KnE Life Sciences
ISSN: 2413-0877
The latest conference proceedings on life sciences, medicine and pharmacology.
The Influence of Hemodialysis Adequacy on the Blood Urea Value
Published date: Dec 23 2019
Journal Title: KnE Life Sciences
Issue title: The First International Conference on Health Profession
Pages: 152–157
Authors:
Abstract:
Hemodialysis is one of the substitutional renal therapies given to chronic renal clients who are experiencing terminal stage or end-stage Renal Diseases (ESRD). In Indonesia, there are 655 renal units and 433 among them have sent the data to Indonesia Renal Registry (IRR). There are 77,892 clients who do hemodialysis therapy actively. Therefore, among them, 30,831 are new clients who have just started taking the therapy. Hemodialysis is a therapy to get rid of the toxic, water and soluble essence from the blood in clients who have ESRD. The success of hemodialysis can be known from the HD adequacy. The research aims to identify the influence of hemodialysis adequacy on the blood urea value and the research was conducted at the TK.II Dustira Cimahi Hospital. The research used quantitative with different tests. Ninety respondents were involved in the research by using a convenience sampling technique. Adequacy HD was calculated by using a calculator online KT/V and blood urea was obtained from the medical record of secondary data from the laboratory checking the pre and post HD urea blood. Analysis data used paired t-test. The research result showed that HD adequacy average was 1,27 and the urea average of pre HD was 165 mg/dl, furthermore the average of post urea HD was 59,93 mg/dl. The result of the analysis with paired t-test showed that there is an influence of hemodialysis adequacy on the blood urea value with p-value = 0,00 (p<0,05). Therefore, it can be concluded that there is an influence of hemodialysis adequacy towards the blood urea value. The suggestion for the renal unit is to increase the HD adequacy that aims to reduce blood urea value.
References:
[1] Aisara S, Azmi, S, &Yanni, M. (2018). Artikel Penelitian Gambaran Klinis Penderita Penyakit Ginjal Kronik yang. Jurnal Kesehatan Andalas, 7(1), 42–50.
[2] Bayhakki. (2013).Seri Asuhan Keperawatan Klien Gagal Ginjal Kronik. Jakarta.
[3] Damayanti, A. (2017). Hubungan asupan protein dengan kadar kreatinin penderita gagal ginjal kronik dengan hemodialisa. Darussalam Nutrition Journal, 1(1).
[4] Daurgirdas, J., T., Blake, P., G., Ing, T., S. (2007) Handbook of Dialysis, Philadelphia: Lippincott Williams & Wilkins.
[5] Infodatin. (2017). Situasi Penyakit Ginjal Kronis. Pusat Data Dan Informasi- Kementerian Kesehatan Republik Indonesia.
[6] Indonesia Renal Registry (IRR). (2017). 10 th Report Of Indonesian Renal Registry 2017 10th Report Of Indonesian Renal Registry 2017.
[7] Luis, D., Zlatkis, K., Comenge, B., & Garc, Z. (2015). Dietary Quality and Adherence to Dietary Recommendations in Patients Undergoing Hemodialysis, 1–6.
[8] NKF-K/DOQI. (2000). Nutrition in Chronic Renal Failure. American Journal of Kidney Disease, 35(6).
[9] Priscilla, & LeMone. (2016). Buku ajar keperawatan medikal bedah: gangguan eliminasi / Priscilla, Karen M. Burke, Gerene Bauldoff ; alih bahasa, Nike Budhi Subekti ; editor bahasa indonesia, Ayu Linda. Jakarta: EGC.
[10] Riskesdas. (2018). Hasil Utama Riskesdas 2018 Kementerian Kesehatan RI Badan Penelitian dan Pengembangan Kesehatan. Kemenkes RI.
[11] Stevenson, J., Tong, A., Gutman, T., Campbell, K. L., Craig, J. C., Brown, M. A., & Vincent, W. (2018). Experiences and Perspectives of Dietary Management Among Patients on Hemodialysis: An Interview Study. Journal of Renal Nutrition, 1–11.
[12] Sukandar, E. (2006). Nefrologi klinik. Edisi ke-3. bandung: pusat informasi ilmiah bagian dalam ilmu penyakit dalam FK UNPAD/RS. Dr. Hasan Sadikin.
[13] Wein, A.J., Kavoussi, L., R., Novick, A., C., Partin, A.W., Peters, C.A, ( 2007), Campbell-Walsh Urology, Philadelphia: Saunders Elsevier.
[14] Weisbord, S. D., Fried, L. F., Arnold, R. M., Rotondi, A. J., Fine, M. J., Levenson, D. J., & Switzer, G. E. (2004). Development of a Symptom Assessment Instrument for Chronic Hemodialysis Patients: The Dialysis Symptom Index. Journal of Pain and Symptom Management, 27(3), 226–240.