit Umum Pusat Dr. M. Djamil. Data sekunder diambil dari rekam medik penderita Penyakit Paru Obstruktif Kronik (PPOK) yang dirawat di Bagian Paru Rumah Sakit Umum Pusat dari  1 Januari 2013 sampai 31 Desember 2013. Data diolah secara manual dan disajikan dalam bentuk tabel distribusi frekuensi. Sebanyak 20 subjek didapatkan nilai indeks brinkman berat sebanyak 15 orang. Setelah dilakukan uji statistik didapatkan hubungan yang signifikan antara derajat merokok dengan derajat keparahan PPOK (p = 0,033) dan korelasi yang kuat antara keduanya (r  = 0,577). Terdapat hubungan yang signifikan dan korelasi yang kuat antara derajat merokok dengan derajat keparahan PPOK.Kata kunci: merokok. indeks Brinkman, PPOK AbstractCOPD is a disease with airway limitation characteristic. That is not fully reversible and can be prevented. Smoking is the leading cause of COPD. Indonesia is one of the developing countries that have a high number of active smokers. The increase in prevalence is also occurred in the province of West Sumatra, which increased from 30.2% in 2007 to 38.4% in 2010. The objective of this study was to describe the degree of smoking in patients with COPD in Pulmonary Section General Hospital Dr. M. Djamil. This study used a retrospective descriptive design using medical record data of smoker patients with Chronic Obstructive Pulmonary Disease (COPD) who were treated in the Pulmonary Section General Hospital Dr. M. Djamil. The data was taken from the secondary status of patients with Chronic Obstructive Pulmonary Disease (COPD) who were treated in Pulmonary Section General Hospital from January 1, 2013 to December 31, 2013 that recorded in the medical record. Data processed manually from the status of COPD patients and were presented in the form of frequency distribution table. From 20 subjects obtained that 15 samples were classified to severe Brinkman index.  Statistical tests found a significant relationship between the degree of smoking with COPD severity (p = 0.033) and a strong correlation between the two (r  = 0.577). There is a significant relationship and strong correlation between the degree of smoking with COPD severity.Keywords: smoking, Brinkman Index, COPD


2020 ◽  
Vol 7 (2) ◽  
pp. 19-26
Author(s):  
Sri Khoiriyah ◽  
Endah Sari Purbaningsih ◽  
Uni Wahyuni

Self efficacy is a belief held by patients with chronic kidney failure undergoing hemodialation. Compliance with hemodialysis is the behavior of patients in the form of adherence to undergo hemodialysis. Chronic kidney failure is a progressive and irreversible disruption of renal function in which the body's ability to fail to maintain metabolism and fluid and electrolyte balance, causes uremia (retention of urea and other nitrogenous wastes in the blood). This study aims to determine the relationship of self efficacy with adherence to undergo hemodialysis in patients with chronic kidney failure who undergo hemodialysis in Waled District Hospital Cirebon, 2020.  This research method uses descriptive correlational with cross sectional approach. The population was patients with chronic renal failure who underwent hemodialysis at Waled District Hospital Cirebon as many as 128 patients and the sampling technique using purposive sampling technique obtained 57 respondents. The instrument used in the form of a questionnaire sheet, and data analysis using the Spearman rank test, the significance value α = 0.05.  The results showed that self efficacy with a low category was (61.4%) and compliance underwent hemodialysis with an adherent category of (54.5%). There is a relationship between self-efficacy and compliance with hemodialysis in chronic renal failure patients undergoing hemodialysis at Waled Hospital, Cirebon Regency. Respondents with high self-efficacy have a high level of compliance with hemodialysis.


2019 ◽  
Vol 2 (3) ◽  
Author(s):  
Amany Khansa ◽  
Aih Cahyani ◽  
Lisda Amalia

 Vertigo often occurs from the ages of 18 to 79 years with a prevalence of 7.4%. Central vertigo is less common than peripheral vertigo, but it can worsen disability in stroke patients. This study aims to determine the profile of stroke patients with vertigo in Hasan Sadikin General Hospital Bandung Neurology Ward. This is a retrospective descriptive study, using medical record data from 2013 to 2017, and collected 173 medical record data. The results showed that most stroke patients with vertigo were women (59%), the most age group was 55-64 years (34.1%), the most common type of stroke was ischemic stroke (75.7%), the most disturbance regarding the vertebrobasilar system was (72.8%), the most patients got the first stroke was (52.6%), 60.7% of patients suffered from hypertension, 23.1% of patients suffered from hyperlipidemia 40 (23.1%), and 22% of patients suffered from diabetes mellitus type 2. This study concludes that stroke patients who experience vertigo are more common in women, and in the 55-64 year age group. The most common stroke is ischemic in the vertebrobasilar system. Most symptoms in stroke patients with vertigo are dizziness not affected by position, vomiting and nystagmus. Hypertension, hyperlipidemia and diabetes mellitus play an important role in the incidence of stroke in patients.   Keywords: vertigo, risk factor, stroke, vertebrobasilar


2019 ◽  
Vol 2 (2) ◽  
pp. 7-12
Author(s):  
Ayu Rahmawati ◽  
Elka Yulinda ◽  
Hansen Nasif

