THE RELATION OF LONG SUFFERING CHRONIC KIDNEY DISEASE (CKD) AND STRESS WITH MENSTRUAL ABNORMALITIES IN HEMODIALYSIS UNIT RSUD PROF. DR. SOEKANDAR
Abstract
Chronic kidney disease (CKD) is a long-term disease where the kidneys have decreased function. In women who experience prolonged CKD, other problems will arise, namely Menstrual abnormalities. CKD patients who have just undergone hemodialysis therapy are prone to stress, if not treated immediately it will disrupt the menstrual cycle. This research design uses correlation analytic with cross sectional approach. The population in this study were 49 women who suffered from CKD in the hemodialysis unit of RSUD Prof. Dr. Soekandar. Sampling using non-probability sampling technique Consecutive sampling type within a period of 3 weeks. The sample in this study amounted to 43 people. The instruments used in this research are DASS questionnaire and Menstrual abnormalities checklist sheet. Data analysis using logistic regression test. The results showed that 20 respondents (46.51%) had CKD >4 years. For stress levels, it was found that 17 respondents (39.53%) were at mild stress levels. And 39 respondents (90.70%) experienced Menstrual abnormalities. The results of the logistic regression test showed that the p-value = 0.048. It can be concluded that there is a long-standing relationship between chronic kidney disease and stress with menstrual abnormalities in the hemodialysis unit of RSUD Prof. Dr. Soekandar. Women who suffer from CKD in their bodies will experience hyperprolactinemia which will disrupt the menstrual cycle. A person who has just been diagnosed with CKD is prone to stress, which stress will stimulate the release of Corticotropic Releasing Hormone (CRH). Hyperprolactinemia and CRH can affect the performance of Gonadotropin-releasing hormone (GnRH) which lead to menstrual abnormalities.
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Akbar, M. ilham aldika. (2020). Ginekologi Praktis Komprehensif.
Alfonso, A. A., Mongan, A. E., & Memah,
M. F. (2016). Gambaran kadar ureum pada pasien penyakit ginjal kronik stadium 5 non dialisis. Jurnal e- Biomedik, 4(2), 2–7. https://doi.org/10.35790/ebm.4.2.2016. 12658
Ardiyani, N., Purbaningsih, E. S., & Nurfajriani, I. (2019). DI RSUD WALED KABUPATEN CIREBON.Jurnal Kesehatan Mahardika, 27–30.
Azizah, L. M., Zainuri, I., & Akbar, A. (2016). Buku Ajar Keperawatan Kesehatan Jiwa Teori dan Aplikasi Praktik Klinik. Indomedia Pustaka, 657.
Corwin, E. J. (2015). Buku Saku Patofisiologi , Handbook Of Pathophysiology. 3.
Dewi, N. N., & Rodli, A. F. (2021).PERILAKU ORGANISASI.
Dewi, W. N., & Dewi, Y. I. (2017).Gambaran Stres Pada Pasien Gagal Ginjal Terminal Jurnal NERS Indonesia, VOL. 2, NO. Yang 2, Maret 2012 Menjalani Terapi Hemodialisa Di Rumah Sakit Umum Daerah Arifin Achmad Pekanbaru. Jurnal Ners Indonesia.
Fahriza, M. R., & Ulfa, L. (2019). Faktor Penyebab Stress dan Dampak Bagi Kesehatan.Diambil dari https://doi.org/10.31219/osf.io/h4cnv
Hadrianti, D. (2018). PENGALAMAN MENJALANI HEMODIALISIS PADA PASIEN GAGAL GINJAL KRONIK DI RS BANJARMASIN, 8.
Handayani, T. Y., Desi Pramita Sari, & Sustiyani, E. (2021). Hubungan Status Gizi dan Stres dengan kejadian Amenorea Sekunder. Health Care : Jurnal Kesehatan, 10(2), 331–336. https://doi.org/10.36763/healthcare.v10 i2.148
Harzif, A. K., Silvia, M., & Wiweko, B. (2018). Fakta-Fakta Mengenai Menstruasi pada Remaja.
Himmelfarb, J., & Ikizler, T. A. (2018). Chronic Kidney Disease,Dialysis, and Transplantation (A Companion to Brenner and Rector’s The Kidney) (Vol. 02).
