scholarly journals HUBUNGAN ANTARA LAMANYA MENJALANI HEMODIALISIS DENGAN TINGKAT KECEMASAN PADA PASIEN DENGAN PENYAKIT GINJAL KRONIK DI RSUP PROF. Dr. R. D. KANDOU MANADO

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Befly F. Tokala ◽  
Lisbeth F. J. Kandou ◽  
Anita E. Dundu

Abstract: The incidence of chronic kidney disease (CKD) has increased. Efforts are being made to deal with this problem by using hemodialysis. CKD patients undergo hemodialysis for years. This can result in disorders such as anxiety. This study aimed to obtain the relationship between the duration of hemodialysis and levels of anxiety in patients with CKD in hemodialysis unit at Prof. Dr. R. D. Kandou Hospital, Manado. This was an observational analytical study using cross sectional approach. Data were socio-demographic status and the HARS questionnaire which were processed by using SPSS 20. From a total of 34 respondents, 18 people (52.9%) experienced varying degrees of anxiety. The Spearman test resulted in p = 0.462 > 0.05 which meant that there was no relationship between the duration of hemodialysis and levels of anxiety in patients with CKD. Conclusion: There was no relationship between the duration of hemodialysis and levels of anxiety in patients with CKD in hemodialysis unit, however, there were some respondents who experienced anxiety.Keywords: anxiety, hemodialysis, CKDAbstrak: Kejadian Penyakit ginjal kronik (PGK) semakin meningkat. Upaya yang dilakukan untuk menangani masalah ini salah satunya dengan hemodialisis. Pasien PGK membutuhkan waktu bertahun – tahun untuk menjalani hemodialisis. Hal ini dapat mengakibatkan gangguan psikologi seperti kecemasan. Penelitian ini bertujuan untuk mengetahui hubungan antara lamanya menjalani hemodialisis dengan tingkat kecemasan pada pasien PGK di unit hemodialisis RSUP Prof. R. D. Kandou Manado. Penelitian ini bersifat observasional analitik dengan pendekatan potong lintang. Data dikumpulkan melalui pengisian data sosiodemografi dan wawancara dengan kuesioner HARS kemudian diolah dengan SPSS 20. Dari total 34 responden, ditemukan 18 orang (52,9%) mengalami kecemasan dengan derajat yang berbeda-beda, akan tetapi pada uji Spearman menunjukan hasil p = 0,462 yaitu > 0,05 yang artinya tidak terdapat hubungan antara lamanya menjalani hemodialisis dengan tingkat kecemasan pada pasien dengan PGK. Simpulan: Tidak terdapat hubungan antara lamanya menjalani hemodialisis dengan tingkat kecemasan pada pasien PGK di unit hemodialisis, walaupun demikian terdapat sebagian responden yang mengalami cemas.Kata kunci: kecemasan, hemodalisis, penyakit ginjal kronik

2021 ◽  
Vol 7 (3) ◽  
pp. 147-152
Author(s):  
Nur Syamsi ◽  
Andi Alfia Muthmainnah Tanra ◽  
Mariani Rasjid HS

The chronic kidney disease is a global health problem with increasing prevalence and incidence and a poor prognosis. Therefore, those brought about by risk factors are primarily those which can be modified and controlled for their occurrence.  One of the risk factor is smoking habit. The objective of this study was to determine the associations between smoking and renal function profiles in PT.X employees. The study was conducted by using descriptive analytical study with a cross sectional design based on smoking habits and blood test samples of employees. The sample were 40 employees in PT.X which determined by consecutive sampling. The results showed that there were no associations between smoking with age (p = 0.222) and azotemia (p = 1.00) but there were associations between smoking and blood creatinine levels (p = 0.001), urea (p = 0.023), eGFR (p. = 0.001), and the stages of chronic kidney disease (p = 0.047).  Based on the study results, in can be concluded that there were associations between smoking and renal function profiles among employees of PT. X


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Esther D Kim ◽  
Ning Ding ◽  
Junichi Ishigami ◽  
Xuejuan Ning ◽  
Yijing Feng ◽  
...  

