scholarly journals FAKTOR – FAKTOR YANG MEMPENGARUHI KEPATUHAN PASIEN GAGAL GINJAL KRONIS YANG MENJALANI HEMODIALISIS DI RSUD GUNUNGSITOLI NIAS

2019 ◽  
Vol 1 (2) ◽  
pp. 68-75
Author(s):  
Edriyani Yonlafado Simanjuntak ◽  
Bangun Andi syahputra Halawa

Salah satu penyakit tidak menular menjadi permasalahan kesehatan dunia adalah gagal ginjal kronis. Diperlukan kepatuhan dalam proses penatalaksanaan hemodialisis untuk mencapai kualitas hidup yang lebih baik. Ketidakpatuhan menimbulkan komplikasi kegawatan berdampak pada kualitas hidup pasien. Tujuan penelitian ini adalah untuk mengetahui faktor – faktor yang mempengaruhi kepatuhan pasien Gagal ginjal kronis yang menjalani hemodialisis di RSUD Gunungsitoli Nias. Penelitian ini menggunakan desain analitik komparatif dengan rancangan penelitian crossectional study. Populasi penelitian ini adalah pasien Gagal Ginjal Kronis yang menjalani terapi hemodialisis di Unit Hemodialisis Rumah Sakit Umum Daerah Gunungsitoli Nias dengan teknik pengambilan data menggunakan teknik accidental sampling dengan jumlah sampel didapatkan sebanyak 48 orang. Alat pengumpulan data menggunakan instrumen kuesioner dan uji satatistik menggunakan Person Chi-Square Test. Hasil penelitian menunjukkan faktor usia mayoritas 31-40 tahun (62,5%), jarak mayoritas ≥ 3 km (68,8%), pendapatan mayoritas tinggi (41,7%), motivasi mayoritas tinggi (68,8%), dukungan keluarga mayoritas baik (50%) dan kepatuhan mayoritas patuh (66,7%). Uji Person Chi-Square menunjukkan faktor usia (p=0,407), jarak (p=0,509) dan motivasi (p=0.186) dan faktor pendapatan (p=0.001) dan dukungan keluarga (p=0,000). Kesimpulan penelitian ini adalah faktor usia, jarak dan motivasi mempengaruhi kepatuhan sedangkan faktor pendapatan dan dukungan keluarga mempengaruhi kepatuhan pada pasien gagal ginjal kronis yang menjalani hemodialisis di RSUD Gunungsitoli Nias. Disarankan kepada keluarga dan petugas kesehatan dapat memberikan dukungan kepada anggota keluarga yang menjalani hemodialisa dan selalu mendampingi serta memberi semangat dalam menjalani hemodialisis, Bagi pasien agar meningkatkan kepatuhan akan terapi hemodialisis untuk meningkatkan kualitas hidup.   One of the non-communicable diseases in the world about health problem is chronic kidney failure. Adherence is required in the management process of hemodialysis to achieve a better quality of life. Noncompliance cause emergency complications that affect the quality of life of patients. The purpose of this study was to determine the factors that influence the compliance of patients with chronic kidney disease undergoing hemodialysis in the RSUD Gunungsitoli Nias. This study used a comparative analytic design with a crossectional study design. The population of this study was patients with Chronic Kidney Disease who underwent hemodialysis therapy at the Hemodialysis Unit of the Gunungsitoli General Hospital in Nias with data collection techniques using accidental sampling technique with a total sample of 48 people. The data collection tool uses questionnaire instruments and statistical tests using the Person Chi-Square Test. The results showed the majority of age factors were 31-40 years (62.5%), the majority of the distance ≥ 3 km (68.8%), the income of the majority was high (41.7%), the motivation of the majority was high (68.8%), support the majority of the family is good (50%) and the majority compliance is obedient (66.7%). Person Chi-Square test shows age (p = 0.407), distance (p = 0.509) and motivation (p = 0.186) and income factors (p = 0.001) and family support (p = 0,000). The conclusion of this study is that age, distance and motivation factors influence adherence while income and family support factors influence adherence in patients with chronic renal failure undergoing hemodialysis in Gunungsitoli Nias General Hospital. It is recommended to families and health workers to provide support to family members who undergoing hemodialysis and always accompany and encourage them to undergo hemodialysis, for patients to improve adherence to hemodialysis therapy to improve quality of life.

