Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa Di RSUD dr ABDUL AZIZ

Etiek Nurhayati, Laila Kamilla, cik Verra Budi Lestari

Abstract


Hypertension is when a person experiences increased blood pressure on tissue and organ perfusion. One complication that can be caused by hypertension is kidney failure. Urea and creatinine are waste products of the body's metabolism. Ureum and creatinine levels will increase, indicating impaired kidney function. Damage that occurs to the kidneys must be treated one way with hemodialysis. The function of hemodialysis therapy is to reduce urea and creatinine levels in patients with chronic kidney failure.

The study's general objective was to analyze urea and creatinine levels in hypertensive patients with chronic kidney failure undergoing hemodialysis therapy at dr. Abdul Aziz Singkawang General Hospital. The research design is analytically observational with a cross-sectional research design. Secondary data in this study were obtained from medical records and laboratory results of hypertensive patients with chronic kidney failure undergoing hemodialysis therapy without complications of DM, namely 37 respondents who performed urea and creatinine examinations before and after hemodialysis at dr. Abdul Aziz Singkawang by using a purposive sampling technique.

The results of the study found 64 hypertensive patients undergoing hemodialysis and obtained a sample of 37 patients who met the criteria, namely hypertensive patients undergoing hemodialysis without complications of DM got an average urea level before hemodialysis 187.1919 mg/dl and after hemodialysis 136.0162 mg/dl. The intermediate creatinine level before hemodialysis was 14.0870 mg/dl and 11.0224 mg/dl after hemodialysis.

The results of the Wilcoxon Signed Rank Test. They obtained p-value = 0.000 <α (0.05), which indicated differences in urea and creatinine levels before and after hemodialysis therapy in hypertensive patients with chronic kidney failure.


Keywords


Urea; Creatinine; Hemodialysis; Chronic Renal Failure

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References


Alam, S., & Hadibroto, I., 2007, Gagal Ginjal, PT Gramedia Pustaka Utama, Jakarta.

Corwin, J. W., 2009, Buku Saku Patofisiologi, EGC, Jakarta.

Fitri Tambunan, F., Nurmayni, Rapiq Rahayu, P., Sari, P., & Indah Sari, S., 2021, Hipertensi Si Pembunuh Senyap “Yuk kenali pencegahan dan penangananya”, CV. Pusdikra Mitra Jaya, Medan.

Heriansyah, Aji Humaedi, N. W. (2019). Gambaran Ureum Dan Kreatinin Pada Pasien Gagal Ginjal Kronis Di Rsud Karawang. Binawan Student Journal, 01(01), 8–14.

Kemenkes RI, 2008, Pedoman Pelayanan Hemodialisis di Sarana Pelayanan Kesehatan, Kementrian Kesehatan RI.

Malfica, M. J., Rosita, L., & Yuantari, R. (2023). Hubungan Ureum dan Kreatinin Serum dengan Lamanya Terapi Hemodialisis pada Pasien Penyakit Ginjal Kronis ( PGK ) di RS PKU Bantul. Berkala Ilmiah Kedokteran Dan Kesehatan Masyarakat, 1(1), 8–18. https://doi.org/10.28885/bikkm.vol1.iss1.art2

Martini, W. N. E., & Mutalazimah, (2010), Hubungan Tingkat Asupan Protein Dengan Kadar Ureum dan Kreatinin Darah pada Penderita Gagal Ginjal Kronik di Rsud Dr. Moewardi Surakarta, Jurnal Kesehatan, Vol 3, 19-26, Surakarta.

Maryati, S., Febriyossa, A., Hikmah, A. M., & Apriani, A. (2022). Perbedaan Ureum dan Kreatinin pada Pasien Gagal Ginjal Kronik Riwayat Hipertensi Sebelum dan Sesudah Terapi Hemodialisa. Jurnal Sehat Indonesia (JUSINDO), 4(02), 70–76. https://doi.org/10.36418/jsi.v4i02.39

Nuroini, Fitri, Wahyu Wijayanto, Kata Kunci, : Gagal, Ginjal Kronik, Kadar Kreatinin, and Kadar Ureum. 2022. “Gambaran Kadar Ureum Dan Kreatinin Pada Pasien Gagal Ginjal Kronis Di RSU Wiradadi Husada.” 4(2):538.

Price, A. S., & Wilson, M, L., 2012, Patofisologis Konsep Klinis Proses-Proses Penyakit, Vol 1, Eds 6, Buku Kedokteran EGC, Jakarta.

Rajagukguk, T., Aritonang, E., & Siahaan, M. A. (2021). Analisa Kadar Ureum Pre Dan Post Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Pada Usia Dewasa Yang Di Rawat Di Rumah Sakit Islam Malahayati Medan Tekensos, 3(2). Retrieved from http://e-journal.sari-mutiara.ac.id/index.php/tekesnos/article/view/2436

Samsudin, R. R., & Widyastuti, R. (2021). Pemantauan Pasien Dengan Diagnosa Gagal Ginjal Kronik Di RSUD Sumber Rejo Bojonegoro. Surabaya : The Journal of Muhamadiyah Medical Laboratory Technologist, 2(4), 148–156.

Siregar, T, C., 2020, Buku Ajar Manajemen Pasien Hemodialisa, Deepublish, Yogyakarta.

Syuryani, N., Arman, E., & Putri, G. E. (2021). Perbedaan Kadar Ureum Sebelum Dan Sesudah Hemodialisa Pada Penderita Gagal Ginjal Kronik. Jurnal Kesehatan Saintika Meditory, 4(2), 117. https://doi.org/10.30633/ jsm.v4i 2.1292

Susanti, H., 2019, Memahami Interpretasi Pemeriksaan Laboratorium Penyakit Ginjal Kronis, UB Press, Malang.

Wade, C., 2016, Mengatasi Hipertensi, Nuansa Cendekia, Bandung.

Yuniar, I., Rachmawati, N., & Trisna, C. (2023). Reserch Article Korelasi Kadar Kreatinin Serum Pasien Thalassemia yang Mendapatkan Deferasirox di RSU Kabupaten Tangerang Correlation of Serum Creatinine Levels in Thalassemia Patients Who Received Deferasirox at General Hospital of Regency Tangerang. Journal of Medical Laboratory Research, 1(2), 34–39.




DOI: https://doi.org/10.30602/jlk.v7i1.1246

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