Manajemen Cairan dan Status Nutrisi dengan Kualitas Hidup Pasien Hemodialisa di RSUD DR. Pirngadi Medan
19
Judul Tesis
Nama
Program Studi
Minat Studi
Tahun
: Manajemen Cairan dan Status Nutrisi dengan
Kualitas Hidup Pasien Hemodialisa di RSUD
DR. Pirngadi Medan
: Yusnaini Siagian
: Magister Ilmu Keperawatan
: Keperawatan Medikal Bedah
: 2016
ABSTRAK
Pasien gagal ginjal kronik yang menjalani terapi hemodialisa mengalami
perubahan seluruh aspek kehidupannya terutama pembatasan asupan cairan dan
nutrisi supaya mampu beradaptasi sehingga dapat meningkatkan kualitas
hidupnya. Penelitian ini bertujuan untuk mengidentifikasi dan menjelaskan
hubungan manajemen cairan dan status nutrisi dengan kualitas hidup pasien
hemodialisa di RSUD DR. Pirngadi Medan. Desain penelitian ini adalah deskriptif
korelasi. Instrumen yang digunakan adalah kuisioner manajemen cairan, kuisioner
kualitas hidup dan lembar food recall 24 jam. Responden penelitian ini berjumlah
92 orang dengan tehnik pengambilan sampel purposive sampling. Hasil
penelitian ini menunjukkan bahwa rata-rata responden masih mengalami
kelebihan cairan yang cukup tinggi dengan rata-rata skor manajemen cairan 78,07,
median 77,50 dan standar deviasi 9,50. Sebagian besar status nutrisi responden
kurang sebanyak 64 orang (69,6%) dan nilai kualitas hidup responden mengalami
penurunan yang signifikan dengan nilai rata-rata 59,61 (SD 21,32). Analisa hasil
penelitian menggunakan uji pearson (bivariat). Pada analisa korelasi didapatkan
tidak ada hubungan antara manajemen cairan dengan kualitas hidup pasien
hemodialisa (p= 0,253 dan r = -0,120) dan ada hubungan yang bermakna antara
status nutrisi dengan kualitas hidup pasien hemodialisa (p= 0,001 dan r = 0,338).
Pasien gagal ginjal kronik yang menjalani terapi hemodialisa di RSUD DR.
Pirngadi Medan kesulitan melakukan pembatasan asupan cairan terbukti dengan
adanya penambahan berat badan interdialisis kategori berat dan pasien juga
mengalami gangguan status nutrisi menyebabkan mereka berada pada keadaan
berisiko terkena komplikasi kelebihan cairan dan kekurangan nutrisi sehingga
mengalami penurunan kualitas hidup. Perawat di unit hemodialisa diharapkan
melakukan penambahan frekuensi hemodialisa 3 kali seminggu, pemberian
edukasi tentang nutrisi dengan pemberian buku saku diet serta melakukan
penilaian kualitas hidup pasien hemodialisa secara berkesinambungan.
Kata kunci : Manajemen cairan, status nutrisi, kualitas hidup pasien hemodialisa
i
Universitas Sumatera Utara
20
Thesis Title
: Fluid Management and Nutritional Status on the Life
Quality of Hemodialysis Patients at RSUD DR.
Pirngadi, Medan
Name
: Yusnaini Siagian
Study Programe
: Master of Nursing Science
Field of Specialization : Medical Surgical Nursing
Academic Year
: 2016
ABSTRACT
Patients with chronic kidney failure who undergo hemodialysis therapy
experience changes in all aspects of their lives, particularly in the limitation of
fluid and nutrition intake in order to be able to adapt so that they can improve
their life qualities. The research objective was to identify and describe the
correlation of management of fluid and nutritional status with hemodialysis
patients’ life quality at RSUD dr. Pirngadi, Medan. The design of the research was
descriptive correlation. The instruments were questionnaires of fluid management,
life quality, and 24-hour food recall sheets. There were 92 respondents, taken by
using purposive sampling technique. The results showed that on average, the
respondents still had quite high fluid excess which mean score, median, and
deviation standard of fluid management were 78.07, 77.50, and 9.50 respectively.
Most respondents’ nutritional status was low represented by 64 respondents
(69.6%) and the qualities of their lives decreased significantly with mean 59.61
(SD 21.32). The analysis of research results used Pearson testing (bivariate
analysis). The results of correlation analysis showed that there was not any
correlation between fluid management and hemodialysis patients’ life qualities
(p= 0.253 and r= -0.120) and there was significant correlation between nutritional
status and hemodialysis patients’ life qualities (p= 0.001 and r= 0.338), patients
with chronic kidney failure who were undergoing hemodialysis at RSUD dr.
Pirngadi, Medan had difficulties in setting the limitation of fluid intake. It was
proven by interdialysis weight gaining with heavy category and the patients who
expereienced some nutritional status problems and nutritional deficiencies so that
their life qualities were getting lower. The nurses at hemodialysis unit were
expected to increase the frequency of hemodialysis to be 3 times a week, to
provide education concerning nutrition by giving dietary pocket notes, and do
sustainable assessment on hemodialysis patients’ life quality.
