Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan berisikomengalami depresi.Tujuan penelitian ini untuk mengetahui gambaran tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Kabupaten Semarang. Desain penelitian yaitu deskriptif korelatif dengan pendekatansurvei. Populasi penelitian 85 pasien yang menderita gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota sampling sehingga jumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis. Pengumpulan data menggunakan kuesioner tingkat depresi. Analisis data menggunakananalisisunivariat. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisisdepresi ringan sejumlah 41 orang (48,2%). Saran bagi RSUD Kabupaten Semarang untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis. Kata kunci: Tingkat depresi, gagal ginjal kronik, hemodialisis DESCRIBE DEPRESSION LEVEL OF CHRONIC KIDNEY FAILURE UNDERGOING HEMODIALYSIS ABSTRACTThis research is motivated patients under going hemodialysis are largely dependent on hemodialysis machines resulting in changes such as financial problems, difficulty in keeping jobs, disappearing exualurges, impotence, and patient softenex perience self – conceptual disturbances as well as body image disturb ancesdue to the difficulty of accepting changes that result from failure kidney that  experienced resulting in depressed patients. The research aim is to describe depression level of chronic kidney failure under going hemodialysis ar Semarang Regency hospital. This research used descriptive correlative method with cross sectional approach. Population in this research were 85% of patients with chronic renal failure who under went hemodialysis at RSUD Semarang Regency. Sampling technique used sample quota. Data collection questionnaires used depressi on level sand self concept questionnaires. Analysis univariat was used in this analysis. The results of the study show that most patients with chronic renal failure under going hemodialysis experience mild depression as many as 41 people (48.2%). Suggestions to the hospital toteach patients to always optimistic to try new things, courageous, confident, enthusiastic, feeling self worth, dareto set a goal to live, behave and positively, and can be a reliable leader. Keyword: Depression level, chronic kidney disease, hemodialysis

AbstrakPenelitian kuasi eksperimen ini bertujuan menguji pengaruh cold pressor test (CPT) terhadap pasokan dan kebutuhan oksigen miokard pada perokok aktif dengan pengukuran tekanan darah dan segmen ST di Kecamatan Ungaran Kabupaten Semarang. Jumlah sampel dalam penelitian ini sebanyak 76 perokok aktif di Kecamatan Ungaran Kabupaten Semarang dan ditentukan dengan cluster sampling. Pengaruh CPT terhadap tekanan darah dan segmen ST pada perokok aktif diuji dengan dependent sample t test. Hasil penelitian menunjukkan rerata tekanan darah setelah intervensi CPT mengalami penurunan. Hasil analisis dengan uji t test menunjukkan bahwa CPT menurunkan tekanan darah setelah intervensi CPT (p=0,000). Rata-rata segmen ST sebelum dan setelah intervensi CPT tidak jauh berbeda. Hasil uji t test menunjukkan bahwa CPT tidak berpengaruh dalam menurunkan segmen ST pada perokok aktif (p = 0,895). Penelitian ini menyimpulkan bahwa CPT berpengaruh terhadap perubahan tekanan darah pada perokok aktif tetapi tidak berpengaruh terhadap perubahan segmen ST. Selama CPT terjadi peningkatan tekanan darah dan berangsur menurun setelah dilakukan CPT. Segmen ST tidak mengalami perubahan. CPT dapat digunakan oleh perawat untuk memprediksi kejadian peningkatan tekanan darah. Untuk penelitian selanjutnya sebaiknya digunakan alat ukur yang lebih sensitif dan menggunakan determinan pasokan dan kebutuhan oksigen miokard yang lain seperti preload dan denyut jantung. AbstractThis quasy-experimental research was aimed to examine the effect of cold pressor test (CPT) to the myocardial oxygen demand and supply among active smokers in the Ungaran district, Semarang by measuring blood pressure and ST segment. There were 76 active smoker males involved as the cluster sampling in the research. To examine the CPT effect on the blood pressure and ST segment among the active smokers, dependent sample t test was conducted. The result of the research showed that average blood pressure is decreased after CPT. Furthermore, CPT showed its effects on decreasing blood pressure after the intervention (p = 0,000). The averages of ST segment before and after intervention of CPT were slightly different. Thus, CPT indicated no significant impact in decreasing ST segment among active smokers (p = 0,895). The research concluded that CPT caused blood pressure changes among active smokers but do not have effect in ST segment changes. On the other hand, it was observed that the initial blood pressure were increase during CPT but then gradually decreased immediately after the end of CPT. In addition, ST segment remained unchanged. Therefore, the CPT is still beneficial for predicting high blood pressure in patient compared to other cardiac stress test. Nevertheless, it is recommended to use more sensitive device and to consider other determinants of the myocardial oxygen demand and supply such as preload and heart beat for further research.

Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan pasien sering kali mengalami gangguan konsep diri serta gangguan citra tubuh karena kesulitan menerima perubahan yang terjadi akibat gagal ginjal yang dialaminya sehinggamengakibatkan pasien mengalami depresi. Desain penelitian yaitu deskriptif dengan pendekatansurvei. Populasi penelitian 85 pasien gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota samplingsehinggajumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis.Pengumpulan data menggunakan kuesioner tingkat depresi dan kuesioner konsep diri. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisismemiliki konsep diri yang negatifsejumlah 52 orang (61,2%), sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisis mengalami depresi ringan sejumlah 41 orang (48,2%). Ada hubungan secara signifikan antara konsep diri terhadap tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis dengan nilai p-value 0,000 < α (0,05). Saran bagi rumah sakit, untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis.   Kata kunci : Konsep diri, gagal ginjal kronik, hemodialisis   SELF-CONCEPT OF PATIENTS WITH CHRONIC RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Patients under going hemodialysis are mostly dependent on hemodialysis machines which result in changes such as financial problems, difficulty maintaining work, sex drive that disappears, impotence, and patients often experience self-concept disorder sand body image disturbances dueto difficulties receiving changes that occur dueto failure the kidneys they experiences that the patient experiences depression. The research design is descriptive with a survey approach. The study population was 85 patients with chronic renal failure who under went hemodialysis. The sampling techniqueuse squota sampling so that the number of study samples is 85 patients with chronic renal failur eunder going hemodialysis. Data collection using depression level questionnaire sand self-concept questionnaires. The results showed that most patients with chronic kidney failure who under went hemodialysis had a negative self-conceptof 52 people (61.2%), the majority of patients with chronic renal failure who under went mild depression experienced 41 people (48.2%). There is a significant relationship between self-concept and depression level of patients with chronic renal failure under going hemodialysis with a p-value of 0,000 <α (0,05). Advice for hospitals, to provide holistic nursing services for patients with chronic kidney failure who are under going hemodialysis.   Keywords: Self-concept, chronic kidney failure, hemodialysis