Abstrak
Chronic Kidney Disease (CKD) is a progressive disease without medication and high morbidity and mortality that generally occurs in the general adult population, especially in people with diabetes and hypertension. The purpose of this study was to describe a case study of patients with Chronic Kidney Disease Stage V on Hemodialysis. The research design uses case studies in a descriptive manner which aims to describe the nursing care carried out. The number of samples is 1 person who observed the data collection method of interviews, observation and physical examination. The presentation of the data was made by the researcher in the form of narrative text. This research was conducted on December 10, 2022. Data presentation can be accompanied by verbal expressions from the case study subjects which are the supporting data. The results of the study show the enforcement of the five nursing diagnoses based on the SDKI and the implementation of nursing actions based on SIKI. The conclusion in this study is that nursing care provided to patients and families refers to the SDKI, SLKI, and SIKI. As for his advice, further research is needed regarding the effectiveness of the interventions used which are based on the conditions of different patients.
Referensi
Bello, A. K., Levin, A., Lunney, M., Osman, M. A., Ye, F., Ashuntantang, G. E., Bellorin-Font, E., Benghanem Gharbi, M., Davison, S. N., Ghnaimat, M., Harden, P., Htay, H., Jha, V., Kalantar-Zadeh, K., Kerr, P. G., Klarenbach, S., Kovesdy, C. P., Luyckx, V. A., Neuen, B. L., … Johnson, D. W. (2019). Status of care for end stage kidney disease in countries and regions worldwide: International cross sectional survey. The BMJ, 367. https://doi.org/10.1136/bmj.l5873
Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., Ahmadian, E., Al-Aly, Z., Alipour, V., Almasi-Hashiani, A., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Andrei, T., Andrei, C. L., … Murray, C. J. L. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: A systematic analysis for the global burden of disease study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3
Bowe, B., Artimovich, E., Xie, Y., Yan, Y., Cai, M., & Al-Aly, Z. (2020). The global and national burden of chronic kidney disease attributable to ambient fine particulate matter air pollution: A modelling study. BMJ Global Health, 5(3), 1–13. https://doi.org/10.1136/bmjgh-2019-002063
Cockwell, P., & Fisher, L. A. (2020). The global burden of chronic kidney disease. The Lancet, 395(10225), 662–664. https://doi.org/10.1016/S0140-6736(19)32977-0
El-Shahed, A. M., Sharf, S. A., El Sebaee, H. A., & Roshdy, M. M. (2013). Hemoglobin level, associated co-morbidities and quality of life among patients undergoing hemodialysis at one of the university hospitals in Cairo governorate. World Applied Sciences Journal, 23(1), 29–36. https://doi.org/10.5829/idosi.wasj.2013.23.01.7437
Fadlilah, S. (2019). Faktor-faktor yang berhubungan dengan kualitas hidup pasien hemodialisis. Jurnal Kesehatan, 10(2), 284–289. https://doi.org/10.53801/jnep.v1i2.63
Frazão, C. M. F. de Q., Medeiros, A. B. de A., Lima e Silva, F. B. B., Sá, J. D. de, & Lira, A. L. B. de C. (2014). Nursing diagnoses in chronic renal failure patients on hemodialysis. Acta Paulista de Enfermagem, 27(1), 40–43. https://doi.org/10.1590/1982-0194201400009
Hidayat, W. (2020). Strategi pencegahan pressure injuries (PI) berdasarkan evidence-based practice (EBP): A systematic review. Bina Generasi : Jurnal Kesehatan, 11(2), 46–58. https://doi.org/10.35907/bgjk.v11i2.146
