PERBEDAAN KADAR HEMOGLOBIN PADA PASIEN GAGAL GINJAL KRONIS SEBELUM DAN SESUDAH HEMODIALISA DI RSUD BALI MANDARA

Dewi, Putu Mita Puspa (2026) PERBEDAAN KADAR HEMOGLOBIN PADA PASIEN GAGAL GINJAL KRONIS SEBELUM DAN SESUDAH HEMODIALISA DI RSUD BALI MANDARA. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Teknologi Laboratorium Medis 2026.

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Abstract

DIFFERENCES IN HEMOGLOBIN LEVELS IN CHRONIC KIDNEY DISEASE PATIENTS BEFORE AND AFTER HEMODIALYSIS AT BALI MANDARA REGIONAL PUBLIC HOSPITAL ABSTRACT Background: Chronic kidney disease is a progressive kidney dysfunction often accompanied by anemia due to decreased erythropoietin production. Hemodialysis is used as a kidney replacement therapy, but this procedure can affect the patient's hemoglobin levels. Objective: This study aims to determine the hemoglobin levels and differences in hemoglobin levels before and after hemodialysis in chronic kidney failure patients at Bali Mandara Regional Hospital. Methods: This study used a quasi-experimental method with a pretest-posttest design. Hemoglobin levels were examined before and after hemodialysis using a hematology analyzer. The study sample consisted of 44 patients selected using purposive sampling techniques according to inclusion and exclusion criteria. Data analysis was carried out descriptively and inferentially using statistical tests to see differences in hemoglobin levels. Results: The results showed differences in hemoglobin levels before and after hemodialysis (p < 0.05) with a value 0,029. Conclusion: There are differences in hemoglobin levels before and after hemodialysis in chronic kidney failure patients, so routine monitoring of hemoglobin levels is needed to support patient management. Keywords: Hemoglobin, Chronic Kidney Disease, Hemodialysis PERBEDAAN KADAR HEMOGLOBIN PADA PASIEN GAGAL GINJAL KRONIS SEBELUM DAN SESUDAH HEMODIALISA DI RSUD BALI MANDARA ABSTRAK Latar Belakang: Gagal ginjal kronis merupakan gangguan fungsi ginjal yang bersifat progresif dan sering disertai anemia akibat penurunan produksi eritropoietin. Hemodialisa digunakan sebagai terapi pengganti fungsi ginjal, namun prosedur ini dapat memengaruhi kadar hemoglobin pasien. Tujuan: Penelitian ini bertujuan untuk mengetahui kadar hemoglobin serta perbedaan kadar hemoglobin sebelum dan sesudah hemodialisa pada pasien gagal ginjal kronis di RSUD Bali Mandara. Metode: Penelitian ini menggunakan metode quasi eksperimental dengan desain pretest-posttest. Pemeriksaan kadar hemoglobin dilakukan sebelum dan sesudah hemodialisa menggunakan alat hematology analyzer. Sampel penelitian berjumlah 44 pasien yang dipilih dengan teknik purposive sampling sesuai kriteria inklusi dan eksklusi. Analisis data dilakukan secara deskriptif dan inferensial menggunakan uji statistik untuk melihat perbedaan kadar hemoglobin. Hasil: Hasil penelitian menunjukkan adanya perbedaan kadar hemoglobin sebelum dan sesudah hemodialisa (p < 0,05) dengan nilai 0,029. Simpulan: Terdapat perbedaan kadar hemoglobin sebelum dan sesudah hemodialisa pada pasien gagal ginjal kronis, sehingga pemantauan kadar hemoglobin secara rutin diperlukan untuk mendukung penatalaksanaan pasien. Kata Kunci: Hemoglobin, Gagal Ginjal Kronis, Hemodialisa

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