Aprianita Dewi, Aini (2023) ASUHAN KEPERAWATAN HIPERVOLEMIA PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) DENGAN TINDAKAN CHEWING GUM TERHADAP PENURUNAN RASA HAUS DI RUANG HEMODIALISA RSUD dr. DRADJAT PRAWIRANEGARA. D3 thesis, UNIVERSITAS SULTAN AGENG TIRTAYASA.

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Abstract

Chronic Kidney Disease occurs when the glomerular filtration rate (GFR) falls below 50 ml/min and is divided according to severity. CKD stage V is the final stage of kidney failure requiring hemodialysis replacement therapy. Diet is an important factor in the implementation of this therapy. One important diet for clients with hemodialysis therapy is a fluid restriction diet. Increased thirst is one of several effects of fluid restriction. Therefore, the need for actions that can reduce thirst without causing the client to gain weight. The purpose of this study was to determine nursing care and to analyze the action of chewing gum or low-sugar xylitol chewing gum on reducing thirst in CKD clients carrying out a hemodialysis program. Nursing care for patients with Chronic Kidney Disease includes assessment, nursing diagnosis, nursing intervention, nursing implementation and nursing evaluation. The nursing diagnosis adopted in this study was Hypervolemia. The research method used is a case study using data collection techniques of interviews, observation, and physical examination. Thirst assessment used three questionnaires, namely the Visual Analog Scale, Thirst Distress Scale, and Dialysis Thirst Inventory before and after the intervention was carried out. Two respondents were needed based on the results of the questionnaire with severe thirst from a total of 124 hemodialysis patients. The intervention was carried out for four days or between the two hemodialysis times using three interventions in one day, namely morning, afternoon and evening. Two xylitol mint candies were used for each chewing gum with a chewing time of ±10 minutes. The results of the analysis showed a decrease in thirst, adherence to a liquid diet, edema, and a significant increase in body weight after being given the chewing gum intervention in both patients by looking at 3 indicators, namely the results of observations of mucous membranes, observations of subjective complaints of thirst, and monitoring of body weight in between the two hemodialysis times.

Item Type:	Thesis (D3)
Contributors:	Contribution Contributors NIP/NIM Thesis advisor Rachmatullah, Rizky 20220103215
Additional Information:	Chronik Kidney Disease terjadi ketika laju filtrasi glomerulus (GFR) turun di bawah 50 ml/menit dan terbagi berdasarkan tingkat keparahan. CKD stage V merupakan tahap gagal ginjal akhir yang membutuhkan terapi pengganti hemodialisa. Diet menjadi faktor penting dalam pelaksanaan terapi ini. Salah satu diet yang penting bagi klien dengan terapi hemodialisa adalah diet pembatasan cairan. Peningkatan rasa haus merupakan salah satu dari beberapa dampak adanya pembatasan cairan. Oleh karena itu, perlunya tindakan yang dapat mengurangi rasa haus tanpa mengakibatkan penambahan berat badan klien. Tujuan dilakukannya penelitian ini untuk mengetahui asuhan keperawatan dan menganalisis tindakan chewing gum atau mengunyah permen karet rendah gula jenis xylitol terhadap penurunan rasa haus pada klien CKD yang melaksanakan program hemodialisa. Asuhan keperawatan pada pasien Chronik Kidney Disease meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi keperawatan dan evaluasi keperawatan. Diagnosa keperawatan yang di angkat pada penelitian ini adalah Hipervolemia. Metode penelitian yang digunakan berupa studi kasus dengan menggunakan teknik pengumpulan data wawancara, observasi, dan pemeriksaan fisik. Penilaian rasa haus menggunakan tiga kuesioner, yaitu Visual Analog Scale, Thirst Distress Scale, dan Dialysis Thirst Inventory sebelum dan sesudah intervensi dilaksanakan. Dibutuhkan dua responden berdasarkan hasil kuesioner dengan kondisi haus berat dari total 124 pasien hemodialisa. Intervensi dilaksanakan selama empat hari atau di antara dua waktu hemodialisa dengan menggunakan tiga kali intervensi dalam satu hari, yaitu pagi, siang, dan malam hari. Digunakan dua buah permen xylitol mint setiap chewing gum dengan lama waktu mengunyah ±10 menit. Hasil analisis menunjukkan adanya penurunan rasa haus, kepatuhan terhadap diet cairan, edema, dan peningkatan berat badan yang signifikan setelah diberikan intervensi chewing gum pada kedua pasien dengan melihat 3 indikator yaitu hasil observasi membran mukosa, observasi keluhan subjektif rasa haus, dan monitor berat badan di antara dua waktu hemodialisa.
Uncontrolled Keywords:	Chronic Kidney Disease (CKD), chewing gum, thirst. Chronic Kidney Disease (CKD), Chewing Gum, Rasa Haus.
Subjects:	R Medicine > RT Nursing
Divisions:	07-Fakultas Kedokteran > 14401-Prodi Keperawatan D3 07-Fakultas Kedokteran
Depositing User:	Mrs Aini Aprianita Dewi
Date Deposited:	20 Jul 2023 13:07
Last Modified:	09 Oct 2023 16:24
URI:	http://eprints.untirta.ac.id/id/eprint/26674

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