scholarly journals PERAN HEMODIALISIS TERHADAP KADAR KREATININ DARAH PASIEN GAGAL GINJAL KRONIK

2021 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
I Gede Purnawinadi
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Function ◽  
Electrolyte Imbalance ◽  
Bivariate Analysis ◽  
High Tech ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Paired Sample ◽  
Purposive Sampling

Hemodialisis merupakan terapi pengganti fungsi ginjal berteknologi tinggi dalam upaya mengeluarkan sisa-sisa metabolisme atau racun tertentu dari peredaran darah dengan tujuan utama menghilangkan gejala dengan mengendalikan kadar ureum dan kreatinin dalam darah, kelebihan cairan dan ketidakseimbangan elektrolit yang terjadi pada pasien dengan kondisi gagal ginjal kronik. Penelitian ini bertujuan menambah pemahaman tentang peran dan manfaat hemodialisis melalui analisis perbandingan kadar kreatinin serum pre dan post hemodialisis pada pasien gagal ginjal kronik di unit hemodialisa RSUP. Prof. DR. R. D. Kandou Manado. Metode penelitian yang dilakukan adalah kuantitatif komparatif dengan pendekatan cross sectional. Pengambilan sampel menggunakan teknik purposive sampling. Data yang terkumpul akan diolah dan dianalisis menggunakan komputer program microsoft excel dan program Statistical Product and Service Solutions (SPSS). Data dianalisis secara univariat mencari nilai rata-rata dan analisis bivariat dengan paired sample t-test. Hasil penelitian membuktikan hemodialisis mempunyai pengaruh yang signifikan dalam upaya menurunkan kadar kreatinin darah yang berlebihan pada pasien dengan gagal ginjal kronik (p=0,000<0,005). Untuk penelitian selanjutnya terkait peran hemodialisis diharapkan dapat menganalisis variabel lainnya seperti kadar ureum dan lain-lain sebagai indikator fungsi ginjal.  Kata kunci: hemodialisis, kreatinin, gagal ginjal kronik   Hemodialysis is a substitute therapy for high-tech kidney function in an effort to remove metabolic remnants or certain poisons from the bloodstream with the main goal of relieving symptoms by controlling ureum and creatinine levels in the blood, fluid overload, and electrolyte imbalance that occurs in patients with chronic kidney failure. This study aims to increase understanding of the role and benefits of hemodialysis through a comparative analysis of serum creatinine levels pre and post hemodialysis in patients with chronic renal failure in the hemodialysis unit of the General Hospital. Prof. DR. R. D. Kandou Manado. The research method used is comparative quantitative with cross-sectional approach. Sampling using a purposive sampling technique. The collected data is processed and analyzed using Microsoft Excel computer programs and Statistical Product and Service Solutions (SPSS) programs. Data were analyzed univariately by looking for mean and bivariate analysis with paired sample t-tests. The results showed that hemodialysis had a significant effect in reducing excessive blood creatinine levels in patients with chronic renal failure (p = 0.000 <0.005). For further research related to the role of hemodialysis, it is hoped that other variables can be analyzed such as urea levels and others as indicators of kidney function. Keywords: hemodialysis, creatinine, chronic renal failure

scholarly journals Hubungan citra tubuh dengan kesejahteraan spiritual pada pasien hemodialisis di RS PKU Muhammadiyah Gamping

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Tendy Ar Riqi ◽  
Sutejo Sutejo ◽  
Erika Nurwidayanti
Keyword(s):  
Renal Failure ◽  
Body Image ◽  
Chronic Renal Failure ◽  
Body Image Disturbance ◽  
Bivariate Analysis ◽  
P Value ◽  
Spiritual Wellbeing ◽  
Chi Square ◽  
Cross Sectional ◽  
Hemodialysis Unit

Hemodialysis would affect body image and have an impact on the spiritual wellbeing of patients due to the variety of changes in the patient’s body. The purpose of this study was to determine the relationship between body image and the spiritual wellbeing of patients undergoing hemodialysis. The research method is descriptive correlative with a cross-sectional approach. The study was conducted in PKU Muhammadiyah Hospital Gamping with a sample of 60 respondents. The sampling method is purposive sampling. Data collection tool in this study is a questionnaire with 22 statements. Data were analyzed using univariate and bivariate analysis using chi square tests. The results showed that there is a relationship between body image and the spiritual wellbeing of patients with chronic renal failure undergoing hemodialysis with p-value (0,027) < α (0,05). This study recommends hemodialysis unit to improve further performance in providing comprehensive care nursing practice both physical and psychosocial in patients with chronic renal failure undergoing hemodialysis especially on the subject of body image disturbance that will affect the spiritual wellbeing of patients.

