scholarly journals Edukasi Pentingnya Melakukan Hemodialisa Secara Rutin Bagi Pasien Gagal Ginjal Kronik

2021 ◽  
Vol 4 (4) ◽  
pp. 897-906
Author(s):  
Indra Maulana ◽  
Iwan Shalahuddin ◽  
Taty Hernawaty

ABSTRAK Gagal ginjal kronis merupakan gangguan fungsi renal yang progresif dan irreversibel dimana kemampuan tubuh gagal untuk mempertahankan metabolisme dan keseimbangan cairan dan elektrolit sehingga terjadi uremia. Cemas (ansietas) adalah suatu keadaan patologik yang ditandai oleh perasaan ketakutan diikuti dan disertai tanda somatik. Kecemasan juga merupakan respon terhadap suatu ancaman yang sumbernya tidak diketahui, internal, samar-samar, atau konfliktual. Kecemasan salah satunya disebabkan oleh gangguan biologik, seperti penyakit ginjal kronik (PGK) yang membutuhkan hemodialisis. Penderita hemodialisis mengalami kecemasan, salah satunya dapat diakibatkan oleh kronisitas penyakit. Tujuan kegiatan adalah untuk memberikan sebuah  pemahaman  tentang  perlunya  dilakukan perawatan hemodialisa bagi pasien yang menjalani Hemodialisa di RSU Garut. Sasaran utama atau target khusus dari kegiatan ini adalah pasien gagal ginjal kronis yang dilakukan hemodialisa di ruang hemodialisa RSUD dr. Slamet  Garut. Metode yang digunakan dalam kegiatan ini adalah melalui pemutaran video, ceramah, dan diskusi serta tanya jawab. Kegiatan yang dilaksanakan pada bulan Juli 2018 di ruang kelas Demonstrasi Kampus Unpad Garut. peserta  yang  hadir  sebanyak 20 orang.  Acara diawali dengan pembukaan oleh kepala ruangan hemodialis,  dan penjelasan tentang kegiatan yang akan dilaksanakan. lalu memperkenalkan para pemateri yang hadir. Selanjutnya pemateri  mengajak  peserta  untuk  menyaksikan  tayangan  video  tentang  testimony pasien gagal ginjal kronis dan bahaya gagal ginjal kronis pada tubuh manusia dan dilanjutkan dengan ceramah tentang pentingnya dilakukan hemodialisa pada pasien gagal ginjal kronis. Setelah pemutaraan video dan cermah tersebut selesai, maka dilakukan diskusi dan tanya jawab seputar isi materi kegiatan. Acara ditutup  dengan  pembagian hadiah bagi  tiga orang peserta yang paling aktif selama  mengikuti  kegiatan.  Kegiatan  ini  memberikan  hasil  tentang  pemahaman tentang keuntungan hemodialisa bagi pasien gagal ginjal kronis.  Kata Kunci: Cemas, Edukasi, Gagal Ginjal Kronis, Hemodialisa    ABSTRACT Chronic renal failure is a progressive and irreversible impairment of renal function in which the body's ability to fail to maintain metabolism and fluid and electrolyte balance resulting in uremia. Anxiety (anxiety) is a pathological condition characterized by a feeling of fear followed and accompanied by somatic signs. Anxiety is also a response to a threat whose source is unknown, internal, vague, or conflictual. One of the causes of anxiety is biological disorders, such as chronic kidney disease (CKD) which requires hemodialysis. Hemodialysis sufferers experience anxiety, one of which can be caused by the chronicity of the disease. The purpose of the activity is to provide an understanding of the need for hemodialysis treatment for patients undergoing hemodialysis at Garut General Hospital. The main target or specific target of this activity is chronic kidney failure patients who are undergoing hemodialysis in the hemodialysis room of dr. Slamet Garut. The method used in this activity is through video playback, lectures, and discussion, and question and answer. Activities were carried out in July 2018 in the Garut Campus Demonstration classroom. participants who attended were 20 people. The event begins with an opening by the head of the hemodial room, and an explanation of the activities to be carried out. then introduced the presenters. Furthermore, the speaker invited the participants to watch a video about the testimony of chronic kidney failure patients and the dangers of chronic kidney failure in the human body and continued with a lecture on the importance of hemodialysis in chronic kidney failure patients. After the screening of the video and lecture was completed, a discussion and question and answer were held about the content of the activity material. The event was closed by distributing prizes to the three most active participants during the activity. This activity provides an understanding of the benefits of hemodialysis for patients with chronic renal failure. Keywords: Anxiety, Education, Chronic Renal Failure, Hemodialysis

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.


2020 ◽  
Vol 7 (2) ◽  
pp. 12-18
Author(s):  
Widad Fadiyah ◽  
Dewi Erna Marisa ◽  
Ika Nurfajriyani

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. Nutrition education and stunting prevention need to be given since pregnancy planning in couples of childbearing ages. Growth monitoring need to be carried out continuously since the beginning of the baby's life and nutrition need to be adjusted according to established guidelines.


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.


