GAMBARAN KADAR UREUM DAN KREATININ SERUM PADA PASIEN GGK SETELAH TERAPI HEMODIALISIS DI RSD MANGUSADA, KABUPATEN BADUNG

Nuratmini, Putu Nia (2019) GAMBARAN KADAR UREUM DAN KREATININ SERUM PADA PASIEN GGK SETELAH TERAPI HEMODIALISIS DI RSD MANGUSADA, KABUPATEN BADUNG. Diploma thesis, Poltekkes Denpasar.

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Abstract

DESCRIPTION OF SERUM UREA AND CREATININE LEVELS IN CHRONIC KIDNEY DISEASE (CKD) AFTER HEMODIALYSIS AT MANGUSADA HOSPITAL, BADUNG REGENCY ABSTRACT Background Chronic kidney failure is a condition of decreased kidney function, where the kidneys are no longer able to excrete the rest of the body's metabolism. In end-stage renal failure, hemodialysis is needed to eliminate the rest of the body's metabolism that accumulates in the blood and reduce the risk of death. The effectiveness of hemodialysis can be seen from a decrease in serum urea and creatinine levels after hemodialysis, as well as a decrease in serum urea/creatinine ratio. The purpose of this study was to determine the description of serum urea and creatinine levels in CKD patients after hemodialysis. The Method used in this study was a type of descriptive research with a purposive sampling method involving 20% of the population, that’s 30 CKD respondents who underwent hemodialysis. This study was conducted in February-May 2019 in the Hemodialysis Unit at Mangusada Hospital. The results showed that 63% of patients had normal serum urea levels, 37% of patients had high urea levels, and 100% of patients had high serum creatinine levels after hemodialysis. Serum urea/creatinine ratio of CKD patients after hemodialysis that is 50% of patients have a low serum urea/creatinine ratio and 50% of patients have a normal serum urea/creatinine ratio. Conclusion: There was a decrease in serum urea and creatinine levels after hemodialysis, but not all returned to normal values. The situation and compliance of the patient's daily diet plays an important role in regulating the patient's serum urea and creatinine levels. Keywords: chronic kidney failure, serum urea, serum creatinine, hemodialysis GAMBARAN KADAR UREUM DAN KREATININ SERUM PADA PASIEN GGK SETELAH TERAPI HEMODIALISIS DI RSD MANGUSADA, KABUPATEN BADUNG ABSTRAK Latar belakang Gagal ginjal kronis merupakan suatu keadaan penurunan fungsi ginjal, dimana ginjal tidak mampu lagi mengekskresikan sisa metabolisme tubuh. Pada GGK stadium akhir dibutuhkan Hemodialisis untuk mengeleminasi sisa metabolisme tubuh yang menumpuk dalam darah dan menurunkan resiko kematian. Efektifitas hemodialisis dapat dilihat dari penurunan kadar ureum dan kreatinin serum pasca hemodialisis, serta penurunan rasio ureum/kreatinin serum. Tujuan penelitian ini adalah untuk mengetahui gambaran kadar ureum dan kreatinin serum pada pasien GGK setelah hemodialisis. Metode penelitian ini menggunakan jenis penelitian deskriptif dengan metode purposive sampling yang melibatkan 20% dari populasi, yaitu 30 responden GGK yang menjalani hemodialisis. Penelitian ini dilakukan pada bulan Februari-Mei 2019 di Unit Hemodialisa RSD Mangusada. Hasil penelitian menunjukkan sebanyak 63% pasien memiliki kadar ureum serum normal, 37% pasien memiliki kadar ureum tinggi, dan 100% pasien memiliki kadar kreatinin serum tinggi setelah hemodialisis. Data rasio ureum/kreatinin serum pasien GGK setelah hemodialisis yaitu sebanyak 50% pasien memiliki rasio ureum/kreatinin serum rendah dan 50% pasien memiliki rasio ureum/kreatinin serum normal. Simpulan: Terjadi penurunan kadar ureum dan kreatinin serum setelah hemodialisis, akan tetapi tidak semua kembali pada nilai normal. Situasi dan kepatuhan diet pasien sehari-hari memegang peranan penting dalam pengaturan kadar ureum dan kreatinin serum pasien. Kata kunci: gagal ginjal kronis, ureum serum, kreatinin serum, hemodialisa

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