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


2018 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Kadek G Pebriantari ◽  
IGA Puja Astuti Dewi

ABSTRAKLatar Belakang. Hemodialisis aman dan bermanfaat untuk pasien, namun bukan berarti tanpa efek samping. Berbagai komplikasi dapat terjadi pada saat pasien menjalani hemodialisis. Komplikasi ini dapat mengakibatkan timbulnya masalah baru yang lebih kompleks, yaitu dapat mempengaruhi kualitas hidup bahkan menimbulkan kematianTujuan. Untuk mengetahui hubungan komplikasi intra hemodialisis dengan kualitas hidup  pada pasien Chronic Kidney Disease (CKD) Stage V yang menjalani hemodialisis.Metode. Jenis penelitian adalah analitik korelasional dengan pendekatan cross-sectional. Sampel pada penelitian ini berjumlah 166 responden diambil dengan teknik non probability sampling yaitu total sampling. Pengumpulan data menggunakan kuesioner dan lembar observasi,dianalisa dengan uji non parametric (Chi Square).Hasil. Rata – rata jumlah komplikasi intra hemodialisis adalah kurang dari dua komplikasi (sedikit komplikasi). Hipertensi intra hemodialisis adalah komplikasi terbanyak yang ditemukan (52,3%). Kejang dan penurunan kesadaran merupakan komplikasi yang tidak pernah dialami oleh responden selama penelitian (0%).Kualitas hidup pasien CKD stage V yang menjalani HD di BRSU Tabanan masuk dalam kategori kualitas baik. Hasil uji statistik diperoleh nilai p < 0.001 bahwa ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani HD. Dari hasil analisis diperoleh pula nilai OR = 0,005, artinya responden yang memiliki banyak komplikasi mempunyai peluang 0,005 kali memiliki kualitas hidup buruk dibanding responden yang memiliki sedikit komplikasi.Kesimpulan. Ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani hemodialisis.KataKunci: Komplikasi Intra Hemodialisis, Kualitas Hidup, Hemodialisis ABSTRACTBackground: Hemodialysis is safe and beneficial to the patient. However, there are various complications may occur when the patients undergo hemodialysis. These complications can lead to the emergence of new problems which are more complex and affect to the quality of life and even cause death.Aim: To determine the relationship of intra hemodialysis complications with quality of life in patients with Chronic Stage Kidney Disease (CKD) Stage V who undergo hemodialysis.Method:This study employed correlational analytic design with cross-sectional approach. To conduct this study, there were 166 respondents recruited as the sample by using probability sampling with total sampling technique. The data were collected by using questionnaire and observation sheet. Further, the data were analyzed by non-parametric test (Chi Square).Finding: The findings indicated that the average number of intra hemodialysis complications is less than two complications (few complications). There were found that 52.3% patients who had complication of hypertension intra hemodialysis. On the other hand, there was 0%of the respondents experienced seizures and decreased awareness complications during the study. The quality of life of CKD stage V patients underwenthemodialysis at BRSU Tabanan is categorized as good quality. The statistical test obtained p <0.001, it meant that there was a significant relationship between intra hemodialysis complications with quality of life in patients underwenthemodialysis. It also found that the analysis results of OR = 0.005, it meant that respondents who had many complications have a chance of 0.005 times experienced poor quality of life rather than the patients who had few complications.Conclusion: There is a significant relationship between intra hemodialysis complications and quality of life in patients undergo hemodialysis. Keywords: Complications of Intra Hemodialysis, Quality of Life, Hemodialysis