scholarly journals HUBUNGAN SELF EFFICACY DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA DI RSUD SUKOHARJO

2019 ◽  
pp. 1-7
Author(s):  
Sahuri Teguh Kurniawan ◽  
Intan Sari Andini ◽  
Wahyu Rima Agustin
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Self Efficacy ◽  
Psychological State ◽  
P Value ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Relationship Of

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

scholarly journals THE CORRELATION BETWEEN GALECTIN-3, CREATININE AND URIC ACID ON STAGE V CHRONIC RENAL FAILURE

2019 ◽  
Vol 25 (1) ◽  
pp. 104
Author(s):  
Indranila K S ◽  
Guruh A I ◽  
Meita H
Keyword(s):  
Renal Failure ◽  
Uric Acid ◽  
Chronic Renal Failure ◽  
Kidney Function ◽  
Structural Damage ◽  
Colorimetric Method ◽  
Cross Sectional ◽  
Waste Products ◽  
Correlation Test ◽  
Galectin 3

Chronic Renal Failure (CRF) is structural damage and function of the kidneys that cannot excrete toxins and waste products from the blood, characterized by the presence of protein in the urine and decreased glomerulus filtration rate. This study aimed to determine the correlation between Galectin-3 and markers of kidney function which are creatinine and uric acid. This study was being concluded on 33 CRF patients who were doing hemodialysis therapy. This study was conducted in the Dr. Kariadi Semarang Hospital and GAKI Laboratory of Diponegoro Medical Faculty from April to June 2018. The research method was analytical descriptive with cross-sectional approach. Galectin-3 was analyzed using ELISA method with an automatic analyzer, creatinine and uric acid using the colorimetric method with an automatic spectrophotometer. Statistical analysis used Shaphiro-Wilk normality test and Spearman correlation test. There is a weak positive correlation test of galectin-3 with creatinine (r = 0.381; p = 0.029) and galectin-3 with uric acid (r = 0.374; p = 0.048) in CRF – HD. It is concluded galectin-3 can be used as a marker of kidney function.

METABOLIC SYNDROME IN DIALYSIS PATIENTS

2016 ◽  
pp. 7-11
Author(s):  
Vinh Phu Hoang ◽  
Tam Vo ◽  
Van Tien Le ◽  
Thi Hoai Huong Vo
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Artificial Kidney ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Average Value ◽  
The Metabolic Syndrome ◽  
End Stage

Objective: To review disorders elements of the metabolic syndrome in patients with end-stage chronic renal failure on dialysis cycle. Materials and methods: A cross sectional descriptive study of 85 patients including end-stage chronic renal failure in dialysis cycle from 5/2015 - 9/2016 at the Department of Artificial Kidney, Hue Central Hospital. Results: The prevalence of metabolic syndrome in dialysis patients was 37.65%. The prevalence of abdominal obesity was 30.6%; The prevalence of hypertension was 72.9%, the average value systolic blood pressure and diastolic blood pressure were 142.24 ± 27.53, 80.35 ± 12.48 mmHg; The prevalence of hyperglycemia was 28%, the average value blood glucose was 4.9 ± 1.19 mmol/l; The prevalence of triglyceride increase was 34.1%, the average value triglyceride was 1.59 ± 0.84 mmol/l. The prevalence of HDL-C increase was 47.1%, the average value HDL-C was 1.24 ± 0.33 mmol/l. Conclusion: The prevalence of metabolic syndrome in dialysis patients is very high, in which hypertension and HDL disturbances are the highest. Key words: chronic renal failure, dialysis, metabolic syndrome

scholarly journals Relationship of Nutritional Substance toward HB Content of Chronic Kidney Failure Patients which Running Hemodialysis

