scholarly journals THE LIFE EXPERIENCE OF PATIENT CHRONIC KIDNEY UNDER HEMODIALYSIS TREATMENT AT BANDAR LAMPUNG ADVENTIST HOSPITAL

2019 ◽  
Vol 7 (1) ◽  
pp. 99-115
Author(s):  
Ernawaty Siagian ◽  
Enni Junia Habeahan
Keyword(s):  
Kidney Failure ◽  
Life Experience ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Maintenance Hemodialysis ◽  
Role Function ◽  
Hemodialysis Treatment ◽  
One Year ◽  
The One ◽  
Patients Experience

Chronic Kidney Failure (CKD) is a global health problem that shows a very high mortality rate. The one of the treatments in patients with chronic kidney failure is hemodialysis. Hemodialysis (HD) is very important for patients with chronic kidney failure  because hemodialysis is uses to sustain life for people with chronic kidney failure  and can prevent death but hemodialysis will not cure the kidney disease itself. Patients with chronic renal failure should undergo lifelong hemodialysis therapy.  Patients’ experience under hemodialysis therapy is very phenomenal because have a number of important problems both physically and psychologically as the effect of hemodialysis therapy. The objective of the research was to find out the life experience of patients chronic kidney failure under hemodialysis treatment. The research was a phenomenological descriptive study. The data were gathered by conducting in-depth interviews. The samples were 5 people, they were 3 male and 2 female, participants age ranged between 25- 60 years, with duration of received maintenance hemodialysis least one year. The samples taken by using purposive sampling technique. The interview was conducted at the hemodialysis room in Bandar Lampung Adventist Hospital. The result of the interviews was analyzed by using Creswell method. It was found that there were eight categories. The categories found in this research are cognator, regulator, role function physiological-physical, change of self-concept, role function, interdependence, development of self-efficacy and adaptive. The life experience of patients with chronic kidney failure and the coping mechanism they use is a way to develop knowledge in treating patients with chronic kidney failure comprehensively.

scholarly journals PENGALAMAN PASIEN SUKU BATAK KARO DENGAN GAGAL GINJAL KRONIS DALAM MENJALANI HEMODIALISA

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Lenny Lusia Simatupang
Keyword(s):  
Data Collection ◽  
Traditional Medicine ◽  
Kidney Failure ◽  
Health Professionals ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Study Data ◽  
Descriptive Phenomenology ◽  
Hemodialysis Treatment ◽  
Karo Batak

The experience of patients undergoing hemodialysis therapy is a phenomenon and attracts the attention of health professionals, because in Hemodialysis (HD) therapy, participants leave a number of important issues, as a result of hemodialysis therapy. The purpose of this study to determine the experience of Karo Batak patients with Chronic Kidney Failure (GGK) in undergoing hemodialysis. This study is a descriptive phenomenology study. Data collection was done by indepth interview. Participants in this study amounted to 13 people selected by purposive sampling technique of participants who have a Batak Karo tribe and duration of hemodialysis for at least six months. Conducting interviews conducted in hospital Murni Teguh, contract researcher with participants and researchers conducted interviews .. The results of interviews were analyzed by collaizi method and found 3 themes in the results of interviews with the participants.Themes encountered are mood and mind hemodialisa patient, Helplessness to meet the needs live, Following the traditional medicine Batak karo. Based on the results of the study, it is suggested to the nurse in providing hemodialysis treatment to pay attention to traditional medicine which is also used by the patient so that it can reduce the problem of patients undergoing hemodialysis. Pengalaman pasien  yang  menjalani  terapi hemodialisa sangat  fenomena dan menarik  perhatian  para  professional  kesehatan, karena   didalam menjalani  terapi  Hemodialisis (HD), partisipan   menyisakan  sejumlah  persoalan  penting, sebagai dampak terapi hemodialisa. Tujuan dari penelitian ini untuk mengetahui pengalaman pasien suku Batak Karo dengan Gagal Ginjal Kronis (GGK) dalam menjalani hemodialisa. Penelitian ini merupakan studi fenomenologi deskriptif. Pengumpulan data dilakukan dengan indepth interview. Partisipan dalam penelitian ini berjumlah 13 orang yang dipilih dengan teknik purpossive sampling partisipan yang bersuku Batak Karo dan lamanya menjalani hemodialisa minimal enam bulan. Pelaksanaan wawancara dilakukan di rumah sakit Murni Teguh, peneliti kontrak dengan partisipan dan peneliti melakukan wawancara.. Hasil wawancara dianalisa dengan metode collaizi dan ditemukan 3 tema  pada hasil wawancara dengan para partisipan.Tema yang dijumpai yaitu Suasana hati dan pikiran pasien hemodialisa, Ketidakberdayaan memenuhi kebutuhan hidup, Mengikuti pengobatan tradisional Batak karo. Berdasarkan hasil penelitian, disarankan kepada perawat dalam memberikan perawatan hemodialisa memperhatikan pengobatan tradisional yang juga digunakan oleh pasien sehingga  bisa mengurangi masalah pasien yang menjalani hemodialisa.

