scholarly journals KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA

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%).

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.


2021 ◽  
Vol 1 ◽  
pp. 1138-1149
Author(s):  
Asri Nurul Mamluaty ◽  
Rita Dwi Hartanti

AbstractIn patients with chronic renal failure, hemodialysis therapy is needed to replace kidney function by removing nitrogenous substances and toxins in the blood and excessive water. Appropriate management of patients with chronic kidney failure in addition to preventing complications is expected to increase the client's life expectancy. In patients with chronic kidney failure, quality of life also reflects the quality of treatment because it involves physical, psychological, and social processes to be achieved. A good quality of life is needed by hemodialysis patients to prevent the disease from getting worse. This literature review aims to describe the quality of life hemodialysis patients. This study accesses an online database with electronic searches on Pubmed, Portal garuda and Proquest. The search was conducted by combining the keywords “quality of life, chronic kidney disease, hemodialysis” and articles published in the period 2012-2021. Instrumen for the literature review using Strobe instrument. The results of the literature review show that the quality of life score on the physical health dimension is low while on the psychological and environmental dimensions the quality of life score is high. . It is hoped that this study can be a reference for nurses in providing holistic nursing care to patients undergoing hemodialysis so that their quality of lifecan improve. This research is then needed as a data base for the development of other researchers.Keywords: Chronic renal failure; hemodialysis; quality of life AbstrakGagal ginjal kronik disebabkan karena disfungsi ginjal yang bersifat menahun, progresif, irreversible yang memerlukan terapi hemodialisa, pengaturan pola makan dan akses cairan yang masuk. Pada pasien gagal ginjal kronik terapi hemodialisa diperlukan untuk mengganti fungsi ginjal mengeluarkan zat-zat nitrogen dan racun dalam darah dan air yang berlebihan. Pasien hemodialisa dihadapkan pada sejumlah permasalahan fisik dan psikososial yang bisa menurunkan kualitas hidup. Kualitas hidup juga mencerminkan kualitas pengobatan karena melibatkan proses fisik, psikologis, dan sosial yang ingin dicapai. Kualitas hidup yang baik sangat dibutuhkan pasien hemodialisa untuk mencegah penyakit bertambah buruk. Literature review ini bertujuan untuk mengetahui gambaran kualitas hidup pasien hemodialisa. Metode penelitian yang digunakan yaitu studi literature review. Data yang dikumpulkan dengan mengakses database online dengan penelusuran elektronik pada Pubmed, Portal garuda dan Proquest. Pencarian dilakukan dengan mengkombinasikan kata kunci bahasa Inggris “quality of life, chronic kidney disease, hemodialysis dan kata kunci dalam bahasa Indonesiagagal ginjal kronik, hemodialisa dan kualitas hidup”. Instrumen untuk literature review menggunakan instrumen Strobe. Hasil literature review menunjukan skor kualitas hidup pada dimensi kesehatan fisik rendah sedangkan pada dimensi psikologis dan lingkungan skor kualitas hidup tinggi. Penilaian kualitas hidup merupakan indikator penting untuk menilai keefektifan tindakan hemodialisis yang diberikan dan menjadi tujuan penting dalam pengobatan penyakit gagal ginjal tahap akhir. Kata kunci: Gagal Ginjal Kronik; hemodialisa; kualitas hidup.


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.


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 4 (1) ◽  
pp. 125-134
Author(s):  
Tiarnida Nababan

Chronic renal failure or late-stage renal disease is a progressive and irreversible disorder of renal function (the body fails in maintaining metabolism and balance of fluids and electrolytes), thereby causing uremia (retention of urea and other nitrogen waste in the blood). Treatment of kidney failure disease can be done by pharmacological and non-pharmacological means. Non-pharmacological treatment can be in the form of the provision of instrumental music. This study aims to find out the influence of instrumental music on quality of life in chronic kidney failure patients undergoing hemodialysis at the Royal Prima Hospital Medan. This type of research is pre-experimental research with a one-group pre-post-test design with the provision of instrumental music for 20 minutes. The population is 66 people and sampled as many as 20 people with accidental sampling techniques. The analysis used in using Wilcoxon test. Based on the calculation of the Wilcoxon signed-rank test, obtained Z= - 3,938 with (p=0.000) < 0.05, so it can be concluded that there is an instrumental music influence on the quality of life in chronic renal failure patients undergoing hemodialysis at Royal Prima Medan Hospital in 2018. It is recommended that instrumental music can be applied as an alternative therapy to improve the quality of life.


