CD Skripsi
Hubungan Antara Adekuasi Hemodialisis Dengan Kepadatan Tulang Pada Pasien Penyakit Ginjal Kronis Di Rs X Pekanbaru
Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of
experiencing disorders of bone metabolism, namely chronic kidney diseasemineral
bone disorder (CKD-MBD) which has the potential to cause secondary
hyperparathyroidism which can result in decreased bone mass, fractures, and
cardiovascular calcification. Thus, patients with CKD require adequate
hemodialysis to prevent complications and improve quality of life. This research
aimed to examine the relationship between hemodialysis adequacy and bone
density in CKD patients undergoing hemodialysis. The design of this research was
an analytical study with total sampling technique and cross-sectional approach
that obtained from the previous research. There were 12 male hemodialysis
patients whose bone density was measured using Dual X-Ray Absorptiometry
(DXA) at RS X Pekanbaru. There were 8 people with adequate hemodialysis with
a mean of 1.99 ± 0.13 and 4 people with inadequate hemodialysis with a mean of
1.66 ± 0.10, while the mean bone density obtained was normal (0.67 ± 0.99). The
independent t test showed that there was no significant difference in the mean
bone density between patients with adequate and inadequate hemodialysis (p =
0.152). The pearson test showed a very weak positive correlation (r = 0.110)
which was not significant (p = 0.733) between hemodialysis adequacy and bone
density. It can be concluded that there is no correlation between hemodialysis
adequacy and bone density and there is no difference in mean bone density in
patients with adequate or inadequate hemodialysis.
Key words: Hemodialysis Adequacy, DXA, Bone Density, Chronic Kidney
Disease.
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