Intradialytic Complication and Associated Factors among Patients Undergoing Hemodialysis

Yeni Kartika Sari, Ning Arti Wulandari, Sandi Alfa Wiga Arsa, Iwit Rata Ari Dewi
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Abstract


Hemodialysis is one of the vital management options for end-stage renal disease (ERDS) patients. Adequate hemodialysis can make a good quality of patient life. Hemodialysis patient commonly has experienced intradialytic complications, and it can be life-threatening. ESRD patients who are not compliant with fluid and dietary restrictions raised Intradialytic weight gain (IDWG), and blood pressure leads to intradialytic complications. This study aimed to determine factors associated with intradialytic complications among undergoing hemodialytic patients in Blitar. The data analysis used Multiple linear regression analysis to ascertain the possible factors that influence intradialytic complications. The sample was 55 hemodialysis patients with intradialytic complications. Based on this study, the Spearman Rank correlation test results, the factor that correlated with intradialytic complications was patient compliance with a Sig (2-tailed) value of 0.016 with a correlation coefficient value of -0.26. The correlation coefficient in the results above was negative, namely -0.263 so that the correlation between the two variables was not unidirectional. The higher compliance showed, the lower the intradialytic complications. The odds ratio (OR) value between adherence and the occurrence of intradialytic complications was 3,229. That value meant that patients with kidney failure who do not comply with the diet will have a 3-fold risk of intradialytic complications compared to patients with renal failure who comply. This result emphasizes the need for constant motivation and education at frequent intervals to ensure better adherence.

Keywords


CKD, Intradialytic Complication, Hemodialysis

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References


Alfikrie, F., Sari, L., & Akbar, A. (2020). Factors associated with anxiety in patients with chronic kidney disease undergoing hemodialysis: a crossectional study. International Journal of Nursing, Health and Medicine, 2(2), 1–6.

Andrew Davenport. (2006). Intradialytic complications during hemodialysis. Hemodialisys International, 10(2), 162–167. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1542-4758.2006.00088.x

Bare, & S. (2002). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddart (A. Waluyo (ed.)). EGC.

Chaidir, R., & Putri, M. E. (2014). Faktor-faktor yang Berhubungan dengan Intradialisis Hipotensi Pada Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisis. STIKES YARSI SUMBAR BUKITTINGGI.

Daugirdas, J. T., Blake, P. G., & Ing, T. S. (2015). Handbook of dialysis: Fifth edition. In J. T. Daugirdas (Ed.) Handbook of Dialysis (Fifth Edit).

Daugirdas, J. T., Blake, P. G., & Ing, T. S. (2015). Handbook of dialysis: Fifth edition. In J. T. Daugirdas (Ed.), Handbook of Dialysis: Fifth Edition (fifth).

Ferdinan, D., Suwito, J., & P. (2019). Faktor-Faktor Yang Mempengaruhi Hipertensi Intradialitik Pada Klien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisis Di RSI Jemursari Surabaya. Jurnal Keperawatan, 22(1), 30–39. http://journal.poltekkesdepkes-sby.ac.id/index.php/KEP/article/view/1487

Ferdinan, D., Suwito, J., & Padoli. (2019). FAKTOR-FAKTOR YANG MEMPENGARUHI HIPERTENSI INTRADIALITIK PADA KLIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISIS DI RSI JEMURSARI SURABAYA. Jurnal Keperawatan, XII(1), 30–39.

Firmansyah, F. (2016). FAKTOR-FAKTOR YANG MEMPENGARUHI KETIDAKPATUHAN DIIT PADA PASIEN GAGAL GINJAL KRONIK DI RUANG HEMODIALISA RSUD KRT SETJONEGORO WONOSOBO. SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADIYAH GOMBONG.

IRR.tim. (2018). 10 th Report Of Indonesian Renal Registry 2017 (pp. 1–40).

Kamil, I., Agustina, R., & Wahid, A. (2018). Gambaran Tingkat Kecemasan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis Di RSUD Ulin Banjarmasin. Dinamika Kesehatan, 9(2), 366–377. https://ojs.dinamikakesehatan.unism.ac.id/index.php/dksm/article/view/350

Lolyta, Ismonah, & Solechan. (2012). Analisis Faktor yang Mempengaruhi Tekanan Darah Hemodialisis pada Klien Gagal Ginjal Kronis. Jurnal Ilmu Keperawatan Dan Kebidanan (JIKK), 1, 58–70.

