Gambaran Pruritus Uremik Pasien Gagal Ginjal Kronik di Unit Hemodialisa Rumah Sakit Umum Pusat Haji Adam Malik Medan
DOI:
https://doi.org/10.32584/jpi.v4i1.358Keywords:
Uremic Pruritus, Chronic Kidney Disease, HemodialysisAbstract
Uremic pruritus is one of patient’s complaint about chronic kidney disease which is an uncomfortable and itchy sensation and can cause disturbances during the day or night and can even occur throughout the day such as sleep disturbance, activity, depression and complications in the skin that can reduce the quality of life of patients with chronic kidney failure. This study aims to look at the description of uremic pruritus experienced by patients with chronic kidney failure using descriptive quantitative design. The instruments used in this study were demographic data and a 5-D itch scale questionnaire. This research was conducted at the General Hospital of Haji Adam Malik Medan in one month with a sample of 49 people. The results of the study of the characteristics of respondents describe the majority of elderly (26.5%) who suffer from uremic pruritus, male gender (61.2%), have experienced uremic pruritus for more than 6 weeks (100%), the majority have undergone hemodialysis> 1 year (79.6%) and the majority are no longer working (73.5%) and hypertension is the majority of concomitant diseases (73.5%) with an itching scale of 15-24 (moderate) of 59.2%. This study provides some information on the factors that cause and that aggravate the incidence of uremic pruritus in patients with chronic renal failure so that nurses can get more leverage in nursing care for patients with uremic pruritus, especially in patients with chronic kidney failure.References
Abdelghfar, S. Z., Elsebae, H. A., Elhadry, S. M., & Hassan, A. A. Effect of Aromatherapy on Uremic Pruritus among Patients Undergoing Hemodialysis. (2017). IOSR Journal of Nursing a nd Health Science (IOSR-JNHS e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 6, Issue 2 Ver. VIII (Mar. - Apr. 2017), PP 22-30 www.iosrjournals.org
Aval, S. B., Ravanshad, Y., Azarfar, A., Mehrad-Majd, H., Torabi, S., &Ravanshad, S. (2018).A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus. Iranian journal of kidney diseases, 12(2), 78.
Berger, T. G., & Steinhoff, M. (2011, June). Pruritus and renal failure. In Seminars in cutaneous medicine and surgery (Vol. 30, No. 2, p. 99). NIH Public Access.
Combs, S. A., Teixeira, J. P., &Germain, M. J. (2015, July).Pruritus in kidney disease.In Seminars in nephrology (Vol. 35, No. 4, pp. 383-391). WB Saunders.
Cürcani, M., & Tan, M. (2014).The effect of aromatherapy on haemodialysis patients' pruritus. Journal of clinical nursing, 23(23-24), 3356-3365.
Elman, S., Hynan, L. S., Gabriel, V., & Mayo, M. J. (2010). The 5-D itch scale: a new measure of pruritus. British Journal of Dermatology, 162(3), 587-593.
Germain, M. J. (2017). Uremic pruritus: an itch with ominous consequences. American journal of nephrology, 46(6), 448-450.
Kimata, N., Fuller, D. S., Saito, A., Akizawa, T., Fukuhara, S., Pisoni, R. L., ...&Akiba, T. (2014). Pruritus in hemodialysis patients: Results from the J apanese D ialysis O utcomes and P ractice P atterns S tudy (JDOPPS). Hemodialysis International, 18(3), 657-667.
Kimball, A. B., Edson-Heredia, E., Zhu, B., Guo, J., Maeda-Chubachi, T., Shen, W., & Bianchi, M. T. (2016). Understanding the Relationship Between Pruritus Severity and Work Productivity in Patients With Moderate-to-Severe Psoriasis:
Lin, T. C., Lai, Y. H., Guo, S. E., Liu, C. F., Tsai, J. C., Guo, H. R., & Hsu, H. T. (2012). Baby oil therapy for uremic pruritus in haemodialysis patients. Journal of clinical nursing, 21(1â€2), 139-148.
Mathur, V. S., Lindberg, J., Germain, M., Block, G.,
Tumlin, J., Smith, M., ... & ITCH National
Registry Investigators. (2010). A longitudinal
study of uremic pruritus in hemodialysis
patients. Clinical Journal of the American Society of Nephrology, 5(8), 1410-1419
Mettang, T., & Kremer, A. E. (2015).Uremic pruritus. Kidney International, 87 (84), 685-691.
Nakamoto, H., Kobayashi, T., Noguchi, T., Kusano, T., Ashitani, K., Imaeda, H., &Maezono, M. (2019). Prevalence and Severity of Itching in Patients with End-Stage Renal Disease: Treatment with Nalfurafine Hydrochloride. Blood purification, 47(2), 45-49.
Nakhaee, S., Nasiri, A., Waghei, Y., &Morshedi, J. (2015). Comparison of Avenasativa, vinegar, and hydroxyzine for uremic pruritus of hemodialysis patients: a crossover randomized clinical trial. Iranian journal of kidney diseases, 9(4), 316.
Narita, I., Alchi, B., Omori, K., Sato, F., Ajiro, J., Saga, D., ...&Akazawa, K. (2006). Etiology and prognostic significance of severe uremic pruritus in chronic hemodialysis patients. Kidney international, 69(9), 1626-1632.
National Institutes of Health.(2012). Kidney disease statistics for the United States. Washington: NHI.
Simonsen, E., Komenda, P., Lerner, B., Askin, N., Bohm, C., Shaw, J., ...&Rigatto, C. (2017). Treatment of uremic pruritus: a systematic review. American Journal of Kidney Diseases, 70(5), 638-655.
Smeltzer, Bare, Hinkle & Cheever. (2010). Text BookOf Medical SurgicalNursing. Edisi 12. Lippincott Williams & Wilkins
Szepietowski, J. C., Sikora, M., Kusztal, M., Salomon, J., Magott, M., & Szepietowski, T. (2002). Uremic pruritus: a clinical study of maintenance hemodialysis patients. The Journal of dermatology, 29(10), 621-627.
Tarp, H., Bondeâ€Petersen, M., & Finderup, J. (2017). Patients in Haemodialysis Experienced Uraemic Pruritus as a Dual Phenomenon. Journal of renalcare, 43(1), 21-28.
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