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Journal : Jurnal Gizi Klinik Indonesia

Faktor-faktor yang mempengaruhi kepatuhan diet pasien hemodialisis Fery Lusviana Widiany
Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.038 KB) | DOI: 10.22146/ijcn.22015

Abstract

Background: Riskesdas 2013 data shows the prevalence of chronic kidney disease in Central Java and Yogyakarta 0.3%, which is higher than the average prevalence across Indonesia which is only 0.2%. The results of the author’s study previously showed that the intake of energy, protein, sodium hemodialysis patients on average are not sufficient, while the average fluid intake exceeds the dietary recommendation. There are several factors that can affect dietary compliance of the hemodialysis patients, such as knowledge, family support, attitudes, and behavior.Objective: To examine the factors that affect dietary compliance of the hemodialysis patients.Method: This is an observational study with cross-sectional design, conducted in the hemodialysis unit of Dr. Soeradji Tirtonegoro Hospital, Klaten on March - October 2016, involving 60 respondents. The dependent variable is dietary compliance, while the independent variables are knowledge, family support, attitudes, and behavior. Data were analyzed using univariate and bivariate with Chi-Square test.Results: Chi-Square test results of knowledge with dietary compliance showed the p-value = 0.027; family support with dietary compliance showed the p-value = 0.045; attitude with dietary compliance showed the p-value = 0.045; and behavior with dietary compliance showed the p-value = 0.002.Conclusion: Knowledge, family support, attitude, and behavior affect dietary compliance of the hemodialysis patients.
Pemantauan gizi dengan SMS reminder efektif meningkatkan kepatuhan diet pasien hemodialisis Fery Lusviana Widiany; Yuni Afriani
Jurnal Gizi Klinik Indonesia Vol 15, No 3 (2019): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.22255

Abstract

Nutritional monitoring with SMS reminder is effective to increase the dietary compliance of hemodialysis patientsBackground: Patients with routine hemodialysis are at risk of malnutrition, inadequate intake of protein, hypoalbuminemia, gastrointestinal disorders. One of the factors affecting dietary compliance is knowledge so that the education and nutrition monitoring on an ongoing basis is necessary. Objective: To determine the effectiveness of nutrition monitoring with SMS reminders on dietary compliance of hemodialysis patients.Methods: This was a quasi-experimental study that involved 30 regular hemodialysis patients, divided into two groups. The inclusion criteria were aged >18 years, willing to become respondent and following the procedure, have a handphone, able to read and write. Patients with anasarca edema and complications of malignancy disease were excluded. The independent variable is nutritional monitoring with SMS reminders, while the dependent variable is dietary compliance. Data were statistically analyzed using the Chi-Square test and multiple logistic regression test. Results: Statistical analysis showed that nutritional monitoring with SMS reminder effectively influences the compliance on the consumption of energy (p=0.011, RR=2.750), fluid (p=0.014, RR=2.000), and potassium (p=0.011, RR=2.750). The compliance on the consumption of fluid is the most dominant factor affected by nutrition monitoring with SMS reminders given (B=3.676, p=0.02).Conclusions: Nutritional monitoring with SMS reminders is effective to increase the dietary compliance of hemodialysis patients.
Status gizi berdasarkan dialysis malnutrition score (DMS) dengan kualitas hidup pasien hemodialisis Dina Maulina Hayati; Fery Lusviana Widiany; Fera Nofiartika
Jurnal Gizi Klinik Indonesia Vol 18, No 1 (2021): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.60778

Abstract

Nutritional status based on the dialysis malnutrition score (DMS) with hemodialysis patients' quality of lifeBackground: Chronic kidney disease (CKD) is a disorder of the kidney organs characterized by abnormalities in the structure or function of the kidneys. Patients suffering from end-stage CKD require renal replacement therapy in the form of hemodialysis. However, hemodialysis on a routine basis can decrease nutritional status, which will result in malnutrition patients. Malnutrition is associated with morbidity and mortality rates, such as prolonged weakness, susceptibility to infectious diseases, and impaired wound healing that can affect the quality of life. Objective: This study aims to determine the correlation between nutritional status based on the Dialysis Malnutrition Score (DMS) with the quality of life of hemodialysis patients. Methods: The research design was cross-sectional with an observational research design. This research was conducted from 02 September 2019 until 11 September 2019 in the hemodialysis unit at RSUD Panembahan Senopati Bantul with 182 subjects of all chronic kidney disease patients undergoing hemodialysis from 2009 until April 2019. The researcher assessed nutritional status data based on the DMS. In addition, the quality of life was based on Kidney Disease Quality of Life (KDQoL) which researchers for elderly subjects assisted, and some parts filled directly by the subject. The statistical analysis used for this study was the Chi-square test. Results: Based on the Chi-square test, there is a correlation between nutritional status based on the DMS and the quality of life of hemodialysis patients (p-value=0.009). Most subjects had good nutritional status based on the DMS and had good quality on the KDQoL. Conclusions: There is a correlation between the risk of malnutrition based on the Dialysis Malnutrition Score (DMS) and hemodialysis patients' quality of life (KDQoL).