Susilowati, Endang (2018) Hubungan antara Adekuasi Hemodialisis dengan Kualitas Hidup Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis. Sarjana thesis, Universitas Brawijaya.
Abstract
Adekuasi hemodialisis menggambarkan ukuran kecukupan dosis hemodialisis sehingga diharapkan dapat meningkatkan kualitas hidup pasien. Pengukuran adekuasi melalui monitor mesin hemodialisis mempunyai keunggulan lebih efisien dan dapat diakses sewaktu-waktu. Tujuan penelitian ini untuk mengetahui hubungan antara adekuasi hemodialisis dengan kualitas hidup pasien gagal ginjal kronis yang menjalani hemodialisis. Desain penelitian observasional analitik korelasional cross sectional. Analisis data menggunakan uji korelasional Spearman Rank. Subyek penelitian adalah 31 pasien gagal ginjal kronis yang dilakukan hemodialisis, ditentukan dengan metode consecutive sampling. Pengumpulan data retrospektif melalui pencatatan adekuasi berdasarkan hasil pemantauan mesin hemodialisis serta dengan kuesioner kualitas hidup KDQOL SF-36. Hasil penelitian menyatakan tidak ada hubungan yang signifikan antara adekuasi hemodialisis dengan kualitas hidup pada seluruh dimensi kualitas hidup KDQOL 36 kecuali pada dimensi physical composite (p=0,013, α=0,05) r= -0,449. Terdapat hubungan antara dimensi kualitas hidup fungsi fisik dengan lama menjalani hemodialisis (p= 0,046, α=0,05), r = -0,367. Kesimpulan: Konfirmasi nilai adekuasi dengan pemeriksaan ureum darah perlu dilakukan. Pemantauan kurva monitor mesin terhadap kelancaran akses, Qb, durasi hemodialisis dan resirkulasi selama hemodialisis penting untuk mendukung tercapainya adekuasi yang diharapkan. Evaluasi kualitas hidup pasien perlu dilakukan secara berkala.
English Abstract
Hemodialysis adequacy describes a measure of the hemodialysis dose . Automatic measurement of adequacy through a hemodialysis machine has a more efficient advantage and can be accessed at any time. The purpose of this study was to determine the association between adequacy hemodialysis and the quality of life among chronic renal failure patients undergoing hemodialysis. This study used a correlational analytic observational study with a cross sectional design. Data analysed with the Spearman Rank correlation test. The subjects were 31 chronic renal failure patients undergoing hemodialysis, determined by consecutive sampling method. Data were collected retrospectively through hemodialysis record and the KDQOL SF-36 questionnaire. The result was there was no significant relationship between the adequacy of hemodialysis and quality of life in all dimensions of quality of life except for the dimensions of the physical composite (p=0,013, α=0,05) r= -0,449. There was a relationship between length of time undergoing hemodialysis and physical composite (p= 0,046, α=0,05), r = -0,367. The conclusion is confirmation of adequacy with blood urea examination is necessary. Monitoring machine monitor curves for smooth access, Qb, duration of hemodialysis and recirculation during hemodialysis is important to support the achievement of the expected adequacy. Evaluating the quality of life of patients needs to be done regularly.
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | SKR/FK/2018/511/051900973 |
| Uncontrolled Keywords: | Adekuasi hemodialisis, kualitas hidup / Hemodialysis adequacy, quality of life |
| Subjects: | 600 Technology (Applied sciences) > 617 Surgery, regional medicine, dentistry, ophthalmology, otology, audiology > 617.4 Surgery by systems > 617.461 059 Hemodialysis |
| Divisions: | Fakultas Kedokteran > Ilmu Keperawatan |
| Depositing User: | Endang Susworini |
| Date Deposited: | 11 May 2020 04:13 |
| Last Modified: | 11 May 2020 04:13 |
| URI: | http://repository.ub.ac.id/id/eprint/167786 |
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