Status gizi berdasarkan dialysis malnutrition score (DMS) dengan kualitas hidup pasien hemodialisis

https://doi.org/10.22146/ijcn.60778

Dina Maulina Hayati(1*), Fery Lusviana Widiany(2), Fera Nofiartika(3)

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

Abstract


Nutritional status based on the dialysis malnutrition score (DMS) with hemodialysis patients' quality of life

Background: 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).


Keywords


chronic kidney disease (CKD); dialysis malnutrition score (DMS); hemodialysis; quality of life

Full Text:

PDF


References

  1. KDIGO. KDIGO 2020 clinical practice guideline for diabetes management in chronic kidney disease. Kidney Int. 2020;98(4S):S1-S115. doi: 10.1016/j.kint.2020.06.019
  2. World Health Organization. The World Health Report 2013. [series online] 2014 [cited 2019 Apr 9]. Available from: URL: http://www.who.int
  3. Kementrian Kesehatan Republik Indonesia. Riset kesehatan dasar (Riskesdas). Jakarta: Balitbang Kementrian Kesehatan RI; 2018.
  4. Kementrian Kesehatan Republik Indonesia. Pusat data dan informasi Kementrian Kesehatan RI; Infodatin situasi penyakit ginjal kronis. Jakarta: Kementrian Kesehatan RI; 2017.
  5. Son YJ, Choi KY, Park YR, Bae JS, Lee JB. Depression, symptoms and the quality of life patients on hemodialysis for end stage renal disease. Am J Nephrol. 2009;29(1):36-42. doi: 10.1159/000150599
  6. Wulandari, M. Hubungan status gizi dengan kualitas hidup pada pasien hemodialisis di RS PKU Muhammadiyah Unit II Yogyakarta [Skripsi]. Yogyakarta: Sekolah Tinggi Ilmu Kesehatan ‘Aisyiyah Yogyakarta; 2015.
  7. Pradipta PN, Suwitra K, Widiana R, Ayu NP. Status nutrisi pasien penyakit ginjal kronik yang menjalani hemodialisis reguler lebih dari 5 tahun di Rumah Sakit Umum Pusat Sanglah Denpasar. Journal of Medicina. 2018;49(2):206-11. doi: 10.15562/medicina.v49i2.228
  8. Alsaran K, Molhem A, Elsayed S, Aldrees A. Nutritional assesment of patients on hemodialysis in age dialysis center. Saudi J Kidney Dis Transpl. 2011;22(4):675-81.
  9. Rani VN, Kavimani S, Soundararajan P, Chanubdeeswari D, Gopal K. Correlation between anthropometry, biochemical makers and subjective global assesment - dialysis malnutrition score as predictors of nutritional status of the maintance hemodialysis patient. Int J Med Res Health Sciences. 2015;4(4):852-6. doi: 10.5958/2319-5886.2015.00169.1
  10. Lim SL, Lin XH, Danielns L. Seven-points subjective global assesment is more time sensitive than conventionals subjective global assesment in detecting nutritional changes. JPEN J Parenter Enteral Nutr. 2016;40(7):966-72. doi: 10.1177/0148607115579938
  11. Harvinder GS, Swee WCS, Karupaiah T, Sahathevan S, Chinna K, Goh BK, et al. Dialysis Malnutrition and Malnutrition Inflammation Scores: screening tools for prediction of dialysis–related protein-energy wasting in Malaysia. Asia Pac J Clin Nutr. 2016;25(1):26-33. doi: 10.6133/apjcn.2016.25.1.01
  12. Tabibi H, Ashabi A, Nozari B, Mahdavi-Mazdeh M, Hedayati M, Abdollahi M. Comparison of various methods for determination of protein-energy malnutrition with subjective global assesment in hemodialysis patient. Iranian J Nutr Sci Food Technol. 2011;5(4):13-22.
  13. Mohammed FA, Farhood HF, Atheem Wtwt MA. Prediction of malnutrition using modified subjective global assesment-dialysis malnutrition score in patient on chronic hemodialysis. J Community Med Health Educ. 2014;4(3):1-8.