Has conducted a study entitled Switching Antibiotic Therapy to Cases of Appendicitis Surgery in Functional Medical Staff of Arifin Achmad Regional General Hospital, Riau Province. This type of research is a retrospective data observation study, medical record data of appendicitis surgery patients during 2010. The method used is the census method. Antibiotics - Oral Substitution Therapy (IAOST) Protocol to medical record data of appendicitis surgery patients at surgical SMF Arifin Achmad Hospital, Riau Province, following: a therapeutic switch (+) of 17% (29 cases), a percentage that met the switch therapy criteria and did not occur switch therapy (Δ) of 67% (114 cases), the percentage that did not meet the switch therapy criteria and switch therapy occurred (X) by 6% (11 cases), the percentage that did not meet the switch therapy criteria and no therapeutic switch (V) 17% (17 cases).


2020 ◽  
Vol 7 (1) ◽  
pp. 18
Author(s):  
Angga Satria Pratama ◽  
Andria Pragholapati ◽  
Ikhwan Nurrohman

Gagal ginjal kronik merupakan gangguan renal yang progresif dan irreversible dimana kemampuan tubuh gagal mempertahankan metabolisme dan keseimbangan dan elektrolit, pasien gagal ginjal kronik harus menjalani terapi hemodialisis secara terus menerus seumur hidup dan akan menimbulkan masalah fisik dan psikologis yaitu depresi, pasien harus memiliki upaya dalam menyelesaikan masalah yang dihadapinnya yang dikenal dengan mekanisme koping. Tujuan penelitian untuk mengetahui mekanisme koping pada pasien gagal ginjal kronik yang menjalani terapi hemodialisis di unit hemodialisa Rumah Sakit Umum Daerah Kota Bandung.Metode penelitian menggunakan deskriptif kuantitatif. Sampel dalam penelitian ini menggunakan total sampling yaitu sebanyak 51 responden pasien gagal ginjal kronik yang menjalani terapi hemodialisis.Hasil penelitian mekanisme koping lebih dari setengahnya adalah mekanisme koping adaptif sebanyak 38 orang (74.5%). Berdasarkan hasil penelitian Perawat di ruang hemodialisa diharapkan dapat meningkatkan asuhan keperawatan secara menyeluruh yang bukan hanya biologisnya saja tapi pada psikologis pasien gagal ginjal kronik juga, seperti memberikan konseling sehingga pasien mampu menggunakan mekanisme koping yang adaptif.Kata Kunci: gagal ginjal; hemodialisis; mekanisme koping MECHANISM OF COPING IN CHRONIC KIDNEY FAILURE IN HEMODIALYSIS PATIENTS AT REGIONAL PUBLIC HOSPITAL OF BANDUNG ABSTRACT Chronic renal failure is a progressive and irreversible renal disorder in which the body's ability to fail to maintain metabolism and balance and electrolytes, patients with chronic renal failure must undergo continuous hemodialysis therapy for life and it will cause physical and psychological problems namely depression, patients must have the effort to resolve the problem that is facing by knowing the coping mechanism. The purpose of this study was to determine the coping mechanism in chronic kidney failure patients undergoing hemodialysis therapy in the hemodialysis unit of Regional Public Hospital of Bandung City.The research method used quantitative descriptive. The sample in this study used a total sampling of 51 respondents from chronic kidney failure patients undergoing hemodialysis therapy.The results of research on coping mechanisms more than half are adaptive coping mechanisms as many as 38 people (74.5%). Based on the results of research Nurses in the hemodialysis room are expected to improve overall nursing care that is not only biologically but also psychologically in patients with chronic kidney failure, such as providing counseling so that patients are able to use adaptive coping mechanisms. Keywords: kidney failure; hemodialysis; coping mechanism


2021 ◽  
Vol 6 (1) ◽  
pp. 1287-1291
Author(s):  
Richard Santosa ◽  
Raflis Rustam ◽  
Vendry Rivaldy

Background: Arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis (HD). Several factors can affect AVF maturity, such as diabetes. This study aims to determine the differences in the maturation of arteriovenous fistulas between diabetes mellitus and non-diabetes mellitus in patients with chronic kidney failure in Padang. Methods: This was a comparative cross-sectional study of patients with chronic kidney failure who underwent arteriovenous fistula surgery in Padang. The sampling technique in this study was consecutive sampling. The analysis was carried out using statistical analysis according to the existing data scale and using SPSS software. Results: This study involved 46 patients with chronic kidney failure who underwent arteriovenous fistula surgery in Padang, of which 23 patients with diabetes mellitus and 23 patients with non-diabetes mellitus. The diameter of the arteriovenous fistula between diabetes mellitus and non-diabetes mellitus in patients with chronic renal failure had a significant difference (p<0.05). There was no significant difference in flow, depth, and maturation of arteriovenous fistulas in patients with diabetes mellitus and non-diabetes mellitus with chronic renal failure. Conclusion: There is no difference in the maturation of arteriovenous fistula between patients with diabetes mellitus and non-diabetes mellitus


e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Richard Simon Ratanna ◽  
Laya M. Rares ◽  
J. S. M. Saerang

