scholarly journals DETERMINANT FATIGUE PADA PASIEN ESRD YANG MENJALANI HEMODIALISIS

2021 ◽  
Vol 2 (1) ◽  
pp. 41
Author(s):  
Fitri Amelia ◽  
Kiki Hardiansyah Safitri ◽  
Suwanto Suwanto
Keyword(s):  
Weight Gain ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
P Value ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

Latar Belakang: End Stage Renal Disease (ESRD) merupakan penyakit ginjal kronik stadium akhir yang perlu dilakukan terapi dialysis. Saat terapi hemodialisis dampak yang paling dominan dirasakan adalah fatigue. Faktor-faktor yang berhubungan dengan fatigue adalah kadar hemoglobin, lamanya menjalani hemodialisis, perubahan tekanan darah, dan Inter Dialysis Weight Gain (IDWG). Tujuan: Menganalisis faktor-faktor yang berkorelasi dengan fatigue pada pasien ESRD yang menjalani hemodialysis. Metode: Penelitian ini menggunakan korelasional dengan pendekatan cross-sectional. Jumlah responden sebanyak 30 dengan kriteria pasien telah menjalani hemodialisis kurang lebih 2 kali dan dalam keadaan sadar serta kooperatif. Pengukuran variabel dilakukan dengan pengukuran/observasi dan menggunkan kuesioner FACIT fatigue scale versi 4 secara online. Hasil: hasil penelitian ini didapatkan kadar hemoglobin nilai median 7,95 (min 5,00 max 13,50), lamanya menjalani hemodialisis median 14,00(min 2 max 96), tekanan darah sistol mean 155,76 (SD = 26,11), diastol mean 79,93 (SD = 12,39), IDWG mean 2,45 (SD = 1,169), fatigue median 44,0 (min 15 max 50). Uji korelasi fatigue dengan kadar hemoglobin (p value 0,379, r = -0,167), lamanya menjalani hemodialisis (p value 0,007, r = -0,479), tekanan darah sistol   (p value 0,565, r = -0,109), diastol (p value 0,195, r = 0,234), IDWG (p value 0,525, r = -0,121). Kesimpulan: Yang artinya adanya korelasi bermakna untuk lamanya menjalani hemodialisis dengan fatigue. Tidak ada korelasi bermakna antara kadar hemoglobin, tekanan darah, dan IDWG dengan fatigue.

scholarly journals ASUPAN CAIRAN PADA PASIEN GGK YANG MENJALANI TERAPI HEMODIALISA

2020 ◽  
Author(s):  
Yohana Pransiska
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
P Value ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

Tujuan: Penelitian ini bertujuan mengetahui hubungan dukungan keluarga dalam melakukan pembatasan asupan cairan. Metode: Penelitian ini menggunakan rancangan penelitian cross sectional. Hasil: Hasil analisis terbukti adanya hubungan antara dukungan keluarga dengan nilai (p value = 0, 000) terhadap kepatuhan klien hemodialisa dalam melakukan pembatasan asupan cairan, sedangkan variabel tingkat pendidikan (p value = 0,762) tidak ada hubungan antara kepatuhan klien yang melakukan tindakan hemodialisa dalam melakukan pembatasan asupan cairan, sementara untuk variabel usia (p value = 0,728) juga tidak ada hubungan antara kepatuhan klien yang mendapatkan tindakan hemodialisa dalam melakukan pembatasan asupan cairan. Simpulan: Dukungan keluarga adalah hal sangat penting yang perlu diperhatikan sebagai salah satu faktor yang dapat menaikan serta meningkatkan kepatuhan dalam melakukan pembatasan asupan cairan klien yang mendapatkan tindakan hemodialisa, sehingga diharapkan dukungan keluarga dapat dimaksimalkan lagi pemberianya untuk menciptakan prilaku yang patuh sehingga mampu membuat klien sadar terhadap pembatasan asupan cairan dengan cara diinformasikan kepada pihak keluarga terutama melalui tatanan klinik hemodialisa yang senantiasa melayani klien End Stage Renal Disease yang mendapatkan tindakan hemodialisa.

scholarly journals HUBUNGAN ADEKUASI HEMODIALISIS UREA REDUCTION RATE (URR) DENGAN TINGKAT FATIGUE PADA PASIEN END STAGE RENAL DISEASE (ESRD) DI INSTALASI HEMODIALISA RUMAH SAKIT UMUM DAERAH KOTA BANDUNG

2020 ◽  
Vol 6 (2) ◽  
pp. 41
Author(s):  
Nina Gartika
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Reduction Rate ◽  
P Value ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

