Undergoing Hemodialysis Therapy Research Articles

Influence of Autonomic Neuropathy, Systemic Inflammation and other Clinical Parameters on Mortality in Dialysis Patients

Abstract Background Autonomic neuropathy (AN) is prevalent in diabetes and chronic kidney disease. The Composite Autonomic Symptom Score 31 (COMPASS 31) is a self-assessment test developed to determine not only cardiac AN but also AN of other organs, including the vasomotor, pupillomotor, secretomotor, and gastrointestinal systems. As yet there are no data on the effects of combined AN-scores of a variety of affected organ systems on mortality in dialysis patients. Methods In 119 patients undergoing hemodialysis therapy, symptoms of AN were documented using COMPASS 31. After 5 years, survival rates were calculated depending on AN-scores and other parameters. After this 5-year-period, AN-scores were assessed for a second time and correlated with those obtained 5 years earlier. Results Survival rates for patients with lower AN-scores were better than for those with higher AN-scores. Patients with lower CRP showed better survival compared to those with higher values. Dialysis patients with diabetes had a lower survival rate compared to non-diabetic patients. In women, survival rates were better than in men. AN-scores remained unchanged over the 5-year period. Conclusion AN is frequently observed in dialysis patients and can be identified through COMPASS 31 questionnaire. Patients with higher AN-scores exhibit poorer survival rates compared to those with lower scores. This observation is applicable not only for cardiac AN but also to AN-scores reflecting changes in other organ systems. Therefore, AN-scores can be used effectively to detect various AN symptoms in dialysis patients and identify their increased risk of mortality.

The effect of reduced L-glutathione supplementation on TNF-α, hs-CRP, and neutrophil-lymphocyte ratio in maintenance hemodialysis patients.

Cardiovascular disease is the main cause of mortality in patients with chronic kidney disease stage 5 on dialysis (CKD-5D). High sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-α (TNF-α), and neutrophil-lymphocyte ratio (NLR) are several inflammatory parameters associated with high cardiovascular events in CKD-5D. The main aim of this study was to evaluate the effect of reduced L-glutathione supplementation on serum hs-CRP, TNF-α, and NLR in patients with CKD-5D. This study is a quasi-experimental research with one group pretest-posttest design. Subjects included were patients with CKD-5D who routinely underwent hemodialysis therapy two times a week in Hasan Sadikin General Hospital. Serum hs-CRP, TNF-α, and NLR levels were obtained before and after the intervention of reduced L-glutathione supplementation dosing of one thousand milligrams a day for four weeks. Statistical analysis was then conducted using the Wilcoxon test. There were 26 hemodialysis patients included in the study, with a median age of 43 years and a male predominance. There was a significant decrease in serum TNF-α level after reduced L-glutathione supplementation for 4 weeks, 5.40 (-10.80-0.00) pg/mL, p = 0.002. However, there was no statistically significant decrease in either serum hs-CRP level, 0.40 (-0.70-0.80) mg/L (p = 0.656), or NLR with a difference of 0.55 (0.30-1.00) p = 0.055. Exogenous oral reduced glutathione supplementation for four weeks significantly reduced TNF-α level, but no significant decrease in hs-CRP level and NLR in patients with CKD-5D.

Evaluation of Social Support for Patients Undergoing Hemodialysis

Objective: To evaluate the levels of social support for patients undergoing hemodialysis. Find out the relationship between patient’s social support and their demographic characteristics: age, sex, marital status, occupation, economic status, level of education, smoking, and residency. Methods: A descriptive research design was employed, focusing on patients diagnosed with stage five or terminal chronic kidney disease undergoing hemodialysis therapy at centres in Najaf al-Ashraf. The sample consisted of 234 participants, selected through a non-probability purposive sampling method. Data collection occurred from July 17th to November 5th, 2023. The Multidimensional Scale of Perceived Social Support (MSPSS), a commonly used tool for assessing social support, was utilized. Result: The overall social support level for patients undergoing hemodialysis was found to be high, with a cumulative score of 68.93. To investigate the influence of socio-demographic characteristics on perceived social support, a one-way ANOVA was conducted. The analysis indicated that, apart from monthly income, no other demographic characteristic had a statistically significant impact on social support. When comparing income groups (sufficient, somewhat sufficient, and insufficient), a significant difference in perceived social support was observed at the p < 0.05 level (F = 3.07, p = 0.04). Conclusion: The study found high social support levels, with significant differences across income categories. Smoking cessation among hemodialysis patients matched those receiving nursing counseling, highlighting the effectiveness of nursing education.

