EFEK HEMODIALISIS TERHADAP DENSITAS TULANG PADA PASIEN DENGAN PENYAKIT GINJAL KRONIK DI UNIT HEMODIALISA RSUD BANYUMAS

Wina Rodiana[1], Eko Winarto[2], Sobihin[3]

Abstrak

Latar belakang: Penyakit ginjal kronik (PGK) merupakan kelainan ginjal secara struktural atau fungsional yang ditandai dengan penurunan Laju Filtrasi Glomerulus (LFG) yang berlangsung  > 3 bulan.  Di Indonesia diperkirakan insidens PGK berkisar 100-150 per 1 juta penduduk dan prevalensi mencapai 200-250 kasus per juta penduduk. Penatalaksanaan yang dilakukan pada pasien PGK antara lain transplantasi ginjal, hemodialisis dan dialisis peritoneal. Hemodialisis memiliki beberapa komplikasi yang disebabkan oleh penyakit ginjal kronis atau oleh karena proses  selama menjalani hemodialisis.

Tujuan: Tujuan penelitian ini untuk mengetahui efek lamanya hemodialisis terhadap densitas tulang pasien penyakit ginjal kronik.

Metode: Penelitian ini menggunakan pendekatan observasional dengan cross sectional. Populasi dalam penelitian ini sebanyak 115 orang. Pengambilan sampel menggunakan consecutive sampling. Jumlah sampel yang diteliti 43 responden. Pasien yang diperiksa densitas tulang dan masuk menjadi responden sebanyak 38 orang.Teknik analisis bivariat menggunakan uji regresi linier.

Hasil: Rerata usia pasien Penyakit Ginjal Kronis responden penelitian yaitu 51,21 tahun. Jenis kelamin responden 92,1 % laki-laki. Lamannya hemodialisis rata-rata 90,37 kali. Rata-rata densitas tulang responden sebesar -2,6605 (gr/cm2) yang termasuk kedalam kategori densitas tulang beresiko tinggi osteoporosis. Hubungan efek lamannya hemodialisis terhadap densitas tulang tidak signifikan (p value 0,45). Derajat keeratan hubungannya lemah (r 0,139).

Rekomendasi: Saran untuk penelitian selanjutnya, hendaknnya perlu diadakan penelitian dengan memeriksa responden langsung dari densitas tulang ke Parathiroid Hormon (PTH) dan melihat efek hemodialisis dalam jam terhadap densitas tulang pasien ginjal kronik.

Kata kunci: Penyakit Ginjal Kronis, Hemodialisis, Densitas tulang

Referensi:  48 (1999-2011)

EFFECT OF HEMODIALYSIS AGAINST BONE DENSITY IN PATIENTS WITH CHRONIC KIDNEY DISEASE IN HEMODIALYSIS UNIT OF RSUD BANYUMAS

 Wina Rodiana1, Eko Winarto2, Sobihin3

Abstract

Background: Chronic Kidney Disease (CKD) is a kidney disorder are structurally or functionally characterized by reduced Glomerular Filtration Rate (GFR) that lasted > 3 months. In Indonesia, incidence of CKD is estimated  ranges from 100-150 per 1 million population and the prevalence reaches 200-250 cases per million population. The treatment that’s common among patients with CKD are kidney transplantation, hemodialysis, and peritoneal dialysis. Hemodialysis has some complications caused by chronic kidney disease or because of the process while undergoing hemodialysis.

Objective: to determine the effect of duration of hemodialysis on bone density of patients with chronic kidney disease.

Methods: This study uses an observational approach with cross sectional. The population in this study as many as 115 people. Sampling using a consecutive sampling. The number of samples studied by 43 respondents. Patients whose examined bone density and entered into respondents as many as 38. Bivariate analysis using linear regression test.

Results: The average age of chronic kidney disease respondents in this study is 51,21 years. The sex of the respondents 92,1 % were male. The duration of hemodialysis average 90,37 times. The average of respondents bone density is -2,6605 (gr/cm2) which are included into the category of bone density at high risk of osteoporosis. The effect of hemodialysis duration with bone density was not significant (p value 0,45). The degree of closeness of the relationship is weak (r 0,139).

Recommendation: Suggestions for further research, researcher should have conducted research to examine the respondents directly from bone density to Parathyroid hormone (PTH) and look at the effect of hemodialysis on bone density in patients with chronic kidney disease.

Keywords: CKD, hemodialysis, bone density

Reference: 48 (1999-2011)

1Student of nursing , Medical and Helath Sciences Faculty

2Medical Surgical-Nursing Practitians of RSUD Banyumas

3Haemodialys Instalation Practitians of RSUD Banyumas


 

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