CORRELATION BETWEEN HEMODIALYSIS STATUS AND SKIN INTEGRITY IMPAIRMENT AT MITRA PLUMBON HOSPITAL

Skin Integrity Impairment is a common complication found in patients with chronic kidney
disease (CKD), both in those undergoing hemodialysis and those who are not. Metabolic
changes and disturbances in fluid and electrolyte balance are suspected to contribute to the
condition of the patient's skin. However, there are still few studies that directly compare the
incidence of skin integrity impairment between HD and non-HD patients.This study aims to
determine the relationship between skin integrity disorders and hemodialysis status in
patients with chronic kidney failure. This research used a descriptive correlational design
with a cross-sectional approach. The sample consisted of 40 respondents, divided into two
groups: 20 patients undergoing hemodialysis and 20 non-hemodialysis patients. Data were
collected through direct observation using a standardized observation sheet from the
Indonesian National Nurses Association (PPNI) and medical record documentation. Data
analysis was conducted using the Chi-Square test. The results showed that all hemodialysis
patients (100%) experienced impaired skin integrity, while in the non-hemodialysis group,
the incidence was 55%. Statistical analysis indicated a significant relationship between
hemodialysis status and impaired skin integrity (p < 0.05), demonstrating a meaningful
correlation between hemodialysis status and skin integrity disorders. In conclusion, there is
a significant relationship between hemodialysis status and the incidence of impaired skin
integrity. Patients undergoing hemodialysis have a higher risk of experiencing skin integrity
disorders compared to those who do not.