Systriana Esi Kamasita
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THE EFFECT OF HEMODIALYSIS ON KINETIC SEGMENT OF LEFT VENTRICULAR IN STAGE V CRONIC KIDNEY DISEASE PATIENTS Systriana Esi Kamasita; Suryono; Yudha Nurdian; Yuli Hermansyah; Edy Junaidi; Mohamat Fatekurohman
NurseLine Journal Vol. 3 No. 1 (2018): May 2018
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v3i1.60100

Abstract

Chronic kidney disease (CKD) stage V attacks other organs such as heart that can cause cardiovascular disease (CVD). One of them is CVD caused by CKD stage V that is the kinetic segment of left ventricle. Cardiovascular disease occurs due to excess fluid and buildup of uremic toxin. Chronic kidney disease stage V can not be cured so it requires therapy that is hemodialysis (HD). Hemodialysis can reduce excess fluid, uremic toxin, and maintain electrolyte balance in stage V stage. Improved fluid anddecreased uremic toxin can reduce the burden of the heart and strain so that blood supply to certain myocardial areas increases and the left ventricular kinetic segment increases. The study purposed to determine the effect of HD on left ventricular kinetic changes in CKD stage V patients in dr. Soebandi hospital in Jember. The research design utilized quasi-experimental one group pretest-postest design. The sample consist 30 patients using nonprobability sampling technique with purposive sampling method. The primary and secondary data was used. Analysis data used Wilcoxon test. The study result showed that respondent in range of 45-54 years, women, hemodialysis >24 months and blood pressure before and after hemodialysis obtained patients with hypertension was the most characteristic of respondent. Hypothesis test using Wilcoxon test got p-value = 0.000. From the results of the analysis can be concluded that there is influence of hemodialysis on kinetic segment of left ventricle in patient of CKD stage V in dr. Soebandi hospital in Jember.