Calcium Profile of Chronic Kidney Disease Patients Undergoing Hemodialysis

Ahmad Yani; Desiana Wahyu Kuswardani; Citra Trisna; Venny Patricia

doi:10.61843/jondpac.v2i1.713

Ahmad Yani The Polytechnic of Health of Banten https://orcid.org/0000-0002-3552-0597
Desiana Wahyu Kuswardani Gatot Soebroto Army Central Hospital
Citra Trisna The Polytechnic of Health of Banten
Venny Patricia The Polytechnic of Health of Banten https://orcid.org/0000-0002-6111-3207

DOI: https://doi.org/10.61843/jondpac.v2i1.713

Keywords: blood calcium, chronic kidney disease, hemodialysis, hypocalcemia

Abstract

Chronic kidney disease (CKD) is a condition of progressive kidney deterioration, which is characterized by a decrease in the estimated glomerular filtration rate that lasts for more than three months. One of the therapies needed to maintain the quality of life of CKD sufferers is hemodialysis. One of the functions of hemodialysis is to regulate electrolyte levels in the blood, including calcium. Low calcium levels in the blood (hypocalcemia) can trigger the release of calcium minerals from the bones, which ultimately makes the bones brittle. So, it is essential to monitor the blood calcium levels of CKD sufferers so as not to worsen the sufferer's condition. This study used secondary data, and the research instrument used in this research was the patient's medical record. Sampling was carried out using the purposive sampling method. The inclusion criteria set were patients with CKD who underwent hemodialysis and had complete medical record data, including age, gender, length of time undergoing hemodialysis, and examination data in the form of blood calcium levels. The data included in this study came from 68 patients with CKD who underwent hemodialysis and had their blood calcium levels checked. Based on the research results, the prevalence of CKD was more significant in men (58.82%), and as many as 92.65% of the total respondents experienced hypocalcemia. Cases of hypocalcemia occurred more frequently in male patients (52.94%), in the 46-65 year age group (55.88%), and in patients who had undergone hemodialysis for 4-12 months (45.59%). Hypocalcemia sufferers need to pay attention to their nutritional intake to keep their blood calcium levels at a safe level.

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References

Annisya, N., & Armelia, L. (2018). Gambaran Rerata Kadar Kalsium dan Fosfor Pada Pasien yang Menjalani Hemodialisis di Rumah Sakit Anna Medika Bekasi. Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan, 12(1), 24–29. https://doi.org/10.33533/jpm.v12i1.276.

Brenner, B. M., & Lazarus, J. M. (2000). Prinsip-prinsip Ilmu Penyakit Dalam Vol. 3 (13th ed). Jakarta: EGC.

De Broe, M. E., Gharbi, M. B., Zamd, M., & Elseviers, M. (2017). Why overestimate or underestimate chronic kidney disease when correct estimation is possible?. Nephrology Dialysis Transplantation, 32(suppl_2), ii136-ii141.

Delima, D., & Tjitra, E. (2017). Faktor risiko penyakit ginjal kronik: Studi kasus kontrol di empat rumah sakit di Jakarta tahun 2014. Indonesian Bulletin of Health Research, 45(1), 17-26.

Ekantari, F. (2012). Hubungan Antara Lama Hemodialisis Dan Faktor Komorbiditas Dengan Kematian Pasien Gagal Ginjal Kronik Di RSUD DR. Moewardi (Doctoral dissertation, Universitas Muhammadiyah Surakarta).

Hadi, S., & Wantonoro, W. (2015). Hubungan Lama Menjalani Hemodialisis dengan Kepatuhan Pembatasan Asupan Cairan pada Pasien Gagal Ginjal Kronik di RS PKU Muhammadiyah Unit II Yogyakarta (Doctoral dissertation, STIKES'Aisyiyah Yogyakarta).

Hustrini, N. M., Susalit, E., & Rotmans, J. I. (2022). Prevalence and risk factors for chronic kidney disease in Indonesia: An analysis of the National Basic Health Survey 2018. Journal of global health, 12:04074.

Ignatavicius, D. D., Workman, M. L., Blair, M., Rebar, C., & Winkelman, C. (2016). Medical-Surgical Nursing Patient-Centered Collaborative Care (8th ed.). Elsevier Inc.

Ikasari, M. N., Febriyossa, A., Hikmah, A. M., & Apriani, A. (2022). Gambaran Kadar Fosfor dan Kalsium pada Pasien Gagal Ginjal Kronik Sebelum Terapi Hemodialisa. Jurnal Sehat Indonesia (JUSINDO), 4(02), 58-63.

Institute for Health Metrics and Evaluation (IHME). (2024). Global Burden of Disease 2021: Findings from the GBD 2021 Study. Seattle, WA: IHME. https://www.healthdata.org/research-analysis/library/global-burden-disease-2021-findings-gbd-2021-study, diakses pada 21 Januari 2024.

