Pengaruh Kenaikan Suhu Dialisat terhadap Tekanan Darah Intradialisis pada Pasien Ckd di Ruang Dialisis RSI Sultan Agung

Elevated blood pressure can increase intraglomerular pressure in the kidneys, potentially causing nephron damage and leading to proteinuria. In patients with chronic kidney disease (CKD), the use of supra-physiological dialysate temperatures, such as 37ºC, can elevate core body temperature (CBT), trigger vasodilation, and subsequently result in decreased blood pressure during hemodialysis. This study aimed to examine the effect of increased dialysate temperature on intradialytic blood pressure in CKD patients at the Dialysis Unit of RSI Sultan Agung. This research employed a quantitative approach with a pre-experimental one-group pre-test post-test design. The population consisted of 116 CKD patients undergoing hemodialysis. The results indicated that the average systolic blood pressure before the increase in dialysate temperature was 150.87 mmHg, with an average diastolic pressure of 85.37 mmHg. After the temperature increase, the average systolic pressure decreased to 144.00 mmHg, and the diastolic pressure dropped to 77.50 mmHg. Statistical analysis revealed a significant effect of increased dialysate temperature on intradialytic blood pressure, with a p-value of 0.000 (<0.05). These findings highlight the importance of careful regulation of dialysate temperature to enhance both the safety and effectiveness of hemodialysis therapy.