Background: Chronic kidney disease (CKD) strongly predicts sudden cardiac death and may elevate the risk of certain cardiac arrhythmias like atrial fibrillation; however, the relationships between CKD and various types of arrhythmia are not well-characterized. Methods: We performed a systematic review and meta-analysis by searching Embase and PubMed for prospective, cross-sectional, and case-control studies examining the associations of two key CKD measures, estimated glomerular filtration rate (eGFR) and albuminuria, with arrhythmias in adults that were published until July 2018. We performed qualitative assessment of studies using the Newcastle Ottawa Quality Assessment Scale. We pooled the results using random-effects models. Results: Among 16,245 articles, we identified 34 prospective (n=24,213,233), 21 cross-sectional (n=253,328), and 4 case-control (n=1,694) studies that included diverse study populations from 19 countries and were mostly high quality. Most prospective studies examined the relationship between eGFR and atrial fibrillation (AF), and demonstrated that lower eGFR was associated with a higher risk of AF (pooled hazard ratio [HR] 1.72 [95% CI: 1.30, 2.27] comparing reduced vs. referent eGFR groups)[ Figure ]. A few studies examined albuminuria and demonstrated its associations with AF (pooled HR 2.16 [95% CI: 1.74, 2.67] comparing high vs. low albuminuria). Results were similar for cross-sectional studies. Four prospective studies reported a higher incidence of ventricular tachycardia resulting in ICD shock according to reduced eGFR (pooled HR 2.32 [95% CI: 1.74, 3.09] comparing reduced vs. referent eGFR groups). Limited number of studies examined other types of arrhythmia. Conclusion: We identified robust data on the relationship between CKD (eGFR and albuminuria) and AF. Reduced eGFR was associated with life-threatening ventricular arrhythmias. Our review highlights the need of future studies for non-AF arrhythmias, especially in the context of albuminuria.


Author(s):  
Lam Do Ai Nguyen ◽  
Thao Thi Thu Nguyen ◽  
Thuy Anh Vu Pham

<div><p class="AbstractTitle"><strong>Objectives:</strong> To compare periodontal status of chronic kidney disease patients with those in non-chronic kidney disease patients and to explore the relationship between periodontitis and chronic kidney disease in a group of Vietnamese.</p></div><p class="AbstractContent"><strong>Methods:</strong> A cross sectional study was conducted on 240 adults including 120 chronic kidney disease patients (group 1) and 120non-chronic kidney disease patients (group 2). The socio-demographic characteristic, dental and smoking habits were investigated by the questionnaire. Periodontal status (PPD, CAL, BOP) were examined. The periodontal status was compared between 2 groups. Multiple logistic regression analysis was performed to examine the relationship between chronic kidney disease and periodontitis after adjusting related factors.</p><p class="AbstractContent"><strong>Results</strong>: The clinically periodontal parameters in group 1 were all higher compared to those in group 2 (p&lt;0.001). The OR for periodontitis in patients who with age more than 60 years or brushed their teeth less than 2 times per day or had no scaling or in current smokers or with chronic kidney disease were 1.93; 4.27; 7.95; 4.21; 2.94 compared to counterparts, respectively (p&lt;0.05).</p><p class="AbstractContent"><strong>Conclusion:</strong> The periodontal status of chronic kidney disease patients was found worse than those in non-chronic kidney disease patients. The chronic kidney disease was significantly related to periodontitis.</p>


2019 ◽  
Vol 15 (2) ◽  
pp. 77
Author(s):  
Isnur Hatta ◽  
Khairunnisa Amalia Pratami ◽  
Maharani Laillyza Apriasari

Abstract: Chronic kidney disease (CKD) is a world health problem where the incidence continues to increase, has a poor prognosis and high-level financing. Clinical manifestations of the oral cavity can occur in CKD patients with hemodialysis therapy due to a decrease in the immune system. To analyze the descriptively the clinical manifestations of oral cavity in CKD patients with hemodialysis therapy at RSUD Ulin Banjarmasin South Kalimantan, period January-March 2019. This is a descriptive analysis with a cross sectional study design, based on history and clinical examination of the oral cavity. Data was entered and analyzed using chi square test. Sampling by purposive sampling. there is a relationship between uremic odor and duration of hemodialysis (p = 0.017). There was a relationship between xerostomia and gender (p = 0.035) and there was a relationship between xerostomia and the duration of hemodialysis (p = 0.007). There is a relationship between gingival swelling and age (p = 0.010) and there is a relationship between gingival swelling and diabetes mellitus (p = 0,000). Manifestations found in the oral cavity of CKD patients with hemodialysis therapy are uremic odor, mouthache, xerostomia, mucosal lesions, candidiasis, and gingival swelling. There is a relationship between sex with xerostomia, the relationship between age with gingival swelling, the relationship between the duration of hemodialysis with uremic odor and xerostomia, the association between DM with gingival swelling. Keywords: Chronic Kidney Disease, Clinical Manifestations, Hemodialysis, Oral Cavity


Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0002622021
Author(s):  
Juan Pablo Arroyo ◽  
Elvis A. Akwo ◽  
Andrew S. Terker ◽  
Aseel Alsouqi ◽  
Gautam Bhave ◽  
...  

