HUBUNGAN ANTARA DURASI HEMODIALISIS DENGAN STATUS HEMODINAMIK PASIEN GAGAL GINJAL KRONIS

Fauzan Alfikrie, Uti Rusdian Hidayat, Ali Akbar, Nurpratiwi Nurpratiwi, Mimi Amaludin, Debby Hatmalyakin

Abstract


Backgorund: Hypotension in patients on dialysis may result from inadequate hemodialysis doses. Purpose: The purpose of this study was to identify the duration of hemodialysis with the hemodynamics of patients undergoing hemodialysis. Method: This study used a case-control design. A total of 36 samples of medical record data were selected purposively. Selected data identified hemodynamics during the intradialytic period. The results obtained were analyzed using a chi-square. Result: The results of the analysis showed that hypotension (50%), cramps (41.7%), nausea (2.8%), dizziness (8.3%), and shortness of breath (2.8%). The results showed that there was no relationship between the duration of hemodialysis and the hemodynamic status of patients with chronic renal failure (p=1). Conclussion: Patients undergoing hemodialysis need to be monitored during the intradialytic period. Patients may not report symptoms during the intradialytic phase

Keywords


Hemodynamics, Hemodialysis

References


Black, J dan Hawks, J. (2014). Keperawatan Medikal Bedah: Manajemen Klinis untuk Hasil yang Diharapkan. Dialih bahasakan oleh Nampira R. Jakarta: Salemba Emban Patria

Flythe, J.E., Kimmel, S.E., Brunelli, S.M. (2011). Rapid fluid removal during dialysis is associated with cardiovascular morbidity and mortality. Kidney Int. 79: 250–257

Henrich, W.L., Flythe J. (2020). Intradialytic hypotension in an otherwise stable patient. Accessed October 2021 di uptodate.com/contents/intradialytic-hypotension-in-an-otherwise-stable-patient

Holley, J.L., Berns, J.S., Motwani, S. (2021). Acute complications during hemodialysis. Diakses di https://www.uptodate.com/contents/acute-complications-during-hemodialysis diperoleh tanggal 26 Juni 2021

Ignatavicius, D.D. and Workman, M.L. (2015). Medical Surgical Nursing: Patient Centered Collaborative Care. 8th Ed. St. Louis: Elsevier Saunders

K/DOQI Workgroup. (2005). K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. Am J Kidney Dis. 45(4 Suppl 3): S1–S153

Kanbay, M., Ertuglu, L.A., Afsar, B., Ozdogan, E., Siriopol, D., Covic, A., et al (2020). An update review of intradialytic hypotension: concept, risk factors, clinical implications and management, Clinical Kidney Journal. 13 (6): 981–993, https://doi.org/10.1093/ckj/sfaa078

Kemenkes, RI (2013). Riset Kesehatan Dasar 2013; RISKESDAS. Jakarta: Balitbang Kemenkes RI

Kemenkes, RI (2019). Riset Kesehatan Dasar; RISKESDAS 2018. Jakarta: Balitbang Kemenkes RI

Lewis, S.L., Dirksen, S.F., Heitkemper, M.M., et al. (2013). Medical Surgical Nursing; Assesment and Management of Clinical Problems. 9th Ed. Velume 2. Mosby Elsevier

McGuire, S., Horton, E.J., Renshaw, D., Jimenez, A., Krishnan, N., McGregor G. (2018). Hemodynamic instability during dialysis: the potential role of intradialytic exercise. BioMed Research International. 1-11. Doi: 10.1155/2018/8276912

PERNEFRI (2018). Report of Indonesian Renal Registry. Diakses di https://www.indonesianrenalregistry.org/data/IRR%202018.pdf

Raja, S.M., Seyoum, Y. (2020). Intradialytic complications among patients on twice-weekly maintenance hemodialysis: an experience from a hemodialysis center in Eritrea. BMC Nephrol 21, 163. https://doi.org/10.1186/s12882-020-01806-9

Singh, A.T., Mc Causland, F.R.(2017). Osmolality and blood pressure stability during hemodialysis. Semin Dial. 30: 509–517

Steyaert, S., Holvoet, E., Nagler, E., Malfait, S., Biesen, W.V. (2019) Reporting of “dialysis adequacy” as an outcome in randomised trials conducted in adults on haemodialysis. Plos One. 14(2): e0207045 https://doi.org/10.1371/journal.pone.0207045

WHO. (2018). The global burden of kidney disease and the sustainable development goal




DOI: https://doi.org/10.53399/knj.v0i0.170

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