Risk factors affecting intradialytic hypertension in hemodialysis patients

Abstract

Hemodialysis is a CKD therapy that functions as a kidney replacement. The side effect that often occurs when patients undergoing hemodialysis is intradialytic hypertension (HID), namely an increase in systolic blood pressure >10 mmHg during hemodialysis, due to an increase in cardiac output mediated by volume overload, especially in patients with excess body weight and cardiac dilatation. The objective of this research is to determine the risk factors that influence the occurrence of intradialytic hypertension in CKD patients undergoing hemodialysis at Tugurejo Hospital. Risk factors consist of age, duration of hemodialysis, Quick Blood (blood velocity), ultrafiltration (volume overload), URR. The design used in this research is analytic observational with a cross-sectional approach, the number of respondents is 53 people. The sampling technique used in this research is total sampling. The results showed that age (p-value = < 0.01), duration of hemodialysis (p-value = 0.07), quick blood (p-value = 0.06), ultrafiltration (p-value = 0.04), and URR (p-value = < 0.01) is a protective factor or risk factor for the incidence of intradialytic hypertension. Based on the Spearman rank test, it is known that p-value > means that there is a relationship between age, ultrafiltration and URR with the blood pressure of patients with chronic kidney failure. Age, ultrafiltration, and URR are protective factors or risk factors that influence the incidence of intradialytic hypertension

Menurunkan intensitas nyeri pemasangan arteriovena fistula pada pasien hemodialisis menggunakanteknik valsava maneuver

“…Hasil penelitian di Brazil mengungkapkan bahwa 58,5% pasien yang mendapat kanulasi AV fistula mengalami nyeri sedang, 20% mengalami nyeri berat, dan 11,5% mengalami nyeri ringan (Silva et al, 2016). Sebuah penelitian menunjukkan bahwa 12% pasien mengeluhkan tingkat nyeri ringan hingga sedang selama penyisipan dan ekstraksi jarum (Nugroho & Lazuardi, 2021). Hasil penelitian menjelaskan adanya hubungan antara persepsi nyeri pada pasien hemodialisis dan kecemasan, depresi, gangguan tidur, kualitas hidup, dan kematian (Haris dkk.…”