Suhari Suhari
STIKES Hafshawaty Pesantren Zainul Hasan Genggong Proboliggo

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PENGARUH KOMPRES DINGIN TERHADAP KEJADIAN INFLAMASI AKSES VASKULER PADA PASIEN YANG BARU MENJALANI HEMODIALISA DI RUANG HEMODIALISIS RSUD dr. HARYOTO LUMAJANG Windy Arie Praherda; Suhari Suhari; Widya Addiarto
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i2.1225

Abstract

Hemodialysis is the most common kidney replacement therapy performed by patients with chronic kidney failure. Patients undergoing hemodialysis must first have a vascular access installed to drain blood from the patient’s body to the machine. Complications that can occur in vascular access is inflammation at the insertion site. Nursing efforts to reduce inflammation are by using cold compresses. The purpose of this research was to analyze the effect of cold compresses on the incidence of vascular access inflammation. The research design was pre experimental with a one group pretest posttest research design. The population in this research were all patients who had recently undergone hemodialysis who experienced inflammation of the vascular access. The samples were taken using a purposive sampling technique so that 19 samples were obtained. Data collection tool to determine the incidence of inflammation using an observation sheet. The result of the Paired T-test before and after the cold compress intervention proved that there was a decrease in the incidence of inflammation vascular access with a value p = 0,000 and  < 0,05. It can be conclude there is an effect of cold compresses on the incidence of inflammation of the vascular access in patients who have just undergone hemodialysis. Based on the results of this study, it is hoped that it nurses are advised to apply cold compress therapy as an intervention to reduce inflammation of the vascular access of hemodialysis patients.
HUBUNGAN PEMILIHAN AKSES VASKULAR DENGAN KUALITAS HIDUP PASIEN CKD HD REGULER DI RUANG HEMODIALISIS RSUD Dr. HARYOTO LUMAJANG Dyah Esti Pratiwi; Suhari Suhari; Alwin Widhiyanto
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i2.1226

Abstract

Hemodialysis is a medical treatment to replace kidney function when is in trouble. Hemodialysis which is performed regularly, should provide comfort to the patient Comfort can improve the quality of life for patients who routinely undergo hemodialysis, including the selection of vascular access for hemodialysis patients. The aim of this study was to determine the relationship between the choice of vascular access and quality of life for patients undergoing hemodialysis. This research is a quantitative study using cross sectional correlation method design. The population of this study were all regular CKD HD patients in the hemodialysis room at Dr. Haryoto Lumajang with a total of 144 patients. The samples were 132 respondets taken using total sampling technique who met the inclusion criteria. The data collection the WHOQOL-BREF (The World Health Organization Quality of Life) questionnaire. The Data analyzed using the Spearman Rank Test. The results obtained showed that most of the respondents used vascular AV shunt access of 63.6% and most of the quality of life of hemodialysis patients was good, 52.3% with a significance value of 0.000 (p <0.05) meaning that there is a relationship between the selection of vascular access using the AV shunt method and the patient's quality of life. The Spearman correlation value indicates that vascular access has a sufficient correlation (0.350) and indicates a positive correlation direction. where the AV shunt vascular access shows the patient's quality of life to be good. Based on the results of this study, it is hoped that it can add to and increase knowledge about the quality of life of patients undergoing hemodialysis therapy, especially for hemodialysis patients based on vascular access