Fatigue merupakan salah satu keluhan yang paling banyak dialami oleh pasien End Stage renal Disease (ESRD), dengan jumlah kejadian 83,5%. Fatigue sangat mempengaruhi kualitas hidup pasien, fatigue yang berat akan menambah beban bagi hidup pasien, terutama pada pasien dengan hemodialisis. Penelitian ini bertujuan untuk mengetahui hubungan adekuasi hemodialisis Urea Reduction Rate (URR) dengan fatigue pada pasien End Stage Renal Disease (ESRD). Desain penelitian ini adalah kuantitatif menggunakan pendekatan cross sectional. Dengan melibatkan 51 sampel yang diambil secara total sampling. Pengukuran dilakukan sewaktu pada saat pemeriksaan laboratorium terjadwal dan dilakukan pengukuran fatigue dengan menggunakan FACIT Fatigue. Hasil penelitian menunjukan responden sebagian besar mengalami fatigue berat (62,7%) dan sisanya mengalami fatigue ringan (37,3). Hasil uji analisis data penelitian ini menggunakan Uji Korelasi Gamma dan Sommers�d didapatkan p value = 0,000 dan nilai sommers�d = 0,755. Dapat disimpulkan bahwa dari penelitian ini adalah terdapat hubungan yang signifikan antara adekuasi hemodialisis Urea Reduction Rate (URR) dengan tingkat fatigue pada pasien End stage Renal Disease. Pasien harus mendapat adekuasi yang adekuat sebagai salah satu upaya mencegah komplikasi salah satunya fatigue.

scholarly journals Hubungan Dukungan Keluarga, Tingkat Pendidikan dan Usia dengan Kepatuhan dalam Pembatasan Asupan Cairan pada Klien ESRD yang Menjalani Terapi Hemodialisa

2019 ◽  
Vol 3 (1) ◽  
pp. 393-404
Author(s):  
Andri Kusuma Wijaya ◽  
Padila Padila
Keyword(s):  
Renal Disease ◽  
Family Support ◽  
End Stage Renal Disease ◽  
Fluid Intake ◽  
Total Sample ◽  
Education Level ◽  
P Value ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

This study aims to determine the relationship of family support, education level and age to adherence in limiting fluid intake in End Stage Renal Disease clients undergoing hemodialysis therapy at Dr. M Yunus Hospital Bengkulu. This study uses a cross sectional design, with a total sample of 108 respondents. The results of the analysis proved to be a relationship between family support (p value = 0, 000) with adherence to restrictions on fluid intake, while education level variables (p value = 0.762) there was no relationship with adherence to restrictions on fluid intake, while for age variables (p value = 0.728) there was also no relationship with adherence to fluid intake restrictions. Family support is very important to be considered as one of the supporting factors to increase compliance in limiting fluid intake to clients undergoing hemodialysis therapy, so it is expected that family support can be maximized in giving to create behavior that complies with limiting fluid intake by being informed to the family especially through the organization of hemodialysis clinics that always serve End Stage Renal Disease clients who undergo hemodialysis therapy. Keywords : ESRD, IDWG, Adherence

MEKANISME KOPING DENGAN TINGKAT DEPRESI PADA PASIEN GAGAL GINJAL KRONIK PRE HEMODEALISA

2020 ◽  
Vol 4 (2) ◽  
pp. 436
Author(s):  
Andri Yulianto ◽  
Yuyun Wahyudi ◽  
Marlinda Marlinda
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Correlation Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

Hemodialisa menimbulkan dampak depresi terhadap pasien yang menderita GGK. Kejadian GGK di dunia menurut End-Stage Renal Disease (ESDR) di perkirakan prevalensinya mengalami peningkatan tiap tahunnya sebesar 6 % dan di Indonesia menurut Riskesdas Tahun 2015 sebesar 0,2 % dari penduduk Indonesia. Salah satu upaya untuk mengendalikan tingkat depresi tersebut adalah mekanisme koping yang tepat. Tujuan penelitian adalah diketahuinya hubungan mekanisme koping dengan tingkat depresi pada Pasien GGK pre hemodialisa. Desain penelitian ini menggunakan desain studi korelasi (correlation study) dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien GGK yang disarankan untuk melakukan hemodialisa dengan jumlah sampel 40 responden. Teknik sampling yang digunakan adalah Accidental sampling. Instrumen yang digunakan adalah lembar kuesioner. Hasil penelitian menunjukkan mekanisme koping pasien pre hemodialisa sebagian besar dalam kategori maladaptif, tingkat depresi responden sebagian besar dalam kategori sedang. Uji Statistik yang digunakan uji Chi Square. Hasil uji statistik menunjukkan bahwa nilai p-value = 0,000 (<0,05).Ada hubungan bermakna antara mekanisme koping dengan tingkat depresi pasien Gagal Ginjal Kronik di Ruang Penyakit Dalam. Saran melaksanakan asuhan keperawatan dan memberikan pelayanan pada pasien dengan memberikan edukasi kesehatan berupa pendidikan kesehatan disertai dengan pembagian leaflet sehingga pasien dapat membaca kembali apa yang disampaikan oleh petugas medis dengan demikian diharapkan dapat menurunkan tingkat depresi ketika akan menjalani hemodialisa

scholarly journals Association between End-Stage Renal Disease and Incident Diabetes Mellitus—A Nationwide Population-Based Cohort Study

