EDUKASI PEMANTAUAN CAIRAN PADA PASIEN GAGAL GINJAL KRONIS DENGAN ANURIA 8 TAHUN: STUDI KASUS

Rohmah Puriana Khusna, Tatik Dwi Wahyuni, Anggi Lukman Wicaksana

Abstract


ABSTRAK

Pembatasan cairan sangat penting bagi pasien gagal ginjal kronis (GGK). Banyak pasien tidak mengetahui pentingnya pemantauan cairan berkala dan enggan membatasi cairan yang dikonsumsi. Tujuan penelitian: Untuk mengujicobakan edukasi pemantauan cairan berbasis bukti pada pasien GGK dengan anuria 8 tahun. Penelitian ini menggunakan pendekatan studi kasus dalam mengimplementasikan edukasi pemantauan cairan.Keluhan utama pasien: Ny. S sering melaporkan kenaikan berat badan > 4 kg prehemodialisis, terdapat asites, dan edema perifer. Tidak dilaporkan adanya sesak napas, tetapi pasien sering lelah dan pusing. Diberikan edukasi pemantauan cairan, penggunaan buku monitoring cairan, dan pendampingan selama 10 hari. Pasien didorong menuliskan hasil asupan dan haluaran harian. Hasil: Setelah pemberian intervensi, terjadi penurunan kenaikan berat badan prehemodialisis (6,7 kg menjadi 4 kg), ultrafiltration rate (4.500 ml menjadi 2.800 ml), Kt/v (2,08 menjadi 1,46), dan QB (230 menjadi 150). Kesimpulan: Edukasi pemantauan cairan berbasis bukti mampu membantu menurunkan kenaikan berat badan sebelum hemodialisis dan jumlah volume tarikan saat dialisis. Dengan demikian, penting bagi pasien untuk mendapatkan edukasi dan intervensi yang tepat dari tenaga kesehatan, khususnya perawat selama menjalani hemodialisis.

Kata kunci: anuria, asupan cairan, gagal ginjal kronis, ketidakpatuhan, pemantauan cairan

 

Fluid Monitoring Education in Patient with Chronic Kidney Disease Suffering from 8-Year Anuria: A Case Study

 

ABSTRACT

Fluid restriction is crucial for patients with chronic kidney disease (CKD). Lots of patients are unaware of the importance of regular fluid monitoring and reluctant to restrict the fluid intake. Objective: To pilot an evidence-based fluid monitoring education in patients with CKD suffering from 8-year anuria. This research applied a case study design to implement the fluid monitoring education. Patient's chief complaint: Mrs. S regularly reported > 4 kg weight gain at pre-hemodialysis; experienced ascites and peripheral edema. No shortness of breath was reported, but the patient complained fatigue and dizzy. The patient received education on fluid monitoring, using fluid monitoring book, and assistance for 10 days. In her daily basis, patient was encouraged to record the amount of intake and output results. Results: After the intervention, there was a decrease in pre-hemodialysis weight gain (from 6,7 kg to 4 kg), ultrafiltration rate (from 4.500 ml to 2.800 ml), Kt/v (from 2.08 to 1.46), and QB (from 230 to 150). Conclusion: Evidence-based fluid monitoring education can assist to reduce pre-hemodialysis weight gain and the ultrafiltration rate during dialysis. Therefore, patients with CKD facing from 8-year anuria need to receive proper education and intervention from healthcare workers, especially nurses, while undergoing hemodialysis.

Keywords: anuria, fluid intake, chronic kidney disease, non-adherence, fluid monitoring


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DOI: http://dx.doi.org/10.32419/jppni.v7i3.403

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