FACTORS RELATED TO HEMOGLOBIN (Hb) LEVEL OF HEMODIALYSIS PATIENTS; PILOT STUDY
DOI:
https://doi.org/10.35913/jk.v8i2.202Keywords:
Hemodialysis, hemoglobin level, nutritional status, length of time undergoing hemodialysis, dialysis adequacyAbstract
Background: Chronic kidney disease (CKD) occurs due to decrease a progressive and irreversible in kidney function, which requires life-long replacement therapy for renal function. Anemia is one of the effects due to decreased kidney function, a diet that is too strict, and a result of the dialysis process. This is of course a concern for health workers to maintain the quality of life for patients. Objectives: To determine the relationship between age, gender, nutritional status, duration of hemodialysis, and dialysis adequacy with hemoglobin levels in hemodialysis patients. Research method: This research design is descriptive correlation with a total sample of 65 respondents taken by random sampling with random number technique. The research instrument used a questionnaire and a sheet of the measurement of nutritional status, dialysis adequacy, and hemoglobin levels. Results: The results showed that there was a relationship between the length of time undergoing hemodialysis and hemoglobin levels in hemodialysis patients with p-value of 0.036. While, age, gender, nutritional status and dialysis adequacy were not related to the patient's hemoglobin level (p-value > 0.05). This can be influenced by the patient's quality of life and good management of anemia in the patient. Conclusion: The results showed that the longer the patient underwent hemodialysis, the hemoglobin level was better, so it was important for nurses to make appropriate interventions so that the patient's hemoglobin level could be maintained and had an impact on the patient's quality of life.
References
Agustina, W., & Purnomo, A. E. (2017). Menurunnya Kadar Hemoglobin pada Penderita End Stage Renal Disease (ESRD) yang Menjalani Hemodialisis Di Kota Malang. Naskah Publikasi. Malang: STIKES Maharani Medan.
Brown, C. B. (1991). Manual Ilmu Penyakit Ginjal (Manual of Renal Disease). Alih Bahasa: Mohammad Sadikin & Winarsi. Jakarta: Binarupa Aksara.
Brunelli, S. M, Berns, J. S. (2009). Anemia and Chronic Kidney Disease and End Stage Renal Disease. http://www.nephrologyrounds.org/
Cahyono, J.B., Suharjo. (2008). Gaya Hidup dan Penyakit Modern. Yogyakarta: Kanisius.
Haryono, R. (2013). Keperawatan Medikal Bedah: Sistem Perkemihan. Yogyakarta: Penerbit Andi.
Ismatullah, A. (tth). Manajemen Terapi Anemia pada Paisen Gagal Ginjal. Fakultas Kedokteran Universitas Lampung.
Jofre, et al. (2000). Quality of Life for Patients Groups. Kidney International Vol. 57, P:S-121 - S130. http://www.proquest. umi.com
Kandarini, Y. (tth). Penatalaksanaan Anemia Pada Penyakit Ginjal Kronik. Denpasar: Divisi Ginjal dan Hipertensi, SMF Ilmu Penyakit Dalam FK Unud RSUP Sanglah.
Konsensus Dialisis Pernefri. (2003).
Latifah, I. (2012). Hubungan Antara Kadar Hemoglobin, Kadar Albumin, Kadar Kreatinin dan Status Pembayaran dengan Kematian Pasien Gagal Ginjal Kronik Di RSUD dr Moewardi. Skripsi. Program Studi Kesehatan Masyarakat: Universitas Muhammadiyah Surakarta.
Lestari, A. (2019). Anemia dan Lama Menjalani Hemodialisis Mempengaruhi Kualitas Hidup Pasien Gagal Ginjal Kronik Di RS PKU Muhammadiyah Yogyakarta. Skripsi. Program Studi Ilmu Keperawatan FIK Universitas ‘Aisyiyah.
Mahan, L. K., dan Escott- Stump, S. (2004). Krause’s Food, Nutrition, & Diet Therapy. 11th Edition. USA: Elsevier.
Muttaqin, A., dan Sari, K. (2011). Asuhan Keperawatan Gangguan Sistem Perkemihan. Jakarta: Salemba Medika.