2018 ◽  
Vol 7 (10) ◽  
pp. 343 ◽  
Author(s):  
Pin-Pin Wu ◽  
Chew-Teng Kor ◽  
Ming-Chia Hsieh ◽  
Yao-Peng Hsieh
Keyword(s):  
Diabetes Mellitus ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Lower Risk ◽  
Incident Diabetes ◽  
P Value ◽  
Comparison Cohort ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

Background: Glucose is one of the constituents in hemodialysates and peritoneal dialysates. How the dialysis associates with the incident diabetes mellitus (DM) remains to be assessed. Methods: The claim data of end-stage renal disease (ESRD) patients who initiated dialysis from and a cohort of matched non-dialysis individuals from 2000 to 2013 were retrieved from the Taiwan National Health Insurance Research Database to examine the risk of incident DM among patients on hemodialysis (HD) and peritoneal dialysis (PD). Predictors of incident DM were determined for HD and PD patients using Fine and Gray models to treat death as a competing event, respectively. Results: A total of 2228 patients on dialysis (2092 HD and 136 PD) and 8912 non-dialysis individuals were the study population. The PD and HD patients had 12 and 97 new-onset of DM (incidence rates of 15.98 and 8.69 per 1000 patient-years, respectively), while the comparison cohort had 869 DM events with the incidence rate of 15.88 per 1000 patient-years. The multivariable-adjusted Cox models of Fine and Gray method showed that the dialysis cohort was associated with an adjusted hazard ratio (HR) of 0.49 (95% CI 0.39–0.61, p value < 0.0001) for incident DM compared with the comparison cohort. The adjusted HR of incident DM was 0.46 (95% CI 0.37–0.58, p value < 0.0001) for HD and 0.84 (95% CI 0.47–1.51, p value = 0.56) for PD. Conclusions: ESRD patients were associated with a lower risk of incident DM. HD was associated with a lower risk of incident DM, whereas PD was not.

scholarly journals Electrocardiogram changes in patients with end stage renal disease on chronic haemodialysis

2019 ◽  
Vol 7 (11) ◽  
pp. 4020
Author(s):  
Kareem Mohsin Yousif ◽  
Hamid Obaid Khadhim Al Jaaed
Keyword(s):  
Renal Disease ◽  
Social History ◽  
End Stage Renal Disease ◽  
Cross Sectional Study ◽  
Premature Ventricular Complex ◽  
Chronic Haemodialysis ◽  
Ecg Changes ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

Background: End stage renal disease (ESRD) is irreversible loss of renal function which is physiologically defined by a GFR of less than 15 ml / minute. ESRD is associated with a higher incidence of coronary artery disease and serious arrhythmia especially ventricular arrhythmia. The goal of study is to determine whether ESRD and haemodialysis (HD)are associated with occurrence of significant electrocardiogram (ECG) changes or not.Methods: This is a cross-sectional study design which involved 22 patients with ESRD on regular HD in Al Sadre teaching hospital / Al Najaf. Both sexes was included in this study. All patients underwent full medical history and examination which included the following aspects: Age, Sex, Occupation, BP, HR, RBS, B.urea, S.creatinine , Serum electrolyte (Na+, K+, Cl-, Ca++), Lipid profile (Cholesterol , Triglyceride, HDL, LDL), Duration of CRF, Duration of dialysis, Social history including (smoking, alcohol) and Drug used by the patient. Resting EGC and Hotler ECG.Results: Eighteen patients exhibited emergence of simple ectopic activity premature atrial complex (PAC) and premature ventricular complex (PVC) events and four patients exhibited (ST,T changes). Potentially lethal arrhythmias and other serious ECG changes are not detected in our patient’s sample.Conclusion: In this study, neither ESRD nor haemodialysis were associated with development of serious ECG changes or emergence of significant arrhythmia.

scholarly journals Analysis of Endocan Levels in Hypertensive Patients as Risk Factors of Chronic Kidney Disease

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Suryani Jamal ◽  
Uleng Bahrun ◽  
Ibrahim Abdul Samad ◽  
Fitriani Mangarengi ◽  
Hasyim Kasim ◽  
...  
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Stage Ii ◽  
University Hospital ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Elisa Method ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

