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All Journal Indonesian Journal of Global Health research Nursing Care and Health Technology Journal (NCHAT)
Ningtyas, Ni Wayan Rahayu
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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ANALISIS FAKTOR RISIKO KEJADIAN PENYAKIT JANTUNG KORONER DI RSUD SULTAN IMANUDDIN PANGKALAN BUN Rafidah, Awanda; Ningtyas, Ni Wayan Rahayu; Qorahman MM, Wahyudi
Nursing Care and Health Technology Journal (NCHAT) Vol. 1 No. 1 (2021): NCHAT January - April period
Publisher : Progres Ilmiah Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56742/nchat.v1i1.2

Abstract

Penyakit kardiovaskuler menempati posisi utama penyebab kematian di dunia.Di RSUD Sultan Imanuddin Pangkalan Bun pada tahun 2020 jumlah pasien PJK tercatat 185 pasien.PJK adalah fenomenal abnormal pada pembuluh darah koroner disertai karak yang menggangu aliran darah ke otot jantung yang berunjung pada rusaknya fungsi jantung. Ada beberapa faktor risiko PJK diantara nya usia, jenis kelamin, riwayat keluarga (faktor yang tidak dapat dimodifikasi). Hipertensi, diabetes militus, obesitas, inaktivitas fisik, makan berlemak, merokok, dan stres adalah faktor yang dapat dimodifikasi.Tujuan penelitian untuk mengetahui faktor risiko kejadian penyakit jantung koroner dengan kejadian PJK di RSUD Sultan Imanuddin Pangkalan Bun.Metode penelitian ini menggunakan desain observasional analitik dengan pendekatan case control.Jumlah populasi sebanyak 48 orang, dengan jumlah sampel sebanyak 42 orang.Teknik sampling purposive sampling.Analisis data menggunakan regresi logistik. Hasil penelitian menunjukkan faktor risiko yang berhubungan dengan kejadian PJK di RSUD Sultan Imanuddin Pangkalan Bun adalah usia (p=0,007), jenis kelamin (p=0,016), dan hipertensi (p=0,006). Hasil analisis multivariat menunjukan bahwa faktor risiko yang paling berhubungan dengan kejadian PJK di RSUD Sultan Imanuddin Pangkalan Bun adalah hipertensi (OR = 10,757; 95% CI = 1,889-61,244). Diharapakan meningkatkan pelayanan preventif melalui promosi kesehatan terkait pengetahuan dan pencegahan untuk menurunkan faktor risiko PJK
Correlation of Adequate Urea Reduction Rate (URR) with the Degree of Uremic Pruritus and Sleep Quality in Chronic Kidney Disease Patients Undergoing Hemodialysis Rahayu, Sri; Ningtyas, Ni Wayan Rahayu; Syahleman, Rukmini
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.7045

Abstract

Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of dialysis inadequacy, which can be assessed through the Urea Reduction Rate (URR) parameter. A low URR reflects a suboptimal hemodialysis process, leading to the accumulation of uremic toxins in the body. This inadequacy can trigger complications such as uremic pruritus, a chronic itching sensation that disrupts comfort and reduces the patient's quality of life. Furthermore, the accumulation of toxic substances due to inadequate URR impacts sleep quality, characterized by difficulty falling asleep, frequent awakenings, and restless sleep. These two conditions are often overlooked in clinical practice, yet they significantly contribute to the decline in the physical and psychosocial well-being of hemodialysis patients. The study aims to analyze the Correlation of Adequate Urea Reduction Rate (URR) with the Degree of Uremic Pruritus and Sleep Quality in Chronic Kidney Failure Patients Undergoing Hemodialysis. This study used a correlational analytical design with a cross-sectional approach. The sample consisted of 50 respondents of chronic kidney failure patients undergoing hemodialysis using a purposive sampling technique. URR data were obtained from laboratory records and using the URR calculation formula using the formula URR = 100 × (1 - C1/C0), while data on the degree of pruritus were collected using a Numerical Rating Scale (NRS) questionnaire and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using the Spearman Rank test to determine the relationship between variables. The results of the study showed that there was a significant relationship between URR and the degree of uremic pruritus p value 0.001 (p < 0.05) with a Correlation Coefficient value of 0.628 meaning a strong level of relationship, and there was a significant relationship between URR and the sleep quality of respondents undergoing hemodialysis p value 0.001 (p < 0.05) with a Correlation Coefficient value of 0.656 meaning a strong level of correlation. Dialysis adequacy measured by URR has an important role in reducing uremic pruritus symptoms and improving sleep quality in CKD patients.
Co-Authors Qorahman MM, Wahyudi Rafidah, Awanda SRI RAHAYU Syahleman, Rukmini