Kalantar-Zadeh, K., & Fouque, D. (2017). Nutritional management of chronic kidney disease. New England Journal of Medicine, 377(18), 1765-1776.

Kementerian Kesehatan Republik Indonesia. (2019). Hasil Utama Riset Kesehatan Dasar (RISKESDAS) 2018. Balai Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia.

Lang, F. (2013). Ginjal, Keseimbangan Air dan Garam. Dalam: Silbernagl, S., Lang, F. Teks dan Atlas Berwarna Patofisiologi. Jakarta: EGC.

Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-Surgical Nursing: Assessment And Management Of Clinical Problems (9th ed.). Elsevier Inc.

Maryusman, T., Yulistianingsih, A., Sulchan, M., & Chasani, S. (2018). Pemberian Probiotik Terhadap Peningkatan Kadar Kalsium Darah pada Pasien Penyakit Ginjal Kronik Terminal. Gizi Indonesia, 41(1), 21-26.

Mulyani, L. & Ladesvita, F. (2021). Hubungan Laju Filtrasi Glomerulus dengan Kadar Hemoglobin dan Kalsium pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis. Indonesian Journal of Health Development. 3(2): 272-284.

Pavita, M., Hendriyono, F. X., & Rudiansyah, M. (2020). Korelasi Alkaline Phosphatase dan Kalsium Serum pada Penderita Penyakit Ginjal Kronik yang Menjalani Hemodialisis Rutin. Homeostasis, 2(3), 477-482.

Prasetyorini, T. P., & Warida, W. W. (2015). Hubungan Kadar Kalium, Kalsium, dan Fosfor Anorganik Pada Penderita Gagal Ginjal. Jurnal Ilmu dan Teknologi Kesehatan, 3(1), 18-28.

Pratama, A., Moeis, E. S., & Mandang, V. (2014). Hubungan Produk Ca x P dengan Kadar C-Terminal Cross Linking Telopeptide Type I Collagen pada Subjek Penyakit Ginjal Kronik yang Menjalani Hemodialisa Rutin. Jurnal e-CliniC, 2(3).

Price, S. A. & Wilson, L. M. (2006). [Pathophysiology: Clinical Concepts of Disease Processes. Bahasa Indonesia] Patofisiologi: Konsep Klinis Proses-proses Penyakit edisi 6 Vol.1 (6th. Ed., Cet. 1). Jakarta: EGC.

Setiati, S., Alwi, I., Sudoyo, A. W., Simadibrata, M. K., Setiyohadi, B., & Syam, A. F. (2014). Buku Ajar Ilmu Penyakit Dalam Edisi keenam Jilid I. Interna Publishing.

Soleymanian, T., Nikzad, N., Mahjoub, A., Argani, H., & Saavaj, S. (2017). Serum levels of intact parathyroid hormone, calcium, and phosphorus and risk of mortality in hemodialysis patients. Nephro-Urology Monthly, 9(1):e42569.

Stats, F. (2017). National chronic kidney disease fact sheet, 2017. US Department of Health and Human Services, Centers for Disease Control and Prevention.

Susanti, E., & Wulandari, A. (2019). Hubungan Kadar Kalsium dan Fosfor Darah pada Penderita Penyakit Ginjal Kronik (PGK) di Rumah Sakit Gading Pluit Jakarta Utara. Anakes: Jurnal Ilmiah Analis Kesehatan, 5(1), 43–52. https://doi.org/10.37012/anakes.v5i1.330.

Vaidya, S. R., & Aeddula, N. R. (2022). Chronic kidney disease. In StatPearls [Internet]. StatPearls Publishing.

Waheed, A. A., Pedraza, F., Lenz, O., Isakova, T. (2013). Phosphate control in end-stage renal disease: Barriers and opportunities. Nephrol Dial Transplant, 28(12): 2961–8.

Wulandari, N. L. I. M., Sudaryati, N. L. G., & Widyantari, A. A. A. S. S. (2021). Hubungan Kadar Kalsium dan Fosfor Penderita Gagal Ginjal Kronik dengan Hemodialisa di Laboratorium Klinik Prodia Denpasar. Jurnal Widya Biologi. 12(1): 34-47.

Yauri, L.F., Moeis, E.S., dan Pandelaki, K. 2016. Gambaran Hasil Produk Kalsium dan Fosfor pada Pasien PGK Stadium V di Ruang Hemodialisis RSUP Prof. Dr. R.D. Kandou Manado. Jurnal e-Clinic (eCI). 4(2).

Yuda, H. T., Lestari, I. A., & Nugroho, F. A. (2021). Gambaran Usia dan Kepatuhan Diet pada Pasien Gagal Ginjal Kronik di Ruang Hemodialisa RSUD dr. Soedirman Kebumen. Proceeding of The URECOL, 389–393. http://elib.stikesmuhgombong.ac.id/id/eprint/844.