Analisis Karakteristik Penderita Restless Legs Syndrome pada Pasien Chronic Kidney Disease di Ruang Hemodialisa



Gusri Rahayu(1), Hema Malini(2), Elvi Oktarina(3*)

(1) Andalas University
(2) Andalas University
(3) Andalas University
(*) Corresponding Author

Abstract


Hemodialysis is one of the management of Chronic Kidney Disease (CKD. Hemodialysis can cause various complications, such is Restless Legs Syndrome (RLS). RLS conditions occur due to increased uremic toxic, causing complaints in the form of pain in the upper or lower extremities, burning sensation, movement that can not be controlled or numbness.The purpose of this study was to determine the characteristics of patients with Restless Legs Syndrome in Chronic Kidney Disease patients in the Hemodialysis Room.The design of this study was descriptive with a purposive sampling. The subjects in this study were 32 respondents. The  results showed that the characteristics of RLS sufferers are on average in the late adult age range, most genders are male, most High School educators, the average length of dialysis undergoing above 4 years, many RLS sufferers do not work, most comorbidities are diabetes mellitus and hypertension and the average urea level of respondents 105 gr / dl. RLS condition identification needs to be done so that it can be known early so that the severity of RLS can be corrected immediately


Hemodialisismerupakan salah satu penanganan penyakit ginjal kronik atau Chronic Kidney Disease (CKD. Hemodialisis dapat menimbulkan berbagai komplikasi salah satunya adalah Restless Legs Syndrome (RLS). Kondisi RLS terjadi diakibatkan uremic toxic yang meningkat sehingga menimbulkan keluhan berupa rasa nyeri pada ekstremitas atas maupun bawah, rasa terbakar, terjadi pergerakan yang tidak dapat dikontrol maupun rasa kebas. Tujuan penelitian ini  adalah untuk mengetahui  karakteristik penderita Restless Legs Syndrome pada pasien Chronic Kidney Disease di Ruang Hemodialisa. Desain penelitian ini adalah deskriptif dengan teknik pengambilan sampel yaitu purposive sampling.Subjek dalam penelitian ini berjumlah 32 responden. Hasil penelitian menunjukkan bahwa karakteristik penderita RLS rata-rata berada dalam rentang usia dewasa akhir, jenis kelamin terbanyak yaitu laki-laki, pendidilkan terbanyak Sekolah Menengah Atas (SMA), rata-rata lama menjalani HD terbanyak diatas 4 tahun, penderita RLS banyak yang tidak bekerja, penyakit penyerta terbanyak yaitu diabetes melitus dan hipertensi dan rata-rata kadar ureum responden 105 gr/dl. Identifikasi kondisi RLS perlu dilakukan sehingga dapat diketahui lebih dini dengan demikian keparahan RLS dapat segera diperbaiki.


Keywords


Chronic Kidney Disease; Restless Legs Syndrome;Ureum Levels

Full Text:

PDF

References


USRDS. (2015). 2015 USRDS Annual Data Report Volume 2: ESRD in the United States. 2.

Araujo, S. M. H. A., Bruin, V. M. S. de, Nepomuceno, L. A., Maximo, M. L., Daher, E. de F., Correia Ferrer, D. P., & Bruin, P. F. C. de. (2010). Restless legs syndrome in end-stage renal disease: Clinical characteristics and associated comorbidities. Sleep Medicine, 11(8), 785–790. https://doi.org/10.1016/j.sleep.2010.02.011

Batool-Anwar, S., Malhotra, A., Forman, J., Winkelman, J., Li, Y., & Gao, X. (2011). Restless legs syndrome and hypertension in middle-aged women. Hypertension, 58(1), 791–796. https://doi.org/10.1161/HYPERTENSIONAHA.111.174037

Baumgaertel, M. W., Kraemer, M., & Berlit, P. (2014). Neurologic complications of acute and chronic renal disease. Handbook of Clinical Neurology, 119, 383–393. https://doi.org/10.1016/B978-0-7020-4086-3.00024-2

Brouns, R., & De Deyn, P. P. (2004). Neurological complications in renal failure: a review. Clin Neurol Neurosurg, 107(1), 1–16. https://doi.org/S0303-8467(04)00113-1 [pii]r10.1016/j.clineuro.2004.07.012

Centers for Disease Control and Prevention. (2017). National Chronic Kidney Disease Fact Sheet 2017. US Department of Health and Human Services, Center for Disease Control and Prevention, 1–4.