Background - Insulin resistance is associated to cardiovascular disease risk and worsened kidney function. Patients with CKD have higher levels of insulin resistance. Elevated levels of copeptin (a surrogate for vasopressin levels), has been associated to increased incidence and progression of CKD as well as incident diabetes mellitus. The purpose of our study was to study the relationship between insulin resistance, copeptin, and CKD. Methods - We performed a cross-sectional study to investigate if insulin resistance was associated with higher copeptin levels in non-diabetic patients with stage 3-4 CKD vs controls. We measured plasma copeptin levels and utilized data from 52 patients with stage 3-4 CKD and 85 controls (eGFR ≥ 60mL/min/1.73m2) enrolled in The Insulin Resistance in Chronic Kidney Disease (IRCKD) study. We then used a multivariable linear regression model to assess the independent relationship between peripheral or hepatic insulin resistance and copeptin across levels of eGFR. Results - We found that in patients with CKD (eGFR 30-60 mL/min/1.73m2), but not in controls, peripheral insulin resistance was significantly correlated with higher levels of log copeptin (r = -0.21, p = 0.04). In patients with CKD when adjusted for age, sex, BMI, serum osmolality, log IL6, and log leptin-adiponectin ratio, each 1 SD decrease in insulin sensitivity was associated to a 38.9% increase in serum copeptin levels. The relationship between hepatic insulin resistance, copeptin, and eGFR is similar between controls and patients with reduced eGFR. Conclusion -Peripheral insulin resistance is associated with elevated copeptin levels in non-diabetic patients with stage 3-4 CKD. Further research into how the interaction between peripheral insulin resistance and elevated vasopressin impacts CKD progression could be of interest.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ika Hayun Al Aziz ◽  
Sudiro Sudiro

Abstract: Family Support, Level Of Anxiety, Chronic Renal Failure, And Hemodialysis. Chronic kidney disease is a threat for human because the prevalency increase every years. Patient of chronic kidney disease with teraphy hemodialysis can cause psychological pressure pasca hemodialysis. One example of psychological pressure is anxiety. For decrease anxiety of patient with terapy hemodialysis need family support. Objectives To identity the relationship among family support with level of anxiety chronic renal failure of patients with therapy hemodialisis in Dr.Soehadi Prijonegoro Hospital. Methods Design of the research used descriptive analytic with cross sectional approach. The sampling method is total sampling. Instrument that used for measure level anxiety and family support is a questionnaire. Analysis for data used Kendall Tau. Ressearch result The majority of family support level is good with amount 38 (70,4%). The majority of level anxiety is not anxiety with amount 38 (70,4%).The result of kendall tau is α : 0,000, τ : 0,865.Conclusion There is relationship between family support with level of anxiety chronic renal failure of patients with therapy hemodialysis.


2020 ◽  
Vol 8 (2) ◽  
pp. 107-116
Author(s):  
Peri Zuliani ◽  
Dita Amita

Chronic Kidney Disease (CKD) is a progressive and irreversible disorder of renal function, in which the body's ability to fail to maintain metabolism and balance of fluids and electrolytes, causing uremia. The purpose of this study in general was to determine the relationship between hemoglobin levels and quality of life in chronic kidney disease patients undergoing hemodialysis at dr. M. Yunus Bengkulu. This type of research is descriptive analytic with cross sectional approach. The study sample was 64 patients with CKD who underwent hemodialysis at the hemodialysis installation with accidental sampling technique. The results showed that most patients with chronic kidney disease who underwent haemodialysis (71.9%) had severe anemia and most (56.3%) had a poor quality of life. Chi square test results obtained ρ value 0,000 (α = 0.05). Conclusion, There is a statistically significant correlation between anemia and quality of life in CKD patients undergoing hemodialysis in the RDUD Dr. Hemodialysis room. M. Yunus. Suggested to Dr. Hospital M. Yunus Bengkulu to control the incidence and symptoms of anemia experienced by CKD patients. Keywords: Anemia, Hemodialysis, quality of life, CKD


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