Kalantar-Zadeh, K., Jafar, T. H., Nitsch, D., Neuen, B. L., & Perkovic, V. (2021). Chronic kidney disease. The Lancet, 398(10302), 786–802. https://doi.org/10.1016/S0140-6736(21)00519-5
Ku, E., Lee, B. J., Wei, J., & Weir, M. R. (2019). Hypertension in CKD: Core curriculum 2019. American Journal of Kidney Diseases, 74(1), 120–131. https://doi.org/10.1053/j.ajkd.2018.12.044
Nurjannah, I., & Mailani, F. (2016). The most frequent diagnosis on patients undergoing hemodialysis. International Journal of Research in Medical Sciences, 4(10), 4453–4457. https://doi.org/10.18203/2320-6012.ijrms20163310
Pearce, N., & Caplin, B. (2019). Let’s take the heat out of the CKDu debate: More evidence is needed. Occupational and Environmental Medicine, 76(6), 357–359. https://doi.org/10.1136/oemed-2018-105427
Rampengan, S. H. (2014). Edema paru kardiogenik akut. Jurnal Biomedik (Jbm), 6(3), 149–156. https://doi.org/10.35790/jbm.6.3.2014.6320
Ravi, V., Iskander, F., Saini, A., Brecklin, C., & Doukky, R. (2018). Clinical predictors and outcomes of patients with pericardial effusion in chronic kidney disease. Clinical Cardiology, 41(5), 660–665. https://doi.org/10.1002/clc.22946
Silverwood, R. J., Pierce, M., Thomas, C., Hardy, R., Ferro, C., Sattar, N., Whincup, P., Savage, C., Kuh, D., & Nitsch, D. (2013). Association between younger age when first overweight and increased risk for CKD. Journal of the American Society of Nephrology, 24(5), 813–821. https://doi.org/10.1681/ASN.2012070675
Song, M. K. (2016). Quality of life of patients with advanced chronic kidney disease receiving conservative care without dialysis. Seminars in Dialysis, 29(2), 165–169. https://doi.org/10.1111/sdi.12472
Wahyuni, P., Miro, S., & Kurniawan, E. (2018). Hubungan lama menjalani hemodialisis dengan kualitas hidup pasien penyakit ginjal kronik dengan diabetes melitus di RSUP Dr. M Djamil Padang. Jurnal Kesehatan Andalas, 7(4), 480. https://doi.org/10.25077/jka.v7.i4.p480-485.2018
Webster, A. C., Nagler, E. V., Morton, R. L., & Masson, P. (2017). Chronic kidney disease. The Bello, A. K., Levin, A., Lunney, M., Osman, M. A., Ye, F., Ashuntantang, G. E., Bellorin-Font, E., Benghanem Gharbi, M., Davison, S. N., Ghnaimat, M., Harden, P., Htay, H., Jha, V., Kalantar-Zadeh, K., Kerr, P. G., Klarenbach, S., Kovesdy, C. P., Luyckx, V. A., Neuen, B. L., … Johnson, D. W. (2019). Status of care for end stage kidney disease in countries and regions worldwide: International cross sectional survey. The BMJ, 367. https://doi.org/10.1136/bmj.l5873
Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., Ahmadian, E., Al-Aly, Z., Alipour, V., Almasi-Hashiani, A., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Andrei, T., Andrei, C. L., … Murray, C. J. L. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: A systematic analysis for the global burden of disease study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3
Bowe, B., Artimovich, E., Xie, Y., Yan, Y., Cai, M., & Al-Aly, Z. (2020). The global and national burden of chronic kidney disease attributable to ambient fine particulate matter air pollution: A modelling study. BMJ Global Health, 5(3), 1–13. https://doi.org/10.1136/bmjgh-2019-002063
Cockwell, P., & Fisher, L. A. (2020). The global burden of chronic kidney disease. The Lancet, 395(10225), 662–664. https://doi.org/10.1016/S0140-6736(19)32977-0
El-Shahed, A. M., Sharf, S. A., El Sebaee, H. A., & Roshdy, M. M. (2013). Hemoglobin level, associated co-morbidities and quality of life among patients undergoing hemodialysis at one of the university hospitals in Cairo governorate. World Applied Sciences Journal, 23(1), 29–36. https://doi.org/10.5829/idosi.wasj.2013.23.01.7437
