Optimization of Thirst Management on CKD Patients Undergoing Hemodialysis by Sipping Ice Cube

Yunie Armiyati; Khoiriyah Khoiriyah; Ahmad Mustofa

doi:10.26714/mki.2.1.2019.38-48

Optimization of Thirst Management on CKD Patients Undergoing Hemodialysis by Sipping Ice Cube

Yunie Armiyati^(1*), Khoiriyah Khoiriyah⁽²⁾, Ahmad Mustofa⁽³⁾

(1) University of Muhammadiyah Semarang
(2) University of Muhammadiyah Semarang
(3) University of Muhammadiyah Semarang
(*) Corresponding Author

Abstract

Excess fluid is a major problem in patients with Chronic Kidney Disease (CKD). CKD patients undergoing hemodialysis must keep limiting fluid intake during the interdialysis period so that excess fluid does not occur. Consequently limiting fluid intake arises thirst and will affect fluid restriction compliance. Management of thirst that can be done in hemodialysis patients, among others, suck ice cubes, gurgling the ripe water and gurgling with mouthwash, each of which has a different action against patients thirst. The purpose of this study was to compare the three interventions "thirst management", namely sipping ice cubes, gargling ripe water and gargling with mouthwash against patient thirst. This study was an experimental study in 27 samples of CKD patients who underwent hemodialysis at Roemani Muhammadiyah Hospital in Semarang divided into 3 groups with each group 9 samples. The results showed that the duration of holding thirst for the group sipping on ice cubes averaged 93 minutes, the gurgling group of ripe water averaged 55 minutes and the average length of time holding the thirst group who gurgling with mouthwash was 69.71 minutes. There was no significant difference in the duration of holding thirst after sucking on ice cubes and gargling ripe water, and gargling with mouthwash (ρ value 0.061). Sipping ice cubes can fight the longest thirst compared to gargling ripe water or gargling with mouthwash. The recommendations of this study are expected to intervene to sipping ice cubes, gargling ripe water and gargling with mouthwash can be used for thirst management in hemodialysis patients. Hemodialysis patients can choose interventions to reduce the thirst that is most appropriate.

Keywords

CKD; Hemodialisis; Thirst Management

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References

Ardiyanti, A., Armiyati, Y., & Arif, M. S. (2015). Pengaruh Kumur dengan Obat Kumur Rasa Mint terahadap Rasa Haus pada Penyakit Ginjal Kronis yang Menjalani Hemodialisa di SMC RS Telogorejo. Jurnal Keperawatan dan Kebidanan, 1 - 9.

Arfany, N. W., Armiyati, Y., & Kusuma, M. A. B. (2014). Efektifitas mengunyah permen karet rendah gula dan mengulum es batu terhadap penurunan rasa haus pada pasien Penyakit Ginjal Kronis yang menjalani hemodialisis di RSUD Tugurejo Semarang. Karya Ilmiah.

Buss, J. S., & Labus, D. (2013). Buku Saku Patofisiologi. Jakarta: EGC.

Fahmi, F. Y., & Hidayati, T. (2016). Gambaran self care status cairan pada pasien hemodialisa (literatur review). Jurnal Care, vol. 4, No. 2, Tahun 2016.

Inrig, J. K. (2010). Intradialytic hypertension: a less-recognized cardiovascular complication of hemodialysis. American Journal of Kidney Diseases, 55(3), 580-589.

Igbokwe, V.U., & Obika, L. F. O. (2008). Thirst perception and dryness of mouth in healthy young adults nigerians. African Journal Of Biomedical Research, vol. 11 (2008); 39-46.

Istanti, Y. P. (2013). Hubungan antara masukan cairan dengan Interdialytic Weight Gains (IDWG) pada pasien Chronic Kidney Diseases di Unit Hemodialisis RS PKU Muhammadiyah Yogyakarta. Profesi (Profesional Islam): Media Publikasi Penelitian, 10(01).Kozier, B., Glenora, Berman, A., & Snyder, J. S. (2011). Buku Ajar Fundamental Keperawatan Konsep, Proses dan Praktik. Jakarta: EGC.