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 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


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 


2021 ◽  
Vol 1 ◽  
pp. 1233-1242
Author(s):  
Adi Gunawan ◽  
Aisyah Dzil Kamalah

AbstractPatients with chronic renal failure undergo hemodialysis for survival. Commonly, the hemodialysis process causes anxiety, which is related to machines and equipment, blood-flowing tubes and the process that takes 2 to 3 hours. This study aimed to describe the level of anxiety in patients undergoing hemodialysis. This study applied literature review. Articles were searched from PubMed, Garba Referral Digital (GARUDA), and ResearchGate according to inclusion and exclusion criteria. There are 5 articles met the criteria. More than half (65,8%) was male, 281 respondents (40,9%) have secondary education level, and majority (78%) of the respondents were not working 489. Around 58,7% of the respondents experienced of hemodialysis for 1 year. 358 respondents (52,1%) were categorized in mild anxiety. The majority of patients undergoing hemodialysis experienced mild anxiety. Accordingly, hospitals or health facilities can improve nursing care to treat anxiety in chronic kidney failure patients undergoing hemodialysis.Keywords: Anxiety, Chronic Kidney Failure, Hemodialysis. AbstrakPasien gagal ginjal kronik menjalani hemodialisa demi kelangsungan hidupnya. Proses hemodialisa seringkali menimbulkan perasaan cemas dikarenakan mesin dan peralatan yang serba asing, selang-selang yang dialiri darah serta prosesnya yang membutuhkan waktu 2 sampai 3 jam. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan pada pasien yang menjalani hemodialisa berdasarkan literature review. Penelitian ini merupakan penelitian deskriptif, metode yang digunakan dalam penelitian ini adalah literatur review dengan penelusuran online dari PubMed, Garba Rujukan Digital (GARUDA) dan ResearchGate sesuai kriteria inklusi yaitu artikel tahun 2011 sampai 2021 serta artikel yang ditulis dalam bahasa Indonesia dan bahasa Inggris. Hasil penelusuran didapatkan 5 artikel tahun 2014 sampai 2020. Karakteristik jenis kelamin pada literature review ini laki – laki 432 responden (65,8%) dari 657 responden, tingkat pendidikan menengah 281 responden (40,9%) dari 687 responden, jenis pekerjaan tidak bekerja 489 responden (78%) dari 627 responden, dan lama hemodialisa ≤1Tahun 88 responden (58,7%) dari 150 responden. Tingkat kecemasan terbanyak adalah kecemasan ringan dengan jumlah 358 responden (52,1%) dari 687 responden. Pasien yang menjalani hemodialisa mayoritas mengalami kecemasan ringan, jadi bagi rumah sakit atau sarana kesehatan agar dapat melakukan penatalaksanaan untuk menurunkan tingkat kecemasan dengan teknik distraksi maupun relaksasi.Kata Kunci: Gagal Ginjal Kronik, Hemodialisa, Kecemasan.


2019 ◽  
Vol 1 (1) ◽  
pp. 18-24
Author(s):  
Cholina Trisa Siregar ◽  
Mia Rhamayani

Chronic kidney failure patients undergoing hemodialysis undergo physical and psychological changes. Self-acceptance is a person's ability to have a realistic assessment of advantages and disadvantages. This study aims to describe self-acceptance in patients with chronic renal failure undergoing hemodialysis in the RSUD Dr. Pirngadi Medan. The study population was patients with chronic renal failure who underwent hemodialysis at the RSUD Dr. Pirngadi Medan. The sample of this study amounted to 106 people. The sampling technique uses non probability sampling, namely, purposive sampling. The inclusion criteria for the study sample were chronic kidney failure patients who underwent hemodialysis who were in consciousness compos mentis. Data collection was conducted in April-May 2017. Data were analyzed by descriptive statistical analysis. The results of the study obtained data that 12 people were at high self-acceptance (11.3%), 80 people were at moderate self-acceptance (75.5%), and 14 people were at low self-acceptance (13.2%). Based on the results of the study it can be concluded that patients with chronic renal failure undergoing hemodialysis in the RSUD Dr. Pirngadi Medan has a good self-acceptance, ie the patient accepts his condition even though he has to undergo hemodialysis for life. Researchers expect that nurses can provide emotional support and motivation to patients to improve patient self-acceptance.


2021 ◽  
Vol 9 (2) ◽  
pp. 1-9
Author(s):  
Adiratna Sekar Siwi

Chronic kidney failure is a decrease in kidney function and chronic nature which may require replacement irreversible kidney dialysis therapy accompanied on the final stages of kidney failure. Therapy hemodialysis is a replacement therapy for removing the remains of the metabolism of the human blood circulation that will affect the quality of life. Factors that affect the quality of life, among others, age, gender, occupation, education, frequency of Hemodilaisa, long Hemodialisa, chronic renal failure stage, and relationship with the nurse. This research aims to know the description of the quality of life in chronic renal failure patients at the Hemodialysis Room Wijaya Kusuma Hospital Purwokerto. The type of this research is quantitative descriptive research with methods cross-sectional. Sampling using accidental sampling. The respondents in this study as many as 94 patients. Instrument in this study using questionnaire KDQOL SF 1.3 to measure the quality of life of patients with kidney failure. Quality of life in chronic renal failure patients undergoing hemodialysis therapy at the Wijaya Kusuma Hospital Purwokerto is largely good in quality of life (73.4%). Mostly on the age group 45-60 years as many as 39 quality of life patients either (41.5%), mostly male-sex that is as much as 41 patients living quality good (43.6%), educational background of patients most life is good-quality secondary education group 35 patients (37.2%). The work of most of the patients already not working with a total of 44 patients (46.8%), quality of life is good and the length of time patients undergoing therapy at the most hemodialysis time is under 12 months with quality of life good as much as 26 patients (27.7%).


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