Abstract: The vision is one very important factor in all aspects of life. Hypermetropia is refractive disorders found in most newborns, where the eyeball is too short so that the eyes of infants and children is the hypermetropia of 2-3 diopters, which will increase in the first few years but will be gradually reduced until the age of adolescence into emetrop. This study aims to determine the refractive  disorders in children at Eye Polyclinic BLU RSU Prof. Dr. R. D. Kandou Manado. Method: This is a descriptive retrospective study by looking at the medical record data at Eyes Polyclinic BLU RSU  Prof. Dr. R.D. Kandou Manado period June 2010 – June 2012. Results: The result show as much as 40,49% in male patients and 59,51% in women. In the age group 10-14 year is the most common age group was found that as many as 64,41% and least in age group 1-4 year is 0,62%. Refractive disorders most frequently found is 71,78% myopia. Conclusion: The results of the distribution of refractive disorders in children BLU RSU Prof. Dr. R. D. Kandou Manado, found 163 patient with refractive disorders in children, in which sufferers are women more found by 97 patients. Based on age, in the age group 10-14 years as many as 105 people. Refractive disorders in children are most commonly found are myopia, as many as 117 people. Keywords: refractive disorders, child.   Abstrak: Penglihatan adalah salah satu faktor yang sangat penting dalam seluruh aspekkehidupan. Hipermetropia merupakan kelainan refraksi yang terdapat pada sebagian bayi baru lahir, dimana bola matanya terlalu pendek sehingga mata bayi dan anak-anak adalah hipermetropia yaitu sebesar 2-3 dioptri, yang akan bertambah pada tahun-tahun pertama namun akan berangsur-angsur berkurang hingga pada usia remaja menjadi emetrop. Penelitian ini bertujuan untuk mengetahui kelainan refraksi pada anak di Poliklinik Mata BLU RSU Prof. Dr. R.D.Kandou Manado. Metode: Penelitian ini bersifat deskriptif retrospektif dengan cara melihat data rekam medik di Poliklinik Mata BLU RSU Prof. Dr. R. D. Kandou Manado periode Juni 2010 – Juni 2012. Hasil: Hasil penelitian menunjukkan sebanyak 40,49% pada penderita laki-laki, dan pada perempuan 59,51%. Kelompok umur 10-14 tahun merupakan kelompok umur tersering ditemukan yaitu sebanyak 64,41% dan paling sedikit pada golongan umur1-4 tahun sebanyak 0,62%. Kelainan refraksi yang paling sering ditemukan adalah miopia 71,78%. Simpulan: Hasil distribusi kelainan refraksi pada anak di BLU RSU Prof. Dr. R. D. Kandou Manado, didapatkan 163 penderita kelainan refraksi pada  anak, dimana penderita perempuan lebih banyak ditemukan yaitu sebanyak 97 penderita. Berdasarkan Umur, pada kelompok umur 10-14 tahun sebanyak 105 penderita.  Kelainan refraksi pada anak yang paling sering ditemukan adalah miopia, yaitu sebanyak 117 penderita. Kata kunci: kelainan refraksi, anak.


2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Abdul Wakhid ◽  
Kamsidi Kamsidi ◽  
Gipta Galih Widodo

Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan berisikomengalami depresi.Tujuan penelitian ini untuk mengetahui gambaran tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Kabupaten Semarang. Desain penelitian yaitu deskriptif korelatif dengan pendekatansurvei. Populasi penelitian 85 pasien yang menderita gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota sampling sehingga jumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis. Pengumpulan data menggunakan kuesioner tingkat depresi. Analisis data menggunakananalisisunivariat. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisisdepresi ringan sejumlah 41 orang (48,2%). Saran bagi RSUD Kabupaten Semarang untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis. Kata kunci: Tingkat depresi, gagal ginjal kronik, hemodialisis DESCRIBE DEPRESSION LEVEL OF CHRONIC KIDNEY FAILURE UNDERGOING HEMODIALYSIS ABSTRACTThis research is motivated patients under going hemodialysis are largely dependent on hemodialysis machines resulting in changes such as financial problems, difficulty in keeping jobs, disappearing exualurges, impotence, and patient softenex perience self – conceptual disturbances as well as body image disturb ancesdue to the difficulty of accepting changes that result from failure kidney that  experienced resulting in depressed patients. The research aim is to describe depression level of chronic kidney failure under going hemodialysis ar Semarang Regency hospital. This research used descriptive correlative method with cross sectional approach. Population in this research were 85% of patients with chronic renal failure who under went hemodialysis at RSUD Semarang Regency. Sampling technique used sample quota. Data collection questionnaires used depressi on level sand self concept questionnaires. Analysis univariat was used in this analysis. The results of the study show that most patients with chronic renal failure under going hemodialysis experience mild depression as many as 41 people (48.2%). Suggestions to the hospital toteach patients to always optimistic to try new things, courageous, confident, enthusiastic, feeling self worth, dareto set a goal to live, behave and positively, and can be a reliable leader. Keyword: Depression level, chronic kidney disease, hemodialysis 


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