Gambaran Kelainan Kuku pada Pasien Hemodialisis Reguler di Rumah Sakit Umum Pusat Haji Adam Malik Medan

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ABSTRAK
Penyakit ginjal kronik mempengaruhi hampir di seluruh sistem tubuh, seperti
menyebabkan gangguan saraf, pencernaan, jantung, paru, hematologi, endokrinmetabolik dan dermatologis. Belakangan ini, gangguan tersebut tidak hanya
disebabkan oleh kondisi ginjal, tetapi juga karena komplikasi akibat pengobatan
itu sendiri, yang dapat menyebabkan xerosis, pruritus, hiperpigmentasi, calcinosis,
dermatosis bulosa (pseudoporphyria), perforating dermatosis, dan kelainan kuku.
Kelainan kuku paling sering ditemukan adalah half and half nail dan absen
lunula.Penelitian sebelumnya menyatakan adanya gambaran kelainan kuku pada
pasien hemodialisis.
Tujuan dari penelitian ini yaitu untuk mengetahui gambaran kelainan kuku pada
pasien hemodialisis di Rumah Sakit Pusat H. Adam Malik.
Metode penelitian ini adalah deskriptifcross sectional dengan teknik total
sampling sehingga didapatkan total 21 pasien hemodialisis.
Hasil yang diperoleh dari 21 pasien hemodialisisbahwa jenis kelainan kuku
terbanyak padapasien HD adalah absent lunula sebanyak 13 pasien (61,9%),
sedangkan half and half nail sebanyak 8 pasien (38,1%).
Kesimpulan yang diperoleh adalah adanya gambaran kelainan kuku pada pasien
hemodialisis di Rumah Sakit Umum Haji Adam Malik Medan.
Kata Kunci : Hemodialisis, Kelainan kuku, Penyakit Ginjal Kronis


Universitas Sumatera Utara

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Abstract
Chronic kidney disease affects almost all systems of the body, such as causing
neurological disorders, gastrointestinal, cardiac, pulmonary, hematologic,
endocrine-metabolic and dermatological. In recent years, the disorder is not only
caused by kidney conditions, but also because of complications from the treatment
itself, which can cause xerosis, pruritus, hyperpigmentation, calcinosis, bullous
dermatosis (pseudoporphyria), perforating dermatosis, and nail abnormalities.
The most common nail disorder is half and half nail and absent lunula. Previous
research suggested a picture of nail abnormalities in hemodialysis patients.
The purpose of this study is to describe the nail abnormalities in hemodialysis
patients in the Hospital Center Adam Malik.
Methods of this study was a descriptive cross sectional with total sampling
technique to obtain 21 hemodialysis patients.
The results obtained from 24 hemodialysis patients of the study that most types of
nail abnormalities in patients with HD is absent lunula as many as 13 patients

(61.9%), while half and half nail as much as 8 patients (38.1%).
The conclusion there are nail abnormalities in hemodialysis patients at the
General Hospital Haji Adam Malik.
Keywords: Hemodialysis, nail disorders, Chronic Kidney Disease

Universitas Sumatera Utara