Faktor Faktor Yang Berhubungan Dengan Nyeri Kepala Pasien Selama Proses Hemodialisis Di Rumah Sakit X Jakarta
Abstract
ABSTRAK
Hemodialisa merupakan salah satu terapi pengganti ginjal akibat gagalnya fungsi ginjal mengekskresikan cairan dan sisa memtabolisme dari darah. Mekanisme utama dialisa adalah difusi, osmosis, dan ultrafiltra. Tujuan penelitian ini untuk menganalisis faktor yang berhubungan dengan keluhan nyeri kepala selama proses hemodialisis di RS X. Jumlah sampel 40 responden yang memenuhi kriteria inklusi rutin menjalani HD di RS X dan sadar penuh. Observasi dilakukan selama pasien menjalani HD dilakukan pada bulan agustus 2020. Hasil penelitian mayoritas responden merasakan keluhan nyeri kepala sedang (67,5%), berusia lebih dari 65 tahun (42,5%), lamanya hemodialisis 5 jam (57,5%), frekuensi hemodialisis 2 x seminggu (85%), Quick of Blood 160 – 200 ml/menit (50%) dan Interdialytic Weight Gain (IDWG) terjadi kenaikan berat badan (82,5%). Hasl uji Chi Square terdapat hubungan bermakna antara lama menjalani hemodialisa (p- value 0,000), Quick of Blood (p-value 0,008) dan IDWG (p-value 0,046) dengan nyeri kepala HD (p,0,05). Namun tidak ada hubungan usia (p-value 0,648) dan frekwensi HD (p-value 0,606); > 0,05 dengan keluhan nyeri. Penelitian menyimpulkan faktor yang berhubungan dengan keluhan nyeri kepala saat HD adalah lama HD, Quick of Blood,IDWG. Disarankan petugas kesehatan memonitor secara ketat pasien selam proses HD dan mengkaji keluhan nyeri kepala maksimal tiap jam.
Kata kunci: Nyeri kepala, Hemodialisa, Quick of Blood,IDWG
FACTORS ASSOCIATED WITH COMPLAINTS OF HEADACHE DURING THE HEMODIALYSIS PROCESS AT HOSPITAL X
ABSTRACT
Hemodialysis is one of the renal replacement therapies due to failure of kidney function to excrete fluid and metabolize waste from the blood. The main mechanisms of dialysis are diffusion, osmosis, and ultrafiltration. The purpose of this study was to analyze the factors associated with complaints of headache during the hemodialysis process at Hospital X. The number of samples was 40 respondents who met the inclusion criteria routinely undergoing HD at Hospital X and were fully conscious. Observations were made while the patient was undergoing HD in August 2020. The results of the study were that the majority of respondents had moderate headaches (67.5%), aged over 65 years (42.5%), hemodialysis duration of 5 hours (57.5%) , the frequency of hemodialysis 2 times a week (85%), Quick of Blood ml/minute (50%) and Interdialytic Weight Gain (IDWG) increased weight (82.5%).test showed Chi Square a significant relationship between duration of hemodialysis (p-value 0.000), Quick of Blood (p-value 0.008) and IDWG (p-value 0.046) with HD headache (p-value 0.05). However, there is no relationship between age (p-value 0.648) and HD frequency (p-value 0.606); > 0.05 with complaints of pain. The study concluded that the factors associated with complaints of headaches during HD were the duration of HD, Quick of Blood, IDWG. Recommended health workers closely monitor patients during the HD process and assess complaints of headaches at a maximum hourly.
Keywords: Dialysis, Headache, IDWG, Quick of Blood
References
Ahmad (2016). Faktor-faktor yang Mempengaruhi Kepatuhan Dalam Mengurangi Asupan Cairan Pada Penderita Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di RSUD dr. H Abd. Moeloek Bandar Lampung.
Alif Muharrom, N., Komariah, C., Kalimantan No, J., & Tegalboto, K. (2018). Journal of Agromedicine and Medical Sciences 2 SMF Jantung dan Pembuluh Darah, RSD dr. Soebandi Jember Jl. Dr.Soebandi No, 4(1), 50–54.
