scholarly journals THE RELATIONSHIP OF FAMILY SUPPORT REGARDING THE PATIENTS WITH CHRONIC KIDNEY FAILURE WHO HAVE HEMODIALIZED THERAPY TREATMENT IN PMI HOSPITAL BOGOR

2020 ◽  
Vol 10 (2) ◽  
pp. 80-88
Author(s):  
Sara Sara Tania Aprianty ◽  
Hani Siti Hanifatun Fajria

Chronic Renal Failure (CRF) is a disease that has occurred after various diseases that damage the kidney nephrons period up to the point the two are not capable of functioning regulatory and ekstetoriknya to maintain homeostasis. Number of patients with kidney failure in Indonesia is estimated to reach 300.000 people. As many as 12.804 patients with renal failure undergoing hemodialysis. To determine correlation family support patient compliance with chronic renal failure undergo hemodialysis therapy in RS PMI Bogor. This type of research is descriptive quantitative analytical research with cross sectional design. How sampling in this study with purposive sampling with a sample of 152 respondents. The instrument used is questionnaire while data analysis techniques using univariate and bivariate analysis using statistical test Chi-Square. Of the 152 respondents with a family to support as many as 139 respondents (91.4%), adherent patients as many as 128 respondents (84.2%) and family support with adherent patients as many as 121 respondents (79.6%). Statistical test results using Chi-square test p value value 0,007 (p <0.05) and the value of OR 5.762. The conclusion of this research that, There is a correlation between family support patient compliance with chronic renal failure through hemodialysis therapy in PMI Hospital Bogor, 2016. The researchers recommend that increased family support by distributing leaflets to the patients and families about the importance of family support for compliance patients undergo hemodialysis therapy.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Tendy Ar Riqi ◽  
Sutejo Sutejo ◽  
Erika Nurwidayanti

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.


Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 146-156
Author(s):  
Windy Astuti Cahya Ningrum ◽  
M Rafiud Drajat ◽  
Imardiani Imardiani

Latar Belakang: Kegagalan fungsi ginjal dalam mempertahankan metabolisme keseimbangan cairan dan elektrolit merupakan kondisi yang dialami oleh pasien gagal ginjal kronik, keadaan ini mengakibatkan pasien perlu untuk mengontrol asupan cairan guna membantu mengurangi beban kerja ginjal dalam memproses cairan. Pembatasan cairan merupakan salah satu intervensi atau terapi dan faktor penting dalam menentukan keberhasilan terapi pasien gagal ginjal kronik, sehingga dibutuhkan kepatuhan pasien dalam terapi tersebut. Pengetahuan keluarga dan dukungan keluarga merupakan faktor yang dapat meningkatkan kepatuhan pasien dalam menjalani pembatasan cairan. Tujuan Penelitian: Mengetahui hubungan pengetahuan dan dukungan keluarga dengankepatuhan pembatasan cairan pasien gagal ginjal kronik. Metode Penelitian: Penelitian ini menggunakan jenis desain analitic korelasi melalui pendekatan cross sectional dengan teknik non probability sampling : total sampling yangdilaksanakan pada tanggal 10 April – 15 April dan didapatkan jumlah sampel 52 responden dengan menggunakan instrument penelitian kuesioner dan observasi.Hasil: Analisis uji chi square antara pengetahuan dengan kepatuhan pembatasan cairan didapatkan nilai p=0,012 dan dukungan keluarga dengan kepatuhan pembatasan cairan didapatkan nilai p=0,014.Kesimpulan: Ada hubungan yang signifikan antara pengetahuan dan dukungan keluarga dengan kepatuhan pembatasan cairan pasien gagal ginjal kronik di Ruang Hemodialisa RS PUSRI Palembang.   condition experienced by patients with chronic renal failure, this condition resulted in patients need to control fluid intake to help reduce the workload of the kidney in processing fluids. Fluid restriction is one of intervention or therapy and an important factor in determining the success of chronic renal failure therapy patients, so that patient's compliance is required in the therapy. Family knowledge and family support are factors that can improve patient compliance with fluid restrictions. Objective: To examine the relationship of knowledge and family support to fluid restriction adherence in patients with chronic renal failure. Method: This research use correlation analitic design type through cross sectional approach with non probability sampling technique: consecutive sampling and got sample number 52 respondents. Result: Analysis of chi square test between knowledge to fluid restriction compliance (p value = 0,012) and family support to compliance of fluid restriction (p value = 0,014). Conclusion: There is a significant relationship between knowledge and family support for fluid restrictioncompliance in patients with chronic renal failure in the Hemodialisa Room of PUSRI Palembang Hospital.


