Relationship Between BMI, Hemoglobin Levels, and Dur ation of Hemodialysis with Blood Pressure Changes Pressure at Praya Hospital
DOI:
10.29303/jbt.v25i1.8461Published:
2025-08-05Downloads
Abstract
Hemodialysis (HD) is a kidney replacement therapy by filtrating blood outside the body using a dialysis machine. Intradialysis complications such as hypotension and intradialysis hypertension are one of the abnormal conditions that occur during the hemodialysis process. The purpose of this study in RSUD Praya was to evaluate the relationship between IMT, hemoglobin level, and duration of hemodialysis with changes in blood pressure during the hemodialysis process. This study used a cross-sectional approach and was observational quantitative analytic in nature. Sampling was done using the total sampling method. The sample size of this study was 45 samples. Data were tested using spearmen rank. The findings of 45 respondents, most of them have stable blood pressure 24 people (53.3%), while 10 people (22.2%) have decreased blood pressure, and 11 people (24.4%) have increased blood pressure. There was a significant correlation between body mass index and blood pressure changes (p=0.028). Hemoglobin levels were not associated with blood pressure changes (p=0.574). There was a strong relationship between hemodialysis duration and blood pressure changes (p=0.009). There is a relationship between BMI, duration of hemodialysis and blood pressure changes during hemodialysis process and there is no relationship between hemoglobin levels and blood pressure changes during hemodialysis process. The conclusion is that body mass index and duration of hemodialysis affect blood pressure changes in hemodialysis patients at Praya Regional Hospital, while hemoglobin levels have no influence on blood pressure changes in hemodialysis patients at Praya Regional Hospital.
Keywords:
Body mass index, Blood pressure, CKD, Duration of hemodialysis, Hemoglobin.References
Aini, R., Hartini, W. M., Nur’avia, N., & Lestariani, S. (2023). Korelasi Hemoglobin Dengan Indek Masa Tubuh dan Tekanan Darah Sebagai Skrining Pencegahan Stunting pada Remaja. Jurnal Kesehatan, 11(1), 143-150. https://jurnal.ustb.ac.id/index.php/jks/article/view/137
Alfikrie, F., Rusdian Hidayat, U., Akbar, A., Amaludin, M., & Hatmalyakin, D. (2022). Hubungan Antara Durasi Hemodialisis Dengan Kejadian Hipotensi Pasien Gagal Ginjal Kronis. Khatulistiwa Nursing Journal (KNJ), 4(1), 19–24. https://doi.org/10.53399/knj.v4i0.paperID
Anggraini, D. (2022). Aspek Klinis Dan Pemeriksaan Laboratorium Penyakit Ginjal Kronik. An-Nadaa Jurnal Kesehatan Masyarakat, 9(2), 236. https://doi.org/10.31602/ann.v9i2.9229
Armiyati, Y. (2018). Hipotensi dan Hipertensi Intradialisis Pada Hemodialisis di Yogyakarta. November, 1–9. https://www.researchgate.net/profile/Sue-Dosen/amp
Armiyati, Yunie, Hadisaputro, S., Chasani, S., & Sujianto, U. (2021). Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions. Media Keperawatan Indonesia, 4(3), 208. https://doi.org/10.26714/mki.4.3.2021.208-217
Dewi, H., Sarnianto, P., & Andayani, N. (2023). Risk Factors and Indirect Costs in Chronic Kidney Failure Patients with Hemodialysis in dr. Drajat Prawiranegara Hospital Serang. Jurnal Biologi Tropis, 23(1), 369–381. https://doi.org/10.29303/jbt.v23i1.4705