The Relation of Hemodialysis Therapy Compliance And The Quality of Life of Patients With Chronic Renal Failure at The Hemodialysis Room of Rsud Sekarwangi Sukabumi Regency

Chronic Renal Failure has emerged as one of the most prominent causes of death and suffering in the 21st century. According to WHO figures, 1.2 million people died and 697.5 million people developed chronic kidney failure in 2017. The purpose of this study was to determine the relationship of hemodialysis therapy compliance to the quality of life of patients with chronic renal failure. Chronic renal failure is a clinical condition characterized by decreased kidney function that requires patients to undergo hemodialysis therapy Chronic renal failure patients undergoing hemodialysis therap y cannot return to their original condition, so compliance in undergoing therapy must be done to achieve a good quality of life. The research design used correlation. The population in this study were all patients in the Hemodialysis Room of RSUD Sekarwangi Kabupaten Sukabumi with a sample of 81 patients through total sampling. Data collection technique was questionnaire. Data analysis used was Chi-Square test. Most patients were compliant in undergoing hemodialysis therapy and had adequate quality of life. The p-value = 0.000 means <0.05, which shows that there is a relationship between hemodialysis therapy compliance and the quality of life of patients with chronic renal failure in the Hemodialysis Room of Sekarwangi Hospital, Sukabumi Regency. It is concluded that there is a relationship between hemodialysis therapy compliance and the quality of life of patients with chronic renal failure.

RESILIENSI DAN PERTUMBUHAN PASCA-TRAUMA PADA PENDERITA GAGAL GINJAL KRONIK DI HEMODIALISA 2023

Chronic kidney disease patients undergoing hemodialysis often face significant psychological challenges. Resilience, the ability to adapt and recover from difficulties, can influence post-traumatic growth in these patients. This study aims to identify the relationship between resilience and post-traumatic growth in chronic kidney disease patients in the hemodialysis unit of RSUD Blambangan in 2023. To determine the relationship between resilience and post-traumatic growth in chronic kidney disease patients undergoing hemodialysis therapy. This quantitative study used a cross-sectional approach. Data were collected through questionnaires distributed to 65 respondents undergoing hemodialysis therapy. Data analysis was performed using the Spearman test with the assistance of SPSS for Windows. The analysis results showed a significant relationship between resilience levels and post-traumatic growth in chronic kidney disease patients (ρ value = 0.001). Most respondents exhibited high resilience levels (58.5%) and moderate post-traumatic growth (96.9%). There is a positive relationship between resilience and post-traumatic growth in chronic kidney disease patients undergoing hemodialysis therapy. Higher resilience levels in patients are associated with a greater likelihood of experiencing post-traumatic growth. Keywords: Chronic Kidney Disease; Hemodialysi; Post-Traumatic Growth; Resilience.

PENGARUH MENGUNYAH PERMEN KARET RENDAH GULA TERHADAP PENINGKATAN SEKRESI SALIVA PADA PASIEN YANG MENJALANI TERAPI HEMODIALISA