2019 ◽  
Vol 9 (1) ◽  
pp. 1145-1450
Keyword(s):  
Renal Failure ◽  
Folic Acid ◽  
Chronic Renal Failure ◽  
Vitamin C ◽  
Chronic Kidney Failure ◽  
Cross Sectional Study ◽  
Research Subjects ◽  
Chi Square ◽  
Cross Sectional ◽  
The Relationship

Chronic Renal Failure (CRF) is a disease caused due to kidney damage or deterioration glomerulus filtrate rate (GFR/GFR/Glomerular Filtration Rate) <60 ml/min /1.73 m2 for ≥ 3 months. One of the complications that often appears in CRF is anemia or decrease of hemoglobin level in the blood that is related to the relationship intake of nutrients (protein, vitamin C, folic acid and iron). The purpose of this study was to determine the relationship Intake of nutrients (protein, vitamin C, folic acid and iron) on Hb levels of chronic renal failure patients undergoing hemodialysis in RSI Siti Khadijah Palembang. This type of research is an observational analytic with a cross-sectional study design. Population in this study were all outpatients with chronic renal failure undergoing hemodialysis in RSI Siti Khadijah Palembang with total research subjects were 50 subjects, taken using purposive sampling and analyzed using chi-square test. The result showed that there are 52% of patients with chronic renal failure are male more than female. The aged 50-64 years old is 44% and 30-49 years old are 32%. The percentage of outpatients who had an adequate intake of protein, vitamin C, folic acid and iron were 28%, 10%, 0%, and 18% respectively, meanwhile, most of the patients had low hemoglobin levels which were 94%. There was not a significant association between intake of nutrients (protein, vitamin C, folic acid and iron) on Hb levels of chronic renal failure patients undergoing hemodialysis in RSI Siti Khadijah Palembang. Based on these results, should be noted again nutrient intake (protein, vitamin C, folic acid and iron) outpatient before and after undergoing hemodialysis to support the optimal outcome of hemodialysis therapy.

scholarly journals Coping Mechanisms and Stress Adaptation in Chronic Kidney Failure Patients Underwent Hemodialysis Therapy in RSUD Waled Kabupaten Cirebon

2020 ◽  
Vol 7 (2) ◽  
pp. 27-31
Author(s):  
Bambang Adi Purnomo ◽  
Yani Kamasturyani ◽  
Cecep Wahyudin
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Coping Mechanisms ◽  
Rank Test ◽  
Stress Adaptation ◽  
P Value ◽  
Cross Sectional ◽  
Spearman Rank

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.

Residual kidney function and plasma urea concentration in patients with chronic renal failure

1990 ◽  
Vol 22 (6) ◽  
pp. 573-579 ◽  
Author(s):  
O. Schück ◽  
J. Erben ◽  
H. Nádvorníková ◽  
V. Teplan ◽  
O. Marečková ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Function ◽  
Urea Concentration ◽  
Plasma Urea ◽  
Residual Kidney Function ◽  
Plasma Urea Concentration

Depression and Anxiety in Patients with Chronic Renal Failure Undergoing Hemodialysis

2021 ◽  
Author(s):  
Elham Shahraki ◽  
Mansoor Shakiba ◽  
Seyedeh Yasaman Ghasemi-Aliabadi
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Depression And Anxiety ◽  
Mild Depression ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
High Level

Background: Chronic renal failure is a disabling condition with multiple complication such as depression and anxiety; they are common in hemodialysis patients and have negatively effect on quality of life. In this study we investigate the prevalence of depression and anxiety in Zahedan hemodialysis patients. Methods: A total 200 patients undergoing regular hemodialysis for more than six months included in this descriptive cross-sectional study. After consent The Hamilton Rating Scale for Depression and anxiety (HAM-D7) in a version translated into and adapted to Persian, were used. Results: The patients median age was (43.06 ± 16.11) years and 38.5% was male. Mild depression was observed in (15) 7.5%, moderate in (81) 40.5% and sever depression in (104) 52% of patients. In this study 19.5% (39) of patients has moderate anxiety and 80.5% (161) patients with sever anxiety. A significant correlation was found between duration of dialysis, older age and depression. But there wasn’t any relationship between age and duration of dialysis with anxiety. Anxiety and depression found without any significant differences in both males and females. Conclusion: We found high level of depression an anxiety in Zahedan hemodialysis patients.

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