THE ASSOCIATION BETWEEN CREATININE SERUM LEVELS AND HEMOGLOBIN VALUES IN PATIENTS WITH CHRONIC KIDNEY DISEASE AT RSUD BULELENG
DOI:
https://doi.org/10.31004/jkt.v6i4.53265Keywords:
Kadar Kreatinin, Nilai Hemoglobin, Penyakit Ginjal KronikAbstract
Penyakit ginjal kronik (PGK) adalah kondisi kerusakan ginjal secara progresif yang kerap disertai anemia, sehingga pemeriksaan kadar kreatinin dan hemoglobin menjadi penting dalam evaluasi klinis. Tujuan penelitian ini, yaitu menganalisis hubungan antara kadar kreatinin dengan nilai hemoglobin pada pasien PGK di RSUD Kabupaten Buleleng tahun 2024. Desain dari penelitian ini, yaitu analitik korelasional melalui pendekatan cross-sectional. Sampel terdiri atas 44 pasien PGK rawat jalan yang diseleksi melalui teknik purposive sampling. Sumber data menggunakan rekam medis elektronik berupa usia, jenis kelamin, kadar kreatinin serum, serta nilai hemoglobin. Penelitian ini menunjukkan rata-rata kadar kreatinin pasien PGK di RSUD Kabupaten Buleleng pada tahun 2024 adalah sebesar 4,2 mg/dL dan rata-rata nilai hemoglobin sebesar 10,72 g/dL dengan variasi yang relatif luas. Mayoritas pasien memiliki kadar kreatinin di atas normal dan sebagian besar pasien menunjukkan nilai hemoglobin rendah. Uji normalitas Shapiro-Wilk menunjukkan variabel kreatinin tidak terdistribusi normal (p < 0,001). Oleh karena itu, analisis dilanjutkan dengan uji korelasi Rank-Spearman. Hasil uji korelasi memperlihatkan adanya hubungan negatif yang bermakna antara kadar kreatinin dengan nilai hemoglobin (r = –0,557; p < 0,001). Peningkatan kreatinin serum berkaitan dengan penurunan nilai hemoglobin pada pasien PGK sehingga pemeriksaan fungsi ginjal harus dimonitoring secara berkala untuk meminimalisir risiko komplikasi, termasuk anemia.References
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