Perpustakaan Terpadu

Latar Belakang: Penyakit Gagal Ginjal Kronik (PGK) merupakan proses patofisiologi yang menyebabkan penurunan fungsi ginjal. Berdasarkan data dari Riset Kesehatan Dasar (Riskesdas) tahun 2013 prevalensi PGK di Indonesia dengan populasi umur ≥ 15 tahun yang terdiagnosis PGK. Kadar BUN dan kreatinin pada pasien gagal ginjal kronis menunjukkan prevalensi 82,7%, hal ini menunjukan bahwa prevalensi kasus gagal ginjal kronis masih cukup tinggi. Anjuran untuk mengkonsumsi protein hendaknya 50% berasal dari protein dengan nilai biologis tinggi karena lebih lengkap kandungan asam amino esensialnya. Jadi pasien gagal ginjal kronis harus memperhatikan asupan proteinnya, sehingga tidak memberikan kerja yang lebih berat terhadap ginjal untuk menyaring sebagian protein yang masuk ke dalam tubuh melalui makanan. Metode: Jenis penelitian ini observasional dengan menggunakan metode penelitian studi kasus (study case), dilakukan pada tanggal 28 April-10 Mei 2023 di Instalasi Hemodialisis RSUD dr.R. koesma Tuban. Besar sampel yang diteliti berjumlah 3 responden yang terdiagnosis PGK dan menjalani hemodialisis rawat jalan dengan teknik pengambilan purposive random sampling. Data yang diambil berupa karakteristik, data asupan protein, data kadar kreatinin, data kadar BUN. Hasil: Rata-rata tingkat asupan protein sebelum hemodialisis yaitu 0,5 g/KgBB/hr, nilai tersebut masih dibawah standar yang dipakai oleh RSUD dr.R.Koesma Tuban dan masih di bawah rekomendasi Pernefri. Rata-rata tingkat asupan protein sesudah hemodialisis yaitu 0,8 g/KgBB/hr, nilai tersebut masih dibawah standar yang dipakai oleh RSUD dr.R.Koesma Tuban dan masih di bawah rekomendasi Pernefri. Seluruh responden memiliki kadar kreatinin yang optimal. Seluruh responden memiliki kadar BUN yang melebihi kadar BUN yang normal. Simpulan: Rata-rata asupan protein sebelum dan sesudah hemodialisis masih dalam kategori kurang. Rata-rata hasil kadar kreatinin responden menujukkan kadar kreatinin yang optimal. Rata-rata hasil kadar BUN responden menujukkan kadar BUN yang melebihi kadar BUN normal. Kata Kunci: PGK, Asupan Protein, Hemodialisis, Kadar Kreatinin, Kadar BUN.

Background: Chronic Kidney Disease (CKD) is a pathophysiological process that causes a decrease in kidney function. Based on data from Basic Health Research (Riskesdas) in 2013 the prevalence of CKD in Indonesia with a population aged ≥ 15 years who were diagnosed with CKD. BUN and creatinine levels in patients with chronic kidney failure show a prevalence of 82.7%, this shows that the prevalence of cases of chronic kidney failure is still quite high. The recommendation to consume protein should be 50% derived from protein with high biological value because it contains more complete essential amino acids. So patients with chronic kidney failure must pay attention to their protein intake, so as not to give the kidneys a harder job to filter some of the protein that enters the body through food. Method: This type of research was observational using the case study research method, conducted on April 28-May 10 2023 at the Hemodialysis Installation of dr.R. Tuban coesma. The sample size studied was 3 respondents who were diagnosed with CKD and underwent outpatient hemodialysis using purposive random sampling technique. The data taken were in the form of characteristics, protein intake data, creatinine level data, BUN level data. Results: The average level of protein intake before hemodialysis is 0.5 g/KgBB/day, this value is still below the standard used by Dr.R.Koesma Tuban General Hospital and still under Pernefri's recommendations. The average level of protein intake after hemodialysis is 0.8 g/KgBB/day, this value is still below the standard used by Dr.R.Koesma Tuban General Hospital and still under Pernefri's recommendation. All respondents have optimal creatinine levels. All respondents had BUN levels that exceeded normal BUN levels. Conclusion: The average protein intake before and after hemodialysis is still in the low category. The average creatinine level of the respondents shows the optimal creatinine level. The average BUN level for respondents showed BUN levels that exceeded normal BUN levels. Keywords: CKD, Protein Intake, Hemodialysis, Creatinine Levels, BUN Levels.