Borzou et al., (2019) Gagal Ginjal Kronik. In Biokimia Klinis (Vol. 24, hal. 36–38). https://doi.org/10.1017/CBO9781107415324.004
Brunner, L dan Suddarth, D. (2018). Buku Ajar Keperawatan Medical Bedah H. Kuncara, A., Hartono, M., Ester, Y., Asih., Terjemahan, Edisi 8 Vol 1, EGC,Jakarta
Chhaya, K., Mankad, S., Shah, M., Patel, M., Desai, D., & Desai, S. (2022). Headache associated with hemodialysis in patients with end-stage renal disease in India: A common yet overlooked comorbidity. Annals of Indian Academy of Neurology, 25(1), 82. https://doi.org/10.4103/aian.aian_404_21
Dewi, I. G. A. P. A., & Parut, A. A. (2019). Pada Pasien Yang Menjalani Terapi Hemodialisis Di Brsu Tabanan - Bali Dominant Complications That Occur During Intradialisis On Patients Undergoing Hemodialysis Therapy In Brsu Tabanan - Bali I Gusti Ayu Puja Astuti Dewi 1 , Anselmus Aristo Parut 2 Dosen. 51–56.
Dewi (2015), korelasi lama hemdoisalisa dengan fungsi kognitif. Jurnal Media keperawatan Indonesia
Edarlan barbosa dos santos, Kuttiucu, bernardo, T. (2019). Cefaleia Dialítica Associada à Cefaleia por Privação de Cafeína em Pacientes Submetidos à Hemodiálise Dialysis Headache Associated with Caffeine-Withdrawal Headache in Patients Undergoing Hemodialysis. 186–188. https://doi.org/10.5935/2178-7468.20190027
Eduardo Sousa Melo (2016) Dialysis Headache: A Narrative Reviewhttps://doi.org/10.1111/head.12875
Elizabeth, (2015). Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney International Supplements, 3(1), 4–4. https://doi.org/10.1038/kisup.2012.76
Gozubatik-Celik G, Uluduz D, Goksan B, et al. Hemodialysis related headache [published online August 13, 2018]. Eur J Neurol. doi:10.1111/ene.13777
Ignatavicius; Donna D.; Workman; M. Linda; Rebar; Cherie. (2018). Medical-Surgical Nursing (Ninth Edit).
Kallenbach, Gutch, Martha, & Corca, (2015). Keperawatan Medikal Bedah. Jakarta
Levy, J., Brown, E., & Lawrence, A. (2016). Oxford Handbook of Dialysis. Oxford Handbook of Dialysis. https://doi.org/10.1093/med/9780199644766.001.0001
Lok, C. E., Huber, T. S., Lee, T., Shenoy, S., Yevzlin, A. S., Abreo, K., Allon, M., Asif, A., Astor, B. C., Glickman, M. H., Graham, J., Moist, L. M., Rajan, D. K., Roberts, C., Vachharajani, T. J., & Valentini, R. P. (2020). KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. American Journal of Kidney Diseases, 75(4), S1–S164. https://doi.org/10.1053/j.ajkd.2019.12.001
Marianna, S., & Astutik, S. (2018). Hubungan Dampak Terapi Hemodialisa Terhadap Kualitas Hidup Pasien Dengan Gagal Ginjal. Indonesian Journal of Nursing Sciences and Practice, 41–52.
Mabel H.Aoun (2021) Effects of Caffeinated and Decaffeinated Coffee on Hemodialysis-Related Headache (CoffeeHD): A Randomized Multicenter Clinical Trial Journal of Renal Nutrition Volume 31, Issue 6, November 2021, Pages 648-660
Nugroho (2015). Chronic pain in hemodialysis patients: Role of bone mineral metabolism. Alexandria Journal of Medicine, 52(4), 337–342. https://doi.org/10.1016/j.ajme.2015.12.002
Rahayu, F., Fernandoz, T., & Ramlis, R. (2018). Hubungan Frekuensi Hemodialisis dengan Tingkat Stres pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis. Jurnal Keperawatan Silampari, 1, 139–153. https://doi.org/10.31539/jks.v1i2.7
Alif Muharrom, N., Komariah, C., Kalimantan No, J., & Tegalboto, K. (2018). Journal of Agromedicine and Medical Sciences 2 SMF Jantung dan Pembuluh Darah, RSD dr. Soebandi Jember Jl. Dr.Soebandi No, 4(1), 50–54.
