Minyak Zaitun dan Kunyit untuk Mengurangi Gatal pada Pasien Hemodialisis: Studi Kasus
Rizka Yudhit Kurniawati(1*), Arifin Triyanto(2), Sukardi Sukardi(3)
(1) Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Instalasi Hemodialisis Rumah Sakit Umum Pusat Dr. Sardjito
(*) Corresponding Author
Abstract
Background: Chronic kidney disease (CKD) is a progressive and irreversible renal dysfunction, where the kidneys fail to function properly, lead to the body’s inability to maintain metabolism and fluid-electrolyte balance. More than half of end-stage CKD patients exhibit pruritus-related issues. Pruritus (itchiness) can result in redness, lesions, sleep disturbances, fatigue, depression, decreased quality of life, and even death. Therefore, a proper management is necessary to reduce pruritus complaints.
Objective: To confirm the benefit of olive oil and turmeric in alleviating pruritus.
Case report: A patient, 63 years old, had been undergoing hemodialysis since 2021 and had complained of itchiness 1 month after hemodialysis sessions. For three months, the patient applied a mixture of olive oil and turmeric powder on the area where the itchiness were felt, in the frequency of once every 1-2 days at night.
Outcome: The intensity of itching had decreased from scale of 7 to 4, provided more comfort and improved sleep quality. Both olive oil and turmeric powder had anti-inflammatory and antioxidant properties that reduced pruritus complaints.
Conclusion: The combination of these two ingredients can be considered as one therapy option to alleviate pruritus complaints in CKD patients undergoing hemodialysis.
INTISARI
Latar belakang: Chronic kidney disease (CKD) merupakan gangguan fungsi renal yang progresif dan irreversible sehingga tubuh gagal untuk mempertahankan metabolisme dan keseimbangan cairan elektrolit. Lebih dari setengah pasien CKD tahap akhir menunjukkan masalah pruritus (gatal). Pruritus dapat mengakibatkan kemerahan, lesi, gangguan tidur, kelelahan, depresi, penurunan kualitas hidup, bahkan kematian. Oleh karena itu, perlu penanganan untuk mengurangi keluhan pruritus.
Tujuan: Mengetahui manfaat minyak zaitun dan kunyit terhadap pruritus pada pasien dengan CKD.
Laporan kasus: Seorang pasien usia 63 tahun, menjalani hemodialisis sejak 2021 dan mengeluhkan pruritus (gatal) sejak 1 bulan menjalani hemodialisis. Selama tiga bulan pasien mengoleskan campuran minyak zaitun dan bubuk kunyit pada bagian tubuh yang terasa gatal, dengan frekuensi 1-2 hari sekali pada malam hari.
Hasil: Intensitas gatal berkurang dari skala 7 ke 4, lebih nyaman dan dapat meningkatkan kualitas tidur. Minyak zaitun dan bubuk kunyit memiliki efek antiinflamasi dan antioksidan yang berperan dalam mengurangi keluhan gatal.
Simpulan: Campuran kedua bahan ini dapat dijadikan sebagai salah satu terapi untuk mengurangi keluhan pruritus pada pasien CKD yang menjalani hemodialisis.
Kata kunci: hemodialisis; kunyit; minyak zaitun; pruritus
Keywords
Full Text:
PDFReferences
Rivandi J, Yonata A. Hubungan Diabetes Melitus dengan Kejadian Gagal Ginjal Kronik. J Major. 2015; 4(9): 27–34. http://repository.lppm.unila.ac.id/22414/1/DM%20vs%20Ginjal%20Kronik.pdf
Utami MPS, Rosa EM, Khoiriyati A. Gambaran Komorbid Pasien Hemodialisis. STRADA Jurnal Ilmiah Kesehatan. 2016;6(1):18–23. https://sjik.org/index.php/sjik/article/view/134
Amalia A, Apriliani NM. Analisis Efektivitas Single Use dan Reuse Dialyzer pada Pasien Gagal Ginjal Kronik di RSUD Mardi Waluyo Kota Blitar. J Sains dan Kesehatan. 2021; 3(5): 679–86. https://journal.umbjm.ac.id/index.php/jcps/article/view/767
Nugroho SA. Studi Fenomenologi: Pengalaman Manajemen Pruritus pada Klien Hemodialisis di RSUD dr. Mohammad Saleh Probolinggo Tahun Jurnal OSFPrePrints. 2016; 1-13. https://doi.org/10.31219/osf.io/8mhau
Muliani R, Lestari SA, HHK NI. Pemberian Emolien Minyak Zaitun dalam Menurunkan Skala Pruritus pada Pasien Hemodialisis. J Keperawatan ’Aisyiyah. 2021; 8(1): 39–47. https://doi.org/10.33867/jka.v8i1.240
Harlim A, Yogyartono P. Pruritus Uremik pada Penyakit Gagal Ginjal Kronik. Maj Kedokt FK UKI. 2012; 28(2): 100–111. https://doi.org/10.33541/mkvol34iss2pp60
Nakhaee S, Nasiri A, Waghei Y, Morshedi J. Comparison of Avena Sativa, Vinegar, and Hydroxyzine for Uremic Pruritus of Hemodialysis Patients: A Crossover Randomized Clinical Trial. Iran J Kidney Dis. 2015; 9(4): 316–22. https://pubmed.ncbi.nlm.nih.gov/26174460/