Abstract Background: Chronic kidney failure is a health problem that needs special attention. The number of end-stage renal failure sufferers undergoing hemodialysis therapy increases every year. Hemodialysis therapy is an appropriate action to replace kidney function with a method of supplying fluid intake which results in most patients complaining of dry mouth (xerostomia). Objective: Fluid restriction generally causes dry mouth in hemodialysis (HD) patients. The observed effects of chewing gum on the amount of saliva, interdialytic weight gain (IDWG), and thirst levels in HD patients are inconsistent. We are considering whether gum can modulate this third parameter in patients undergoing HD. Method: This study used purposive sampling with 37 patients on HD. Thirst levels were measured using a self-rated visual analogue scale (VAS) and the summed xerostomia inventory (SXI). Results: The level of thirst after blood washing was significantly lower in the gum chewing group compared to the control group with a p value (0.000) <0.005. The amount of saliva was higher in the gum group than in the control group before dialysis, but the amount of saliva was comparable between the groups after dialysis. In addition, the amount of saliva was not associated with IDWG in patients undergoing HD before or after dialysis. Conclusion: Chewing gum can relieve thirst but does not affect the amount of saliva and IDWG in HD patients. Therefore, we suggest that chewing gum may be a useful approach to treat dry mouth and thirst in HD patients.

Overcoming Anxiety in Hemodialysis Patients with Mindfulness Therapy: Literature Review

Background: Individuals suffering from chronic kidney failure who undergo Hemodialysis therapy are prone to experiencing anxiety. The literature review aims to determine the importance of Mindfulness in overcoming anxiety in chronic kidney failure patients undergoing hemodialysis therapy. Methods: The design uses the PRISMA approach. The whole text and the year of publication are considered when making selections during the research stage. Additionally, journals and papers that were judged less important were not included. Seven pertinent papers were found through Google Scholar, Indonesia One Search, DOAJ, and Garuda using the keywords "mindfulness therapy," "hemodialysis," and "anxiety." Results: After reviewing the selected articles, it was found that by administering mindfulness therapy, the anxiety level of chronic kidney failure patients undergoing hemodialysis therapy decreased Conclusion: Mindfulness therapy can be used to decrease the anxiety level of chronic kidney failure patients undergoing hemodialysis.

Differences in Nutritional Status and Quality of Life in Hemodialysis Patients Compared to CAPD

Background: Patients with chronic kidney disease who undergo hemodialysis and CAPD (Continous Ambulatory Peritoneal Dialysis) modalities often experience disturbances in nutritional status and quality of life. The condition is affected by the chosen modalities and duration. Aim: This study assesses the differences in nutritional status and quality of life in individuals undergoing hemodialysis therapy with a duration of 4-hour, hemodialysis with a duration of 5-hour, and CAPD in order to determine the best modalities for patients with chronic kidney disease. Methods: Data were collected with cross-sectional from patients with chronic kidney disease at the hemodialysis polyclinic at RSUD dr. Saiful Anwar Malang, Panti Nirmala Hospital Malang, Wava Husada Kepanjen Hospital, and the CAPD polyclinic at RSUD dr. Saiful Anwar Malang. Classified into CAPD group, 4-hour hemodialysis group, and 5-hour hemodialysis group. Assessment with a questionnaire consisting of the patient’s baseline characteristics, subjective global assessment (SGA), and SF-36 are used to assess and analyze differences in nutritional status and quality of life of patients with chronic kidney disease against the selected dialysis modality. Results: The physical health of the 5-hour hemodialysis group showed significant results compared to the 4-hour hemodialysis and CAPD (p <0.05). Mental health in the 5-hour hemodialysis procedure showed significant results compared to the 4-hour hemodialysis and CAPD (p <0.05). The nutritional status of 5-hour of hemodialysis was better than 4-hour of hemodialysis and CAPD (p<0.05). Conclusion: Hemodialysis with a duration of 5-hour has a better nutritional status and quality of life compared to a duration of 4-hour or CAPD.