2019 ◽  
pp. 1-7
Author(s):  
Sahuri Teguh Kurniawan ◽  
Intan Sari Andini ◽  
Wahyu Rima Agustin

Hemodialisa akan mempengaruhi keadaan psikologis pasien. Kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa akan cenderung menurun sebagai dampak tindakan hemodialisa.Self efficacy diterapkan sebagai upaya pasien dalam menjalani pengobatan untuk meningkatkan kualitas hidup. Penelitian ini bertujuan untuk menganalisa hubungan self efficacy dengan kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa. Jenis penelitian ini adalah kuantitatif dengan rancangan cross sectional. Teknik pengambilan sampel purposive sampling dengan jumlah sampel sebanyak 44 orang. Hasil uji analisa menggunakan kendall tau didapatkan nilai p value 0,003. Kesimpulan pada penelitian ini adalah terdapat hubungan self efficacy dengan kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa. Kata kunci: Hemodialisa, self efficacy, kualitas hidup Hemodialysis affects the patient’s psychological state. The quality of life of patients with chronic renal failure who undergo hemodialisa therapy will tend to decrease as a result of hemodialysis action. Self efficacy is applied as the patient’s efforts in undergoing treatment to improve the quality of life. This study aims to analyze the relationship of self efficacy with the quality of life of patients with chronic renal failure who undergo hemodialysis therapy. This type of research is quantitative with Cross Sectional design. Sampling technique purposive sampling with the number of samples of 44 people. The result of analysis test using kendall tau got p value 0,003. The conclusion of this research is there is a relationship of self efficacy with quality of life of chronic renal failure patient who underwent hemodialysis therapy.Keywords: Hemodialysis, self efÞ cacy, quality of life


2018 ◽  
Vol 10 (1) ◽  
pp. 15-19
Author(s):  
Fajar Adhie Sulistyo

Background : Chronic kidney disease is a pathophysiological process with diverse etiology, resulting in a progressive decline in renal function, and the patients generally end up with kidney failure. Family support is a support given by families who have blood relations in favor of the health of patients with kidney failure. Quality of life is an individual perception of patients with kidney failure toward his position in life. The aim of this study was to determine the relationship of family support with the quality of life of patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. The method of this research uses uses descriptively analytic type with cross sectional approach. The sample of this researchconsists of 129 respondents. The sampling was taken by accidental sampling technique. The instrument in this study were questionnaires family support and quality of life. The data were analyzed by using univariate and bivariate (using the chi-square test with α = 0.05). Result : Based on the research results through 88 respondents that (68.2%) whose family support is good, then 86 respondents (93%) have a good quality of life, and 2 respondents (5%) have less quality of life. From 8 respondents (6.2%) whose family support is less, 1 respondent (2%) have a good quality of life, and 7 respondents (19%) have a less quality of life. Based on statistical test p = 0.000, it can be concluded that there is significant correlation between both variables. Clonclusion : It is concluded that there is a relationship between family support and the quality of life among patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. Through this research, it is expected to be used as a source reference of information for nurses in hemodialysis room.


2020 ◽  
Vol 2 (3) ◽  
pp. 641-648
Author(s):  
Muhammad Thob Dhiya’ul Haq ◽  
Flora Marbun ◽  
Aziva Zahrianis ◽  
Maria Ulfa ◽  
Novita K. Rambe ◽  
...  

ABSTRACT : Background : Hemodialysis is a process in which blood is separated from harmful substances or poisons and excess fluid is then discharged through a dialysis device. Quality of life is a quality that is felt in everyday life one of which is the physical dimension, namely the impact of anemia experienced by patients. Purpose : to identify the relationship between anemia and quality of life in patients with chronic kidney failure who underwent hemodialysis for less than 6 months. Method: quantitative research design with analytic survey through a cross sectional approach. The population in this study were all patients with chronic kidney failure who did hemodialysis at the Rasyida Kidney Hospital in Medan. “The sample in this study amounted to 40 respondents with purposive sampling. Researchers requested laboratory results for the patient's hemoglobin level in the patient's medical record, and then the patient filled out a WHOQOL quality of life questionnaire”. Results: Patients with chronic kidney failure who underwent hemodialysis <6 months, the majority were male 26 people (65.0%), aged> 50 years (50.0%), married 38 people (95.0%), high school education was 17 people (42.5%), and had 14 self-employed jobs (35.0%). The majority experienced not anemia as many as 16 people (40,0%) and the majority experienced poor quality of life as many as 22 people (55,0%). Conclusion : Chi Square bivariate test results there is “a relationship between anemia and quality of life in patients with chronic kidney failure who undergo hemodialysis less than 6 months with a p-value of 0.002”. Keywords: Anemia, Quality Of Life, Chronic Kidney Disease, Hemodialysis INTISARI : HUBUNGAN ANEMIA DENGAN KUALITAS HIDUP PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS DIBAWAH 6 BULAN DI RUMAH SAKIT KHUSUS GINJAL RASYIDA MEDAN Pendahuluan : Hemodialisis merupakan proses dimana darah dipisahkan dari zat atau racun berbahaya dan cairan berlebih kemudian dibuang melalui alat dialysis. Kualitas hidup merupakan kualitas “yang dirasakan dalam kehidupan sehari-hari salah satunya adalah dimensi fisik, yaitu dampak anemia yang dialami pasien”.Tujuan : Penelitian untuk mengidentifikasi hubungan antara anemia dan kualitas hidup pada pasien yang gagal ginjal kronik yang menjalani hemodialisa kurang dari 6 bulan.Metode : Penelitian ini menggunakan kuantitatif dengan survey analitik yang melalui pendekatan cross sectional. Populasi dalam penelitian ini yakni seluruh pasien gagal ginjal kronik yang melakukan hemodialisis di Rumah Sakit Khusus Ginjal Rasyida Medan “Sampel dalam penelitian ini berjumlah 40 responden  dengan purposive sampling”. Peneliti meminta hasil laboratorium kadar hemoglobin pasien pada rekam medis pasien, dan kemudian pasien mengisi kuisioner kualitas hidup WHOQOL. Hasil : Pasien gagal ginjal kronik yang menjalani hemodialisa < 6 bulan mayoritas berjenis kelamin laki-laki 26 orang (65,0%), berusia >50 Tahun (50,0%), berstatus sudah menikah 38 orang (95,0%), pendidikan terakhir SMA 17 orang (42,5 %), dan memiliki pekerjaan wiraswasta 14 orang (35,0%). Mayoritas tidak mengalami anemia 16 orang (40,0%), anemia ringan 13 orang (32,5%), anemia sedang 11 orang (27,5%) dan mayoritas mengalami kualitas hidup buruk sebanyak 22 orang (55,0%). Hasil uji bivariate Chi Square terdapat “hubungan antara anemia dan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisa kurang dari 6 bulan dengan nilai p-value 0,002”. Kata Kunci : Anemia, Kualitas Hidup, Gagal Ginjal Kronik, Hemodialisa