scholarly journals Disfungsi Seksual pada Pasien Gagal Ginjal Kronis

2020 ◽  
Vol 6 (1) ◽  
pp. 121-127
Author(s):  
Akhyarul Anam ◽  
Sahrudi Sahrudi
Keyword(s):  
Sexual Dysfunction ◽  
Health Services ◽  
Kidney Failure ◽  
Single Case ◽  
Alternative Therapy ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Single Case Design ◽  
Structured Interviews ◽  
Study Approach

Chronic kidney failure affects sexual function problems (sexual dysfunction) which tends to worsen with decreased kidney function. This study aimed to explore in-depth the response of individuals in dealing with sexual dysfunction. This study used qualitative research methods and case study approach with a single case design through semi-structured interviews. Samples were taken by purposive sampling technique in patients with chronic kidney failure who experience sexual dysfunction. Data is processed by the thematic content analysis method. The main themes found include erectile dysfunction, actions taken for sexual dysfunction problems, responses to the face of sexual dysfunction, as well as expectations for health services. Traditional alternative therapy is done, but there are no significant results. Participants' response is positively such as giving in, increasing spiritual activity, and being aware of old age. Health services for sexual dysfunction problems are highly expected.

scholarly journals EXERCISE INTRADIALYSIS TERHADAP PENURUNAN TINGKAT FATIGUE PADA PASIEN HEMODIALISA

2018 ◽  
Vol 2 (1) ◽  
pp. 7-13
Author(s):  
Dyah Restuning Prihati ◽  
Marisha Dwi Pangesti
Keyword(s):  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Hemodialysis Patients ◽  
Case Study Method ◽  
A Value ◽  
Physical Exercises ◽  
Before And After ◽  
Patients Experience ◽  
Severe Weakness

Chronic kidney failure is that the kidneys are not functioning properly for more than three months. the worst condition of the patient undergoing hemodialysis. Hemodialysis patients experience fatigue conditions namely fatigue, fatigue, lethargy and feelings of energy loss. The purpose of this study was to determine the effect of intradyalysis exercise on fatigue levels in hemodialic patients. Research design with descriptive design and case study method. Sampling uses a nonprobability sampling technique with a purposive sampling approach. The number of 5 respondents who were given intradyalysis exercise. The measuring instrument is the Piper Fatigue Scale (PSF) with 21 items. The results of the study showed that the level of fatigue before physical exercise on average in the category of severe weakness level, with a value of 7.57. While the value of the fatigue level after two physical exercises averaged 3, 87 with a moderate level of weakness. the comparison of fatigue levels before and after the intervention on the first day experienced a decrease in fatigue level of 1.77 while on the second day there was a decrease in fatigue level of 1.71. The conclusion of this study is that intradyalysis exercise can reduce fatigue levels in hemodialysis patients.

CORRELATION OF SELF EFFICACY WITH COMPLIENCE UNDERGOING HEMODIALYSIS ON PATIENTS CHRONIC KIDNEY FAILURE IN GENERAL WALED HOSPITAL CIREBON

2020 ◽  
Vol 7 (2) ◽  
pp. 19-26
Author(s):  
Sri Khoiriyah ◽  
Endah Sari Purbaningsih ◽  
Uni Wahyuni
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Self Efficacy ◽  
District Hospital ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Rank Test ◽  
Electrolyte Balance ◽  
Cross Sectional

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.

scholarly journals Aloe Vera Extract 75% Effective in Providing Xerosis Repair In Chronic Kidney Failure Patient’s

2020 ◽  
Vol 7 (3) ◽  
pp. 415-420
Author(s):  
Rini Handriani ◽  
Wiwik Agustina
Keyword(s):  
Kidney Failure ◽  
Random Sampling ◽  
Research Method ◽  
Aloe Vera ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Chronic Kidney Failure ◽  
Independent Variables ◽  
Skin Integrity ◽  
Skin Conditions

