Nikendari, Sri Mulyani Rana (2020) Kejadian hipertensi intradialitik pada pasien penyakit ginjal kronis di Rumah Sakit Umum Siloam dan faktor-faktor yang berhubungan. Bachelor thesis, Universitas Pelita Harapan.
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Abstract
Latar Belakang: Hemodialisis memiliki beberapa komplikasi, salah satunya
adalah perubahan tekanan darah yang dapat menyebabkan suatu kondisi bernama
hipertensi intradialitik. Faktor risiko terjadinya hipertensi intradialitik diantaranya
adalah bertambahnya usia, berat badan rendah, dan mengonsumsi lebih banyak obat
antihipertensi. Beberapa penelitian sebelumnya belum menemukan hubungan
signifikan antara usia dengan kejadian hipertensi intradialitik. Hipertensi
intradialitik dapat disebabkan oleh beberapa hal, salah satunya yang dipengaruhi
oleh usia adalah kekakuan arteri. Belum banyak penelitian yang memfokuskan pada
kejadian hipertensi intradialitik di Rumah Sakit Umum Siloam.
Tujuan Penelitian: Mencari prevalens kejadian hipertensi intradialitik dan
hubungannya dengan faktor-faktor seperti usia, jenis kelamin, indeks massa tubuh,
interdialytic weight gain, dan penyakit yang mendasari penyakit ginjal kronis pada
pasien penyakit ginjal kronis di Rumah Sakit Umum Siloam.
Metode Penelitian: Penelitian ini menggunakan desain studi cross-sectional.
Sampel penelitian berjumlah 53 orang. Pemilihan subjek dengan convenience
sampling. Data diambil dengan menggunakan rekam medis pasien. Pengambilan
data berlangsung dari Mei hingga Juli 2020. Hasil data yang terkumpul diolah
menggunakan uji statistik Chi-Square dan dengan IBM Statistical Product and
Service Solution (SPSS) 25.
Hasil Penelitian: Terdapat 53 pasien dewasa yang menjalani hemodialisis di
Rumah Sakit Umum Siloam sejak Oktober 2018 sampai Desember 2019 yang
sesuai dengan kriteria inklusi dan eksklusi penelitian. Terdapat 50,9% pasien yang
mengalami hipertensi intradialitik dan 72% diantaranya tergolong kedalam usia
lansia. Pasien berusia lansia memiliki hubungan signifikan dan risiko 5 kali lebih
besar untuk mengalami hipertensi intradialitik (P-value 0,004; Odds Ratio 5,43;
95% CI 1,67-17,66). Faktor lainnya yang juga berhubungan dengan kejadian
hipertensi intradialitik adalah penyakit yang mendasari terjadinya gagal ginjal
kronis (P-value 0,018; Odds Ratio 4,083; 95% CI 1,241-13,431).
Kesimpulan: Terdapat 50,9% subjek yang mengalami hipertensi intradialitik. Usia
dan penyakit yang mendasari penyakit ginjal kronis berpengaruh terhadap kejadian
hipertensi intradialitik.
Kata Kunci: hipertensi intradialitik, penyakit ginjal kronis
Referensi: 46 (1990-2019)
/
Background: One of the treatments for patients with chronic kidney disease that
almost reached the end stage is by doing hemodialysis. There are a few
complications that could possibly happen by doing hemodialysis, one of them is a
change in the blood pressure that could result in a condition called intradialytic
hypertension. The risk factors of intradialytic hypertension include aging, lower
body weight, and more prescribed antihipertensive medicine. Previous studies
haven’t shown a definite relationship between age and the incidence of intradialytic
hypertension. One of the causes of intradialytic hypertension that has a connection
with age is arterial stiffening. There has not been many studies that focuses on the
incidence of intradialytic hypertension in Siloam Public Hospital.
Objective: To find out the prevalence of intradialytic hypertension and its relation
with various factors such as age, gender, body mass index, interdialytic weight
gain, and comorbid disease of chronic kidney disease in chronic kidney disease
patients in Siloam Public Hospital.
Methods: This reserch uses cross-sectional research design. The total research
sample are 53 people. Sample selection will use convenience sampling. Data will
be acquired by using patient’s medical record. Data collection will take place from
May until July 2020. The collected data will be processed using chi-square and
with the IBM Statistical Product and Service Solution (SPSS) 25.
Result: There are 53 patients on hemodialysis in Siloam Public Hospital since
October 2018 until December 2019 that fit to the inclusion and exclusion criteria.
There are 50,9% patients who experienced intradialytic hypertension and 72% of
them are elderly people. The patient’s age has a significant relationship and the
risk of elderly people are 5 times greater to experience intradialytic hypertension
(P-value 0,004; Odds Ratio 5,43; 95% CI 1,67-17,66). Chronic kidney disease
comorbid disease is also significant with intradialytic hypertension. (P-value
0,018; Odds Ratio 4,083; 95% CI 1,241-13,431).
Conclusion: There are 50,9% subjects who experience intradialytic hypertension.
Age and comorbid disease of chronic kidney disease influenced intradialytic
hypertension.
Keywords: intradialytic hypertension, chronic kidney disease
References: 46 (1990-2019)
Item Type: | Thesis (Bachelor) |
---|---|
Creators: | Creators NIM Email ORCID Nikendari, Sri Mulyani Rana NIM01071170224 rana.niken@gmail.com UNSPECIFIED |
Contributors: | Contribution Contributors NIDN/NIDK Email Thesis advisor Angelina, Angelina NIDN0324118503 angelina.now@gmail.com |
Additional Information: | SK 71-17 NIK k |
Uncontrolled Keywords: | hipertensi intradialitik; penyakit ginjal kronis |
Subjects: | R Medicine > R Medicine (General) |
Divisions: | University Subject > Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine |
Depositing User: | Users 10144 not found. |
Date Deposited: | 16 Dec 2020 01:35 |
Last Modified: | 28 Sep 2021 08:20 |
URI: | http://repository.uph.edu/id/eprint/13308 |