Evaluation of Hemoglobin and Creatinine Levels in Chronic Renal Failure Patients Undergoing Hemodialysis Therapy

Chronic Renal Failure (CKD) is a disease that occurs when the kidneys fail to maintain the body's fluid composition. Hemodialysis is one of the therapies to replace deteriorating kidney function. Deteriorating kidney function conditions cause the ability of erythropoietin to be disrupted and anemia occurs, so checking hemoglobin levels is useful to control the patient's hemoglobin levels and creatinine examination to detect the severity of kidney function disorders. This study aims to determine the relationship of hemodialysis therapy with hemoglobin and creatinine levels in CKD patients at Baptist Hospital, Kediri City. This study is important to obtain information and provide education to patients regarding the significant effect of hemodialysis therapy for chronic renal failure patients so that chronic renal failure patients are motivated and disciplined to carry out hemodialysis therapy according to a set schedule. The design of this study was a cross-sectional survey with independent variables being hemodialysis therapy in patients with chronic renal failure and dependent variables being hemoglobin and creatinine levels. 30 respondents were using the quota sampling method. The results of this study were the average examination results of hemoglobin levels of 9.0 g/dL and creatinine of 4.45 mg/dL. Based on the Pearson Correlation test, the correlation coefficient (r) is 0.369, and the p-value = (0.045) > alpha = 0.05 (5%), thus H1 is accepted. The relationship between hemoglobin and creatinine levels in patients with chronic renal failure undergoing therapy hemodialysis at Baptist Hospital in Kediri City.

The Relationship Between Self Efficacy and Quality Of Life and Anxiety In Patients With Chronic Kidney Failure Patients Undergoing Hemodialysis Therapy At Grandmed Hospital Lubuk Pakam

Chronic kidney failure is an irreversible disease, where if you have experienced this disease you cannot return to normal as before. One way that can be done to maintain the condition and function of the kidneys so that the damage does not get worse is by carrying out dialysis therapy throughout the patient's life (usually done 1 to 3 times a week) or until a new kidney donor is obtained by undergoing transplantation surgery. kidney. Situations like this interfere with the patient's quality of life and psychological disorders such as anxiety. With the emergence of feelings of anxiety and decreased quality of life, the condition of the disease experienced will worsen. One effort that can be made to manage feelings of anxiety and maintain quality of life is by exercising self-efficacy. The aim of this research activity is to see whether there is a relationship between self-efficacy and quality of life and anxiety in patients suffering from chronic kidney failure who are being treated at Grandmed Lubuk Pakam Hospital. This research is a descriptive analytical study using a cross sectional approach. There were 80 patients who were samples from the 100 patients who were the population in this study. The statistical test used in this research is the chi-square test, which shows that the p value is for quality of life (p= 0.000), and the p value is for anxiety (p= 0.003). Through these results, it can be proven that there is a significant relationship between self-efficacy and quality of life and anxiety in patients with chronic kidney failure who are undergoing hemodialysis therapy at Grandmed Lubuk Pakam Hospital.

The Relationship Between Motivation and Adherence of Chronic Kidney Disease in Undergoing Hemodialysis Therapy in The Hospital

