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Perbedaan derajat disfungsi ereksi pada pasien penyakit ginjal kronik derajat 5 sebelum dan setelah menjalani continuous ambulatory peritoneal dialysis

Abstract

Introduction: Erectile dysfunction (ED) is often found in patients with chronic kidney disease stage 5 (CKD stage 5). Erectile dysfunction is one of the sexual dysfunctions that affect physical and psychosocial health is still considered taboo and has not received attention, especially in patients with CKD stage 5 who undergo dialysis therapy with continuous ambulatory peritoneal dialysis (CAPD). In Indonesia only 2% of patients with CKD stage 5 underwent peritoneal dialysis with CAPD. This study aimed to determine the comparison of ED degree in CKD stage 5 patients before and after undergoing CAPD.

Method: This study design is pre and post-test design studies. Involved 22 study subjects male with CKD stage 5 with a minimum age of 18 years and a maximum of 70 years, already married and had undergone a CAPD of at least 3 months. The ED degree was assessed by the International Index of Erectile Function (IIEF5) questionnaire after being diagnosed with CKD stage 5 but had not received CAPD dialysis therapy and after undergoing CAPD at least 3 months.

Result: It was found in the group before CAPD that most of the patients with severe of ED degree were 11 subjects (50%) and after CAPD were mostly with mild to moderate of ED degrees 13 subjects (59,1%).

Conclusion: Significant of ED degree difference and increase in IIEF5 score in patients after undergoing CAPD with p <0.001. On this study is there are differences of ED degree and an increase in IIEF scores in CKD stage 5 patients undergoing CAPD. Erectile dysfunction and quality of life need to get attention and treatment for patients with CKD stage 5.


Pendahuluan: Disfungsi ereksi (DE) sering ditemukan pada pasien dengan penyakit ginjal kronik derajat 5 (PGK5). Disfungsi ereksi yang merupakan salah satu disfungsi seksual yang berpengaruh terhadap kesehatan fisik dan psikososial masih dianggap tabu dan belum mendapat perhatian, khususnya pada pasien PGK5 yang menjalani terapi dialisis dengan continuous ambulatory peritoneal dialysis (CAPD). Di Indonesia hanya 2% total pasien dengan PGK5 menjalani peritoneal dialisis dengan CAPD.

Bahan dan Metode: Penelitian ini bertujuan untuk mengetahui perbandingan derajat DE pada pasien PGK5 sebelum dan setelah menjalani CAPD.Penelitian ini menggunakan studi pre dan post-tes desain. Penelitian ini melibatkan 22 subjek penelitian laki-laki PGK5 dengan umur minimal 18 tahun dan maksimal 70 tahun, sudah menikah dan telah menjalani CAPD minimal 3 bulan. Derajat DE dinilai dengan kuisioner International Index of Erectile Function (IIEF5) setelah terdiagnosis PGK5 namun belum mendapat terapi dialisis CAPD dan sesudah menjalani CAPD minimal 3 bulan.

Hasil: Didapatkan pada kelompok sebelum CAPD sebagian besar dengan derajat DE berat sebesar 11 pasien (50%) dan setelah CAPD sebagian besar dengan derajat ringan-sedang 13 pasien (59,1%).

Kesimpulan: Perbedaan derajat DE yang signifikan dan peningkatan skor IIEF5 pada pasien setelah menjalani CAPD dengan p<0,001. Terdapat perbedaan derajat DE dan peningkatan skor IIEF pada pasien PGK5 yang menjalani CAPD. Disfungsi ereksi dan kualitas hidup perlu mendapatkan perhatian dan penanganan terapi pada pasien dengan PGK5.


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How to Cite

Winarta, G. K., Duarsa, G. W. K., & Kandarini, Y. (2020). Perbedaan derajat disfungsi ereksi pada pasien penyakit ginjal kronik derajat 5 sebelum dan setelah menjalani continuous ambulatory peritoneal dialysis. Medicina, 51(3). https://doi.org/10.15562/medicina.v51i3.800

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