  14. Herawati DD, Ariyanto EF. Kebijakan medik pada pasien gagal ginjal kronik dengan hemodialisis di RS Hasan Sadikin Bandung. Jurnal Kebijakan Kesehatan Indonesia. 2014;3(2):66-74.
  15. Susetyowati, Faza F, Andari I. Gizi pada penyakit ginjal kronis. Yogyakarta: Gadjah Mada University Press; 2017.
  16. Septiwi C. Hubungan antara adekuasi hemodialisis di unit hemodialisis RS Prof. Dr. Margono Soekardjo Purwokerto [Tesis]. Jakarta: Universitas Indonesia; 2010.
  17. Shrestha S, Ghotekar LR, Sharma SK, Shanghawa PM, Karki P. Assesmen of quality of life in patients of end stage renal disease on different modalities of treatment. JNMA J Nepal Med Assoc. 2008; 47(169):1-6.
  18. Paraskevi T. The role of sociodemographic factors in health-related quality of life of patients with end-stage renal disease. International Journal of Caring Sciences. 2011;4(1):40-50.
  19. Hagita D, Bayhakki, Woferst R. Studi fenomenologi kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Arifin Achmad Pekanbaru. JOM. 2016;2(2):1032-40.
  20. Anggraini YD. Kualitas hidup pasien gagal ginjal kronis yang menjalani hemodialisis di RSUD Blambangan Banyuwangi [Skripsi]. Jember: Universitas Jember; 2016.
  21. Mardyaningsih DP. Kualitas hidup pada penderita gagal ginjal kronik yang menjalani terapi hemodialisis di RSUD Dr. Soediran Mangun Sumarso Kabupaten Wonogiri [Skripsi]. Surakarta: Stikes Kusuma Husada Surakarta; 2014.
  22. Aroem HR. Gambaran kecemasan dan kualitas hidup pada pasien yang menjalani hemodialisa [Skripsi]. Surakarta: Universitas Muhammadiyah Surakarta; 2015.
  23. Anita DC, Novitasari D. Kepatuhan pembatasan asupan cairan terhadap lama menjalani hemodialisa. Universitas Muhammadiyah Semarang: Prosiding Seminar Nasional dan Internasional; 2017.
  24. Weinstein JR, Anderson S. The aging kidney: physiological changes. Adv Chronic Kidney Dis. 2010;17(4):302-7. doi: 10.1053/j.ackd.2010.05.002
  25. Ratnawati. Efektifitas dialiser proses ulang (DPU) pada penderita gagal ginjal kronik (hemodialisa). Jurnal Ilmiah WIDYA. 2014;2(1).
  26. Smeltzer, Bare. Buku ajar penyakit dalam ed. 2 Vol. 1. Jakarta: Buku Kedokteran EGC; 2002.
  27. Groer MW. Advanced pathophysiology, application to clinical practice. Philadelphia: Lippincott; 2001.
  28. Saryono, Handoyo. Kadar ureum dan kreatinin darah pada pasien yang menjalani terapi hemodialisa di Rumah Sakit Umum Margono Soekarjo Purwokerto. Jurnal Ilmiah Kesehatan Keperawatan. 2006;2:36-42.
  29. Kamil I, Agustina R, Wahid, A. Gambaran tingkat kecemasan pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Ulin Banjarmasin. Jurnal Dinamika Kesehatan. 2018;9(2):366-7.
  30. Dharma PS. Penyakit ginjal deteksi dini dan pencegahan. Yogyakarta: CV Solusi Distribusi; 2014.
  31. Lisnawati F. Gambaran kecemasan pasien yang terpasang cimono dan femoral pada pasien hemodialisa di RSUD Ir. Soekarno Sukoharjo [Skripsi]. Surakarta: Universitas Muhammadiyah Surakarta; 2020.
  32. Prasetyo A. Hubungan lama menderita gagal ginjal kronik dengan kebutuhan spiritual pasien gagal ginjal kronik yang menjalani terapi hemodialisa di RSUD Cilacap. Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan. Gombong: STIKES Muhammadiyah Gombong; 2019.