The prevalence of chronic kidney disease (CKD) continues to increase and hemodialysis therapy is one of the main renal replacement therapies in CKD patients. There is a relationship between motivation and adherence to hemodialysis therapy in several previous studies. However, this study has never been conducted at the research location so this study aims to investigate the relationship between motivation and adherence of patients with CKD in undergoing hemodialysis therapy. The research design used in the study was descriptive quantitative correlation with a cross-sectional approach to explore the relationship between motivation and adherence of CKD patients in undergoing hemodialysis therapy. The population in this study were CKD patients who were undergoing hemodialysis therapy at Advent Hospital Bandung, totaling 100 patients. With the Simple Random Sampling technique and using the Michael and Isaac table, 79 respondents participated in the study. The instruments used in this study were the ESRD-AQ questionnaire (The End-Stage Renal Disease Adherence Questionnaire) and a valid motivation questionnaire to measure the motivation and adherence of patients with CKD in undergoing hemodialysis therapy. Univariate descriptive analysis and Spearman's rank bivariate correlation were used to answer the identified research questions. The results showed that most of the GHG patients had high motivation in undergoing hemodialysis therapy. It is suggested that healthcare should improve the quality of medical services for patients with GGK who undergo hemodialysis therapy. Further research is needed to investigate the factors associated with motivation and adherence using qualitative design. Kepatuhan dan motivasi merupakan hal penting untuk menetukan keberhasilan pengobatan terapi hemodialisa. Penelitian ini bertujuan untuk menginvestigasi hubungan antara motivasi dan kepatuhan pasien GGK dalam menjalani terapi hemodialisa. Desain penelitian yang digunakan dalam penelitian adalah deskriptif kuantitatif korelasional dengan pendekatan cross-sectional untuk mengeksplorasi hubungan antara motivasi dan kepatuhan pasien GGK dalam menjalani terapi hemodialisa. Populasi dalam penelitian ini adalah pasien GGK yang sedang menjalankan terapi hemodialisa di Rumah Sakit Advent Bandung yang berjumlah 100 pasien. Dengan teknik pengambilan sampel Simple Random Sampling dan menggunakan tabel Michael dan Isaac, 79 responden berpartisipasi dalam penelitian. Instrumen yang digunakan dalam penelitian ini adalah kuesioner ESRD-AQ (The End-Stage Renal Disease Adherence Questionnaire) dan kuesioner motivasi yang telah valid untuk mengukur motivasi dan kepatuhan pasien GGK dalam menjalani terapi hemodialisa. Analisis deskriptif univariat dan korelasi bivariat Spearman’ rank digunakan untuk menjawab identifikasi masalah penelitian. Hasil penelitian menunjukkan bahwa sebagian besar pasien GGK memiliki motivasi tinggi dalam menjalani terapi hemodialisa yaitu berjumlah 44 responden (55,7%), sebagian besar pasien GGK patuh dalam menjalani terapi hemodialisa dengan jumlah 46 pasien (58,23%) dan terdapat hubungan antara motivasi dengan kepatuhan pasien GGK dalam menjalani terapi hemodialisa dengan nilai p-value adalah 0,001. Disarankan agar pelayanan kesehatan meningkatkan kualitas pelayanan medis bagi pasien GGK yang menjalani terapi hemodialisis. Penelitian lebih lanjut diperlukan untuk menyelidiki faktor-faktor yang berhubungan dengan motivasi dan kepatuhan dengan menggunakan desain kualitatif.

Hubungan Pemenuhan Kebutuhan Biologis Dan Sosial Dengan Tingkat Kecemasan Pada Pasien Hemodialisis Di RSUD Cibinong Tahun 2023

Kidney failure is a chronic disease where the kidneys are no longer able to remove toxic substances in the body, resulting in a buildup of toxins as a result. Patients suffering from kidney failure must undergo therapy to remove toxic substances, one of the therapies is hemodialysis. This therapy is carried out in approximately 4-5 hours to remove toxins, there are several accesses, namely with CDL and Cimino. which will cause changes in the physical, socio-economic and psychological conditions of patients undergoing Hemodialysis therapy. These changes will have an impact on the patient's coping mechanisms. Patients undergoing hemodialysis often experience several problems including psychological problems, one of which is often experienced is anxiety. Anxiety is an emotional response to a subjective individual assessment, related to feelings of uncertainty and helplessness and to overcome it is necessary family support. This study aims to determine the biological and social relationship between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis. This research was quantitative using a correlation method involving 99 patients in the hemodialysis unit at Cibinong Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. This method was carefully chosen to ensure that the data obtained could be used to evaluate the relationship between biological and social levels of anxiety in hemodialysis patients. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of service in the hemodialysis unit at Cibinong Hospital.

