HUBUNGAN HIPOTENSI INTRADIALISIS DENGAN TINGKAT FATIGUE PADA PASIEN GAGAL GINJAL KRONIS (GGK) YANG MENJALANI HEMODIALISIS DI RUANG HEMODIALISA RSUD RATU ZALECHA MARTAPURA

Abstract

Hemodialysis is a modality of life-saving therapy for patients with chronic renal failure (CRF). However, this therapy can cause various complications. One of the most common complication is intradialysis hypotension of up to 20-30%. The chronic effect of hemodialysis is fatigue that has a high prevalence reaching 60-97%. Fatigue will also be felt when the patient has intradialysis hypotension. This research aims to determine the correlation between intradialysis hypotension with fatigue level in CRF patients undergoing hemodialysis at Hemodialysis Room Ratu Zalecha Martapura Hospital. This research method is cross sectional. The population were CRF patients who undergoing hemodialysis as many as 71 people. The research sample was taken using by Purposive Sampling as many as 45 people, analyzed by Spearman Rank test using software program SPSS version 23 year 2015. The research instrument uses observation sheet of blood pressure per hour during intradialysis and Fatigue Measurement Scale (FAS). Univariate analysis result from 45 respondents, there were 25 people (56%) who get decreased normal systolic BP (< 20 mmHg) and 29 people (64%) who experienced the tiredness fatigue level (score ³ 22). Bivariate analysis result showed there was the correlation between intradialysis hypotension with fatigue level in CRF patients with the value of p-value < 0.05 is 0.044 and the correlation coefficient value is r: 0.257 which showed the weak correlation. The conclusion is patients with decreased systolic BP will probably experience the tiredness fatigue level. Suggestions for nurses to further improve monitoring during HD progress and evaluate patient complaints periodically.