Hutagaol, E. V. (2017). PENINGKATAN KUALITAS HIDUP PADA PENDERITA GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA MELALUI PSYCHOLOGICAL INTERVENTION DI UNIT HEMODIALISA RS ROYAL PRIMA MEDAN TAHUN 2016. In Light of Another’s Word: European Ethnography in the Middle Ages, 2, 1– 211. https://doi.org/10.1080/13507486.2015. 1047603
Ilmi, A. F., & Selasmi, E. W. (2019). Faktor- Faktor Yang Berhubungan Dengan Siklus Menstruasi Pada Remaja Putri Kelas XI di SMA Negeri 6 Tangerang Selatan. Edu Masda Journal, 3(2), 175. https://doi.org/10.52118/edumasda.v3i 2.39
Imelisa, R., Roswendi, A. S., & Wisnusakti,
K. (2021). KEPERAWATAN KESEHATAN JIWA PSIKOSOSIAL.
Insani, A. A., Ayu, P. R., & Anggraini, D. I. (2019). Hubungan Lama Menjalani Hemodialisis Dengan Status Nutrisi Pada Pasien Penyakit Ginjal Kronik (PGK) Di Instalasi Hemodialisa RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Jurnal Majority, 8(1), 55–59. Diambil dari http://juke.kedokteran.unila.ac.id/index
.php/majority/article/view/2234
Jabin, M., Chowdhury, M. N., Islam, M. N., & Uddin Khan, M. E. (2022). Menstrual Abnormalities and Associated Hormone Profile In Chronic Kidney Disease Stage 5 Patients. Journal of Bangladesh College of Physicians and Surgeons, 40(1), 45–51. https://doi.org/10.3329/jbcps.v40i1.570 57
Jawak, E. F., Novizar, R., & Girsang, R. (2020). Hubungan Psychological Intervention Dengan Peningkatan Kualitas Hidup Pada Penderita Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa. Jurnal Penelitian Keperawatan Medik, 3(1), 44–51. https://doi.org/10.36656/jpkm.v3i1.337
Johari, D. T., & Melani, L. (2019). Hubungan Antara Tingkat Stres Dengan
Gangguan Siklus Menstruasi Pada Mahasiswa. Journal of Research in Public Health Sciences, 1(1), 1–6. https://doi.org/10.33486/jrphs.v1i1.15
Kaslam, P., Widodo, D., Satari, H. I., & Karuniawati, A. (2021). Buku Pedoman Pencegahan Pengendalian Infeksi.
Lapau, B. (2017). Prinsip & Metode Epidemiologi. Kencana.
Logani, I., Tjitosantoso, H., & Yudistira, A. (2017). Faktor Risiko Terjadinya Gagal Ginjal Kronik Di Rsup Prof. Dr. R. D. Kandou Manado. Pharmacon, 6(3), 128–136.
Mileniawan, I. A., & Santoso, I. (2022). Dampak Stress Terhadap Kesehatan Fisiologis Narapidana di Lembaga Pemasyarakatan. INNOVATIVE: JOURNAL OF SOCIAL SCIENCE RESEARCH, 2, 160–168.
Muslim, M. (2020). Moh . Muslim : Manajemen Stress pada Masa Pandemi Covid-19 ” 193. Jurnal Manajemen Bisnis, 23(2), 192–201.
Muttaqin, A., & Sari, K. (2014). Asuhan Keperawatan Gangguan Sistem Perkemihan.
Nani, D. (2018). Fisiologi tubuh manusai.
Penebar PLUS+.
Naryati, N., & Nugrahandari, M. E. (2021). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Diet Pada Pasien Gagal Ginjal Kronik Melalui Terapi Hemodialisis. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(2), 256–265.
https://doi.org/10.33023/jikep.v7i2.799
Nathali, V. (2019). HUBUNGAN TINGKAT STRES DENGAN SIKLUS MENSTRUASI PADA MAHASISWI STIT DINIYYAH PUTERI KOTA PADANG PANJANG. Jurnal
Penelitian dan Kajian Ilmu, XIII(5),
124. Diambil dari https://jurnal.umsb.ac.id/index.php/men arailmu/article/view/1397
Notoatmodjo, P. D. S. (2010). Metodologi penelitian kesehatan. Rineka cipta.