Depression and Quality of Life in Chronical False Patients With Hemodialises in DR. Soekardjo Hospital in Tasikmalaya City

As chronic kidney failure increases, patients undergoing hemodialysis experience disturbance of sleep quality and anxiety. Patients who have been diagnosed with GGK are required to undertake medical intervention only to undergo hemodialysis therapy or known as bloodwashing therapy. Nevertheless, hemodialysis also poses a number of physical, psychological, social, and spiritual problems that will affect the quality of life of the patient. Stress, and depression are the most common psychological disorders in patients undergoing hemodialysis. The aim of this research is to find out the relationship between depression and quality of life in patients with hemodialysis at RSUD Dr. Soekardjo City of Tasikmalaya. Research Methods. The research method in this study is to include the type of descriptive research with univariate analysis and bivariate with cross sectional, the population is patients undergoing hemodialysis with a total sampling of 87 respondents. As a result of the study, there was a significant relationship between depression and the standard of quality of life of GGK patients undergoing hemodialysis obtained a p value of 0.012 (p < 0.05).

Correlation of the caring behaviour of nurses with the motivation of patients undergoing haemodialysis

Background/Aim: There is a need to establish a satisfactory level of performance for nurses working in haemodialysis units, which will provide qualified competent nurses who will take care of patients. Thus, the purpose of this study was to analyze the caring behaviour of haemodialysis nurses with the motivation of patients undergoing haemodialysis. Methods: The research design was a descriptive correlation approach. The subjects of this study were patients who were undergoing therapy in the haemodialysis room. Researchers collected data for 1 month in September 2023. The relationship between nurses' caring behaviour and haemodialysis patient motivation was determined by conducting a Spearman rank correlation analysis. Results: Out of 118 patients, 48.7 % of patients thought nurses had poor caring behaviour. The research results also showed that patient motivation in undergoing haemodialysis was in the low motivation category (47.8 %). There was a significant relationship between nurses' caring behaviour and patient motivation in undergoing haemodialysis therapy (p = 0.0001). Based on the correlation coefficient value (r = 0.632), the two variables had a strong relationship. Conclusion: Nurses' caring behaviour can increase patient motivation in undergoing haemodialysis therapy. Nurses' caring behaviour still needs to be optimised because the interaction between nurses and patients in the treatment process provides support to patients.

Eighteen Years of Resilience: A Narrative Life History Study of an Individual Undergoing Hemodialysis Therapy

Eighteen Years of Resilience: A Narrative Life History Study of an Individual Undergoing Hemodialysis Therapy

Depression and Anxiety in Chronic Kidney Disease Patients Undergoing Hemodialysis Therapy at Hemodialysis Installations General Hospital Dr. Moewardi Surakarta

<p><em>This study is an analytical descriptive study with a cross-sectional design that aims to determine the proportion and level of depression and anxiety of patients, as well as the relationship between the length of hemodialysis therapy with depression and anxiety of patients with Chronic Kidney Disease undergoing hemodialysis therapy at the Hemodialysis Installation of Dr. Moewardi Surakarta Regional General Hospital. Samples in this study were taken by purposive sampling. The sample in this study amounted to 31 research subjects. The specified data analysis is a Chi-square test analysis to test the relationship between variables. The percentage of anxiety among Chronic Kidney Disease patients receiving hemodialysis treatment at Dr. Moewardi Surakarta Regional General Hospital's Hemodialysis Facility is 29%, while the percentage of depressed patients with Chronic Kidney Disease undergoing hemodialysis therapy at the same facility is 41.9%. It has been determined that there is no discernible correlation between the duration of hemodialysis therapy and the emergence of anxiety and depression in patients with Chronic Kidney Disease at this specific healthcare center. To gain a more comprehensive understanding, additional research is warranted to investigate other factors linked to anxiety and depression in patients with chronic kidney disease undergoing hemodialysis therapy. Furthermore, there is a pressing need for the implementation of a screening program for Chronic Kidney Disease patients undergoing hemodialysis therapy at hospitals, with a potential referral to the Department of Psychiatry for the assessment and management of any mental symptoms that may arise. </em></p><p> </p><p><strong><em>Keyword: Anxiety, Chronic kidney disease, Depression</em></strong></p>