Sembiring F, Nasution SS, Ariani Y. Gambaran Pruritus Uremik Pasien Gatal Ginjal Kronik di Unit Hemodialisis Rumah Sakit Umum Pusat Haji Adam Malik Medan. J Perawat Indones. 2020; 4(1): 243–9. https://doi.org/10.32584/jpi.v4i1.358
Panahi Y, Dashti-Khavidaki S, Farnood F, Noshad H, Lotfi M, Gharekhani A. Therapeutic Effects of Omega-3 Fatty Acids on Chronic Kidney Disease-Associated Pruritus: A Literature Review. Adv Pharm Bull. 2016; 6(4): 509–14. http://dx.doi.org/10.15171/apb.2016.064
Astuti R, Husna C. Skala Pruritus pada Pasien Gagal Ginjal Kronik. J Ilm Mhs. 2017; 2(4): 1–6. https://jim.usk.ac.id/FKep/article/view/4726
Khoirini F. Gel Lidah Buaya dalam Mengurangi Pruritus. J Nurs Public Heal. 2018; 6(2): 25–34. https://doi.org/10.37676/jnph.v6i2.644
Hrisudani NNM, Widyawati IY, Hidayati L. Giving of Extra Virgin Olive Oil for Hemodialysis Patients Reduce Uremic Pruritus. Int J Psychosoc Rehabil. 2020; 24(6): 2709–13. https://doi.org/10.37200/V24I6/13673
Muadifah A, Amini HW, Amini HW, Putri AE, Putri AE, Latifah N, et al. Aktivitas Antibakteri Ekstrak Rimpang Kunyit (Curcuma Domestica Val) terhadap Bakteri Staphylococcus Aureus. J SainHealth. 2019;3(1):45. https://doi.org/10.51804/jsh.v3i1.313.45-54
Apriliana E, Heviana LN. Penggunaan Kunyit (Curcuma domestica) sebagai Terapi Ptyriasis versicolor. J Agromedicine. 2018; 5: 474–8. http://repository.lppm.unila.ac.id/12698/1/1986-2703-2-PB.pdf
Cheng AY, Wong LS. Uremic Pruritus: from Diagnosis to Treatment. Diagnostics. 2022; 12(5). https://doi.org/10.3390/diagnostics12051108
Pardede SO. Pruritus Uremik. Sari Pediatr. 2010; 11(5): 345–54. https://dx.doi.org/10.14238/sp11.5.2010.348-54
Novena OD, Ariani NGPR. Pruritus dan Modalitas Terapi Terkini: Sebuah Tinjauan Pustaka. Intisari Sains Medis. 2021; 12(3): 694–8. https://doi.org/10.15562/ism.v12i3.1128
Kim D, Pollock C. Epidemiology and Burden of Chronic Kidney Disease-Associated Pruritus. Clin Kidney J. 2021; 14: 11–7. https://doi.org/10.1093/ckj/sfab142
Fauziah N, Soelistyowati E. Fakor yang Memengaruhi Terjadinya Pruritus pada Klien Gagal Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit Islam Jemursari Surabaya. J Keperawatan. 2018; 11(April): 111–8.
Taheri M, Farahani AL. Anti-Inflammatory and Restorative Effects of Olives in Topical Application. Dermatol Res Pract. 2021; 2021: 1–9. https://doi.org/10.1155%2F2021%2F9927976
Badiu D, Luque R, Rajendram R. Effect of Olive Oil on The Skin. Olives and Olive Oil in Health and Disease Prevention. Academic Press.; 2010. 1125–1132. https://doi.org/10.1016/B978-0-12-374420-3.00123-6
Suprihatin T, Rahayu S, Rifa’i M, Widyarti S. Senyawa pada Serbuk Rimpang Kunyit (Curcuma longa L.) yang Berpotensi sebagai Antioksidan. Bul Anat dan Fisiol. 2020; 5(1): 35–42. https://doi.org/10.14710/baf.5.1.2020.35-42
Khoirot RM, Kusnanto K, Suprajitno S. Effect of Topical Aromatherapy Turmeric Oil to Pruritus Scale on Chronic Kidney Disease Patients. J Ners dan Kebidanan (Journal Ners Midwifery). 2019; 6(3): 396–400. http://doi.org/10.26699/jnk.v6i3.ART.p396-400
Pakfetrat M, Basiri F, Malekmakan L, Roozbeh J. Effects of Turmeric on Uremic Pruritus in End Stage Renal Disease Patients: A Double-Blind Randomized Clinical Trial. J Nephrol. 2014; 27(2): 203–7. https://doi.org/10.1007/s40620-014-0039-2
Nasser GA. Kunyit sebagai Agen Anti-inflamasi. Wellness Heal Mag. 2020; 2(1): 147–58. https://doi.org/10.30604/well.79212020
Hercz D, Jiang SH, Webster AC. Interventions for Itch in People with Advanced Chronic Kidney Disease (Review). Cochrane Database Syst Rev. 2020; 2020. https://doi.org/10.1002%2F14651858.CD011393
Attiyah SM, Mohammed HE. Effectiveness of Turmeric and Extra Virgin Olive Oil in The Management of IL-6 and IL-10 in Healthy Mice. J Pharm Res Int. 2021; 33: 9–16. https://doi.org/10.9734/jpri/2021/v33i39A32134
Nafiannisa T. Uji Aktivitas Antioksidan Sediaan Herbal Oil Ekstrak Kunyit (Curcuma longa L.) dalam Minyak Zaitun Murni (Extra Virgin Olive Oil) Menggunakan Metode DPPH [Skripsi]. Universitas Islam Negeri Maulana Malik Ibrahim; 2020.
DOI: https://doi.org/10.22146/jkkk.95555
Article Metrics
Abstract views : 1705 | views : 914Refbacks
- There are currently no refbacks.
Copyright (c) 2024 Rizka Yudhit Kurniawati, Arifin Triyanto, Sukardi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)
collaborates with DPW PPNI DIY
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.