Novita, R. (2018). Hubungan Status Gizi dengan Gangguan Menstruasi pada Remaja Putri di SMA Al-Azhar Surabaya. Amerta Nutrition, 2(2), 172. https://doi.org/10.20473/amnt.v2i2.201 8.172-181
Ns. Cut Husna, M. (2012). Literature Review:Gagal Ginjal Kronis Dan Penanganannya. Jurnal Keperawatan, 3(2), 67–73.
Nurbadriyah, W. D. (2021). ASUHAN KEPERAWATAN PENYAKIT GINJAL KRONIS DENGAN PENDEKATAN 3S.
Literasi Nusantara.
Nurjanah, S., Sit, S., Kes, M., & Pertiwi, A.
R. (n.d.). Pola Menstruasi Pada Wanita Penderita Gagal Ginjal Kronik Di RS Roemani Muhammadiyah Semarang Menstrual Patterns In Women With Chronic Kidney Failure In Roemani Muhammadiyah Semarang Hospital, 2011, 794–800. Diambil dari http://prosiding.unimus.ac.id
Nursalam. (2016). METODOLOGI PENELITIAN: PENDEKATAN
PRAKTIS. Salemba medika.
Ozimek, N., & Velez, K. (2022). Impact of Stress on Menstrual Cyclicity During the Coronavirus Disease 2019 Pandemic: A Survey Study. Journal of Women’s Health, 31(1), 84–90. https://doi.org/10.1089/jwh.2021.0158
Pardede, S. O., & Chunnaedy, S. (2019). PGK pada anak. Departemen Ilmu Kesehatan Anak FKUI-RSCM, 11(3), 199–206.
Prastiwi, D. Y., Salwani, D., & Saminan. (2017). Relationship of Chronic Hemodialysis with Incidence of Secondary Amenorrhea in patient with chronic kidney disease in RSUD dr, 2, 6–11. Diambil dari http://jim.unsyiah.ac/medisia
Pratiwi, L., & Nawangsari, H. (2020). MODUL AJAR DAN PRAKTIKUM KEPERAWATAN MATERNITAS. Jejak
publisher.
Pulungan, P. W., Sitorus, S., & Amalia, R. (2020). Ilmu Obstetri dan Ginekologi Untuk Kebidanan. Yayasan Kita Menulis.
Purba, N., Poningsih, P., & Tambunan, H. S. (2021). Penerapan Algoritma K-Means Clustering Pada Penyebaran Penyakit Infeksi Saluran Pernapasan Akut (ISPA) di Provinsi Riau. Journal of Information System Research (JOSH), 2(3), 220–226. Diambil dari http://ejurnal.seminar- id.com/index.php/josh/article/view/736
Rachmawati, P. A., & Murbawani, E. A. (2015). Hubungan Asupan Zat Gizi, Aktivitas Fisik, Dan Persentase Lemak Tubuh Dengan Gangguan Siklus Menstruasi Pada Penari. Journal of Nutrition College, 4(1), 39–49. https://doi.org/10.14710/jnc.v4i1.8619
Rahayu, F., Ramlis, R., & Fernando, T. (2018). HUBUNGAN FREKUENSI HEMODIALISIS DENGAN TINGKAT STRESS PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS.
Jurnal Keperawatan, 1, 139–153.
Rahma, B. (2021). Hubungan Kebiasaan Konsumsi Fast Food Dan Stres Terhadap Siklus Menstruasi Pada Remaja Putri Sman 12 Kota Bekasi. Jurnal Health Sains, 2(4), 432–443. https://doi.org/10.46799/jhs.v2i4.151
Rahma, R. P., Yudha, E., Salsabila, P., & Amelia, W. (2022). Penyuluhan kesehatan tentang prilaku hidup sehat pasien dengan gangguan ginjal kronik Reka Putri Rahma*, Putri Salsabila, Weni Amelia, Eka Yudha Chrisanto Program Studi Profesi Ners, Universitas Malahayati Korepondensi penulis: Reka Putri Rahma *. JOURNAL OF Public Health Concerns, 2(1), 231–237.
