Anemia in chronic kidney disease patients

Somvanshi, Saurabh; Khan, Nahid Zia; Ahmad, Mufazzal

doi:10.1016/j.cqn.2012.06.003

Cited by 8 publications

(7 citation statements)

References 35 publications

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“…Perubahan pada warna eritrosit juga menunjukkan keadaan ketidakmatangan sel. (5,6) Menurut Kidney Disease International Global Outcome (KDIGO) Pasien PGK dengan tanda-tanda kegagalan ginjal seperti serotis, gangguan keseimbangan asam basa atau elektrolit dan pruritus membutuhkan terapi hemodialisis. Hemodialisis adalah proses pertukaran zat terlarut dan produk sisa tubuh.…”

Section: Pendahuluanunclassified

Gambaran Hipokromasi Eritrosit dan Mean Corpuscular Hemoglobin (MCH) pada Penderita Ginjal Kronis di RSUD Kraton Kabupaten Pekalongan

Wibowo¹,

Fitrianingsih²,

Nahari³

2023

JURBIDHIP

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The prevalence of Chronic Kidney Disease (CKD) in Indonesia in 2013-2018 has increased from 0.2% to 0.38%. Patients with CKD have low erythropoietin, so that the production of erythrocytes is disrupted and causes anemia. Anemia in CKD includes the type of normocytic-normochromic. Hypochromic occurs because iron reserves cannot be used in the process of erythropoiesis, resulting in decreased synthesis of hemoglobin. Erythrocytes will appear pale on the peripheral blood smear. Hypochromic is clinically associated with iron deficiency anemia. Changes in the color of the erythrocytes also indicate a state of immaturity of the cells, which causes erythrocyte hypochromacy. This study aims to determine MCH levels and erythrocyte hypochromatous abnormalities in patients with chronic kidney disease on hemodialysis therapy at Kraton Hospital, Pekalongan Regency. The research method used is descriptive, namely the type of research that describes the phenomenon of the object under study in the form of a narrative. The results of the analysis of the MCH values in the normal category were 25 samples (71.4%), the MCH values in the low category were 10 (28.6%). There were 9 samples (25.7%) of mild hypochromacy in the mild hypochromic category, 15 (42.9%) of moderate hypochromic category, 11 (31.4%) of severe hypochromic category. So it can be concluded that the MCH values in the normal category are more than in the low category and hypocracy in the moderate category is more than mild and severe hypochromacy.

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Section: Pendahuluanunclassified

Gambaran Hipokromasi Eritrosit dan Mean Corpuscular Hemoglobin (MCH) pada Penderita Ginjal Kronis di RSUD Kraton Kabupaten Pekalongan

Wibowo¹,

Fitrianingsih²,

Nahari³

2023

JURBIDHIP

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“…Dari data yang ada dinyatakan bahwa hampir 50% pasien PGK stage 3 dan 4 mengalami anemia dan prevalensi anemia meningkat hingga 75% pada pasien yang menderita penyakit ginjal tahap akhir. 3 Anemia pada pasien PGK sebagian besar terjadi karena berkurangnya produksi eritropoetin, namun bisa juga karena kurangnya zat besi, kurangnya nutrisi, adanya inflamasi, terjadinya hiperparatiroid, kehilangan darah secara kronik dan lain sebagainya. 4 Anemia yang tidak diatasi akan menyebabkan tubuh terasa lelah, berkurangnya kemampuan aktivitas fisik, fungsi kognitif, respon imun, hingga menurunnya kualitas hidup yang akan meningkatkan morbiditas dan mortalitas.…”

Section: Pendahuluanunclassified

Validation of Indonesian Version of FACIT Fatigue Scale Questionnaire in Chronic Kidney Disease (CKD) Patients with Routine Hemodialysis