2018 ◽  
Vol 1 (2) ◽  
pp. 32-46
Author(s):  
Handi Rustandi ◽  
Hengky Tranado ◽  
Tinalia Pransasti

This study aimed to describe the factors that affect the quality of life of patients with CRF who undergo hemodialysis in dr. M. Yunushospital in Bengkulu 2016. The population of study is 205 people, the sampling technique used was an accidental sampling with a sample of 67 respondents.The results showed nearly all respondents aged smaller than 20 and greather than 35 years, more than the majority of respondents were female, more than the majority of respondents had pretty income or more, almost half of respondents had high levels of depression, more than the majority of respondents had either the family support, more than the majority of respondents had a high quality of life, there was a correlation between age, gender, producer, depression, and family support with quality of life, there was a relationship between sex with the quality of life for CRF patients undergoing hemodialysis in dr. M. Yunus Hospital in Bengkulu 2016.It is advisable for the public to provide health education for families of patients with CRF who undergo hemodialysis therapy on the importance of family support in improving the quality of life of family members. Keywords: Accidental Sampling, Chronic Kidney Disease, Hemodialysis, 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.


Chronic kidney disease (CKD) is a global health problem with global prevalence ranging from 11-13%. The process of chronic inflammation and malnutrition in CKD patients undergoing hemodialysis (HD) is a medical condition that affects the quality of life. This study aims to determine the correlation of hs-CRP levels and nutritional status with quality life of CKD patients undergoing HD. This research is an analytical study, cross sectional design, conducted in December 2019 - March 2020 at Haji Adam Malik General Hospital Medan. Based on the fisher's exact test of 37 samples, a significant correlation was found between hs-CRP and physical health (p = 0. 037, PR 1.6) and with psychological well- being (p = 0.045; PR 1.78). There was no correlation found between hs-CRP with social relations (p = 0.091; PR 1.7) and the environment (p = 0.078; PR 1.54). A significant correlation was found between nutritional status and several domains including physical health (p = 0.038; PR 1.6), psychological well-being (p = 0.005; PR 2.09), social correlations (p = 0.011; PR 2.48), and the environment (p = 0.012; PR 2.02). The study determinded that there was correlation found between hs-CRP levels with physical health and psychological well-being and between nutritional status with all domains of quality of life.


2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Emil Huriani ◽  
Elvia Donny Harida ◽  
Feri Fernandes

Objective:  to identify anxiety and compliance relationships with quality of life in patients with chronic kidney disease undergoing hemodialysis.Methods:  The research applied cross sectional design with 66 respondents. Analysis of research results using Chi-Square with a degree of significance p≤0,05.Results:  The results showed a significant relationship between anxiety and compliance with patient's quality of life.Conclusion:  It is important to optimize nursing care for anxiety that aims to improve the quality of life of patients with chronic kidney disease.


2018 ◽  
Vol 5 (2) ◽  
pp. 56-63
Author(s):  
Abdul Wakhid ◽  
Estri Linda Wijayanti ◽  
Liyanovitasari Liyanovitasari

Background: Self efficacy can optimize the quality of life of clients who undergo the healing process due to chronic diseases. Individuals with higher self-efficacy move their personal and social resources proactively to maintain and improve the quality and length of their lives so that they experience a better quality of life. Objectives: the purpose of this study was to find the correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency. Metode: This type of research was descriptive correlation with cross sectional approach. The samples in this study more 76 people with total sampling technique. The data collection tool for self efficacy was measured by General Self-Efficacy scale, for quality of life with WHOQoL-BREF. Statistical test used Kolmogorov-smirnov. Result: The result showed that self efficacy in patients with chronic kidney disease was mostly in moderate category (53,9%), quality of life in patients with chronic kidney disease was mostly in good category (68,4%). There was a correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency, the result obtained p-value of 0.000 <α (0,05). Suggestion: Patients with chronic kidney disease can maintain good quality of life by helping to generate positive self-esteem and high self efficacy.


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