National Kidney Foundation. (2007). Anemia and Chronic Kidney Disease. http://www.kidney.org/
National Kidney Foundation. (2016). End Stage Renal Disease in the United States. Di akses dari: https://www. kidney.org/news/newsroom/factshes/End-Stage-RenalDisease-in-the-US
Nurchayati, S. (2010). Analisis faktor-faktor yang berhubungan dengan kualitas hidup pasien penyakit ginjal kronik yang menjalani hemodialisis di Rumah Sakit Islam Fatimah Cilacap dan Rumah Sakit Umum Daerah Banyumas. Tesis tidak dipublikasikan. Depok: Universitas Indonesia
Palmer, S. C., Ruospo, M., Campbell., K. L., Larsen, V. G., Saglimbene, V., Natale, P., Gargano, L., Craig, J. C., Johnson, D. W., Tonelli M., Knight, J., Bednarek-Skublewska, A., Celia, E., del Castillo, D., Dulawa, J., Ecder, T., Fabricius, E., Frazão, J. M., Gelfman, R., Hoischen, S. H., Schön, S., Stroumza, P., Timofte, D., Török, M., Hegbrant, J., Wollheim, C., Frantzen, L., Strippoli, G. F. M. (2015). Nutrition and Dietary Intake and Their Association with Mortality and Hospitalisation in Adults with Chronic Kidney Disease Treated with Haemodialysis: Protocol for DIET-HD, A Prospective Multinational Cohort Study. BMJ Open; 5: e006897. doi:10.1136/bmjopen-2014-006897
Perkumpulan Nefrologi Indonesia (PERNEFRI). (2001). Konsensus Manajemen Anemia Pada Penyakit Ginjal Kronik. Jurnal Perhimpunan Nefrologi Indonesia. Jakarta: PERNEFRI (Perhimpunan Nefrologi Indonesia).
Perkumpulan Nefrologi Indonesia (PERNEFRI). (2012). 5th Report of Indonesian Renal Registry. Di akses dari: http://www.indonesianrenal registry.org/data/5th%20Annual%20Report%20 Of%20IRR%202012.pdf
Perkumpulan Nefrologi Indonesia (PERNEFRI). (2014). 7th Report of Indonesian Renal Registry.
Rohaeti, Ibrahim, K., dan Nursiswati. (2014). Gambaran Kejadian Anemia pada Pasien Hemodialisis Regular Di Isntalasi Hemodialisis RSUP Dr. Hasan Sadikin Bandung.
Sahabat Ginjal. (2008). Cegah Anemia pada Gagal Ginjal Tingkatkan Kualitas Hidup Pasien. Di akses dari: http://www. sahabatginjal.com/
Shankar, Anoop. Klein, Ronald. Barbara. (2006). The Association among Smoking, Heavy Drinking, and Chronic Kidney Disease. American Journal of Epidemiology. Vol. 164, No. 3. June 2006. http://aje.oxfordjournals.org/ content/164/3/263.full.pdf+html?sid=04752b d5-a3e7-4c10-a80f-f7dccd732079.
Silviani, D., Adityawarman, L. D. (2011). Hubungan Lama Periode Hemodialisis dengan Status Albumin Penderita Gagal Ginjal Kronik di Unit Hemodialisis RSUD. Prof. Dr. Margono Soekarjo Purwokerto Tahun 2010. Mandala of Health. Vol. 5, No. 2, September 2011.
Smeltzer, S. C., dan Bare, B. G. (2002). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddart. Edisi 8 Vol. 2. Jakarta: EGC.
Soehardjono. (2014). Hemodialisis; Prinsip Dasar dan Pemakaian Kliniknya. Buku Ajar Ilmu Penyakit Dalam. Edisi VI Jilid II. Jakarta: Interna Publishing Pusat Penerbitan Ilmu Penyakit Dalam.
Suwitra, K. (2014). Penyakit Ginjal Kronik Buku Ajar Ilmu Penyakit Dalam. Edisi VI Jilid II. Jakarta: Interna Publishing Pusat Penerbitan Ilmu Penyakit Dalam.
Szromba, C. (2009). Anemia Treatment Through the Years. Nephrology Nursing Journals, March-April Vol. 36, No 2. http://proquest.umi.com/
Tamtomo, D. G. (2016). Perubahan Anatomik Organ Tubuh Pada Penuaan. https://library.uns.ac.id/perubahan-anatomik-organ-tubuh-pada-penuaan/
