Faktor-Faktor Risiko Hipertensi Intrahemodialisis pada Pasien Gagal Ginjal Kronis Stadium 5 di RSUD Al-Ihsan Bandung

Reza Andrian Tajili, Apen Afgani Ridwan, Lisa Adhia Garina

Abstract


Abstract. Intradialysis hypertension is an increase in systolic blood pressure> 10mmHg during hemodialysis. Intradialysis hypertension often occurs in old age, history of more than one antihypertensive drug use, low dry weight, low weight gain at the time of intradialysis compared to non-hypertensive intradialysis. This study aims to determine the characteristics and risk factors for intradialisis hypertension in patients with stage 5 chronic kidney failure in Al-Ihsan Regional Hospital Bandung. This research method uses descriptive method with cross sectional approach. The target population of this study is stage 5 chronic kidney failure patients who undergo routine hemodialysis in 2019 at Al-Ihsan Regional Hospital Bandung. The sample consisted of 46 patients using purposive sampling technique. The results of this study showed that the majority of intradialytic hypertensive patients were 47 years old and the majority of patients were male. As many as 40 patients who underwent hemodialysis for more than 1 year, most patients had no previous history of smoking, taking amlodipine and clonidine. As many as 60.9% suffer from hypertension, 13% of patients experience hypertension accompanied by chronic obstructive pulmonary disease (COPD). Most patients have normal body mass and have a URR of> 65%. Most of the patients had mild IDWG, had more than 200 ml / minute quick blood and all patients had 500 ml / minute quick dialysis. These risk factors can cause intradialisis hypertension

Keywords: Intradialytic Hypertension, Chronic Kidney Failure, Hemodialysis

Abstrak. Hipertensi intradialisis adalah peningkatan tekanan darah sistolik >10mmHg selama hemodialisis. Hipertensi intradialisis sering terjadi pada usia tua, riwayat penggunaan obat antihipertensi lebih dari satu, berat badan kering rendah, peningkatan berat badan rendah pada saat intradialisis dibandingkan dengan yang tidak hipertensi intradialisis. Penelitian ini bertujuan untuk mengetahui karakteristik dan faktor – faktor risiko hipertensi intradialisis pada pasien gagal ginjal kronik stadium 5 di RSUD Al – Ihsan Bandung. Metode penelitian ini merupakan metode deskriptif dengan pendekatan cross sectional. Populasi target penelitian ini adalah pasien gagal ginjal kronis stadium 5 yang menjalani hemodialisis rutin pada tahun 2019 di RSUD Al – Ihsan Bandung. Sampel yang terdiri dari 46 pasien dengan menggunakan teknik purposive sampling. Hasil penelitian ini menunjukkan sebagian besar pasien hipertensi intradialitik berusia rerata 47 tahun dan sebagian besar pasien adalah laki-laki. Sebanyak 40 pasien yang menjalani hemodialisis lebih dari 1 tahun, sebagian besar pasien tidak memiliki riwayat merokok sebelumnya, mengkonsumsi obat amlodipine dan clonidine. Sebanyak 60,9% menderita hipertensi, 13% pasien mengalami hipertensi yang disertai penyakit paru obstruktif kronis (PPOK). Sebagian besar pasien memiliki masa tubuh yang normal dan memiliki URR > 65%. Sebagian besar pasien mengalami IDWG ringan, memiliki quick blood lebih dari 200 ml/menit dan seluruhnya pasien memiliki quick dialytic sebesar 500 ml/menit. Faktor - faktor risiko tersebut dapat menyebabkan terjadinya hipertensi intradialisis.  

 Kata Kunci: Hipertensi Intradialisis, Gagal Ginjal Kronik, Hemodialisis


Keywords


Hipertensi Intradialisis, Gagal Ginjal Kronik, Hemodialisis

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DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.21304

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