The prevalence of chronic kidney disease in Indonesia is  increasing, especially in Saiful Anwar Hospital Malang, because the patients must undergo hemodyalisis therapy. Hemodialysis therapy has an effect to induce xerosis. Untreated xerosis will cause pruritus. Therefore this condition needs to use moisturizer to prevent pruritus like aloe vera extract. The purpose of this research was to determine the effect of using aloe vera extract on the treatment of the skin of patients with chronic kidney failure. The research method was true experimental research and used simple random sampling technique to recruit 25 respondents. Aloe vera extract was used by rubbing it onto the skin with xerosis and assessment was conducted in the first, second and third week. The analysis of this research used the Kruskal-Wallis test and Linear Regression. The result of different test was p = 0.001 or α <0.01 showed that there was significant differences between groups of independent variables. The R ^ 2 value was 69% , it mean that aloe vera extract had an effect as much as 69% of improvement in skin conditions of xerosis patients and 31 % was influenced by other factors besides extract aloe vera. The results showed that aloe vera extract with 75% concentration gave the most effective treatment for xerosis patients. Therefore, aloe vera could be a therapy for xerosis as a management of independent nursing care with nursing problems of skin integrity disorders.

scholarly journals GAMBARAN TINGKAT DEPRESI PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Abdul Wakhid ◽  
Kamsidi Kamsidi ◽  
Gipta Galih Widodo
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Mild Depression ◽  
Cross Sectional ◽  
Self Worth ◽  
Depression Level ◽  
Quota Sampling

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 

scholarly journals The Effectiveness of Cognitive-Existential Group Therapy on Increasing Hope and Decreasing Depression in Women-Treated With Haemodialysis

2015 ◽  
Vol 8 (6) ◽  
pp. 219 ◽  
Author(s):  
Bahman Bahmani ◽  
Maryam Motamed Najjar ◽  
Mansour Sayyah ◽  
Abdollah Shafi-Abadi ◽  
Hamed Haddad Kashani
Keyword(s):  
Kidney Failure ◽  
Treatment Protocol ◽  
Recovery Process ◽  
Chronic Kidney Failure ◽  
Hemodialysis Patients ◽  
Analysis Of Covariance ◽  
Dialysis Session ◽  
Negative Consequences ◽  
Cognitive Approach ◽  
Hemodialysis Treatment

<p><strong>INTRODUCTION: </strong>Hopefulness is one of the most significant predictors of adaptation in hemodialysis patients, and plays a vital role in the recovery process. In contrast to hopefulness, depression is a frequent psychological reaction of the hemodialysis treatment with many negative consequences.  The current research was designed to examine the effect of cognitive-existential treatment on the level of hopefulness and depression in hemodialysis patients.</p><p><strong>MATERIALS &amp; METHODS:</strong> This quasi-experimental research included 22 female patients suffering from chronic kidney failure disease undergoing hemodialysis treatment for at least 3 months. The patients were randomly assigned into two groups of experimental and control conditions. The experimental group received a combination of treatment including some elements of "existentialism" philosophy and a "cognitive" approach designed for the Iranian population. The treatment protocol lasted for 12 sessions of 90 minutes twice per week prior to the entry of the patient to the dialysis session.  Miller’s hope scale and BDI-II-21 were employed to collect the data. Statistical analysis was performed on the data using analysis of covariance by SPSS: 16 software.</p><p><strong>RESULTS:</strong> The result of the analysis indicated that there was a significant improvement in hopefulness level and decrease in depression of the patients in the experiment condition (P&lt;0.01).</p><p><strong>CONCLUSION:</strong> The result of analysis showed that cognitive-existential treatment resulted in the increase of hopefulness and decrease level of depression in the hemodialysis patients suffering from chronic kidney failure.</p>

scholarly journals Self-Acceptance of Chronic Caused Failure Patients That Have a Hemodialysis in Medan

2019 ◽  
Vol 1 (1) ◽  
pp. 18-24
Author(s):  
Cholina Trisa Siregar ◽  
Mia Rhamayani
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Advantages And Disadvantages ◽  
Realistic Assessment ◽  
Study Population ◽  
Self Acceptance ◽  
Improve Patient

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.

