Repository Poltekkes Kemenkes Palangka Raya

Apriliyanti, Kiki (2026) Analisis faktor utama penyebab sesak napas pada pasien gagal ginjal kronis dengan hemodialisa yang menjalani perawatan di Ruang Penyakit Dalam RSUD dr. Doris Sylvanus Palangka Raya. Skripsi thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Gagal ginjal kronis merupakan penyakit progresif yang memerlukan terapi hemodialisa dan sering disertai keluhan sesak napas akibat kelebihan cairan, anemia, dan akumulasi toksin uremik. Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan tingkat sesak napas pada pasien gagal ginjal kronis yang menjalani hemodialisa di RSUD dr. Doris Sylvanus Palangka Raya. Metode Penelitian: Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional pada 30 pasien gagal ginjal kronis yang menjalani hemodialisa, dengan teknik total sampling. Data dikumpulkan melalui pengukuran status cairan berdasarkan perubahan berat badan interdialitik, pemeriksaan kadar hemoglobin untuk menilai anemia, serta pemeriksaan ureum dan kreatinin untuk menilai toksin uremik, sedangkan tingkat sesak napas dinilai melalui observasi klinis. Analisis data dilakukan menggunakan uji Fisher’s Exact Test. Hasil Penelitian: Hasil penelitian menunjukkan bahwa mayoritas responden mengalami cairan berlebih kategori sedang, anemia ringan hingga sedang, serta kadar toksin uremik tinggi, dengan tingkat sesak napas yang dominan pada kategori sedang hingga tinggi. Terdapat hubungan yang signifikan antara cairan berlebih dan toksin uremik dengan tingkat sesak napas, sedangkan anemia tidak menunjukkan hubungan yang signifikan secara statistik. Kesimpulan:Kesimpulan penelitian ini menunjukkan bahwa cairan berlebih dan toksin uremik merupakan faktor utama yang berhubungan dengan tingkat sesak napas pada pasien gagal ginjal kronis yang menjalani hemodialisa, sehingga diperlukan pengelolaan cairan dan pengendalian toksin uremik yang optimal dalam asuhan keperawatan. Backgorund: Chronic kidney disease (CKD) is a progressive disease that requires hemodialysis therapy and is often accompanied by complaints of shortness of breath due to fluid overload, anemia, and accumulation of uremic toxins. Research Objective: This study aims to analyze factors associated with the level of shortness of breath in patients with chronic kidney failure undergoing hemodialysis at dr. Doris Sylvanus Regional General Hospital, Palangka Raya. Research Method: This study used an analytical design with a cross-sectional approach in 30 patients with chronic kidney failure undergoing hemodialysis, using a total sampling technique. Data were collected through fluid status measurements based on interdialytic weight changes, hemoglobin levels to assess anemia, and urea and creatinine tests to assess uremic toxins, while the level of shortness of breath was assessed through clinical observation. Data analysis was performed using the Fisher's Exact Test. Research Result:The results showed that the majority of respondents experienced moderate fluid overload, mild to moderate anemia, and high levels of uremic toxins, with the dominant level of shortness of breath in the moderate to high category. There was a significant relationship between excess fluid and uremic toxins with the level of shortness of breath, while anemia did not show a statistically significant relationship. Conclusion: The conclusion of this study indicates that excess fluid and uremic toxins are the main factors associated with shortness of breath in patients with chronic kidney disease undergoing hemodialysis. Therefore, optimal fluid management and uremic toxin control are necessary in nursing care.

Item Type:	Laporan Tugas Akhir / Skripsi / Tesis / Disertasi (Skripsi)
Uncontrolled Keywords:	Anemia, Cairan Berlebih, Gagal Ginjal Kronik, Toksin Uremik, Sesak Napas Anemia, Excess Fluid, Chronic Kidney Failure, Uremic Toxins, Shortness of Breath.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111008 Nursing Practical 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma IV Keperawatan
Depositing User:	Yusril Kemal Hikam
Date Deposited:	07 Apr 2026 01:25
Last Modified:	07 Apr 2026 01:25
URI:	http://repo.polkesraya.ac.id/id/eprint/3341

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