Adekuasi Hemodialisis antara Pasien Menggunakan Akses Catheter Double Lumen (CDL) dengan Akses Arteriovenous Shunt (AV SHUNT)
Abstract
This study aims to determine the difference in hemodialysis adequacy between patients using Catheter Double Lumen (CDL) access with Arteriovenous Shunt (AV Shunt) access in the Hemodialysis Room of Prof. Dr. Margono Soekarjo Purwokerto Hospital. The method used is quantitative, with a bidirectional cohort study design. The study results showed a difference in hemodialysis adequacy between patients using CDL access and patients using AV Shunt access in the Hemodialysis Room of Prof. Dr. Margono Soekarjo Purwokerto Hospital. After the Mann Whitney test was carried out, significant results were obtained, namely p-value = 0.000 <0.05, meaning that there was a difference in adequacy between patients using CDL access with AV Shunt access in the Hemodialysis Room of Prof. Dr. Margono Soekarjo Purwokerto Hospital with the result that better adequacy was in AV Shunt access. Conclusion: Arteriovenous Shunt (AV Shunt) access has a better adequacy rate than Catheter Double Lumen (CDL) access, as evidenced by the comparative value of AV Shunt and CDL adequacy of 86.6% vs. 44.8%.
Keywords: AV Shunt, CDL, Dialysis, Kidney Failure, Hemodialysis
References
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Alwi, L., Trisnaningsih, A. R., Rahayu, S. R., Ramadiani, F. R., Andar, N. A., Almas, A. M. D. R., Permatasari, D. R., Rahmat, S. A., & Tyas, L. W. I. (2024). Seminar Edukasi sebagai Sarana Meningkatkan Kesadaran Masyarakat dan Keterjangkauan Akses Hemodialisis. HIGEIA (Journal of Public Health Research and Development), 8(2), 235-245. https://journal.unnes.ac.id/sju/higeia/article/view/75870
Arsatt, M. I. A., & Hadi, L. R. (2024). Vascular Access Emergencies in the Dialysis Patient in NTB Provincial General Hospital: A Retrospective Study. Lombok Health and Science Journal 1(1). https://doi.org/10.29303/lhsj.v1i1.5205
Dimitsaki, S., Natsiavas, P., & Jaulent, M. C. (2024). Causal Deep Learning for the Detection of Adverse Drug Reaction : Drug-Induced Acute Kidney Injury as a Case Study. (2024). Digital Health and Informatics Innovations for Sustainable Health Care Systems, 803-807. https://ebooks.iospress.nl/doi/10.3233/SHTI240533
Fresia, S., Astuti, H. W., Wulandari, N. A., Amelia, D., & Triwijaya, D. (2024). Peningkatan Kesehatan Melalui Penyuluhan Kesehatan Tentang Pencegahan Infeksi Pasca Pemasangan Chateter Double Lumen (CDL) Pada Keluarga Pasien Hemodialisa Di RSAU dr. Esnawan Antariksa. Jurnal Bakti Dirgantara (JBD), 1(2), 132-136. https://doi.org/10.35968/b5p1c239
Huang, X., Liang, B., Huang, S., Liu, Z., Yao, C. Zheng, S., Zhang, T., Liu, Z., Wang., Y. (2024). Vertical Graphene-Based Multiparametric Sensing Array for Integration of Smart Catheter to Electrochemically Monitor Peritoneal Dialysis. Wiley Online Library, 2412302. https://doi.org/10.1002/adma.202412302
Inagaki, H., Hiroko, T., Hiromu, T., Yutaka, E., Fukumoto, H., Yasuomi, T., Kazuya, K., Masao, K., & Shouichi, F. (2023). Assessment of Hemodialysis Arteriovenous Shunt (AV Shunt) Sounds by Using a Novel Electronic Stethoscope and Machine Learning Techniques. JASN, 34(11S). 10.1681/ASN.20233411S1407b
Ladevista, F. (2022). Perbandingan Kualitas Hidup Pasien yang Menjalani Terapi Hemodialisa Berdasarkan Akses Vaskular. Indonesian Journal of Health Develpoment, 4(2), 85-95. https://doi.org/10.52021/ijhd.v4i2.106
Nurbadriyah, W. D., Nursalam., Widyawati, I. Y., Hardiyanto., Kurniawan, A. W., & Fatmawati, D. S. (2023). Correlation Between the Quick of Blood and Quality of Life of Chronic Kidney Disease Patients in Dialysis Therapy in the Hemodialysis Unit at Wava Husada Hospital. KnE Medicine, 325-332. 10.18502/kme.v3i2.13067
