THE EFFECT OF INCREASING QUICK OF BLOOD (QB) ON UREUM REDUCTION RATIO (URR) IN CLIENTS THAT ARE CONDUCTING HEMODIALYSIS IN DUSTIRA HOSPITAL CIMAHI

Abstract

Introduction: WHO states globally more than 500 million people experience chronic kidney disease. About 1.5 million people have to undergo dialysis in their lifetime. Based on the Data and Information Center of the Indonesian Hospital Association, the number of chronic kidney failure patients is estimated to be around 50 people per one million population, 60% of whom are adults and the elderly (IPDI, 2018). This study aims to determine the effect of increasing the quick of blood on the urea reduction ratio in clients undergoing hemodialysis which initially QB 200 ml/min as secondary data to 250 ml/min as primary data.  Methodology: The design of this study used a Quasi Experiment conducted on 19 respondents who underwent hemodialysis. Univariate analysis using median and mean. Bivariate analysis using Wilcoxon. Research findings: The results showed that post urea with QB 200ml / min had a decrease of 64% whereas QB 250ml / min had a decrease in urea by 71%. The statistical test showed that there was a significant difference in urea before and after hemodialysis with an increase in QB (p = 0.001). Conclusions: The results of this study will become the hospital standard in determining the quick of blood (QB) so that the length of the hemodialysis process does not exceed the specified time and during the hemodialysis process it will be more effective.