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Journal : South East Asia Nursing Research

High Ultrafiltration Increasing Intradialytic Blood Pressure on Hemodialysis Patients Armiyati, Yunie; Hadisaputro, Suharyo; Chasani, Shofa; Sujianto, Untung
South East Asia Nursing Research Vol 3, No 1 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.1.2021.8-15

Abstract

The increase in blood pressure when the patient is undergoing hemodialysis is experienced by patients with intradialytic hypertension. This condition can be very dangerous for the patient, must be prevented and needs to be controlled. Prevention can be done by controlling variables that can affect intradialytic blood pressure, including ultrafiltration during hemodialysis. This study aims to analyze the relationship between ultrafiltration (ultrafiltration goal, ultrafiltration rate) and intradialytic blood pressure. This research was a descriptive-analytic study with a cross-sectional design, with 112 samples at two centres of dialysis in Semarang. Data were analyzed using the Spearman Rho. The finding obtained showed that ultrafiltration goal (UFG) and ultrafiltration rate (UFR) correlated with intradialytic blood pressure (systolic, diastolic and mean arterial pressure). The magnitude of UFG an associated with increase in intradialytic systolic (p=0,024; r=0,213), increase in intradialytic diastolic (p=0,007; r=0,252) and increase in mean arterial pressure (p=0,016; r=0,227). High UFR is associated with with increase in intradialytic systolic (p=0,037; r=0,211), increase in intradialytic diastolic (p=0,001; r=0,320) and increase in mean arterial pressure (p=0,034; r=0,200). Determination of ultrafiltration during hemodialysis must be done carefully and precisely to prevent an increase in intradialytic blood pressure.
Factors Contributing to Intradialytic Hypertension in Hemodialysis Patients Armiyati, Yunie; Hadisaputro, Suharyo; Chasani, Shofa; Sujianto, Untung
South East Asia Nursing Research Vol 3, No 2 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.2.2021.73-80

Abstract

Intradialytic hypertension (IDH) is the most common complication of hemodialysis patients in Indonesia. It must be controlled, to maintain the patient's quality of life and prevent worsening conditions. Some factors affecting IDH include predialysis fluid overload characterized by excessive interdialytic weight gain (IDWG), low adherence to fluid restriction and increased ultrafiltration during haemodialysis. The study aims to identify contributing factors of IDH. A case-control design was used in this study. A purposive sampling technique was used to recruit 92 samples at two centres of dialysis in Semarang, which was divided into case group (n=46) and control group (n=46). Data were analyzed using the Chi-square test by calculating Odds Ratios (OR). The finding showed that excessive IDWG (p=0,000, OR=16.95, 95% CI:5,56-51,65), low fluid adherence (p=0,001, OR=4,41, 95% CI:1,82-10,68) and excessive ultrafiltration (p=0,000, OR = 29,52, 95% CI:9,23-94,46) showed significant result. However, the incidence of IDH was not correlated with sex, age and length of haemodialysis. A greater increase in interdialytic weight requires lower fluid and higher ultrafiltration factors must be controlled precisely because those are considered as the risk factors for the high incidence of IDH. Excessive ultrafiltration is the most dominant risk factor in the high incidence of IDH.
Filial Therapy-based Family for Children Disabilities to Reduce the Family Stress in COVID-19 Pandemic Setyawati, Dewi; Al Jihad, Much Nurkharistna; Alfiyanti, Dera; Armiyati, Yunie
South East Asia Nursing Research Vol 4, No 4 (2022)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.4.4.2022.1-5

Abstract

Filial therapy is a psychoeducational intervention designed to improve parent-child relationships, reduce problematic behavior in children, and reduce parental stress by including parents as therapeutic agents. Parent access-group sessions are facilitated by therapists who teach adult skills based on play therapy techniques, which parents then implement with their children under the supervision of a facilitator. The objective of this research is to determine differences in family stress between those who do Filial Therapy and those who do not receive Filial Therapy. The method used in this study is a quasi-experimental approach with a non-equivalent pre-post-test approach with a control group. Identification of respondents according to the criteria, namely families with ABK and school-age children with special needs (7-12 years) at SLB Semarang. The instrument used was a questionnaire of Perceived Stress Scale. Before treatment, the average stress level in the control group was higher than that in the intervention group, 17.25 (Standard Deviation ± 5.01). The average stress level in the control and intervention groups before Filial therapy was carried out was relatively the same at 17.25 and 16.87. In contrast, after Filial therapy was performed in both groups, the stress level decreased by 15.62 and 10.00. The analysis using the independent t-test showed differences in the reduction in stress levels in the control and intervention groups before and after Filial therapy (p-value = 0.000). Conclusion: it can be concluded that filial therapy can significantly reduce the stress level of families with children's disabilities.
Effects of Early Warning Score (EWS) on outcomes of inpatient services Bobonera, Teguh Theryana; Pohan, Vivi Yosafianti; Mubin, Mohammad Fatkhul; Armiyati, Yunie
South East Asia Nursing Research Vol 4, No 3 (2022)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.4.3.2022.21-26

Abstract

The decrease in patient morbidity and mortality is influenced by quality inpatient services. Hospitalized patients can be in stable or unstable conditions. There is a phenomenon of patients whose condition is not stable being placed in inpatient, due to the limitations of the intensive care unit. These patients are at risk for worsening clinical conditions that increase morbidity and mortality. One of the efforts to improve quality related to patient safety in hospitals is the application of the Early Warning Score (EWS) including in inpatient installations. An early warning score is one of the assessment parameters in hospital accreditation and quality of care.  The aim of this literature review is to explain effects of early warning score (EWS) on outcomes of inpatient services. This study uses a literature study approach with a descriptive review type. The articles used are international with a range of years from 2011-2021. The databases used are Proquest, PubMed, and the Google Scholar search engine. Implementation of EWS has resulted in higher utilization of the rapid response system but a lower incidence of cardiopulmonary arrest; it is associated with lower mortality rates, and improved patient safety and clinical outcomes. The results obtained that there is a correlation between the EWS value with mortality but not with the length of stay. Research results related to the correlation of EWS with referrals to ICU/HCU and activation of code blue cannot be analyzed so that in the future a larger number of samples and case variations are needed. A clinical flow can be created in advance so that good patient management can be carried out if the EWS score is higher. An early Warning Score (EWS) can be used to predict the patient outcome which is an indicator of inpatient services.