The Relation of Dialysis Time with Ureum Reduction Ratio, Hemodynamics and Fatigue in Hemodialysis Patients at Wonosari RSUD
Yogi Dwi Cahyanto (a*), Atyanti Isworo (b), Agis Taufik (b)

a) Faculty of Health Sciences, Universitas Jenderal Soedirman
b) Faculty of Health Sciences, Universitas Jenderal Soedirman

Abstract

Background: Dialysis time is one component that affects the adequacy of hemodialysis (HD). The adequacy of HD is measured by the formulation of Ureum Reduction Ratio (URR). During HD there is a decrease in intravascular volume and electrolyte changes that can affect hemodynamics. HD therapy also makes patients feel fatigue. This study was conducted to determine the relation between dialysis time and URR, hemodynamics and fatigue in HD patients in Wonosari RSUD.

Method: This study used an analytic observational design with a cross sectional approach. Sample selection used total sampling technique. There were 52 respondents as the samples. Data collection tools using laboratory examinations, digital tensimeters, digital thermometers, stopwatches, pulse oxymetry and the Functional Assessment Chronic Illness Therapy (FACIT) questionnaire Fatigue scale. Univariate data analysis with frequency distribution and bivariate analysis with the Spearman test.

Results: The results of this study showed that there was no significant relation between dialysis time and URR (p = 0.291), there was a significant relation between dialysis time and respiratory frequency (p = 0.020), and there was a significant relation between dialysis time and fatigue ( p <0.001).

Conclusion: The longer dialysis time, the more it can affect the decrease in hemodynamic value, especially the breath frequency, and it can relieve fatigue.

Keywords: Fatigue, Hemodialysis, Hemodynamics, URR

Topic: Medical and Surgical Nursing