Kozier, B., Glenora, Berman, A., & Snyder, J. S. (2011). Buku Ajar Fundamental Keperawatan Konsep, Proses dan Praktik. Jakarta: EGC.

Millard-Stafford, M., Wendland, D. M., O'Dea, N. K., & Norman, T. L. (2012).Thirst and hidration status in everyday life. Nutrition Reviews, Vol 70 (Suppl. 2): S147-S151.

Makrumah, N. (2017). Efektifitas mengulum es batu dan berkumur air matang terhadap lama waktu menahan rasa haus pasien yang menjalani hemodialisis di RS Roemani Muhammadiyah semarang (Minithesis, Universitas Muhammadiyah Semarang).

Pratama, Moh. A. B. P. (2014). Perbedaan sekresi saliva sebelum dan sesudah berkumur menggunakan baking soda pada penderita diabetes melitus.http://repository.unhas.ac.id/handle/123456789/11853. Diakses pada tanggal 15 Februari 2019.

Price, S. A., & Wilson, L. M. (2013). Patofisiologi Konsep Klinis Proses - Proses Penyakit Edisi 6 Volume 2. Jakarta: EGC.

Potter, P. A., & Perry, A. G. (2006).Buku ajar fundamental keperawatan: konsep, proses, dan praktik. Jakarta: EGC

Price, S. A., & Wilson, L. M. (2013). Patofisiologi konsep klinis proses - proses penyakit edisi 6. Diterjemahkan oleh : Brahm U. Pendit, et al. Jakarta: EGC.

Putra, W. S. (2013). Sehat dengan Herbal Tanpa Dokter. Yogyakarta: Citra Media.

Sherwood, L. (2011). Fisiologi Manusia dari Sel ke Sistem Edisi 6. Jakarta: EGC.

Slone, E. (2014). Anatomi dan Fisiologi untuk Pemula. Jakarta: EGC.

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2013). Brunner & Suddarth's textbook of medical-surgical nursing (13th ed. Vol. 1): Lippincott Williams & Wilkins.

Suyatni, Armiyati, Y., & Mustofa, A. (2016). Efektifitas Berkumur dengan Obat Kumur dan Mengulum Es Batu terhadap Penurunan Rasa Haus pada Pasien Penyakit Gunjal Kronis yang Menjalani Hemodialisa di RS Roemani Muhammadiyah Semarang. Jurnal Ilmu Keperawatan dan Kebidanan , 1 - 12.

Syaifuddin. (2014). Anatomi Tubuh Manusia untuk Mahasiswa Keperawatan dan Kebidanan. Jakarta: Salemba Medika.

Widiyanto, P., Hadi, H., & Wibowo, T. (2014). Korelasi Positif Perubahan Berat Badan Interdialisis dengan Perubahan Tekanan Darah Pasien Post Hemodialisa. Jurnal Ners dan Kebidanan Indonesia, 2(1), 1-8.

Sujudi, M., Zuhri, A., & Kusumantoro, A. (2017). Efektivitas Fruit Frozen terhadap Keluhan Haus dan Mulut Kering pada Pasien CHF yang Menjalani Program Restriksi Cairan di Ruang UPJ RSUP Dr. Kariadi Semarang. Medica Hospitalia-Journal Of Clinical Medicine, 2(3)

Suryono, A., Armiyati, Y., & Mustofa, A. (2016). Efektifitas mengulum es batu dan berkumur air matang terhadap penurunan rasa haus pasien Penyakit Ginjal Kronik (PGK) di RSUP. Dr. Kariadi Semarang.http://jurma.unimus.ac.id/index.php/perawat/article/view/290, diperoleh 20 Februari 2019.