EFFECTIVENESS OF USE DIALIZER REUSE ON UREA REDUCTION RATIO IN HEMODIALYSIS PATIENTS AT KARSA HUSADA BATU HOSPITAL
DOI:
https://doi.org/10.36053/mesencephalon.v8i1.298Abstract
Chronic Kidney Disease (CKD) is an end-stage disease of the kidneys, the causes are multiple, can cause to uremia and cannot be renewed. Hemodialysis is a therapy for renal kidney disease. One of the appraisal adequacy of hemodialysis therapy is to use the URR (Urea Reduction Ratio) that assessment by measuring urea before and after hemodialysis therapy. Hemodialysis therapy uses a dialyser that can be used repeatedly in the same patient. The use of dialysers at Karsa Husada Batu Hospital can be used up to 7 times reuse. The research objective was to determine the effectiveness of using a reuse dialyzer to URR. This research design uses comparative descriptive appraisal is a difference between reuse to 1,3,5,7 and using a cross-sectional approach. Sampling using purposive sampling with a sample size of 26 respondents. The different test was used Kruskal Wallis by assessing the URR at the dializer in 1,3,5,7 reuse. Significance of 0.802 (p> 0.05) was obtained, which means that there is no significant difference in the URR value of chronic renal disease patients with hemodialysis therapy using dialyzer reuse to 1,3,5,7. For the URR assessment, it has decreased and increased but is still in normal limits. The dializer reuse up to seven can still be said to be effective in accordance with the guidelines for the management of End-Stage Renal Disease. It is hoped that there will be studies investigating the factors that affect the total volume dilation of dialyser reuse.
Keywords : Hemodialysis, Dialyzer Reuse , Urea Reduction Ratio
References
Anothaisintawee, T., Rattanasiri, S., Ingsathit, A., Attia, J., & Thakkinstian, A. (2015). Prevalence of chronic kidney disease: A systematic review and meta-analysis. Clinical Nephrology, 71 (3), 244–254. https://doi.org/10.5414/CNP71244
Argyropoulos, C., Roumelioti, ME, Sattar, A., Kellum, JA, Weissfeld, L., & Unruh, ML (2015). Dialyzer reuse and outcomes of high flux dialysis. PLoS ONE, 10 (6), 1–23. https://doi.org/10.1371/journal.pone.0129575
Ax, F., Resik, G., Access, P., & Hemodialysis, V. (2009). Anang ma'ruf, s . (031), 1–49. Barzegar, H., Moosazadeh, M., Jafari, H., & Esmaeili, R. (2016). Evaluation of dialysis adequacy in
hemodialysis patients: A systematic review. Urology Journal, 13 (4).
https://doi.org/10.22037/uj.v13i4.3314
Denny, GB, & Golper, TA (2014). Does Hemodialyzer reuse have a place in current ESRD care: “To Be or Not To Be?” Seminars in Dialysis, 27 (3), 256–258. https://doi.org/10.1111/sdi.12232
Dhrolia, MF, Nasir, K., Imtiaz, S., & Ahmad, A. (2014). Dialyzer reuse: Justified cost saving for South Asian region. Journal of the College of Physicians and Surgeons Pakistan, 24 (8), 591–596. https://doi.org/08.2014/JCPSP.591596
Diane C. Baughman, JCH (2000). Medical Surgical Nursing: a pocket book for Brunner and Suddarth (E. Monica, Ed.). Jakarta: EGC.
Dickson, VV, Buck, H., & Riegel, B. (2013). Multiple comorbid conditions challenge heart failure self-care by decreasing self-efficacy. PLOS ONE. https://doi.org/10.1097/NNR.0b013e31827337b3
Hamid, A., Dhrolia, MF, Imtiaz, S., Qureshi, R., & Ahmad, A. (2019). Comparison of Adequacy of Dialysis between Single-use and Reused Hemodialyzers in Patients on Maintenance Hemodialysis. JCPSP. https://doi.org/10.29271/JCPSP.201 9.08.720
Himmealfart, J., & Ikizler, TA (2019). CHRONIC KIDNEY DISEASE, DIALYSIS, AND TRANSPLANTATION (Fourth Edi). Philadelphia: Elsevier Ltd.
