The Relationship Between Adequacy of Hemodialysis and Anemia in Chronic Kidney Diseases (Ckd) Patients Undergoing Hemodialysis in Dialysis Unit, Fatmawati Hospital
Abstract
Background: Anemia is a common problem that often occurs in patients with CKD undergoing hemodialysis. 56.5% of hemodialysis patients were still have anemia, while on the other hand, the achievement of hemodialysis. adequacy only reached 52.7%. Disparity that data is the basis for this research. The aim of this study is to analysis the relationship between the achievement of hemodialysis adequacy with the incidence of anemia in patients with CKD undergoing hemodialysis.
Methods: This study uses a descriptive correlation with a cross sectional approach to the analysis of the independent variable (HD Adequacy) and the dependent variable (Anemia). The relationship between these variables was tested using the Chi Square test.
Result: The study was conducted on 134 hemodialysis patients aged 13-86 years, the most common vascular access was AV fistula (68.7%), and women were the most respondents (55.2%). The Kt / V value in this study was 1.67 (1.03-2.75) and an adequate one was 54.5%. Adequate URR reached 80.6% with a mean of 75.13 ± 6.38. The incidence of anemia reached 53.7% with the Hb value at 8.93 ± 2.82 mg / dl. The results of the Chi Square test showed that HD adequacy (Kt / V and URR) with the incidence of anemia had P values of 0.670 and 0.217.
Conclusion: There is no significant relationship between HD adequacy and the incidence of anemia
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Nugroho, Pringgodigdo. Apakah hemodialisis tiga kali seminggu lebih baik? Jurnal Penyakit Dalam Indonesia. 2017;4(3):103-104.
Hasanzamani, Boshra. The relationship between anemia and Kt/V index in patients undergoing continuous ambulatory peritoneal dialysis and hemodialysis. Journal of Renal Injury Prevention. 2020;9(1): e06.
Indonesian Renal Registry. 10 th Report Of Indonesian Renal Registry. 2019.
Panagoutsos, Stelios A. Yannatos, Evangelos V. Passadakis, Ploumis S. Thodis, Elias D. Galtsidopoulos, Omiros G. Vargemezis, Vassilis A. Effects of Hemodialysis Dose on Anemia, Hypertension, and Nutrition. Renal Failure. 2002;24(5):615-621.
El-Sheikh, M. El-Ghazaly, G. Assessment of hemodialysis adequacy in patients with chronic kidney disease in the hemodialysis unit at Tanta University Hospital in Egyp. Indian Journal of Nephrology. 2016;26(6):398-404.
Hanafusa, Norio. Nomura, Takanobu. Hasegawa, Takeshi. Nangaku, Masaomi. Age and anemia management: relationship of hemoglobin levels with mortality might differ between elderly and nonelderly hemodialysis patients. Neprology Dialysis Transplantation. 2014;29(12):2316-2326.
K/DOQI. Pengaruh Luas Permukaan Dializer Terhadap Capaian Adekuasi Dialisis pada Penderita Haemodialisis di Rumah Sakit PKU Muhammadiyah Yogyakarta. 2006.
Bsyhskki. Rencana Asuhan Keperawatan : Pedoman Untuk Perencanaan dan Pendokumentasian Perawatan Pasien. Edisi 3. Jakarta : EGC. 2012.
Daugirdas, J.T., Blake, P.G., Ing, T.S. Handbook of Dialysis. Phildelphia: Lipincott. 2007.
Jing, Z. Wei-jie, Yuan. Nan, Zhu. Yi, Zhou. Ling, Wang. Hemoglobin Targets for Chronic Kidney Disease Patients with Anemia: A Systematic Review and Meta-analysis. Plos One. 2012;7(8): e43655.
Nurarif H. Amin & Kusuma Hardi. Aplikasi Asuhan Keperawatan Berdasarkan Diagnosa Medis dan Nanda Nic Noc. Mediaction Publishing. 2013.
Sagheb, Mohammad M. Fallahzadeh, Mohammad A. Moaref, Alireza. Fallahzadeh, Mohammad H. Dormanesh, Banafshe. Comparison of Hemoglobin Levels Before and After Hemodialysis and Their Effects on Erythropoietin Dosing and Cost. Journal Nephro-urology. 2016;8(4):e38495.
Septiwi. Hubungan adekuasi hemosialisis dengan kualitas hidup pasien hemodialisis di unit HD RS Prof. Dr. Margono Soekarjo Purwokerto. Fakultas Ilmu Keperawatan Universitas Indonesia. 2011.
Babitt, Jodie L (2012). Mechanisms of Anemia in CKD. Journal of American Society and Nephrology. 2012;23(10):1631-1634.
DOI: https://doi.org/10.15408/avicenna.v2i2.17754 Abstract - 0 PDF - 0
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