Fuhs, A., Bentama, D., Antkowiak, R., Mathis, J., Trenkwalder, C., & Berger, K. (2014). Effects of short- and long-term variations in RLS severity on perceived health status - the COR-Study. PLoS ONE, 9(4). https://doi.org/10.1371/journal.pone.0094821

Garcia-Borreguero, D., Silber, M. H., Winkelman, J. W., Högl, B., Bainbridge, J., Buchfuhrer, M., … Allen, R. P. (2016). Guidelines for the first-line treatment of restless legs syndrome/Willis-Ekbom disease, prevention and treatment of dopaminergic augmentation: A combined task force of the IRLSSG, EURLSSG, and the RLS-foundation. Sleep Medicine, 21, 1–11. https://doi.org/10.1016/j.sleep.2016.01.017

Giannaki, C. D., Sakkas, G. K., Karatzaferi, C., Hadjigeorgiou, G. M., Lavdas, E., Kyriakides, T., … Stefanidis, I. (2013). Effect of exercise training and dopamine agonists in patients with uremic restless legs syndrome: A six-month randomized, partially double-blind, placebo-controlled comparative study. BMC Nephrology, 14(1). https://doi.org/10.1186/1471-2369-14-194

Ignatavicius, & Workman, L. (2006). Medical Surgical Nursing Critical Thinking for Collaboration Care (5th ed.). St. Louis: Elsevier.

Ikizler, T. A., Pupim, L. B., Brouillette, J. R., Levenhagen, D. K., Farmer, K., Hakim, R. M., & Flakoll, P. J. (2002). Hemodialysis stimulates muscle and whole body protein loss and alters substrate oxidation. American Journal of Physiology. Endocrinology and Metabolism, 282(1), E107-16. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11739090

IRR. (2015). Program Indonesian Renal Regestry (IRR). 1–45.

Jaber, B. L., Schiller, B., Burkart, J. M., Daoui, R., Kraus, M. A., Lee, Y., … Finkelstein, F. O. (2011). Impact of short daily hemodialysis on restless legs symptoms and sleep disturbances. Clinical Journal of the American Society of Nephrology, 6(5), 1049–1056. https://doi.org/10.2215/CJN.10451110

Kemenkes. (2018). Hasil Utama RISKESDAS 2018.

Kemenkes, R. (2017). InfoDATIN.

La Manna, G., Pizza, F., Persici, E., Baraldi, O., Comai, G., Cappuccilli, M. L., … Stefoni, S. (2011). Restless legs syndrome enhances cardiovascular risk and mortality in patients with end-stage kidney disease undergoing long-term haemodialysis treatment. Nephrology Dialysis Transplantation, 26(6), 1976–1983. https://doi.org/10.1093/ndt/gfq681

Li, Y., Walters, A. S., Chiuve, S. E., Rimm, E. B., Winkelman, J. W., & Gao, X. (2012). Prospective study of restless legs syndrome and coronary heart disease among women. Circulation, 126(14), 1689–1694. https://doi.org/10.1161/CIRCULATIONAHA.112.112698

Molnar, M. Z., Novak, M., Ambrus, C., Szeifert, L., Kovacs, A., Pap, J., … Mucsi, I. (2005). Restless Legs Syndrome in patients after renal transplantation. Am.J.Kidney Dis., 45(2), 388–396.

