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The Influence of Hemodialysis Adequacy on the Blood Urea Value

PenulisAgustiyowati, Tri Hapsari Retno
SumberRepository Poltekkes Bandung
JenisRepository
Tahun2019
PenerbitPoltekkes Kemenkes Bandung
AbstrakHemodialysis is one of the substitutional renal therapies given to chronic renal
clients who are experiencing terminal stage or end-stage Renal Diseases (ESRD).
In Indonesia, there are 655 renal units and 433 among them have sent the data to
Indonesia Renal Registry (IRR). There are 77,892 clients who do hemodialysis therapy
actively. Therefore, among them, 30,831 are new clients who have just started taking
the therapy. Hemodialysis is a therapy to get rid of the toxic, water and soluble essence
from the blood in clients who have ESRD. The success of hemodialysis can be known
from the HD adequacy. The research aims to identify the influence of hemodialysis
adequacy on the blood urea value and the research was conducted at the TK.II Dustira
Cimahi Hospital. The research used quantitative with different tests. Ninety respondents
were involved in the research by using a convenience sampling technique. Adequacy
HD was calculated by using a calculator online KT/V and blood urea was obtained
from the medical record of secondary data from the laboratory checking the pre and
post HD urea blood. Analysis data used paired t-test. The research result showed
that HD adequacy average was 1,27 and the urea average of pre HD was 165 mg/dl,
furthermore the average of post urea HD was 59,93 mg/dl. The result of the analysis
with paired t-test showed that there is an influence of hemodialysis adequacy on the
blood urea value with p-value = 0,00 (p<0,05). Therefore, it can be concluded that
there is an influence of hemodialysis adequacy towards the blood urea value. The
suggestion for the renal unit is to increase the HD adequacy that aims to reduce blood
urea value.
Keywords: Adequacy, Hemodialysis, blood Urea
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