Huda Al Husna, C., Ika Nur Rohmah, A., & Brihananto, I. (2023). The Correlation Between Body Mass Index (BMI) and Hemodialysis Adequacy in Hemodialysis Patients. KnE Medicine, 2023(1), 156–161. https://doi.org/10.18502/kme.v3i2.13048
Kusuma H, (2019). Buku Panduan Mengenal Penyakit Ginjal Kronis dan Perawatannya. Fakultas Kedokteran Universitas Diponegoro
Kasron, S. (2017). Pengaruh Lama Menjalani Hemodialisis dengan Kejadian Intradialytic Hypertension (IDH) pada Pasien Chronic Kidney Disease (CKD) di RS Islam Fatimah Cilacap. Jurnal Kesehatan Al-Irsyad, X(2), 28–37. https://doi.org/10.59374/jakhkj.v3i2.63
Ngantung, S. E., Umboh, A., & Manoppo, J. I. C. (2022). Risk Factors Related to Hypertension in Children. E-CliniC, 10(2), 320.https://doi.org/10.35790/ecl.v10i2.37708
Nurhayati. (2023). Hubungan Kadar Albumin Dan Indeks Massa Tubuh Pada Pasien Hemodialisis Rutin Di Rsud Ulin Banjarmasin. Homeostasis, 5(3), 519. https://doi.org/10.20527/ht.v5i3.7724
Nurhayati, M. R., Pratiwi, D. I. N., Mutaqqien, F., & Bakhriansyah, M. (2024a). Hubungan indeks massa tubuh dan tekanan darah. 561–568. https://doi.org/10.20527/ht.v7i3.14567
Omega et al., (2023). Perbedaan tekanan darah intradialisis pada pasien gagal ginjal kronik yang menjalani hemodialisis. Jurnal Keperawatan Cikini, 4(1), 87–93. https://doi.org/10.55644/jkc.v4i1.107
Perhimpunan Nefrologi Indonesia. (2020). 13 th Annual Report of Indonesian Renal Registry 2020. 1–37. www.indonesianrenalregistry.org
Rifkia, V. (2020). Perbandingan Penurunan Tekanan Darah Pasien Hipertensi Intradialisis Dengan Obat Antihipertensi Amlodipin dan Kaptopril di RS Bhayangkara TK. I R. Said Sukanto. Jurnal Farmasi Udayana, December, 83. https://doi.org/10.24843/jfu.2020.v09.i02.p03
Riskesdas NTB. (2018). Laporan RISKESDAS NTB 2018. In Journal of Physics A: Mathematical and Theoretical (Vol. 44, Issue 8).
Saniyah, M. (2021). Hubungan Asupan Natrium Dan Indeks Massa Tubuh Dengan Tekanan Darah Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis Di RSUD Ibnu Sina Kabupaten Gresik. Ghidza: Jurnal Gizi Dan Kesehatan, 1(April), 72–80. http://eprints.umg.ac.id/id/eprint/4632
Sidiq, M. N. (2021). Faktor-faktor yang Menyebabkan Hipotensi Intradialisis : Literature Review. Jurnal Berita Ilmu Keperawatan, 14(1), 49–56. https://doi.org/10.23917/bik.v14i1.11601
Silaban, (2024). Faktor-Faktor yang Berhubungan dengan Perubahan Tekanan Darah pada Pasien Hemodialisis. Jurnal ‘Aisyiyah Medika, 9, 450–465. https://doi.org/10.36729/jam.v9i2.1254
Susantini, P. (2021). Hubungan Indeks Masa Tubuh (IMT) dengan Persen Lemak Tubuh, dan Lemak Viscelar di Kota Semarang. Jurnal Gizi, 10(1), 51. https://doi.org/10.26714/jg.10.1.2021.51-59
Thalib, A. H. S. (2019). Gambaran Perubahan Tekanan Darah Pada Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisis Di Ruang Hemodialisa Rumah Sakit TK. II Pelamonia Makassar. (Jkg) Jurnal Keperawatan Global, 4(2), 89–94. https://doi.org/10.37341/jkg.v4i2.71
Wahidi, K. D., Nursanti, I., Irawati, D., Jumaiyah, W., & Yuniarsih, W. (2022). Pengaruh Pengaturan Suhu Dialisat Terhadap Stabilitas Tekanan Darah Intradialitik Pasien Hemodialisis Dengan Sindrom Kardiorenal. Jurnal Perawat Indonesia, 6(2), 1096–1108. https://doi.org/10.32584/jpi.v6i2.1762
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