TEKANAN DARAH SEBELUM DAN SESUDAH MENJALANI TERAPI HEMODIALISIS
DOI:
https://doi.org/10.47701/sikenas.vi.3907Keywords:
hemodialisis, tekanan darah, ginjal kronisAbstract
Latar Belakang: Fokus perawaran penyakit ginjal kronis diarahkan untuk mencegah terjadi gangguan kardiovaskuler. Tekanan darah tinggi dapat menjadi penyulit bagi karena menyebabkan prognosis yang buruk, termasuk terbentuknya hipertrofi ventrikel kiri yang menyebabkan cepatnya penurunan ginjal. Sedangkan tekanan darah rendah membawa prognosis yang lebih buruk. Tujuan:Menganalisis perbedaan tekanan darah sistolik dan diastolik sebelum dan sesudah dilaksanakan terapi hemodialisis pada pasien gagal ginjal kronik di RSUD Kabupaten Sukoharjo. Metode: Penelitian kuantitatif dengan desain Pre-Eksperimen design dengan rancangan One Group Pre-Post Test. Populasi 130 pasien dengan sampel 57 pasien. Tehnik pengambilan sampel menggunakan Purposive sampling. Instrumen penelitian ini menggunakan sphygmomanometer yang sudah terkalibrasi. Analisa data dalam penelitian ini mengunakan paired sample t-test. Hasil: Rata-rata pasien berusia 45-64 tahun, berjenis kelamin perempuan dan menjalani hemodialisis lebih dari satu tahun. Tekanan darah sebelum menjalani terapi hemodialisis rata-rata 146,93/93,51 mmHg dan tekanan darah sesudah terapi hemodialisis rata-rata 163,33/100,53 mmHg. Hasil uji paired sample t-test tekanan darah sistolik dan diastolik diperoleh nilai signifikansi (p-value) 0,000. Kesimpulan: Hasil uji analisis didapatkan terdapat perbedaan tekanan darah sistolik dan diastolik sebelum dan sesudah terapi hemodialisis pada pasien gagal ginjal kronik di RSUD Kabupaten Sukoharjo, dimana terjadi peningkatan tekanan darah sesudah terapi hemodialisis.
References
Ali, W., Gao, G. and Bakris, G.L. (2020) ‘Improved Sleep Quality Improves Blood Pressure Control among Patients with Chronic Kidney Disease: A Pilot Study’, American Journal of Nephrology, 51(3), pp. 249–254. Available at: https://doi.org/10.1159/000505895.
Angeli, F., Reboldi, G. and Verdecchia, P. (2020) ‘Blood pressure variability and risk of stroke in chronic kidney disease’, Journal of Hypertension, 38(4), pp. 599–602. Available at: https://doi.org/10.1097/HJH.0000000000002339.
Bhandari, S. et al. (2022) ‘Renin–Angiotensin System Inhibition in Advanced Chronic Kidney Disease’, New England Journal of Medicine, 387(22), pp. 2021–2032. Available at: https://doi.org/10.1056/nejmoa2210639
Chantrel, F. et al. (2020) ‘Blood pressure control in patients with chronic kidney disease according to office and home blood pressures’, Blood Pressure Monitoring, 25(5), pp. 246–251. Available at: https://doi.org/10.1097/MBP.0000000000000463.
Cheung, A.K. et al. (2021) ‘Executive summary of the KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease’, Kidney International, 99(3), pp. 559–569. Available at: https://doi.org/10.1016/j.kint.2020.10.026.
Flythe, J.E. et al. (2020) ‘Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference’, Kidney International, 97(5), pp. 861–876. Available at: https://doi.org/10.1016/j.kint.2020.01.046.
Gregg, L.P. et al. (2021) ‘Association of Blood Pressure Variability and Diuretics With Cardiovascular Events in Patients With Chronic Kidney Disease Stages 1-5’, Hypertension, 77(3), pp. 948–959. Available at: https://doi.org/10.1161/HYPERTENSIONAHA.120.16117.
Jo, W., Koh, E.S. and Chung, S. (2023) ‘Therapeutic roles of thiazides and loop diuretics in blood pressure control and renal protection against chronic kidney disease’, Clinical Hypertension, 29(1), pp. 1–15. Available at: https://doi.org/10.1186/s40885-023-00238-5.
Kemenkes RI (2018) ‘Laporan Nasional Riset Kesehatan Dasar’, Kementerian Kesehatan RI, pp. 1–582.
Kollias, A., Kyriakoulis, K.G. and Stergiou, G.S. (2020) ‘Blood pressure target for hypertension in chronic kidney disease: One size does not fit all’, Journal of Clinical Hypertension, 22(5), pp. 929–932. Available at: https://doi.org/10.1111/jch.13861.
Kovesdy, C.P. (2022) ‘Epidemiology of chronic kidney disease: an update 2022’, Kidney International Supplements, 12(1), pp. 7–11. Available at: https://doi.org/10.1016/j.kisu.2021.11.003.
Liu, X. et al. (2021) ‘Association of morning blood pressure surge with chronic kidney disease progression in patients with chronic kidney disease and hypertension’, Journal of Clinical Hypertension, 23(10), pp. 1879–1886. Available at: https://doi.org/10.1111/jch.14366.
Liyanage, T. et al. (2022) ‘Prevalence of chronic kidney disease in Asia: A systematic review and analysis’, BMJ Global Health, 7(1), pp. 1–9. Available at: https://doi.org/10.1136/bmjgh2021-007525.
Peng, S.Y. et al. (2020) ‘Impact of blood pressure control on retinal microvasculature in patients with chronic kidney disease’, Scientific Reports, 10(1), pp. 1–10. Available at: https://doi.org/10.1038/s41598-020-71251-z.
PERNEFRI (2018) ‘11th report Of Indonesian renal registry 2018’, Indonesian Renal Registry (IRR), pp. 14–15.
Pinter, J. et al. (2020) ‘Sodium, volume and pressure control in haemodialysis patients for improved cardiovascular outcomes’, Nephrology Dialysis Transplantation, 35, pp. II23–II30. Available at: https://doi.org/10.1093/ndt/gfaa017.
Uemura, A. et al. (2018) ‘Hybrid technique for closing an Atrial septal defect using an Amplatz® canine duct occluder in a small breed dog’, Australian Veterinary Practitioner, 48(1), pp. 19–21.
Weldegiorgis, M. and Woodward, M. (2020) ‘Correction to: The impact of hypertension on chronic kidney disease and end-stage renal disease is greater in men than women: a systematic review and meta-analysis (BMC Nephrology, (2020), 21, 1, (506), 10.1186/s12882-020-02151-7)’, BMC Nephrology, 21(1), pp. 1–9. Available at: https://doi.org/10.1186/s12882-020-02199-5.
Yang, L. et al. (2023) ‘Blood Pressure Variability and the Progression of Chronic Kidney Disease: a Systematic Review and Meta-Analysis’, Journal of General Internal Medicine, 38(5), pp. 1272–1281. Available at: https://doi.org/10.1007/s11606-022-08001-6.
Yoon, S.Y. et al. (2024) ‘Association of the Intensive Blood Pressure Target and Cardiovascular Outcomes in the Population With Chronic Kidney Disease: A Retrospective Study in Korea’, Journal of the American Heart Association, 13(6), pp. 1–12. Available at: https://doi.org/10.1161/JAHA.123.032186.
Zhang, Y. et al. (2021) ‘Effects of intensive blood pressure control on mortality and cardiorenal function in chronic kidney disease patients’, Renal Failure, 43(1), pp. 811–820. Available at: https://doi.org/10.1080/0886022X.2021.1920427