Mucsi, I., Molnar, M. Z., Ambrus, C., Szeifert, L., Kovacz, A. Z., Zoller, R., … Novak, M. (2005). Restless legs syndrome, insomnia and quality of life in patients on maintenance dialysis. Nephrology Dialysis Transplantation, 20(3), 571–577. https://doi.org/10.1093/ndt/gfh654

Novak, M., Winkelman, J. W., & Unruh, M. (2015). Restless Legs Syndrome in Patients With Chronic Kidney Disease. Seminars in Nephrology, Vol. 35, pp. 347–358. https://doi.org/10.1016/j.semnephrol.2015.06.006

Pellecchia, M. T., Vitale, C., Sabatini, M., Longo, K., Amboni, M., Bonavita, V., & Barone, P. (2004). Ropinirole as a treatment of restless legs syndrome in patients on chronic hemodialysis: An open randomized crossover trial versus levodopa sustained release. Clinical Neuropharmacology, 27(4), 178–181. https://doi.org/10.1097/01.wnf.0000135480.78529.06

Price, S., & Wilson, L. (2006). Patofisiologi konsep klinis proses-proses penyakit (6 Volume 2). Jakarta: Penerbit Buku Kedokteran EGC.

Raj, D. S. C., Sun, Y., & Tzamaloukas, A. H. (2008). Hypercatabolism in dialysis patients. Current Opinion in Nephrology and Hypertension, 17(6), 589–594. https://doi.org/10.1097/MNH.0b013e32830d5bfa

RestlessLegsSyndrome, & Fondation. (2008). Restless Legs Syndrome 2008.

Riyanto, A., & Bambang. (2013). Kuesioner pengetahuan dan sikap dalam penelitian. Jakarta: Salemba Medika.

Sacher, R., & Pherson. (2004). Tinjauan Klinis Hasil Pemeriksaan Laboratorium (11th ed.; Pendit & Wulandari, Eds.). Jakarta: EGC.

Silva, S. F. Da, Pereira, A. A., Silva, W. A. H. Da, Simôes, R., & Barros Neto, J. D. R. (2013). Physical therapy during hemodialyse in patients with chronic kidney disease. Jornal Brasileiro de Nefrologia : ʹorgão Oficial de Sociedades Brasileira E Latino-Americana de Nefrologia, 35(3), 170–176. https://doi.org/10.5935/0101-2800.20130028

Smeltzer, Suzane C., and Bare, B. G. (2008). Buku Ajar Kesehatan Medical Bedah (8 volume 2). Jakarta: EGC.

Smelzer, S. C., & Bare, B. G. (2002). Buku Ajar Keperawatan Medikal Bedah Brunner and Suddarth (8th ed.). Jakarta: Penerbit Buku Kedokteran EGC.

Stenvinkel, P., Carrero, J. J., von Walden, F., Ikizler, T. A., & Nader, G. A. (2015). Muscle wasting in end-stage renal disease promulgates premature death: established, emerging and potential novel treatment strategies. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association. https://doi.org/gfv122 [pii]

Tsekoura, D., & Manolis, A. J. (2014). The association of Restless Legs Syndrome with hypertension and cardiovascular disease. 654–659. https://doi.org/10.12659/MSM.890252

Wawan, & Dewi. (2010). Teori dan Pengukuran Pengetahuan, Sikap dan Perilaku Manusia. Jakarta: Nuha Medika.

Winter, A. C., Berger, K., Glynn, R. J., Buring, J. E., Gaziano, J. M., Schürks, M., & Kurth, T. (2013). Vascular Risk Factors , Cardiovascular Disease , and Restless Legs Syndrome in Men. AJM, 126(3), 228–235.e2. https://doi.org/10.1016/j.amjmed.2012.06.039




Copyright (c) 2019 Gusri Rahayu, Hema Malini, Elvi Oktarina

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Published by Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Khatib Sulaiman Street Padang
West Sumatera
Phone: +62751705637
Fax: +62751705637
Email: jurnal.lldikti10@ristekdikti.go.id

E-ISSN : 2477-6521
Â