Purwaka, A. (2022). Seorang Penderita Endokarditis Infektif Akibat Infeksi Catheter Double Lumen pada Pasien Hemodialisis. Jurnal Medika Hutama, 4(1), 3046-3060. https://jurnalmedikahutama.com/index.php/JMH/article/view/567
Pranowo, S., Hartati, I., & Kasron. (2024). Perbedaan Adekuasi Hemodialisis pada Pasien Akses AV Shunt dan AV Formal. Jurnal Kesehatan Indonesia, 14(2), 83-87. https://doi.org/10.33657/jurkessia.v14i2.905
Pratiwi, D. E., Suhari, S., and Widhiyanto, A. (2023). Hubungan Pemilihan Akses Vaskular dengan Kualitas Hidup Pasien CKD HD Reguler Di Ruang Hemodialisis RSUD Dr. Haryoto Lumajang. Jurnal Ilmiah Ilmu Keperawatan, 14, 244–252. https://www.bing.com/ck/a?!&&p=3d1cb00f13050afd7c51f275fa7a4d3b79173f492b1478cfdac25417b0d8ad4fJmltdHM9MTczNDIyMDgwMA&ptn=3&ver=2&hsh=4&fclid=3d8298a2-8454-6c81-3f74-8db885026dbc&psq=Pratiwi%2c+D.+E.%2c+Suhari%2c+S.%2c+and+Widhiyanto%2c+A.+(2023).+Hubungan+Pemilihan+Akses+Vaskular+Dengan+Kualitas+Hidup+Pasien+CKD+HD+Reguler+Di+Ruang+Hemodialisis+RSUD+Dr.+Haryoto+Lumajang.+Jurnal+Ilmiah+Ilmu+Keperawatan%2c+14%2c+244%e2%80%93252.&u=a1aHR0cHM6Ly9zdGlrZXMtbmhtLmUtam91cm5hbC5pZC9OVS9hcnRpY2xlL3ZpZXcvMTIyNg&ntb=1
Rivai, M. A., Junaidi, F., Khalilullah, S. A., & Muzakkir, Y. (2023). The Characteristics and Knowledge of Family of Patients with CKD about AV- Shunt At Dr. Zainoel Abidin General Hospital. Journal of International Surgery and Clinical Medicine, 3(2). https://doi.org/10.51559/jiscm.v3i2.43
Rizka, F. A., & Nugraha, G. (2023). Natrium Sitrat 3,2% sebagai Antikoagulan Alternatiuf Pemeriksaan Hemoglobin pada Spesimen Darah AV-Shunt Pasien Hemodialisa. Prosiding Asosiasi Institusi Pendidikan Tinggi Teknologi Laboratorium Medik Indonesia, 2, 147-157. https://scholar.google.com/scholar?hl=id&as_sdt=0%2C5&q=hemodialisis+menggunakan+av+shunt&btnG=#d=gs_qabs&t=1734248800278&u=%23p%3DNMzcUnaHXDQJ
To'laba, Y., Yusri, G., & Batara, T. A. (2024). Hubungan Adekuasi Hemodialisis dengan Albumin Serum Pasien CKD yang Menjalani Hemodialisis. Jurnal Kesehatan, 17(1). https://doi.org/10.24252/kesehatan.v17i1.34079
Vanessa, N., & Primiawan, T. (2023). Clinical Clue and Predictive Blood Count of Hemodialysis Cathether-Related Infection: Case Series . Clinical and Research Journal in Internal Medicine, 4(2), 496–503. https://doi.org/10.21776/ub.crjim.2023.004.02.09
Wahyuni, T., Syauqy, A., & Partiningrum, D. L. (2024). Pengaruh Pemberian Putih Telur terhadap Adekuasi Hemodialisis dan Status Gizi Pasien PGK Tahap V Hemodialisis. Journal of the Indonesian Nutrition Association, 47(2). https://doi.org/10.36457/gizindo.v47i2.1003
Wayunah., Saefulloh, M., & Yanganto. (2023). Factors Affecting Hemodialysis Adequacy in Patients Undergoing Hemodialysis: A Cross-Sectional Study. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(S1), 215-221. 10.30604/jika.v8iS1.1699
Wing, R., Nikhila, R., Nilesh, R., Eliane, G., Matthew, W., & Le, T. H. (2023). Arterio-Venous Shunt and Right Heart Function and Structure. Journal of the American Society of Nephrology, 34(11S), 539-540. 10.1681/ASN.20233411S1539c
Yanis, H., Abdullah., Salwani, D., Diah, M., Muhsin., & Syukri, M. (2022). Hemoglobin dan Adekuasi Berkolerasi dengan Kualitas Hidup dan Kinerja Jantung pada Pasien Hemodialisis. Jurnal Kedokteran Syiah Kuala, 22(1). 10.24815/jks.v22i1.24769
Yulistyaningrum., Dedi, B., & Yunani. (2023). Pengalaman Pasien Hemodialisa yang Terpasang Arteriovenous Fistula (AVF) Berdasarkan Perspektif Kubler Ross di RS 'Aisyiyah Kudus. Jurnal Ilmu Keperawatan dan Kebidanan, 14(2), 464-473. https://scholar.google.com/scholar?start=10&q=+av+shunt+dan+cdl&hl=id&as_sdt=0,5#d=gs_qabs&t=1734247518972&u=%23p%3Dpq8w5TxrJ3QJ
Published
2025-01-31
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