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN DENGAN KEPATUHAN DIET PADA PASIEN GAGAL GINJAL KRONIK YANG DILAKUKAN HEMODIALISIS REGULER DI RUMAH SAKIT DARMO SURABAYA

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Sri Sumilati
Keyword(s):  
Kidney Failure ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Chronic Kidney Failure ◽  
Significance Level ◽  
Level Of Knowledge ◽  
Independent Variable ◽  
High Level ◽  
Regular Hemodialysis ◽  
Main Factor

One of the therapies for the patients with chronic kidney failure is diet. In fact, the sufferers sometimes give less participation on the diet. One of the factors is the patient’s knowledge about diet. Therefore, the purpose of this study was to find out the correlation between the knowledge level and the diet obedience level in the patients with chronic kidney failure having regular hemodialysis in Darmo Hospital. The design of study was analytic-observational. The population involved all of the patient with chronic kidney failure having regular hemodialysis in Darmo hospital. totally 63 people, in which 54 respondents were taken as the samples by using simple random sampling technique. The data were collected by using a questionnaire. The independent variable was the knowledge, whereas the dependent one was the diet obedience. Moreover, the data analysis was done by using Mann-Whitney’s test with the significance level α = 0.05. The result of study showed that most of the respondents (59%) had high level of knowledge, whereas nearly all of them (83.3%) were obedient with their diet. Furthermore, the result of analysis showed that p = 0.220 so that p > α which meant that there was no significance correlation between knowledge and diet obedience. The conclusion of study was that the knowledge was not the main factor of the diet obedience. There are other supporting factors, such as experiences in having hemodialysis therapy that can affect someone to go on a diet. Hence, the nurses and their family should play a role more actively in giving counseling about the diet for chronic kidney failure.

scholarly journals Comparison of Blood Pressure and Blood Glucose Levels in Chronic Kidney Failure Patients Before and After Hemodialysis Treatment in RSMH Palembang

2019 ◽  
Vol 51 (2) ◽  
pp. 86-96
Author(s):  
Opel Berlin ◽  
Liniyanti D Oswari ◽  
Susilawati Susilawati
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
T Test ◽  
Glucose Levels ◽  
Hemodialysis Treatment ◽  
Blood Glucose Levels ◽  
Before And After ◽  
Paired T Test

Gagal ginjal kronik ditandai dengan menurunnya fungsi ginjal secara ireversibel yang telah berlansung lebih dari tiga bulan dengan nilai laju filtrasi glomerulus kurang dari 15 ml/menit/1,73m2. Hemodialisis merupakan salah satu terapi pengganti ginjal yang paling sering dilakukan, namun hemodialisis memiliki komplikasi terhadap perubahan tekanan darah dan kadar gula darah. Penelitian ini bertujuan untuk mengetahui perbandingan tekanan darah dan kadar gula darah pada pasien gagal ginjal kronik sebelum dan sesudah hemodialisis di unit hemodialisis RSUP dr. Mohammad Hoesin Palembang. Penelitian ini merupakan penelitian observasional analitik dengan desain longitudinal menggunakan pengukuran berulang. Subjek penelitian adalah 74 pasien gagal ginjal kronik yang memenuhi kriteria inklusi dan eksklusi. Data penelitian diperoleh melalui data primer (pengukuran dan wawancara) dan dianalisis menggunakan Paired T-Test dan Wilcoxon. Rata-rata tekanan darah sebelum hemodialisis adalah 150,14 ± 30,045 mmHg (sistolik) dan 83,99 ± 16,469 mmHg (diastolik) serta sesudah hemodialisis adalah 159,66 ± 33,570 mmHg (sistolik) dan 86,35 ± 15,534 mmHg (diastolik). Rata-rata kadar gula darah sebelum hemodialisis adalah 161,61 ± 80,750 mg/dl serta sesudah hemodialisis adalah 131,51 ± 49,430 mg/dl. Hasil uji Paired T-Test menunjukkan perbandingan tekanan sistolik yang signifikan (p = 0,007), sedangkan hasil uji Wilcoxon menunjukkan perbandingan diastolik yang tidak signifikan (p = 0,193) dan perbandingan kadar gula darah yang signifikan (p = 0,000). Terdapat perbandingan tekanan darah sistolik yang signifikan, tekanan darah diastolik yang tidak signifikan, dan kadar gula darah yang signifikan sebelum dan setelah hemodialisis pada pasien gagal ginjal kronik di RSUP dr. Mohammad Hoesin Palembang.

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