scholarly journals Hubungan Frekuensi Hemodialisis dengan Tingkat Stres pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis

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.  

Author(s):  
Novi Oktaviana ◽  
Juwita Verawati ◽  
Donna Putra ◽  
Helpin Helpin ◽  
Onangego Onangego

Kidney failure is caused by decreased kidney function so that it cannot filter out the body's electrolytedischarge. The aim of the study was to find out whether there was a relationship between the frequency ofhemodialysis and the level of stress in patients with chronic kidney failure who underwent hemodialysis atRoyal Prima Medan Hospital in 2019. The research design used by the researcher was a cros sectionalmethod in which the dependent and independent variables were examined simultaneously. The resultsshowed that there was a significant relationship between the frequency of hemodialysis to stress levels inpatients with chronic renal failure, almost all respondents often underwent hemodialysis at Royal PrimaHospital in Medan, out of a total of 70 respondents, almost all respondents had moderate stress levels andthere was a significant relationship between HD frequency with stress levels in CRF patients in theHemodialysis installation with a p value of 0.002 <0.05. The results of this study are expected to be able toadd insight and knowledge about CRF, and are expected to continue this research in deeper contexts andbroader variables.


2020 ◽  
Vol 5 (1) ◽  
pp. 186
Author(s):  
Roni Apriyana ◽  
Efri Widianti ◽  
Rizki Muliani

First-degree students have many experiences with academic problems, namely stress, stress is a response to the burden received. Increased stress for students causes a depressive condition that adversely affects him. Management that can be used is coloring the mandala pattern which can affect the endorphin hormone so that the individual is in a state of relaxation. The purpose of this study was to determine the effect of therapeutic coloring on mandala patterns on academic stress levels in first-degree students. The research method in this study used a type of pre-experimental research with the Pretest-Posttest One Group approach. The number of samples in this study amounted to 60 first-level students with purposive sampling technique. The instruments used were the Student-life Stress Inventory questionnaire and the coloring book of the mandala pattern with measurements of stress levels carried out pre and post-test. Therapy for coloring the mandala pattern was carried out for three meetings. Analysis of the data used is a paired t-test. The results showed that before the mandala pattern coloring therapy almost all (98.3%) students experienced moderate stress, after being given mandala pattern coloring therapy almost all (78.3%) students were still experiencing moderate stress but with a decrease in percentage and a small percentage (21.7%) students experienced a decrease in stress levels to mild stress. The paired t-test results showed a sig p-value of 0,000 <α (0.05). So it can be concluded that there is a therapeutic effect of coloring mandala patterns on academic stress levels at first-level students. Based on the results of this study, institutions are expected to be able to apply color therapy to the mandala pattern as a complementary therapy in handling students who experience academic stress.


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.


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.


2020 ◽  
pp. 1-3
Author(s):  
Kinjal Trivedi ◽  
Charmi Madhani ◽  
Saumil Parikh ◽  
Somesh Aggarwal

Introduction: End stage renal disease (ESRD) patients undergoing hemodialysis (HD) have higher incidence of diabetic retinopathy (DR) and diabetic macular edema. Optical coherence tomography (OCT) which both diagnoses and quantifies degree of macular edema is gold standard for evaluating macular thickness. Materials and methods: We studied 30 patients, with DR who were treated with hemodialysis for ESRD. All patients underwent OCT examination 30 minutes before and after a hemodialysis session. Blood pressure (BP), weight, serum osmolality, glycemic hemoglobin and albumin levels were measured before and after hemodialysis. Student’s t-test and linear regression analysis test were used to analyze data. SPSS version 21.0 system was used for all statistical analyses and p value <0.05 was accepted as statistically significant. Results: In our study, BCVA failed to change significantly after the HD. Central and average macular thickness decreased by 3.49% and 1.61% respectively, both were statistically significant. Changes in maximum, central and average macular thickness, as well as in total macular volume were found to be significantly affected by changes in serum osmolality (p=0.04, 0.002, 0.02 and 0.03, respectively).We found no significant changes in maximum/average macular thickness with changes in total body weight or in mean arterial pressure after HD. Conclusion: Hemodialysis significantly decreases maximum macular thickness assessed by OCT in chronic renal failure diabetic patients with macular edema with no change in BCVA. Osmolality changes after hemodialysis were significantly associated with macular thickness.


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.


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 3 (1) ◽  
pp. 79-86
Author(s):  
Arfah May Syara ◽  
Syatriawati Suhaimi ◽  
Anita Sri Gandaria Purba ◽  
Juni Mariati Simarmata ◽  
Cindy Yulvika Saragih

 Hemodialysis patients are susceptible to malnutrition caused by components in hemodialysis, such as Dialyzer (Kidney Artificial), blood line, AV fistula, bicarbonate fluid, acidic liquid. Patients who have long been undergoing hemodialysis have high urea and creatinine levels. Increased levels of urea and creatinine can stimulate acid production such as stomach ulcers (gastritis),  namely nausea, vomiting, heartburn, bloating and no appetite. This research aims to knowing long standing relationship of hemodialysis with appetite in patients chronic renal failure in the unit hemodialysis of Grandmed Lubuk Pakam Hospital in 2019. This type of research is quantitative research, using analytical survey method with cross sectional approach. The population in this study were all patients with chronic renal failure who were in the hemodialysis unit of Grandmed Lubuk Pakam Hospital with a sample of 49 people, using a purposive sampling technique. Data collection was using a questionnaire. The analysis in this study used Chi Square test with a degree of confidence of 5% = 0,05. The results of the study stated that the majority of respondents were in the old category (2 years-3 years) as many as 31 people (63.3%) with decreased appetite by 21 people (42.9%), fixed appetite of 7 people (14.3 %), appetite increased by 3 people (6.1%). There is a long standing relationship of hemodialysis with appetite in patients chronic renal failure in the unit hemodialysis of Grandmed Lubuk Pakam Hospital in 2019 with p value < α = 0,05.


2019 ◽  
Vol 9 (2) ◽  
pp. 352-354
Author(s):  
Salman Taha Ahmed Elmukashfi ◽  
Abdelwahab Abdien Saeed ◽  
Mutaz Ibrahim Hassan

The kidney is complex vital organs, and has many functions. The main function it‘s removal of toxic and excess  substancesfrom the plasma, if there is any defect in the kidney like renal failure can disrupt  this function. The aim of this study was to determine the level of Zinc and Copper in Sudanese patient with chronic renal failure. This study was designed as case control, which includes 100 blood samples, a 60 from these sample were collected from patient with chronic renal failure and 40 samples were collected from health individual as control group and the sample is collected by using sterile disposable syringes and separated by centrifuge. Carried out in Ribat University Hospital in Khartoum state, during period from March to June 2018. And the plasma levels of zinc and copper determined by the use of atomic absorption spectrophotometer (OPERATOR’S MANUAL January 2003 VER 3.94 C), and the obtained results were analyzed by SPSS. The result of this study showed that there was significant decrease (p<0.05) in the plasma levels of zinc and copper in patient with chronic renal failure compared to the control subjects. The mean of plasma Zn was 0.3mg/l in test group and 0.7mg/l in control group with p. value of 0.002 and the mean of plasma Copper was 0.5mg/l in test group and 0.7mg/l in control group with p. value of 0.019. Also the study showed the gender and age of the patient, also the duration of the disease have no effect on the plasma level of zinc and copper (p 0.05). The study concludes that the plasma level of zinc and copper are low in patient with chronic renal failure. And the gender and age of the patient also the duration of disease have no significant effect on the plasma level of zinc and copper. Keywords: Chronic Renal Failure, Zinc, Copper, Sudanese


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