2016 ◽  
Vol 2 (2) ◽  
pp. 51
Author(s):  
Wahyuni Wahyuni ◽  
Winda Irwanti ◽  
Sofyan Indrayana

<p>Hemodialysis is a static treatment to substitute kidney function. Without a substitute therapy for kidney, a death as a results of metabolic abnormality can occur rapidly. Common issues on clients undergoing hemodialysis are gaining body weight in between two times dialysis which can affect the quality of life of patients if it is not get the good treatment. This research aimed to identify corelations weight gain in between the two time of dialysis to the quality of life of patients with chronic renal failure who underwent hemodialysis in RSUD Panembahan Senopati Bantul. This was a descriptive correlation study with cross-sectional design, samples were taken with accidental sampling technique consisted of 61 people. Data were analized by Kendal Tau Test(τ). The results of the statistics kendal tau (τ) indicated its value pearson kendal tau (-0,009) with p value 0,938, the fi gures were larger than standard significance α: 0.05, thats mean the hypothesis of this research was rejected. Conclusion, there was no a signifi cant corelation weight gaining in between two time of dialysis to the quality of life of patients with chronic renal failure who underwent hemodialysis in RSUD Panembahan Senopati Bantul.</p>


2021 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Riris Andriati ◽  
Aisyah Aisyah

In 2015, the number of cases of end stage chronic kidney failure in Indonesia was 70 thousand sufferers. Based on these figures, patients undergoing hemodialysis therapy are only 4000 to 5000 patients with renal failure. The objective of this study was to determine the relationship between adherence to hemodialysis therapy and the quality of life of patients with chronic renal failure in the Hemodialysis Unit of Haji Hospital Jakarta. This research method is a quantitative study with a cross-sectional design. The number of samples was 54 people who were in the hemodialysis unit of the Jakarta Hajj Hospital during the last three months. The results of the study Respondents with good quality of life, moderate compliance were 1 respondent (%), and good quality were 10 respondents (%). The results of bivariate analysis using the Chi Square test, obtained p value = 0.468˃0.05. This means that there is no relationship between compliance undergoing hemodialysis with the quality of life of patients at the Jakarta Hajj Hospital.Keywords: Adherence;Quality of life; Patients;HemodialysisABSTRAK Pada tahun 2015, Jumlah kasus gagal ginjal kronik tahap akhir di Indonesia sebanyak 70 ribu penderita. Berdasarkan angka tersebut, pasien yang menjalani terapi hemodialisa hanya 4000 hingga 5000 penderita gagal ginjal.. Tujuan penelitian untuk mengetahui hubungan antara kepatuhan menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik di Unit Hemodialisa RS Haji Jakarta. Metode penelitian ini merupakan penelitian kuantitatif dengan rancangan cross-sectional. Jumlah sampel  sebanyak 54 orang yang berada di unit hemodialisa Rumah Sakit haji Jakarta selama tiga bulan terakhir. Responden dengan kualitas hidup baik, memiliki kepatuhan sedang sebanyak 1 responden (%), dan kualitas baik sebanyak 10 responden (%). Hasil analisa bivariat dengan menggunakan uji Chi Square,  diperoleh nilai p value = 0,468˃0.05. Artinya tidak ada hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup pasien di Rumah Sakit Haji Jakarta.Kata Kunci: kepatuhan;kualitas hidup;pasien;hemodialisa


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