Marcel Brass, Perrine Ruby, S. spengler. (2009). Inhibition of imitative behaviour and social cognition. Philosophical Transactions Of The Royal Society B, 364(1528), 2359–2367. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2865080/

Marfuah, U. (n.d.). Hubungan Kepatuhan Pembatasan Asupan Cairan Dengan Kejadian Asites PAda Pasien Gagal Ginjal Kronik yang Mnejalani Hemodialisis di RS PKU Muhammadiah Unit II Yogyakarta. In 2018. http://digilib.unisayogya.ac.id/3975/

Mustikasari, I., & Noorratri, Erika Dewi, S. A. (2017). Weight Gain Pasien Hemodialisa DI RSUD Panembahan Surakarta. XV(1), 78–85.

Nasution, A. T., Tarigan, R. R., & Patrick, J. (2014). Komplikasi Akut Intradialisis. In Universitas Sumatera Utara.

Nita Samsyah. (2011). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PASIEN CKD YANG MENJALANI HEMODIALISA DI RSPAU Dr ESNAWAN ANTARIKSA HALIM PERDANA KUSUMA JAKARTA [Universitas Indonesia]. http://lontar.ui.ac.id/file?file=digital/20281994-T Nita Syamsiah.pdf

Padoli, & Ayunda Bella, R. (2017). Kejadian Komplikasi Intradialisis Klien Gagal Ginjal Kronik Di Ruang Instalasi Hemodialisis RSUD Dr. M Soewandhi Surabaya. Jurnal Keperawatan Indonesia, X, 26–32.

Patimah, I., S, S., & Nuraeni, A. (2015). Pengaruh Relaksasi Dzikir terhadap Tingkat Kecemasan Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa. Jurnal Keperawatan Padjadjaran, 3(1), 18–24. https://doi.org/10.24198/jkp.v3i1.95

PUDIASTUTI, R. D. (2011). Cerebrovascular Disease. Nuha Medika.

Rahma, shela febrianti ainur. (2017). HUBUNGAN KEPATUHAN PEMBATASAN CAIRAN TERHADAP TERJADINYA HIPERVOLEMIA PADA PASIEN GAGAL GINJAL KRONIK DI RUANG HEMODIALISA RSUD Dr. HARJONO PONOROGO Oleh: STIKES BHAKTI HUSADA MULIA MADIUN.

Sri Suparti, H. F. (2019). IS THERE ANYCORRELATION BETWEEN INTRADIALYTIC COMPLICATIONS AND INTERDIALYTIC WEIGHT GAIN (IDWG)? The Annals of Tropical Medicine and Public Health, 11. https://www.journal.atmph-specialissues.org/uploads/179/6970_pdf.pdf

Ulrich Moissl, Marta Arias-Guilent,Petter Wabel, Nestor Fontsere, Montserrat Carrera, José Maria Campistol, F. M. (2013). Bioimpedance-guided fluid management in hemodialysis patients. Clinical Journal Of The American Society of Nephrology, 8(9). https://pubmed.ncbi.nlm.nih.gov/23949235/

Wahyuni1, Irwanti2, W., & Sofyan Indrayana3. (2014). Korelasi Penambahan Berat Badan Diantara Dua Waktu Dialisis dengan Kualitas Hidup Pasien Menjalani Hemodialisa. JOURNAL NERS AND MIDWIFERY INDONESIA, 2(2), 51–56.

WHO. (2003). Adherence to long-term therapies : evidence for action (Eduardo Sabaté (ed.)). World Health Organization. https://apps.who.int/iris/handle/10665/42682

Wibowo, H. P. (2020). Hubungan Inter Dialitic Weight Gains (Idwg) Dengan Terjadinya Komplikasi Durante Hemodialisis Pada Pasien Ginjal Kronik. Jurnal Keperawatan Priority, 3(1). https://doi.org/10.34012/jukep.v3i1.806

Yunie Armiyati. (2009). The intradialysis complications on CKD patients during hemodialysis at PKU Muhammadiyah Yogyakarta Hospital [Universitas Indonesia]. https://library.ui.ac.id/detail?id=125548&lokasi=lokal




DOI: 10.26699/jnk.v8i3.ART.p378-385


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