Keywords : Fluid Management, Nutritional Status, Hemodialysis Patients’ Life
Qualities
ii
Universitas Sumatera Utara
Judul Tesis
Nama
Program Studi
Minat Studi
Tahun
: Manajemen Cairan dan Status Nutrisi dengan
Kualitas Hidup Pasien Hemodialisa di RSUD
DR. Pirngadi Medan
: Yusnaini Siagian
: Magister Ilmu Keperawatan
: Keperawatan Medikal Bedah
: 2016
ABSTRAK
Pasien gagal ginjal kronik yang menjalani terapi hemodialisa mengalami
perubahan seluruh aspek kehidupannya terutama pembatasan asupan cairan dan
nutrisi supaya mampu beradaptasi sehingga dapat meningkatkan kualitas
hidupnya. Penelitian ini bertujuan untuk mengidentifikasi dan menjelaskan
hubungan manajemen cairan dan status nutrisi dengan kualitas hidup pasien
hemodialisa di RSUD DR. Pirngadi Medan. Desain penelitian ini adalah deskriptif
korelasi. Instrumen yang digunakan adalah kuisioner manajemen cairan, kuisioner
kualitas hidup dan lembar food recall 24 jam. Responden penelitian ini berjumlah
92 orang dengan tehnik pengambilan sampel purposive sampling. Hasil
penelitian ini menunjukkan bahwa rata-rata responden masih mengalami
kelebihan cairan yang cukup tinggi dengan rata-rata skor manajemen cairan 78,07,
median 77,50 dan standar deviasi 9,50. Sebagian besar status nutrisi responden
kurang sebanyak 64 orang (69,6%) dan nilai kualitas hidup responden mengalami
penurunan yang signifikan dengan nilai rata-rata 59,61 (SD 21,32). Analisa hasil
penelitian menggunakan uji pearson (bivariat). Pada analisa korelasi didapatkan
tidak ada hubungan antara manajemen cairan dengan kualitas hidup pasien
hemodialisa (p= 0,253 dan r = -0,120) dan ada hubungan yang bermakna antara
status nutrisi dengan kualitas hidup pasien hemodialisa (p= 0,001 dan r = 0,338).
Pasien gagal ginjal kronik yang menjalani terapi hemodialisa di RSUD DR.
Pirngadi Medan kesulitan melakukan pembatasan asupan cairan terbukti dengan
adanya penambahan berat badan interdialisis kategori berat dan pasien juga
mengalami gangguan status nutrisi menyebabkan mereka berada pada keadaan
berisiko terkena komplikasi kelebihan cairan dan kekurangan nutrisi sehingga
mengalami penurunan kualitas hidup. Perawat di unit hemodialisa diharapkan
melakukan penambahan frekuensi hemodialisa 3 kali seminggu, pemberian
edukasi tentang nutrisi dengan pemberian buku saku diet serta melakukan
penilaian kualitas hidup pasien hemodialisa secara berkesinambungan.
Kata kunci : Manajemen cairan, status nutrisi, kualitas hidup pasien hemodialisa
i
Universitas Sumatera Utara
20
Thesis Title
: Fluid Management and Nutritional Status on the Life
Quality of Hemodialysis Patients at RSUD DR.
Pirngadi, Medan
Name
: Yusnaini Siagian
Study Programe
: Master of Nursing Science
Field of Specialization : Medical Surgical Nursing
Academic Year
: 2016
ABSTRACT
Patients with chronic kidney failure who undergo hemodialysis therapy
experience changes in all aspects of their lives, particularly in the limitation of
fluid and nutrition intake in order to be able to adapt so that they can improve
their life qualities. The research objective was to identify and describe the
correlation of management of fluid and nutritional status with hemodialysis
patients’ life quality at RSUD dr. Pirngadi, Medan. The design of the research was
descriptive correlation. The instruments were questionnaires of fluid management,
life quality, and 24-hour food recall sheets. There were 92 respondents, taken by
using purposive sampling technique. The results showed that on average, the
respondents still had quite high fluid excess which mean score, median, and
deviation standard of fluid management were 78.07, 77.50, and 9.50 respectively.
Most respondents’ nutritional status was low represented by 64 respondents
(69.6%) and the qualities of their lives decreased significantly with mean 59.61
(SD 21.32). The analysis of research results used Pearson testing (bivariate
analysis). The results of correlation analysis showed that there was not any
correlation between fluid management and hemodialysis patients’ life qualities
(p= 0.253 and r= -0.120) and there was significant correlation between nutritional
status and hemodialysis patients’ life qualities (p= 0.001 and r= 0.338), patients
with chronic kidney failure who were undergoing hemodialysis at RSUD dr.
Pirngadi, Medan had difficulties in setting the limitation of fluid intake. It was
proven by interdialysis weight gaining with heavy category and the patients who
expereienced some nutritional status problems and nutritional deficiencies so that
their life qualities were getting lower. The nurses at hemodialysis unit were
expected to increase the frequency of hemodialysis to be 3 times a week, to
provide education concerning nutrition by giving dietary pocket notes, and do
sustainable assessment on hemodialysis patients’ life quality.
Keywords : Fluid Management, Nutritional Status, Hemodialysis Patients’ Life
Qualities
ii
Universitas Sumatera Utara