2021 ◽  
Vol 5 (1) ◽  
pp. 348-353
Author(s):  
Tata Mahyuvi ◽  
Siti Nur Hasina

Background: Failure of kidney function can lead to complications of other health problems, one of which is the condition of excess fluid volume caused by non-compliance with fluid dietary restrictions so that it triggers hypervolemia and results in excessive circulation burden, edema, cardiovascular disorders, impaired cognitive function and can lead to cause death. It is expected that patients with chronic renal failure undergoing hemodialysis therapy can comply with the prescribed fluid diet restrictions. Therefore, in increasing compliance, strong support is needed regarding the importance of fluid diet restriction management. Objective: The purpose of this study was to analyze the Effect of Family Support-Based Health Education on Fluid Diet Compliance in Chronic Kidney Failure Patients. Methods: The design of this study was a quasi-experimental with a pre and post design approach. The population of all patients with chronic kidney failure at Islamic Hospital Of Surabaya A. Yani was 82 patients. The sample size is 48 respondents. The sampling technique used simple random sampling. Patients are given family support-based health education in an effort to increase health knowledge in improving the health status of patients with chronic kidney failure with a family support approach to improve adherence to the fluid intake diet. The analysis used the Wilcoxon Signed Ranks test with p value < 0.05. Results: The results of this study indicate p = 0.000 which means that there is a significant effect of Fluid Diet Adherence before and after Family Support-Based Health Education. Conclusion: Family Support-Based Health Education is effective in improving Fluid Diet Adherence in patients with chronic renal failure and is highly recommended for patients undergoing hemodialysis therapy.


2017 ◽  
Vol 2 (3) ◽  
pp. 416
Author(s):  
Fitri Mailani ◽  
Rika Fitri Andriani

<p><em>Diet on </em><em>chronic renal failure patient is very important to avoid the appearance of uremia effect, liquid hoarding which can affect heart congestive failure and heart edema so that the death is last final. Family support is a factor that influences obedience. The aim of this research was to know the correlation of family support with diet obedience on chronic renal failure patient in Dr. ReksodiwiryoTk III hospitalPadang on year 2017. This research used descriptive analytic with the research design was cross sectional study. This research had been done on October 2016 to Mei 2017. The population in this research was 161 people and the sample was taken by accidental sampling in two weeks for 62 respondents at Hemodialisa room in Dr. ReksodiwiryoTk III hospitalPadang. The data analysis was done by computerization and analyzed in univariat with frequency distribution and bivariat used chi-square test with p value &lt;0,05. The result of this research showed that more than a half respondent (62,9%) had high disobedience and more than a half respondent (61,3%) got less family support. Based on the statistic test, it showed that there was a useful relationship between family support and diet obedience (p= 0,003). To increase family support on diet obedience, it is suggested to medic and family to give the information, attention, and support to patient in doing diet therapy.   </em></p>


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 4 (3) ◽  
pp. 200-206
Author(s):  
Supartiningsih Supartiningsih ◽  
RD.Siti Riski Ainun