Indonesian, P., Registry, R., & Course, H. (2018). 10 th Report Of Indonesian Renal Registry 2017 10th Report Of Indonesian Renal Registry 2017. 1–46. Retrieved from https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Indonesian, P., Registry, R., Renal, I., Indonesia, PN, Health, D., Health, D., … Irr, L. (2017). 9 th Report Of Indonesian Renal Registry 2017. 1–46.
Jaelani, TR, Rahmi, TR, G, DY, & Firdaus, I. (2016). Dialysis Nursing Action Guide: Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD). Bandung: Indonesian Association of Intensive Kidney Nurses (PPGII) Indonesian Association of Kidney Nurses (IPDI).
Indonesian Ministry of Health. (2010). Regulation of the Minister of Health of the Republic of Indonesia Number: 812/MENKES/PER/VII/2010 concerning the implementation of dialysis
services in health care facilities.
Mittal, M., Singh, AK, Yadav, S., & UV, S. (2018). Safety and efficacy of dialyzer reuse by manual reprocessing: an observational study. International Journal of Research in Medical Sciences, 6
(9), 3047. https://doi.org/10.18203/2320-6012.ijrms20183642
National Kidney Foundation. (2015). Update of the KDOQI TM Clinical Practice Guideline for Hemodialysis Adequacy. In the National Kidney Foundation. Retrieved from https://www.kidney.org/sites/default/files/KDOQI-Clinical-Practice-Guideline-Hemodialysis-Update_Public-Review-Draft-FINAL_20150204.pdf
Setiasti, S., Alwi, I., Sudoyo, AW, Simadibrata, M., Setiyohadi, B., & Syam, AF (Eds.). (2014).Textbook of Internal Medicine (IV). Jakarta: Internal Publishing.
Silaen, H., & Tarihoran, Y. (2019). The Effect of Determination of Quick Of Blood (QB) on the Success of Ureum Reduction Ratio (URR) with Duration of Hemodialysis at Murni Teguh Memorial Hospital. IMELDA Scientific Journal of Nursing, 5 (2), 668–673. Retrieved from
Suhardjono, S. (2017). Does Dialyser Reprocessing Trigger Inflammation? Indonesian Journal of Internal Medicine, 3 (3), 115. https://doi.org/10.7454/jpdi.v3i3.18
Sukardi, & Rofii, M. (2013). Appropriate reuse of dialyzer reuse in patients on hemodialysis. Journal of Surgical Medical Nursing, 1 (1), 8–14. Retrieved from http://jurnal.unimus.ac.id/index.php/JKMB/article/view/936
Riskesdas Team. (2019). Report of Central Java Province Riskesdas 2018. In Ministry of Health RI.
Tjokroprawiro, A. (2015). Textbook of Internal Medicine Faculty of Medicine Airlangga University Teaching Hospital Dr. Soetomo Surabaya (2nd ed.; A. Tjokroprawiro, PB Setiwan, D. Santoso,
G. Soegiarto, & L. Diah Rahmawati, Eds.). Surabaya: Unair Publishing and Printing Center.
Tuominen, T., Jämsä, T., Oksanen, J., Tuukkanen, J., Gao, TJ, Lindholm, TS, & Jalovaara, P. (2001).
Clinical Practice Guidelines For Chronic Kidney Disease: Evaluation, Classification And Stratification. In Annales Chirurgiae et Gynaecologiae (Vol. 90). Retrieved from file:///D:/thesis
material/thesis of urea and hf/KDOQI 2017.pdf
Upadhyay, A. (2019). Dialyzer reuse: is it safe and worth it? Dialyzer Reuse: Is It Safe and Worth It?, 41 (3), 312–314. https://doi.org/10.1590/2175-8239-JBN-2019-0134
Wantoro, angga andreas, & Boyoh, debilly yuan. (2017). The Use of Dializer Re-Use in Hemodialysis
Patients Against the Value of Urea Reduction Ratio (Urr) In Adventist Hospital Bandung Application. Nursing Scholastics, 3 (2), 70–79. Retrieved from https://jurnal.unai.edu/index.php/jsk/article/view/738/567
Woalder. (2017). Hemodialyzer Reuse and Gram-Negative Bloodstream Infections. Physiology & Behavior, 176 (1), 139–148. https://doi.org/10.1016/j.physbeh.2017.03.04
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