Hakim

Andayani

Irijanto

2016

Indones J Clin Pharm

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Anemia sangat umum terjadi pada pasien penyakit ginjal kronis (PGK). Salah satu akibat dari anemia adalah terjadinya kelelahan sehingga pasien mengalami penurunan kualitas hidup. Kuesioner Skala Kelelahan Functional Assessment Chronic Illness Therapy (FACIT) adalah suatu instrumen untuk mengetahui tingkat kelelahan pasien. Di Indonesia, kuesioner Skala Kelelahan FACIT belum pernah divalidasi. Tujuan penelitian ini adalah untuk memvalidasi kuesioner Skala Kelelahan FACIT versi Indonesia sebagai salah satu instrumen pengukuran kualitas hidup pasien. Skala Kelelahan FACIT diterjemahkan kedalam bahasa Indonesia dan dibagikan kepada pasien PGK yang menjalani hemodialisis rutin di rumah sakit akademik di Yogyakarta pada periode Mei-Oktober 2015. Validitas dievaluasi dengan uji Pearson correlation dan reliabilitas dievaluasi dengan uji Cronbach alpha. Hasil uji validitas menunjukkan semua butir pertanyaan valid karena nilai r hitung lebih besar dari nilai r tabel=0,279 dan reliabel karena r11=0,646>0,6 yang menunjukkan bahwa instrumen kuesioner reliabel. Kesimpulannya adalah kuesioner Skala Kelelahan FACIT versi Indonesia merupakan suatu pengukuran yang ringkas dan valid untuk memonitor gejala anemia dan efeknya pada pasien penyakit ginjal kronis.

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“…depression, physical activity, and poor sleep quality), and physiological factors (i.e., anemia, malnutrition, and uremia) [2], [3]. Anemia occurs in almost half of patients with CKD in Stages III and IV and its prevalence increases up to 75% in patients suffering end-stage renal disease [4]. Mostly, anemia in CKD patients is due to reducing the erythropoietin production, which causes a decrease in red blood cells [3].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Intradialytic Exercise on Fatigue-Related Chronic Kidney Disease: A Case Study of Patient Undergoing Hemodialysis

Kurniawati

Wahyuni

Wicaksana

2022

Open Access Maced J Med Sci

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BACKGROUND: Fatigue is one of the most common problems experienced by chronic kidney disease (CKD) patients undergoing hemodialysis. The application of intradialytic exercises can be the best solutions to overcome fatigue related to CKD. CASE PRESENTATION: A 50-year-old male patient with CKD, who complained of severe fatigue, was selected in case study. The FACIT Fatigue Scale questionnaire and clinical indicators were measured before and after intervention. The intradialytic exercise was administered at 3rd hour of hemodialysis for 4 sessions in 2 weeks. Each session required 30 minutes, containing warming up, main exercise and cooling down. After two weeks intervention, there was an improvement of fatigue score (16 to 29) and reduction of weakness, tiredness, washout feeling, sleepy, and tiredness on eating. Moreover, the clinical indicators showed positive improvement after the intervention. CONCLUSION: Thus, intradialytic exercise is practically promising to minimize fatigue related to CKD among patients undergoing hemodialysis. Hemodialysis nurses or other health care providers could utilize this evidence as a program to reduce the fatigue related to CKD.

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Anemia in chronic kidney disease patients

Cited by 8 publications

References 35 publications

Gambaran Hipokromasi Eritrosit dan Mean Corpuscular Hemoglobin (MCH) pada Penderita Ginjal Kronis di RSUD Kraton Kabupaten Pekalongan

Gambaran Hipokromasi Eritrosit dan Mean Corpuscular Hemoglobin (MCH) pada Penderita Ginjal Kronis di RSUD Kraton Kabupaten Pekalongan

Validation of Indonesian Version of FACIT Fatigue Scale Questionnaire in Chronic Kidney Disease (CKD) Patients with Routine Hemodialysis

The Effect of Intradialytic Exercise on Fatigue-Related Chronic Kidney Disease: A Case Study of Patient Undergoing Hemodialysis

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