ABSTRACT  The incidence of pulmonary tuberculosis is still very high and difficult to reduce due to the lack of compliance in taking anti-tuberculosis drugs. The lack of knowledge and family support are some of the factors that affect the level of patients’ compliancein taking anti-tuberculosis drugs. The purpose of this study is to have an overview of patients’ compliance and to see how the relationship between knowledge and family support can affect TB outpatients in taking anti- tuberculosis drugs at the Sindar Raya Community Health Center. This type of research is quantitative using a cross-sectional approach to 20 respondents who do outpatient treatment at the Sindar Raya Community Center. The sampling technique uses the total sampling technique. The data collecting is done by giving questionnaires to each respondent. The data analysis uses univariate analysis and Chi Square test on bivariate analysis. The results of the univariate research showed that there were 10 respondents (50.0%) with a good level of knowledge,8 respondents (40.0%) with moderate level knowledge, and2 respondents (10.0%) with the lack of knowledge. Good family support showed as many as 9 respondents (45.0%),5 respondents (25.0%) with moderate support, and6 respondents (30.0%) with lack of support. As many as 15 respondents (75.0%) showed a good level of compliance while 5 respondents (25.0%) showed the lack of compliance level. Based on bivariate analysis with the chi square test, there was a significant relationship between knowledge and compliance to taking anti-tuberculosis drugs (P value = 0.036), and there was also a significant relationship between family support and compliance to taking anti-tuberculosis drugs (P value = 0.017).    


2020 ◽  
Vol 8 (01) ◽  
pp. 127-143
Author(s):  
Alfany Natalia Torar ◽  
Semuel Tambuwun ◽  
Herlina P Memah ◽  
Yourisna Pasambo

Introduction Data obtained from the working area of Puskesmas Tumpaan found that hypertension in the elderly was the first prominent disease in the range of January-December 2017, as many as 465 patients and in 2018 the number of patients was 510. Based on preliminary studies of elderly people with high blood pressure, said their blood pressure often increases because they do not adhere to a diet. Lack of support from family members can influence the compliance behavior of implementing a hypertension diet. The purpose of this study is to find out the relationship between family support and adherence to the diet of elderly people with hypertension in the work area of the Puskesmas Tumpaan in the coastal areas and and mountain areas. This type of research is Correlation Analytic with cross sectional design. The population in this study is the elderly with hypertension. The sampling technique uses proportional random sampling with a total of 84 people divided into 42 people in coastal areas and 42 people in mountain areas and data analysis techniques using the Chi Square test. The results showed that in the coastal areas 31% of respondents with good family support, 40% of respondents had adequate family support and 29% of respondents had less family support while 52% showed adherent diet adherence and 48% adherence to non-adherent diet. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.008, meaning that the P-value <0.05. The results of the study in the mountain areas of 40% of respondents with good family support, 31% of respondents with adequate family support and 29% of respondents with less family support, 57% showed adherent diet adherence and 43% of adherent diet adherence. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.021, meaning that the P-value <0.05. The conclusion of this study is that there is a relationship of family support with adherence to the diet of elderly patients with hypertension in both coastal and mountain areas.


Author(s):  
Cornelia DY Nekada ◽  
Mohamad Judha

Background and Objective: Data from Indonesia Basic Health Research (2013) states that the chronic renal failure in Indonesia is increasing, especially in Yogyakarta with the prevalence of chronic renal failure of 0,3%. If the patients of chronic renal failure are in End Stage Renal Disease (ESRD), the kidney needs replacement therapy to help its function. This therapy is called Continuous Renal Replacement Therapy (CRRT) or Hemodialysis (HD). Hemodialysis therapy may influence to the imbalance of oxyhemoglobin in the blood. Patients undergoing hemodialysis may experience intradialytic nausea and vomiting. The objective of this study is to identify whether there is a relationship between pre-dialysis oxygenation status through oxygen saturation (SpO2) and respiratory rate (RR) examination and the intradialytic nausea-vomiting occurrence. Method: This research is a comparative research with analytical cross sectional design. This research was conducted in hemodialysis room in Public Hospital of Panembahan Senopati Bantul. The subject of the research was taken using total sampling, by paying attention to research ethics. The total research subjects are 183 respondents. The researchers measured the oxygen saturation and patients’ respiratory rate and examined the intradialytic nausea and vomiting complaints. Result: The analysis result of Fisher’s exact in this research shows p value of 0,000 both in bivariate analysis of oxygen saturation to the nausea and vomiting occurrence and in bivariate analysis of the respiratory rate to the nausea and vomiting occurrence. The multivariate analysis employing regression logistic shows that the OR of oxygen saturation is 73,57, this means that the measurement of the abnormal oxygen saturation has the chance of seventy three times more to the nausea and vomiting occurrence, if compared to the patients with normal oxygen saturation. Conclusion and Suggestion: Intradialytic nausea and vomiting is one of the causes of the imbalance of oxyhemoglobin. The readiness of pre-dialysis oxygenation status needs to be noticed so that the nausea and vomiting complaints can be anticipated earlier.


2018 ◽  
Vol 3 (2) ◽  
pp. 20-25
Author(s):  
Eka Saudur Sihombing ◽  
Rohanta Manihuruk

Exclusive breastfeeding is the first, main and best food for a natural baby. Asi contains various nutrients needed in the process of growth and development of babies. ) The efficacy of breast milk is so large as breast milk can reduce the risk of babies suffering from various diseases. If the baby is sick it will heal faster when getting breast milk. Breast milk also helps the growth and development of children's intelligence Goals: The aim of the study was to determine the relationship between family knowledge and support for mothers with exclusive breastfeeding. Methods: The research method used an analytical survey type with a cross sectional approach to 75 breastfeeding mothers who had babies aged 7-24 months. Data analysis was performed by univariate analysis to obtain an overview of each independent and dependent variable. Data will be presented in the form of distribution, frequency and bivariate analysis to determine whether there is a relationship between independent variables (categorical) and independent variables (categorical) using Chi Square Test. Results: The results of the study obtained the frequency distribution of respondents with good knowledge 45 people (60%), less knowledge of 30 people (40%), family support 33 respondents (44%), family support 42 respondents (56%), ASI actions Exclusive 17 respondents (22.7%), did not provide exclusive breastfeeding 58 respondents (77.3%). There is no relationship between mother's knowledge of exclusive breastfeeding (p-value 0.063). There is no relationship between family support for exclusive breastfeeding p = 0.063 and p = 0.098 (α = 0.05) means that there is no relationship between knowledge and family support for mothers with exclusive breastfeeding. Conclusion: It is recommended to the community especially to mothers and families to increase exclusive breastfeeding so that the baby's needs for breastfeeding are met, and the family continues to provide support for the mother to give the baby exclusive breastfeeding, further researchers use different and varied variables and dig deeper into the mother's attitude towards exclusive breastfeeding with direct interviews with nursing mothers.


2020 ◽  
Vol 3 (1) ◽  
pp. 79-86
Author(s):  
Arfah May Syara ◽  
Syatriawati Suhaimi ◽  
Anita Sri Gandaria Purba ◽  
Juni Mariati Simarmata ◽  
Cindy Yulvika Saragih

 Hemodialysis patients are susceptible to malnutrition caused by components in hemodialysis, such as Dialyzer (Kidney Artificial), blood line, AV fistula, bicarbonate fluid, acidic liquid. Patients who have long been undergoing hemodialysis have high urea and creatinine levels. Increased levels of urea and creatinine can stimulate acid production such as stomach ulcers (gastritis),  namely nausea, vomiting, heartburn, bloating and no appetite. This research aims to knowing long standing relationship of hemodialysis with appetite in patients chronic renal failure in the unit hemodialysis of Grandmed Lubuk Pakam Hospital in 2019. This type of research is quantitative research, using analytical survey method with cross sectional approach. The population in this study were all patients with chronic renal failure who were in the hemodialysis unit of Grandmed Lubuk Pakam Hospital with a sample of 49 people, using a purposive sampling technique. Data collection was using a questionnaire. The analysis in this study used Chi Square test with a degree of confidence of 5% = 0,05. The results of the study stated that the majority of respondents were in the old category (2 years-3 years) as many as 31 people (63.3%) with decreased appetite by 21 people (42.9%), fixed appetite of 7 people (14.3 %), appetite increased by 3 people (6.1%). There is a long standing relationship of hemodialysis with appetite in patients chronic renal failure in the unit hemodialysis of Grandmed Lubuk Pakam Hospital in 2019 with p value < α = 0,05.


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