Perbedaan Kadar Hb Pra dan Post Hemodialisa pada Penderita Gagal Ginjal Kronis di RS PKU Muhammadiyah Yogyakarta
DOI:
https://doi.org/10.18196/mmjkk.v7i1%20(s).1681Keywords:
kadar Hemoglobin, posthemodialisis, prehemodialisis, Haemoglobin, posthemodialysis, prehemodialysisAbstract
Chronic Renal Failure is progressive and late development of renal failure which renal lost the function to maintain volume and competitions body fluid with GFR levels 10%-25% from normal number. Hemodialysis used as therapy to substitute the decrease of renal function. Anemia almost founded in Chronic Renal Failure patients (80%-95%). Objectives of this research is to find out the differences between hemoglobin level in pre and post hem dialysis of chronic renal failure patients at PKU Muhammadiyah hospital in Yogyakarta. This study is a descriptive retrospective with cross sectional approach research aiming at finding out the differences ofHb levels pre and post hemodialysis. Kind of data that we use in this research is secondary data that we get from medical record from Medical Record Unit in PKU Muhammadiyah Hospital of Yogyakarta. The data was taken from medical record about Hb levels in Chronic Renal Failure in pre and post hemodialysis. The obtained data were then statistic analyzed by t-test pairs. The numbers of sample which include in inclusion and exclusion criteria is 40 patients. The result from t-test pairs was get p value =0,001. p value which less than a= 0,05 show that there are differences Hb levels between pre and post hemodialysis in Chronic Renal Failure. From this research also shows that the highest frequency for hemodialysis patient is male (75%) and based on the age is range on 15-55 years old (65%).
Gagal ginjal kronik adalah merupakan perkembangan gagal ginjal yang progresif dan lambat, dimana ginjal kehilangan kemampuan untuk mempertahankan volume dan komposisi cairan tubuh dengan nilai GFR 10%-25% dari nilai normal. Hemodialisis (HD) digunakan sebagai terapi pengganti untuk menggantikan fungsi ginjal yang memburuk. Anemia hampir selalu ditemukan pada penderita Gagal Ginjal Kronis (80-95%). Dilaporkan dari 86 penderita yang menjalani HD rutin di RS Hasan Sadikin Bandung 100% menderita anemia. Tujuan penelitian ini adalah untuk mengetahui perbedaan kadar Hb pra dan post hemodialisa pada penderita Gagal Ginjal Kronik di RS PKU Muhammadiyah Yogyakarta periode 1 Januari 2005 - 31 Desember 2005. Penelitian ini merupakan penelitian deskriptif retrospektif dengan pendekatan “cross sectional” untuk mengetahui perbedaan kadar Hb pra dan post hemodialisa pada penderita Gagal Ginjal Kronik. Data diperoleh dari bagian Rekam medik RSU PKU Muhammadiayah Yogyakarta. Data diambil dan dicatat dari formulir rekam medis mengenai kadar Hb pada pasien Gagal Ginjal Kronis sebelum dan sesudah dilakukan hemodialisis. Data diuji statistik dengan t-test berpasangan. Sampel yang didapatkan berdasarkan kriteria inklusi dan eksklusi pada penelitian ini berjumlah 40 pasien. Hasil uji statistik dengan t-test berpasangan didapatkan nilai p=0,001 (p < 0,05) menunjukkan bahwa terdapat perbedaan kadar Hb pra dan post hemodialisa pada pasien Gagal Ginjal Kronis, juga ditunjukkan bahwa frekuensi tertinggi pasien Gagal Ginjal Kronis adalah laki- laki (75%) dan frekuensi terbesar berdasarkan umur adalah 15-55 th atau sebesar 65%.
References
Wilson, M.1995.Gagal Ginjal Kronik. dalam Price A. S & Wilson M. L. Patofisiologi Konsep Klinis Proses- Proses Penyakit. EGC. Jakarta
Rahardjo P, Susalit E, Suhardjono.2001.Dialisis dalam Buku Ajar Ilmu Penyakit Dalam (Jilid II). Balai Penerbit FKUI.Jakarta
Besarab,A.& Mc.CRea,J.B.1993 Anemia in ESRD Patients dalam A. R. Nissenson & R.H. Fine (eds): Dialysis Therapy.2nd edition. Info Access & Distribution Pte.Ltd.Singapore
Erslev, A. J. & Caro, J. 1990 Anemia of Chronic Renal Failure dalam W. J. Williams, E. Beuttler, A. J. Erslev, M. A. Lichtman (eds): Hematology 4th edition.Mc. Graw Hill, Inc. New York
Lee, G. R. 1993 The Normocytic Normochromic Anemias dalam G. R. Lee, T. C. Bithel, J. Foeater, J. Athens, J. N. Lukens (eds):Wintrobe Clinical Hematology 9th edition. Vol. 1. Lea & Febriger. London
Sumpeno, S. & Enday, S. 1993 Prevalensi Hipertropi Ventrikel Kiri pada Penderita GGK/GGT Yang Sedang Menjalani Hemodialisis. Acta Medica.21
Downloads
Published
Issue
Section
License
Copyright
Authors retain copyright and grant Mutiara Medika: Jurnal Kedokteran dan Kesehatan (MMJKK) the right of first publication with the work simultaneously licensed under an Attribution 4.0 International (CC BY 4.0) that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Mutiara Medika: Jurnal Kedokteran dan Kesehatan (MMJKK).
Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Mutiara Medika: Jurnal Kedokteran dan Kesehatan (MMJKK).
License
Articles published in the Mutiara Medika: Jurnal Kedokteran dan Kesehatan (MMJKK) are licensed under an Attribution 4.0 International (CC BY 4.0) license. You are free to:
- Share — copy and redistribute the material in any medium or format.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
This license is acceptable for Free Cultural Works. The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