Fadlilah, S. (2019). Faktor-faktor yang berhubungan dengan kualitas hidup pasien hemodialisis. Jurnal Kesehatan, 10(2), 284–289. https://doi.org/10.53801/jnep.v1i2.63
Frazão, C. M. F. de Q., Medeiros, A. B. de A., Lima e Silva, F. B. B., Sá, J. D. de, & Lira, A. L. B. de C. (2014). Nursing diagnoses in chronic renal failure patients on hemodialysis. Acta Paulista de Enfermagem, 27(1), 40–43. https://doi.org/10.1590/1982-0194201400009
Hidayat, W. (2020). Strategi pencegahan pressure injuries (PI) berdasarkan evidence-based practice (EBP): A systematic review. Bina Generasi : Jurnal Kesehatan, 11(2), 46–58. https://doi.org/10.35907/bgjk.v11i2.146
Kalantar-Zadeh, K., Jafar, T. H., Nitsch, D., Neuen, B. L., & Perkovic, V. (2021). Chronic kidney disease. The Lancet, 398(10302), 786–802. https://doi.org/10.1016/S0140-6736(21)00519-5
Ku, E., Lee, B. J., Wei, J., & Weir, M. R. (2019). Hypertension in CKD: Core curriculum 2019. American Journal of Kidney Diseases, 74(1), 120–131. https://doi.org/10.1053/j.ajkd.2018.12.044
Nurjannah, I., & Mailani, F. (2016). The most frequent diagnosis on patients undergoing hemodialysis. International Journal of Research in Medical Sciences, 4(10), 4453–4457. https://doi.org/10.18203/2320-6012.ijrms20163310
Pearce, N., & Caplin, B. (2019). Let’s take the heat out of the CKDu debate: More evidence is needed. Occupational and Environmental Medicine, 76(6), 357–359. https://doi.org/10.1136/oemed-2018-105427
Rampengan, S. H. (2014). Edema paru kardiogenik akut. Jurnal Biomedik (Jbm), 6(3), 149–156. https://doi.org/10.35790/jbm.6.3.2014.6320
Ravi, V., Iskander, F., Saini, A., Brecklin, C., & Doukky, R. (2018). Clinical predictors and outcomes of patients with pericardial effusion in chronic kidney disease. Clinical Cardiology, 41(5), 660–665. https://doi.org/10.1002/clc.22946
Silverwood, R. J., Pierce, M., Thomas, C., Hardy, R., Ferro, C., Sattar, N., Whincup, P., Savage, C., Kuh, D., & Nitsch, D. (2013). Association between younger age when first overweight and increased risk for CKD. Journal of the American Society of Nephrology, 24(5), 813–821. https://doi.org/10.1681/ASN.2012070675
Song, M. K. (2016). Quality of life of patients with advanced chronic kidney disease receiving conservative care without dialysis. Seminars in Dialysis, 29(2), 165–169. https://doi.org/10.1111/sdi.12472
Wahyuni, P., Miro, S., & Kurniawan, E. (2018). Hubungan lama menjalani hemodialisis dengan kualitas hidup pasien penyakit ginjal kronik dengan diabetes melitus di RSUP Dr. M Djamil Padang. Jurnal Kesehatan Andalas, 7(4), 480. https://doi.org/10.25077/jka.v7.i4.p480-485.2018
Webster, A. C., Nagler, E. V., Morton, R. L., & Masson, P. (2017). Chronic kidney disease. The Lancet, 389(10075), 1238–1252. https://doi.org/10.1016/S0140-6736(16)32064-5
Xie, Y., Bowe, B., Mokdad, A. H., Xian, H., Yan, Y., Li, T., Maddukuri, G., Tsai, C. Y., Floyd, T., & Al-Aly, Z. (2018). Analysis of the global burden of disease study highlights the global, regional, and national trends of chronic kidney disease epidemiology from 1990 to 2016. Kidney International, 94(3), 567–581. https://doi.org/10.1016/j.kint.2018.04.011
Zarantonello, D., Rhee, C. M., Kalantar-Zadeh, K., & Brunori, G. (2021). Novel conservative management of chronic kidney disease via dialysis-free interventions. Current Opinion in Nephrology and Hypertension, 30(1), 97–107. https://doi.org/10.1097/MNH.0000000000000670
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