This study aimed to analyze endocan levels as a marker of endothelial dysfunction in the control group, patients withstage I hypertension, stage II hypertension, and patients with end-stage renal disease. Endocan levels were measured withESM-1 (endocan) kit by Enzyme-Linked Immunosorbent Assay (ELISA) method. This study used a cross-sectional methodand was conducted in Dr. Wahidin Sudirohusodo Hospital, Makassar and Hasanuddin University Hospital from Septemberto October 2017. There were 83 samples in this study, consisting of 12 samples in the control group, 22 samples of stage Ihypertension, 28 samples of stage II hypertension, and 21 samples of end-stage renal disease aged 20-90 years old. Thisstudy showed significantly higher endocan levels in patients with stage II hypertension and end-stage renal disease(p< 0.05). Endocan levels were significantly higher (p<0.05) in patients with end-stage renal disease compared with thecontrol group and patients with stage I hypertension; but not significantly higher (p > 0.05) compared to patients with stageII hypertension. Also, the median of endocan levels in patients with the end-stage renal disease was higher (309,850 ng/L)compared to patients with stage II hypertension (273,050 ng/L).

scholarly journals Acute Intradialytic Complications in End Stage Renal Disease on Maintenance Hemodialysis

2012 ◽  
Vol 52 (187) ◽  
Author(s):  
R K Agrawal ◽  
S Khakurel ◽  
R Hada ◽  
D Shrestha ◽  
A Baral
Keyword(s):  
Renal Failure ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Maintenance Hemodialysis ◽  
Care Hospital ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage

Introduction: Hemodialysis is the preferred method of treatment for Nepalese patients with End Stage Renal Disease. Despite the technological advances and better understanding of physiology associated with hemodialysis, a number of complications are known to be associated with hemodialysis. This study was undertaken to study the frequency of acute intradialytic complications in patients undergoing hemodialysis. Methods: A cross-sectional study was conducted at Nephrology unit of a tertiary care hospital from 15 June, 2007 to 15 December, 2007. A total of 28 patients were included in the study. Patients with acute renal failure and acute on chronic renal failure were excluded from the study. Results: Total sessions of hemodialysis during the period were 1455. Hypotensive episode were 66 (4.5%) and was the commonest complication and followed by hypertensive episodes were 58 (3.8%). Other problems encountered were transfusion reactions were 23 episodes (1.5%), rigors not related to transfusions were 13 episodes (0.8%), nausea/vomiting were 20 episodes (1.4%), muscle cramps were 12 episodes (0.8%), hypoglycemia were 6 episodes 5(0.4%). Conclusions: The frequency of intradialytic complications is low and many of them are not life threatening. Keywords: complications; end stage renal disease; hemodialysis; hypertension; hypotension.

Cardiovascular Disease as a Late Complication of End-Stage Renal Disease in Children

2005 ◽  
Vol 25 (3_suppl) ◽  
pp. 123-126 ◽  
Author(s):  
Jaap Groothoff ◽  
Mariken Gruppen ◽  
Eric De Groot ◽  
Martin Offringa
Keyword(s):  
Cardiovascular Disease ◽  
Aortic Valve ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Arterial Wall ◽  
Aortic Valve Calcification ◽  
Cross Sectional ◽  
Valve Calcification ◽  
Stage Renal Disease ◽  
End Stage

♦ Objective To analyze the late cardiovascular outcome of end-stage renal disease (ESRD) in children. ♦ Design A nation-wide long-term follow-up study. Determinants of outcomes and causes of death were retrospectively assessed. Patients underwent assessment of overall health state, B- and M-mode ultrasound of the carotid arteries, and echocardiography for cross-sectional analysis. ♦ Results We analyzed the medical course of all 249 adult Dutch patients with ESRD onset between 1972 and 1992 at age 0 – 14 years, and who were born before 1979. Of the 187 living patients, 140 participated in the cross-sectional part of the study. The standardized mortality rate was 31.0. Overall 5-, 10-, and 20-year survival after ESRD onset was 87%, 82%, and 78%, respectively. Cardiovascular disease accounted for most deaths (41%). In the whole group, left ventricular hypertrophy (LVH), aortic valve calcification, and arterial wall stiffening were highly prevalent. LVH was associated with hypertension at time of assessment. Aortic valve calcification was strongly associated with a long total duration of peritoneal dialysis (β = 0.33, p < 0.001). Arterial wall pathology was not associated with current treatment modality. ♦ Conclusions As in adults, cardiovascular disease is the most important cause of death in children with ESRD. Stricter reduction of volume overload, prevention of high serum calcium–phosphate product, and more vigorous treatment of hypertension are important targets to improve cardiovascular survival in children with ESRD.

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