THE EFFECT OF COMFORT ON CHANGES IN INTRA-DIALYTIC BLOOD PRESSURE

Hemodialysis is a long-term procedure for patients with end-stage renal disease. Blood pressure changes are one of the complications of hemodialysis therapy. Comfort nursing model is utilized to provide comfort and alleviate discomfort in patients undergoing hemodialysis therapy. The purpose of this study was to determine the effect of hemodialysis therapy on blood pressure changes. Cross-sectional research design, with the inclusion criteria of patients undergoing hemodialysis therapy 2x a week with a duration of 3-4 hours in each session. Sampling technique was convenience sampling with 52 respondents. Data analysis using t-test to determine the effect of hemodialysis therapy on changes in blood pressure. T-test analysis to get sig value. 0.000 (<0.05) indicates changes in blood pressure during hemodialysis therapy, both hypotension and hypertension. A total of 31 (58.9%) had hypertension before therapy, 7 people had an increase in systolic blood pressure > 20 mmHg. Respondents who had no change in blood pressure were 24 (17.7%). Psycho-spiritual and environmental comfort by modifying the environment in the hemodialysis unit, as well as the placement of people who are expected to be a support system, will impact the results of blood measurements shortly after therapy and minimize the side effects of therapy.Keywords: Blood Pressure; Hemodialysis; Intradialysis

Pengaruh Aromaterapi Inhalasi Terhadap Penurunan Nilai Kecemasan Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di Rumah Sakit Grandmed Lubuk Pakam

Anxiety is one of the complaints of patients with Chronic Kidney Failure (CKD) undergoing hemodialysis. CAM (Complementary Alternative Medicine) therapy as a substitute for drugs using lavender aromatherapy is expected to reduce anxiety levels in CKD patients who are undergoing hemodialysis therapy. The aim of the study was to determine the effect of inhaled aromatherapy on reducing anxiety levels in CKD patients undergoing hemodialysis at Grandmed Lubuk Pakam Hospital. This type of research is quantitative research with a pre-experimental research design with one group pre-test and post-test approaches. The sampling technique in this study was total sampling with a total of 20 respondents. Data analysis was carried out using the sample paired t-test. The results of the study obtained a p-value of 0.00 where the p-value was <0.05, it can be concluded that there was a significant effect after being given inhaled aromatherapy to decrease anxiety values in CKD patients at Grandmed Lubuk Pakam Hospital. The conclusion in this study is that lavender inhalation aromatherapy has a significant effect on reducing anxiety levels in CKD patients undergoing hemodialysis and it is recommended for health workers to further improve anxiety management with non-pharmacological measures.

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

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.

Hubungan Kualitas Hidup Dan Depresi Pada Pasien dengan Perawatan Hemodialisis di Rumah Sakit Swasta Bandung

Hemodialysis is given to patients with acute kidney disease and requiring dialysis therapy, where depression is a psychological reaction that is often experienced and is closely related to the patient's quality of life. This study will observe the relationship between quality of life and depression in patients with hemodialysis treatment. An observational analytic design with a cross-sectional approach was used in this study, which was carried out in April 2023 at a hemodialysis unit belonging to a private hospital in Bandung. Respondents consisted of 50 patients undergoing hemodialysis treatment who met the inclusion criteria. A questionnaire with the Beck Depression Inventory II (BDI II) scale was used to measure depression and WHOQOL-BREF was used to measure quality of life. The results showed that of the 50 patients undergoing hemodialysis therapy, 36 (72%) had normal conditions, nine (18) had mild mood disorders, two (4%) had clinical depression, two (4%) had moderate depression, one (2 %) had severe depression, three (6%) had fair quality of life, nine (18%) showed good quality of life, and 38 (76%) had very good quality of life. Statistical data shows a significant correlation (0.041 < 0.05) between depression and quality of life index. Depression is significantly related to the quality of life of patients undergoing hemodialysis therapy. The relationship between depression and quality of life has a weak correlation strength with a negative correlation direction. It is necessary to provide biopsychosocial and spiritual nursing care regarding the risk of depression and improve the quality of life of patients and dig deeper into depression and the quality of life of patients undergoing hemodialysis by using qualitative research methods and increasing the number of larger samples and research populations.