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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kesehatan Masyarakat Jurnal Kesehatan Andalas GIZI INDONESIA Journal Of Holistic Nursing Science Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) South East Asia Nursing Research Ina Kidney Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Pena Medika : Jurnal Kesehatan
Shofa Chasani
Nefrologi-Hipertensi Division, Master Program of Biomedical Science, Medical Faculty of UNDIP
Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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Journal : South East Asia Nursing Research

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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.
Co-Authors - Anggorowati Alatas, Haidar Ari Yulistianingsih Arinawati, Arinawati Arwanto, Arwedi Dwi Lestari Partiningrum Eka Sakti Wahyuningtyas Himawan, Fatchurozak Ikawati, Kartika Joko Wahyu Wibowo Lestariningsih Lestariningsih Lusito, Lusito Makarim, Fadhli Rizal Mohammad Sulchan Nurani, Ayudyah Oktaviarini, Eka Perdhana, Langgeng Poernomo, Gigih Rahmandanu Ragil Saptaningtyas, Ragil Rosiah, Rosiah Rudy Handoyo, Rudy Siti Nuraini Suharyo Hadisaputro Sulchan, M Sulchan, M Tanti Ajoe Kesoema, Tanti Ajoe Taufik Maryusman Taufiqurrachman Nasihun Untung Sujianto Wahju Ratna Martiningsih Wahyu Hidayati wibowo, subur Winarto, Dedi Yekti, Murwani Yunie Armiyati