Abstract

Excess fluid is a major problem in patients with Chronic Kidney Disease (CKD). CKD patients undergoing hemodialysis must keep limiting fluid intake during the interdialysis period so that excess fluid does not occur. Consequently limiting fluid intake arises thirst and will affect fluid restriction compliance. Management of thirst that can be done in hemodialysis patients, among others, suck ice cubes, gurgling the ripe water and gurgling with mouthwash, each of which has a different action against patients thirst. The purpose of this study was to compare the three interventions "thirst management", namely sipping ice cubes, gargling ripe water and gargling with mouthwash against patient thirst. This study was an experimental study in 27 samples of CKD patients who underwent hemodialysis at Roemani Muhammadiyah Hospital in Semarang divided into 3 groups with each group 9 samples. The results showed that the duration of holding thirst for the group sipping on ice cubes averaged 93 minutes, the gurgling group of ripe water averaged 55 minutes and the average length of time holding the thirst group who gurgling with mouthwash was 69.71 minutes. There was no significant difference in the duration of holding thirst after sucking on ice cubes and gargling ripe water, and gargling with mouthwash (ρ value 0.061). Sipping ice cubes can fight the longest thirst compared to gargling ripe water or gargling with mouthwash. The recommendations of this study are expected to intervene to sipping ice cubes, gargling ripe water and gargling with mouthwash can be used for thirst management in hemodialysis patients. Hemodialysis patients can choose interventions to reduce the thirst that is most appropriate.

Highlights

  • Excess fluid is a major problem in patients with Chronic Kidney Disease (CKD)

  • The results showed that the duration of holding thirst for the group sipping on ice cubes averaged 93 minutes, the gurgling group of ripe water averaged 55 minutes and the average length of time holding the thirst group who gurgling with mouthwash was 69.71 minutes

  • Efektifitas Berkumur dengan Obat Kumur dan Mengulum Es Batu terhadap Penurunan Rasa Haus pada Pasien Penyakit Gunjal Kronis yang Menjalani Hemodialisa di RS

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Summary

Pasien PGK yang berada pada tahap

Penyakit Ginjal Tahap Akhir (PGTA) harus menjalani terapi pengganti ginjal (Smeltzer, Bare, Hinkle, & Cheever, 2013). Riset sebelumnya menunjukkan bahwa ada pengaruh pemberian fruit frozen terhadap penurunan keluhan rasa haus dan mulut kering pasien CHF yang menjalani restriksi cairan di RS Dr Kariadi Semarang (Sujudi, Zuhri, Kusumantoro, 2014). Penelitian ini meneliti tentang perbedaan efektifitas lama menahan rasa haus pada “manajemen rasa haus” mengulum es batu, berkumur air matang dan berkumur dengan obat kumur. Kriteria inklusi penelitian adalah: Pasien PGK yang menjalani hemodialisis di unit HD RS Roemani, bersedia menjadi responden, berumur 1564 tahun, bersedia diberi intervensi dengan mengulum es batu, berkumur air matang atau berkumur obat kumur dan tinggal di dataran rendah. Kriteria eksklusi ini adalah mengundurkan diri saat proses penelitian, tidak patuh terhadap prosedur penelitian, hipersensitive terhadap es, mengalami masalah pada rongga mulut (stomatitis, tonsilitis, dll) dan pasien yang baru saja minum saat akan diberi perlakuan, dengan sengaja menelan air saat diberikan intervensi berkumur air matang.

HASIL PENELITIAN
Mengulum es batu
Skala rasa Mengulum es batu
Within groups
Mean ρRank value
Findings
Mengum es batu Berkumur air matang Berkumur obat kumur
Full Text
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