Hubungan antara Durasi Hemodialisis dengan Kejadian Hipotensi Pasien Gagal Ginjal Kronis
DOI:
https://doi.org/10.53399/knj.v0i0.170Keywords:
Hemodialisa, HipotensiAbstract
Latar Belakang: Terapi hemodialisis merupakan terapi pengganti ginjal. Pasien diberikan dosis hemodialisis berdasarkan perhitungan adekuasi yang menentukan lama waktu pasien menjalani hemodialisis setiap sesinya. Kelebihan atau kekurangan durasi yang sesuai dosis yang ditentukan dapat menyebabkan perubahan status kesehatan seperti masalah hipotensi. Tujuan: Tujuan penelitian ini adalah mengidentifikasi dari durasi hemodialisis dengan kejadian hipotensi pada pasien gagal ginjal kronis. Metode : Penelitian ini menggunakan desain kasus-kontrol. Sebanyak 36 sampel data rekam medis yang dipilih secara purposive. Data yang dipilih berupa data pengukuran tekanan darah salama menjalani hemodialisis yang telah diukur setiap jamnya. Data dikumpulkan dan dilakukan analisis statistic menggunakan uji kai kuadrat. Hasil: Hasil penelitian menemukan 50 Persen pasien yang menjalani hemodialisis mengalami hipotensi. Hasil analisis menunjukkan tidak ada hubungan antara durasi hemodialisis dengan status hemodinamik pasien gagal ginjal kronis (p Lebih besar 0,05). Kesimpulan: Tidak ada hubungan antara durasi hemodialisis dengan kejadian hipotensi pada pasien yang menjalani hemodialisis.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
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