Faktor-faktor yang mempengaruhi kepatuhan diet pasien hemodialisis
Fery Lusviana Widiany(1*)
(1) Program Studi S-1 Ilmu Gizi, Fakultas Ilmu Kesehatan Universitas Respati Yogyakarta
(*) Corresponding Author
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.
Keywords
Full Text:
PDFReferences
- Desita. Pengaruh dukungan keluarga terhadap peningkatan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa di RSUP HAM Medan [Tesis]. Medan: Universitas Sumatera Utara; 2010.
- Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset kesehatan dasar. Jakarta: Kementerian Kesehatan RI; 2013.
- Muttaqin A, Kumala S. Gangguan gastrointestinal: aplikasi asuhan keperawatan medical bedah. Jakarta: Salemba Pustaka; 2011.
- Suhardjono. Buku ajar ilmu penyakit dalam jilid 2 edisi 3. Jakarta: Balai Penerbit FKUI; 2001.
- WHO. Adherence long-term therapies. Evidence for action [series online] 2003 [cited 19 Desember 2016]. Available from: URL: http://www.emro.who.int/
- Kammerer J, Garry G, Hartigan M, Carter B, Erlich L. Adherence in patients on dialysis: strategies for success. Nephrology Nursing Journal [series online] 2007;34(5) [cited 19 Desember 2016]. Available from: URL: http://www.ncbi.nlm.nih.gov
- Panjaitan EM, Siregar MA, Sudaryati E. Gambaran kepatuhan diet dan dukungan keluarga pada penderita gagal ginjal kronik yang menjalani hemodialisa rawat jalan di RSU Haji Medan Tahun 2014 [Skripsi]. Medan: Universitas Sumatera Utara; 2014.
- Widiany FL. Kajian kepatuhan diet pasien hemodialisis ditinjau dari asupan zat gizi dan kenaikan berat badan interdialisis. Medika Respati Suplemen 2017;12:137-42.
- Sumigar G, Rompas S, Pondaag L. Hubungan dukungan keluarga dengan kepatuhan diet pada pasien gagal ginjal kronik di Irina C2 dan C4 RSUP Prof. Dr. R. D. Kandou Manado. ejournal Keperawatan (e-Kep) [series online] 2015;3(1) [cited 19 Desember 2016]. Available from: URL: http://ejournal.unsrat.ac.id/index.php/jkp/article/view/6686
- Kamaluddin R, Rahayu E. Analisis faktor-faktor yang mempengaruhi kepatuhan asupan cairan pada pasien gagal ginjal kronik dengan hemodialisis di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) [series online] 2009;4(1) [cited 19 Desember 2016]. Available from: URL: http://jks.fikes.unsoed.ac.id/index.php/jks/article/view/218
- Park KA, Choi-Kwon S, Sim Y, Kim SB. Comparison of dietary compliance and dietary knowledge between older and younger korean hemodialysis patients. J Ren Nutr 2008;18(5):415–23.
- Kaveh K, Kimmel PL. Compliance in hemodialysis patients: multidimensional measures in search of a gold standard. Am J Kidney Dis 2001;37(2):244-66.
- Budiono A. Analisis faktor dukungan sosial terhadap kepatuhan dalam menjalani hemodialisis rutin di Unit Hemodialisa RSUD Kota Salatiga [Skripsi]. Surakarta: Stikes Kusuma Husada; 2016.
- Rambod M, Peyravi H, Shokrpour N, Sareban MT. Dietary and fluid adherence in Iranian hemodialysis patients. Health Care Manag 2010;29(4):359-64.
- Ford JC, Pope JF, Hunt AE, Gerald B. The effect of diet education on the laboratory values and knowledge of hemodialysis patients with hyperphosphatemia. J Ren Nutr 2004;14(1):36–44.
- Suwarni, Asdie HAH, Astuti H. Konseling gizi dan pengaruhnya terhadap asupan zat gizi dan tekanan darah pada pasien hipertensi rawat jalan di Rumah Sakit Umum Daerah Provinsi Sulawesi Tenggara. Jurnal Gizi Klinik Indonesia 2009;6(1):21-28.
- Richard CJ. Self-care management in adults undergoing hemodialysis. Nephrol Nurs J 2006;33(4):384-97.
- Cornelia, Sumedi E, Anwar I, Ramayulis R, Iwaningsih S, Kresnawan T. Konseling gizi. Jakarta: Penebar Plus; 2013.
- Mundakir. Komunikasi keperawatan : aplikasi dalam pelayanan. Yogyakarta: Graha Ilmu; 2006.
- Ahrari S, Moshki M, Bahrami M. The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. J Caring Sci 2014;3(1):11-19.
- Pratiwi Y, Endang N. Hubungan antara dukungan keluarga dengan kepatuhan diit pada pasien diabetes mellitus tipe 2 rawat jalan di RSUD dr. Soediran Mangun Sumars [series online] 2009 [cited 19 Desember 2016]. Available from: URL: http://publikasiilmiah.ums.ac.id/
- John A, Alpert PT, Kawi J, Tandy R. The relationship between self-efficacy and fluid and dietary compliance in hemodialysis patients. Clinical Scholars Review 2013;6(2):98-104.
- Mardjun F. Faktor yang berhubungan dengan kepatuhan pembatasan asupan cairan pada pasien gagal ginjal kronik di ruang hemodialisa RSUD Prof. Dr. H. Aloei Saboe Kota Gorontalo [Skripsi]. Gorontalo: Universitas Negeri Gorontalo; 2014.
DOI: https://doi.org/10.22146/ijcn.22015
Article Metrics
Abstract views : 14092 | views : 12633Refbacks
- There are currently no refbacks.
Copyright (c) 2017 Jurnal Gizi Klinik Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.