scholarly journals PENGATURAN CAIRAN SECARA MANDIRI PADA KLIEN YANG MENJALANI HEMODIALISIS

2014 ◽  
Vol 5 (2) ◽  
pp. 39-43 ◽  
Author(s):  
Krisna Yetti Malawat

Salah satu stressor yang dialamni oleh klien End Stage Renal Disease (ESRD) sebagai akibat tidak berfungsinya ginjal adalah masalah kelebihan cairan. Pengaturan pemasukan cairan akan mengurangi penambahan cairan di dalam pembluh daah antara dua waktu hemodialisis (HD). Merujuk pada teori Orem tentang Self Care, diyakini bahwa klien mempunyai kemampuan untuk mengatur pemasukan cairan secara mandiri. Berdasarkan teori ini dikembangkan suatu program untuk mengendalikan cairan untuk menolong klien HD yang mengalami kelebihan cairan di suatu rumah sakit umum di Jakarta pada tahun. Dari 24 klien HD yang berhasil menyelesaikan program ini 2 orang (8%) berada pada grafik baik, 15 orang (63%) berada pada grafik rata-rata, dan 7 orang (29%) berada pada grafik bahaya. Fluid overload is one of the stressors experienced by End Stage Renal Disease clients. The management of fluid intake will minimize the amount of fluid in blood vessel inter-dialysis time. Refer to Orem theory of self care; it is believed that hemodialysis (HD) clients have the ability to regulate the fluid intake. Based on theory; it was developed a program for helping HD clients to reduce their fluid overload in a public hospital in Jakarta. Twenty-four HD clients have completed the program successfully, who were 8% in good graphic, 63% in average graphic, and 29% in dangerous graphic.

2021 ◽  
pp. RTNP-D-20-00042
Author(s):  
Juhyun Lee ◽  
Dabok Noh

Background and PurposeThe global increase in prevalence of individuals with end-stage renal disease is a rising concern. Self-care is an essential and important component of chronic disease management. Poor self-care in patients receiving hemodialysis is associated with an increased risk of mortality and hospitalization. This study aimed to identify predictive factors for self-care in patients receiving hemodialysis based on a middle-range theory of self-care for chronic illness.MethodsAdult patients with end-stage renal disease receiving hemodialysis were recruited at an artificial kidney unit in a general hospital. Data from 131 patients were analyzed. Self-report questionnaires assessed hemodialysis-related knowledge, health motivation, self-efficacy, social support, access to care, and self-care.ResultsParticipants who had a family caregiver showed significantly higher selfcare scores than those who did not, and self-care scores were higher in patients who reported hypertension as a causal disease of end-stage renal disease than in those who did not. Self-care was significantly correlated with knowledge, health motivation, self-efficacy, social support, and access to care. The study’s regression model showed that self-efficacy, health motivation, and knowledge were predictive variables influencing self-care, and the explanatory power of this model was 55.9%.Implications for PracticeThe results support the middle-range theory of self-care for chronic illness. Strategies and education to improve self-efficacy, health motivation, and knowledge must be incorporated when designing self-care programs. Nursing interventions that patients can participate in with their family members might facilitate improving self-care.


Author(s):  
Ali Jabbar Abd Al-Husayn ◽  
Ali Kareem Al-Jubboori ◽  
Safi Alzeyadi ◽  
Hassan Abdullah Athbi ◽  
Selman Hussain Faris ◽  
...  

2017 ◽  
Vol 49 (4) ◽  
pp. 1601789 ◽  
Author(s):  
Owen D. Lyons ◽  
Toru Inami ◽  
Elisa Perger ◽  
Azadeh Yadollahi ◽  
Christopher T. Chan ◽  
...  

As in heart failure, obstructive and central sleep apnoea (OSA and CSA, respectively) are common in end-stage renal disease. Fluid overload characterises end-stage renal disease and heart failure, and in heart failure plays a role in the pathogenesis of OSA and CSA. We postulated that in end-stage renal disease patients, those with sleep apnoea would have greater fluid volume overload than those without.End-stage renal disease patients on thrice-weekly haemodialysis underwent overnight polysomnography on a nondialysis day to determine their apnoea–hypopnoea index (AHI). Extracellular fluid volume of the total body, neck, thorax and right leg were measured using bioelectrical impedance.28 patients had an AHI ≥15 (sleep apnoea group; OSA:CSA 21:7) and 12 had an AHI <15 (no sleep apnoea group). Total body extracellular fluid volume was 2.6 L greater in the sleep apnoea group than in the no sleep apnoea group (p=0.006). Neck, thorax, and leg fluid volumes were also greater in the sleep apnoea than the no sleep apnoea group (p<0.05), despite no difference in body mass index (p=0.165).These findings support a role for fluid overload in the pathogenesis of both OSA and CSA in end-stage renal disease.


PLoS ONE ◽  
2016 ◽  
Vol 11 (7) ◽  
pp. e0154299 ◽  
Author(s):  
Anuradha Jayanti ◽  
Philip Foden ◽  
Alison Wearden ◽  
Sandip Mitra

2016 ◽  
Vol 22 ◽  
pp. 2779-2784 ◽  
Author(s):  
Süreyya Yılmaz ◽  
Yasar Yildirim ◽  
Zülfükar Yilmaz ◽  
Ali Veysel Kara ◽  
Mahsuk Taylan ◽  
...  

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