Rathi, M., & Ramachandran, R. (2017). Sexual and gonadal dysfunction in chronic kidney disease: Pathophysiology. Indian Journal of Endocrinology and Metabolism, 16(2), 214. https://doi.org/10.4103/2230-
8210.93738
Retnowuni, A. (2018). Gambaran Tingkat Pengetahuan Kesehatan Reproduksi Tentang Kesehatan Menstruasi Pada Awal yang Tinggal di Asrama Nusantara. Jurnal EDUNursing, Vol. 2(2), 70–77.
Rima Wirenviona. (2020). Edukasi Kesehatan Reproduksi Remaja.
Rosi Kurnia Sugiharti, & Tri Sumarni. (2018). Hubungan Antara Kebiasaan Olahraga Dengan Kejadian Nyeri Haid Primer Pada Remaja. Jurnal Publikasi Kebidanan, 9(1), 114–123.
Serret-Montaya, J., Zurita-Cruz, J. N., Villasís-Keever, M. A., Aguilar-Kitsu, A., del Carmen Zepeda-Martinez, C., Cruz-Anleu, I., … Romo-Vázquez, J.
C. (2020). Hyperprolactinemia as a prognostic factor for menstrual disorders in female adolescents with advanced chronic kidney disease. Pediatric Nephrology, 35(6), 1041– 1049. https://doi.org/10.1007/s00467- 020-04494-7
Setiadi. (2013). Konsep dan praktik penulisan riset keperawatan Ed.2. Graha Ilmu.
Simanullang, R., & Situmorang, P. C. (2020). Managemen Stres di Tengah Dampak Covid-19. Guepedia.
Siregar, C. trisa. (2020). Buku Ajar Manajemen Komplikasi Pasien Hemodialisa. Deepublish.
Sugiyono. (2013). Metode Penelitian Kuantitatif, Kualitatif dan R&D.
Sunarsih. (2017). Hubungan Status Gizi dan Aktifitas Fisik Sunarsih. (2017). Hubungan Status Gizi dan Aktifitas Fisik Terhadap Keteraturan Siklus Menstruasi Mahasiswa Program Studi Kebidanan Universitas Malahayati Tahun 2017. Jurnal Kebidanan, 3(4), 190–195. http://ejurnal. Jurnal Kebidanan, 3(4), 190–195. Diambil dari http://ejurnalmalahayati.ac.id/
Susanti, A. V., & Sunarto. (2012). FAKTOR RISIKO KEJADIAN MENARCHE DINI PADA REMAJA DI SMP N 30
SEMARANG Agres. Journal of Nutrition College, 1, 115–126.
Susiloningtyas, I., & Fitriana Rahayu, E. (2022). Hubungan Stress dengan Gangguan Menstruasi pada Remaja Putri. Jurnal Sehat Masada, 16(1), 34–
39.
https://doi.org/10.38037/jsm.v16i1.261
Syahrizal, T., Dendy Kharisna, & Putri, V. D. (2020). Analisis Tingkat Stres Pada Pasien Hemodialisa Di RSUD Arifin Achmad Provinsi Riau Di Masa Pandemi COVID-19. Health Care : Jurnal Kesehatan, 9(2), 61–67. https://doi.org/10.36763/healthcare.v9i 2.84
Twistiandayani, R., & Prabowo*, A. R. (2021). TERAPI MENDENGARKAN MUROTTAL AL-QURAN SURAT AL FATIHAH DAN SURAT AR RAHMAN TERHADAP STRES MENJALANI HEMODIALISIS
Listening Therapy to Murottal Al- Quran Surah Al-Fatihah and Surat Ar- Rahman on Anxiety Stress and Depression in Patients CKD Stage V Who Unde, 12, 95–104.
Wahyuni, L., Rofiah, I. A., & Achwandi, M. (2019). the Effect of the Esne (Education Structured Nutrition and Electrolyte) Method on Idwg Changes in Chronic Kidney Failure Patients, 3(August), 89–99.
Wahyuni, S. (2019). OBSTETRI FISIOLOGI. Wineka Media.
Yatim, F. L. (2015). Penyakit kandungan: myoma, kanker rahim/leher rahim dan indung telur, kista, serta gangguan lainnya.
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