Chhaya, K., Mankad, S., Shah, M., Patel, M., Desai, D., & Desai, S. (2022). Headache associated with hemodialysis in patients with end-stage renal disease in India: A common yet overlooked comorbidity. Annals of Indian Academy of Neurology, 25(1), 82. https://doi.org/10.4103/aian.aian_404_21
Dewi, I. G. A. P. A., & Parut, A. A. (2019). Pada Pasien Yang Menjalani Terapi Hemodialisis Di Brsu Tabanan - Bali Dominant Complications That Occur During Intradialisis On Patients Undergoing Hemodialysis Therapy In Brsu Tabanan - Bali I Gusti Ayu Puja Astuti Dewi 1 , Anselmus Aristo Parut 2 Dosen. 51–56.
Edarlan barbosa dos santos, Kuttiucu, bernardo, T. (2019). Cefaleia Dialítica Associada à Cefaleia por Privação de Cafeína em Pacientes Submetidos à Hemodiálise Dialysis Headache Associated with Caffeine-Withdrawal Headache in Patients Undergoing Hemodialysis. 186–188. https://doi.org/10.5935/2178-7468.20190027
Ignatavicius; Donna D.; Workman; M. Linda; Rebar; Cherie. (2018). Medical-Surgical Nursing (Ninth Edit).
Levy, J., Brown, E., & Lawrence, A. (2016). Oxford Handbook of Dialysis. Oxford Handbook of Dialysis. https://doi.org/10.1093/med/9780199644766.001.0001
Lok, C. E., Huber, T. S., Lee, T., Shenoy, S., Yevzlin, A. S., Abreo, K., Allon, M., Asif, A., Astor, B. C., Glickman, M. H., Graham, J., Moist, L. M., Rajan, D. K., Roberts, C., Vachharajani, T. J., & Valentini, R. P. (2020). KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. American Journal of Kidney Diseases, 75(4), S1–S164. https://doi.org/10.1053/j.ajkd.2019.12.001
Marianna, S., & Astutik, S. (2018). Hubungan Dampak Terapi Hemodialisa Terhadap Kualitas Hidup Pasien Dengan Gagal Ginjal. Indonesian Journal of Nursing Sciences and Practice, 41–52.
Rahayu, F., Fernandoz, T., & Ramlis, R. (2018). Hubungan Frekuensi Hemodialisis dengan Tingkat Stres pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis. Jurnal Keperawatan Silampari, 1, 139–153. https://doi.org/10.31539/jks.v1i2.7
Rillya, Paputungan. (2015). Hubungan Lama Menjalani Hemodialisa dengan Stress pada Pasien Gagal Ginjal Kronik di Ruang Hemodialisa RSUD Prof. Dr.Aloe Saboe. Kota Gorontalo. Skripsi, Program Studi Ilmu Keperawatan, Fakultas Ilmu-Ilmu. Kesehatan dan Keolahragaan, Universitas Negeri Gorontalo
Riskesdas, (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI
Susantitaphong Paweena, Bertrand L. Jaber (2017) Hemodialysis: Acute Complications – Dialysis-induced Headache
Widani, Ni luh & Wisnu. (2018). Analisis Pengaruh Pendidikan Kesehatan Terhadap Kepatuhan Diet Cairan Dan Interdialytic Weight Gainpada Pasien Dengan Hemodialisis. Carolus Journal of Nursing, 1(1), 59–76. http://ejournal.stik-sintcarolus.ac.id/index.php/CJON/article/view/30
Thomas. (2015). Renal nursing. Philadelphia: Elsevier science
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