  33. Suparti S, Solikhah U. Perbedaan kualitas hidup pasien gagal ginjal kronik ditinjau dari tingkat pendidikan, frekuensi dan lama hemodialisis di RSUD Goeteng Taroenadibrata Purbalingga. Jurnal Ilmiah Ilmu-Ilmu Kesehatan. 2016;14(2):50-8.
  34. Silaen H, Ramahdani. Pengaruh pemberian konseling pada pasien hemodialisa dengan tingkat kekambuhan penyakit hipertensi di Rumah Sakit Kota Medan. Jurnal Keperawatan Priority. 2019;2(2):100-8. doi: 10.34012/jukep.v2i2.573
  35. Damanik DN, Sulistyaningsih W, Siregar CT. Kecemasan pasien penyakit ginjal kronis yang menjalani hemodialisa. Jurnal Maternitas Kebidanan. 2019;4(1):1-8. doi: 10.34012/jumkep.v4i1.480
  36. Sulistini R, Damanik HD, Azinora DV. Kualitas hidup pasien yang menjalani hemodialisis. Proceeding Seminar Nasional Keperawatan; 2017 November 25-26; Palembang.
  37. Suryarinilsih Y. Hubungan penambahan berat badan antara dua waktu dialisis dengan kualitas hidup pasien hemodialisis di Rumah Sakit Dr. M. Djamil Padang [Tesis]. Jakarta: Universitas Indonesia, 2010.
  38. Mailani F. Kualitas hidup pasien penyakit ginjal kronik yang menjalani hemodialisis: systematic review. Ners Jurnal Keperawatan. 2015;11(1):1-8.
  39. Ling LHL, Mun CY. Correlations between anthropometric measurements, biochemical indicators, dietary intake and dialysis malnutrition score among haemodialysis patients in Sibu, Sarawak. Mal J Nutr. 2018;24(2):227-39.
  40. Uy MC, Lim-Alba RL, Chua E. Association of dialysis malnutrition score with hypoglycemia and quality of life among patients with diabetes on maintenance hemodialysis. Journal ASEAN Fed Endocr Soc. 2018;33(2):137-45. doi: 10.15605/jafes.033.02.05
  41. Kalantar-Zadeh K, Kleiner M, Dunne E, Lee GH, Luft, FC. A modified quantitative subjective global assessment of nutrition for dialysis patients. Nephrol Dial Transplant. 1999;14(7):1732-8. doi: 10.1093/ndt/14.7.1732
  42. Iorember FM. Malnutrition in choronis kidney disease. Front Pediatric. 2018;6:161. doi: 10.3389/fped.2018.00161
  43. Bosniawan AMA. Faktor-faktor determinan yang berpengaruh pada kualitas hidup penderita gagal ginjal kronik di RSUD Sukoharjo [Skripsi]. Surakarta: Universitas Muhammadiyah Surakarta, 2018.
  44. Seidel UK, Gronewold J, Volsek M, Todica O, Kribben A, Hermann DM, et al. Physical, cognitive and emosional factors contributing to quality of life, functional health and participation in community dwelling in chronic kidney disease. PloS ONE. 2014;9(3):e91176. doi: 10.1371/journal.pone.0091176
  45. Yuliaw, Anny. Hubungan karakteristik individu dengan kualitas hidup dimensi fisik pasien gagal ginjal kronik di RS Dr. Kariadi Semarang [Skripsi]. Semarang: Universitas Muhamadiyah Semarang; 2009.
  46. Widiany FL. Faktor-faktor yang mempengaruhi kepatuhan diet pasien hemodialisis. Jurnal Gizi Klinik Indonesia. 2017;14(2):72-9. doi: 10.22146/ijcn.22015
  47. Hardiyatmi. Hubungan dukungan keluarga dengan kepatuhan program pengobatan HIV/AIDS di Poliklinik VCT RSUD dr. Soediran Mangun Sumarso Wonogiri [Skripsi]. Surakarta: STIKES Kusuma Husada; 2016.
  48. Sathvik BS, Parthasarathi G, Narahari MG, Gurudev KC. An assessment of the quality of life in hemodialysis patients using the WHOQOL-BREF questionnaire. Indian J Nephrol. 2008;18(4):141-9. doi: 10.4103/0971-4065.45288



DOI: https://doi.org/10.22146/ijcn.60778

Article Metrics

Abstract views : 4959 | views : 5821

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2021 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