Pustaka Ilmiah Universitas Padjadjaran

Abstrak

Predictors Of Hemodialsis Adequacy Among Hemodialysis Patient : A Literature Review

Hemodialysis adequacy indicate the sufficiency of dialysis process to clean the metabolisme waste products the blood. It also functions to maintain the balance of water and prevent complications caused by uremic. There were many factors associated with hemodialysis adequacy. However, some factors have not identified clearly in the literature. The study aimed to examine the predictors of hemodialysis adequacy patients with regular hemodialysis that available in the literature. A systematic review was conducted electronic data base, such as CINAHL, PubMed, and Google Scholar. Literature should be in full text in only hemodialysis theraphy, not in another renal replacement theraphy such as peritoneal dialysis renal transplantation. Key words such as “hemodialysis adequacy”, “predictors”, or “hemodialysis factors” were entered into the websites. The findings indicated that hemodialysis adequacy was sociated with some factors, such as molecular weight of solute, body mass index, blood viscosity, quick quick dialysate, dialyzer surface area, ultrafiltration rate, length of time during hemodialysis, frequency in a week, quality of vascular access, and type of anticoagulation. The common effective factors to hemodialysis adequacy were dialyzer surface area, length of time during hemodialysis quality of vascular access. The study suggests that dialyzer surface area, length of time during hemodialysis dialysis and quality of vascular access are the common affective factors should be maintained. Further empirical examination is needed to prove the relationships as well as to test which factor many have dominant relationship to hemodialysis adequacy.