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dc.contributor.advisorThamrin, Alwi
dc.contributor.advisorNasution, Syafrizal
dc.contributor.authorNovenda, Filsi Elsa
dc.date.accessioned2019-05-03T07:46:49Z
dc.date.available2019-05-03T07:46:49Z
dc.date.issued2019
dc.identifier.urihttp://repositori.usu.ac.id/handle/123456789/13824
dc.description124 Halamanen_US
dc.description.abstractLatar belakang: Hemodialisis (HD) masih merupakan terapi pengganti ginjal utama disamping peritoneal dialisis dan transplantasi ginjal di sebagian besar negara di dunia. Komplikasi dapat timbul selama proses hemodialisis yang disebut sebagai komplikasi intradialitik.Hipertensi intradialitik (HID) merupakan komplikasi HD yang saat ini mendapat perhatian, dilaporkan sekitar 5-15% dari pasien yang menjalani HD reguler, tekanan darahnya justru meningkat saat HD.4 Etiologi dari hipertensi intradialitik multifaktorial, mencakup kelebihan volume subklinis, overaktivitas simpatik, aktivasi sistem angiotensin renin, disfungsi sel endotel, dan teknik dialitik spesifik. Oleh karenanya para ahli banyak mengusulkan pendekatan pencegahan ataupun pengobatan khusus untuk mengurangi kejadian hipertensi interdialitik. Tujuan Penelitian: Mengetahui hubungan kadar magnesium serum dengan hipertensi intradialitik pada pasien hemodialisis reguler. Metode: Penelitian cross-sectional yang dilaksanakan RSUP HAM Medan mulai bulan Juni 2018 sampai jumlah sampel terpenuhi. Pasien terdiri dari 3 kelompok yaitu hipertensi intradialitik, hipotensi intradialitik, normotensi selama dialisis yang akan dilakukan pemeriksaan tekanan darah sebelum dialisis, durante dialisis dan dilakukan pemeriksaan magnesium darah setelah dialisis. Hasil: Didapati laki – laki yang menderita hipertensi intradialitik (76,9%). Dengan usia rerata antara (52,92±11,44) tahun. Kadar magnesium serum pada pasien hipertensi intradialitik dengan rerata (1,71±0,4 )mg/dl. Berdasarkan analisa Chi-Square menunjukkan terdapat hubungan yang signifikan secara statistik antara peningkatan tekanan darah intradialitik dan kadar magnesium dengan nilai p <0,05, yaitu p=0,001. Sedangkan berdassrkan uji analisis korelasi Spearman, korelasi tekanan darah sistolik terhadap kadar magnesium memiliki hubungan sedang dengan arah korelasi negative (r= -0,502). Kesimpulan: Dari hasil analisa didapati terdapat hubungan antara kadar magnesium serum dengan hipertensi intradialitik.en_US
dc.description.abstractBackground: Hemodialysis (HD) is still the primary renal replacement therapy in addition to peritoneal dialysis and kidney transplantation in most countries in the world. Complications can arise during the process of hemodialysis is referred to as intradialitik complications. Intradialytic Hypertension (HID) is a complication of the HD currently get attention, reported about 5-15% of patients undergoing regular HD, thus increasing blood pressure when HD 4 the etiology of hypertension intradialitik multifaktorial, include excess volume of subclinical, overaktivitas, activation of the sympathetic system angiotensin renin, dysfunction endothelial cells, and specific dialitik techniques. Therefore many experts propose special treatment or prevention approaches to reduce the incidence of intradialytic hypertension Aim: To determine the relationship between magnesium serum level and intradialytic hypertension in regular hemodialysis patients. Methods: Cross-sectional study conducted at the Medan General Hospital RSUP from June until 2018 the amount of the sample is met. Patients consists of 3 groups namely hypertension hypotension, intradialitik intradialitik, normotensi during the dialysis will do blood pressure checks before dialysis, dialysis and durante performed blood magnesium after dialysis Result: Found a man suffering from intradialytic hypertension (76.9%). With the average age between (52.92 ± 11,44) years. The levels of magnesium serum in patients with intradialytic hypertension average (1,71 ± 0.4) mg/dl. Based on Chi- Square analysis shows there is a statistically significant relationship between increased blood pressure intradialytic and magnesium levels with value p <0.05, namely p = 0.001. While based on the correlation analysis test, Spearman correlation systolic blood pressure against the levels of magnesium have a relationship being with the direction of the negative correlation (r =-0.502). Conclusion: the results of the analysis found there is the relationship between the serum magnesium levels with hypertension intradialitik.en_US
dc.language.isoiden_US
dc.publisherUniversitas Sumatera Utaraen_US
dc.subjectHipertensi Intradialitiken_US
dc.subjectMagnesiumen_US
dc.subjectHemodialisisen_US
dc.titleHubungan Kadar Magnesium Serum dengan Hipertensi Intradialitik pada Pasien Hemodialisis Reguleren_US
dc.typeTesis Magisteren_US
dc.identifier.nimnipnik127041139


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