Pemantauan gizi dengan SMS reminder efektif meningkatkan kepatuhan diet pasien hemodialisis

https://doi.org/10.22146/ijcn.22255

Fery Lusviana Widiany(1*), Yuni Afriani(2)

(1) Program Studi Gizi, Fakultas Ilmu Kesehatan Universitas Respati Yogyakarta
(2) Program Studi Gizi, Fakultas Ilmu Kesehatan Universitas Respati Yogyakarta
(*) Corresponding Author

Abstract


Nutritional monitoring with SMS reminder is effective to increase the dietary compliance of hemodialysis patients

Background: 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.


Keywords


dietary compliance; hemodialysis patients; SMS reminder

Full Text:

PDF


References

  1. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset kesehatan dasar tahun 2013. Jakarta: Kementerian Kesehatan RI; 2013.
  2. Muttaqin A, Kumala S. Gangguan gastrointestinal: aplikasi asuhan keperawatan medical bedah. Jakarta: Salemba Pustaka; 2011.
  3. Suhardjono. Buku ajar ilmu penyakit dalam jilid 2 edisi 3. Jakarta: Balai Penerbit FKUI; 2001.
  4. Widiany FL. Kajian kepatuhan diet pasien hemodialisis ditinjau dari asupan zat gizi dan kenaikan berat badan interdialisis. Medika Respati Suplemen 2017;12:137-42.
  5. Niven. Psikologi kesehatan. Jakarta: EGC; 2002.
  6. Lemeshow S, Hosmer JrDW, Klar J, Lwanga SK. Besar sampel dalam penelitian kesehatan (alih bahasa). Yogyakarta: Gadjah Mada University Press; 1997.
  7. Rachmawati TY, Syauqy A. Hubungan pengetahuan gizi dengan asupan energi, protein, phosphor dan kalium pasien penyakit ginjal kronik dengan hemodialisis rutin di RSUD Tugurejo Semarang. Journal of Nutrition College 2014;3(1):271-7. doi: 10.14710/jnc.v3i1.4607
  8. 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 2009;4(1):20-31. doi: 10.20884/1.jks.2009.4.1.218
  9. Rahimi F, Gharib A, Beyramijam M, Naseri O. Effect of self-care education on self efficacy in patients undergoing hemodialysis. Life Sci Journal 2014;11(1):136-40.
  10. Zuyana L, Adriani M. Perbedaan asupan makan dan status gizi antara pasien hemodialisis adekuat dan inadekuat penyakit ginjal kronik. Media Gizi Indonesia 2013;9(1):13-9.
  11. Nastiti F. Hubungan tingkat pendidikan dan pengetahuan gizi terhadap asupan kalium pada pasien gagal ginjal kronik yang menjalani hemodialisa rawat jalan di RSUD Sukoharjo [Skripsi]. Surakarta: Program Studi Ilmu Gizi Universitas Muhammadiyah Surakarta; 2015.
  12. Jerusalem MA. Peningkatan keterampilan bisnis mahasiswa dengan teknik coaching. Prosiding Seminar Nasional PTBB; 2011; Yogyakarta.
  13. Kusfriyadi MK, Hadi H, Fuad A. Pendidikan gizi dan pesan gizi melalui short message service terhadap pengetahuan, perilaku, dan kepatuhan ibu hamil minum tablet besi. Jurnal Gizi Klinik Indonesia 2012;9(2):87-96. doi: 10.22146/ijcn.15385
  14. 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.
  15. 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):21-8. doi: 10.22146/ijcn.17684



DOI: https://doi.org/10.22146/ijcn.22255

Article Metrics

Abstract views : 3150 | views : 3464

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2019 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats