Kepatuhan Menjalankan Manajemen Diri  Pada Pasien Hemodialisis

Pratiwi, Sri Hartati; Sari, Eka Afrima; Kurniawan, Titis

doi:10.32584/jpi.v3i2.308

Cited by 7 publications

(7 citation statements)

References 7 publications

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“…Research by Naalweh et al (2017) found that adherence of CKD patients undergoing HD therapy was in the category of good adherence 55.5%, moderate adherence 40.5%, and poor adherence 4.1%. Another study showed that 71.3% did not comply and 28.7% complied (Pratiwi, 2019). This is likely influenced by several factors of the respondent's characteristics such as age, gender, marital status, education, employment, family support, length of time undergoing HD therapy, and ease of access in obtaining HD services.…”

Section: Resultsmentioning

confidence: 99%

Hemodialysis Therapy Compliance in Chronic Kidney Disease Patients

Wahyudi,

Fitriana,

Ningrum

et al. 2023

IJCD

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Background: Chronic kidney disease (CKD) is a progressive and irreversible impairment or decrease in kidney function, occurring gradually over three months or more as a result of permanent damage to the kidney structure. One of the management for patients with CKD is hemodialysis therapy which replaces kidney function to eliminate the remnants of protein metabolism products and remove excess fluid and electrolytes through hemodialysis machines, and artificial kidneys (dialyzer). One of the major problems that contribute to failure in the management of hemodialysis therapy is patient compliance. Objective: This study was conducted to identify adherence to hemodialysis therapy in CKD patients in Bandung City Hospital. Methods: research design using descriptive analysis on 44 respondents with purposive sampling technique. Data collection using the End Stage Renal Disease–Adherence Questionnaire (ESRD-AQ) questionnaire. Univariate data analysis using frequency distribution. Results: In CKD patients undergoing hemodialysis therapy at the Bandung City Hospital as many as 33 respondents (75%) were compliant and 11 people (25%) were not compliant in undergoing hemodialysis therapy. The domains of adherence of CKD patients who were most adhered to by respondents were therapy attendance (75%), shortening duration (79.55%), length of time shortening therapy (79.55%), and medication adherence (52.27%). Conclusion: most of the patients were obedient in undergoing hemodialysis therapy. The suggestion from this study is that the hospital should include an assessment of the level of compliance of patients undergoing hemodialysis therapy as an additional domain in indicators of the quality of health services in the hemodialysis room of the Bandung City Hospital.

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Section: Resultsmentioning

confidence: 99%

Hemodialysis Therapy Compliance in Chronic Kidney Disease Patients

Wahyudi,

Fitriana,

Ningrum

et al. 2023

IJCD

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“…kesehatan orang dengan penyakit kronis (Peng et al, 2019). Manajemen diri ini dapat berkontribusi terhadap kesehatan dan kesejahteraan jangka panjang dalam mengelola atau mengendalikan penyakit kronis (Pratiwi et al, 2019). Manajemen diri dilakukan untuk meningkatkan kesehatan, memelihara kesehatan, dan menstabilkan kondisi fisik dan mental (Riegel, Jaarsma, Stromberg, Clemmer, & Chair, 2012dalam Pratiwi et al, 2019.…”

Section: Masalahunclassified

Pemberdayaan Masyarakat dalam Melakukan Self Management untuk Meningkatkan Kualitas Hidup Pasien Hipertensi

Rohmawati,

Pariyem,

Marwan

2024

Creat J. Cumn Enga

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ABSTRAK Hipertensi merupakan penyakit tidak menular yang sering disebut “the silent killer” karena penderita sering tidak memiliki keluhan. Prevalensi penyakit hipertensi akan mengalami peningkatan selama dua decade terakhir. Fenomena yang terjadi di Desa Paras, Kecamatan Pangkur, Kabupaten Ngawi sebanyak 34% penduduk menderita hipertensi, dan lebih dari separuhnya belum mengerti bagaimana cara melakukan manajemen diri secara baik. Program ini bertujuan untuk melaksanakan program edukasi hipertensi berbasis komunitas dalam menerapkan self-management untuk meningkatkan kualitas hidup pasien hipertensi. Peserta dari kegiatan ini adalah pasien dan keluarga dengan hipertensi dengan jumlah 60 orang serta Ibu kader kesehatan dan perwakilah dari Puskesmas. Kegiatan ini dilakukan dengan ceramah dan diskusi tentang manajemen diri penyakit hipertensi untuk meningkatkan kualitas hidupnya yang sebelumnya telah dilakukan kegiatan pemeriksaan kesehatan. Hasil dari pemeriksaan kesehatan didapatkan bahwa mayoritas mengalami prehipertensi (66,7%). Peserta sangat senang mengikuti kegiatan pengabdian ini karena selain mereka mengetahui kondisi kesehatannya juga mendapatkan ilmu tentang kesehatan. Kegiatan ini dilakukan sebagai langkah kuratif bagi warga yang menderita dan langkah preventif untuk warga yang tidak menderita hipertensi. Kegiatan ini sangat bermanfaat meningkatkan pengetahuan masyarakat dalam self management penatalaksanaan hipertensi. Kata Kunci: Hipertensi, Kualitas Hidup, Manajemen Diri ABSTRACT Hypertension is a non-communicable disease that is often called "the silent killer" because sufferers often have no complaints. The prevalence of hypertension has increased over the last two decades. The phenomenon that occurs in Paras Village, Pangkur District, Ngawi Regency is that 34% of the population suffers from hypertension, and more than half of them do not understand how to carry out good self-management. This program aims to implement a community-based hypertension education program in implementing self-management to improve the quality of life of hypertension patients. Participants in this activity were patients and families with hypertension totaling 60 people as well as health cadres and representatives from the Community Health Center. This activity was carried out with lectures and discussions about self-management of hypertension to improve the quality of life, where health examination activities had previously been carried out. The results of the health examination showed that the majority had prehypertension (66.7%). Participants were very happy to take part in this service activity because apart from knowing their health condition, they also gained health knowledge. This activity is carried out as a curative step for residents who suffer and as a preventive step for residents who do not suffer from hypertension. This activity is very useful in increasing public knowledge in self-management of hypertension management. Keywords: Hypertension, Quality of Life, Self-Management

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“…Hasil penelitian menemukan sebagian besar responden telah menjalani hemodialisis selama 1-5 tahun dengan rata-rata 3 tahun. Hal tersebut sejalan dengan penelitian [16] yang menemukan bahwa 51,2% pasien menjalani hemodialisis selama 1 sampai 5 tahun sehingga pasien sudah mengetahui manajemen diri yang harus dilakukan diantaranya diet dan pembatasan cairan. [17] juga menjelaskan bahwa semakin lama pasien menjalani hemodialisis maka semakin mampu menerima kondisi penyakitnya sehingga dapat meningkatkan kepatuhan.…”

Section: Pembahasanunclassified

Factors associated with dietary and fluid restriction adherence of chronic kidney disease patients undergoing hemodialysis

Safitri,

Pahria,

Rahayu

2023

mki

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Non-adherence of hemodialysis patients to diet and restriction of fluid restriction has a negative impact on health status. Various factors are associated with non-adherence to dietary and fluid restriction in chronic kidney disease patients undergoing hemodialysis including patient characteristics such as age, gender, education, occupation, length of time undergoing hemodialysis, self-efficacy, motivation and social support. This study aims to analyze the most dominant factors associated with dietary compliance and fluid restriction in chronic kidney disease patients undergoing hemodialysis. This study used a descriptive correlational design with a cross-sectional approach. The sample in this study were patients with chronic kidney disease who underwent hemodialysis as many as 80 respondents. Collecting data using the respondent characteristic questionnaire, General Self-Efficacy Scale, Treatment of Motivation Questionnaire, Multidimensional Scale of Perceived Social Support dan Dialysis Diet and Fluid Nonadherence Questionnaire. Data were analyzed using multiple linear regression. The result of the correlation analysis showed that there was no relationship between gender, education and occupation with dietary compliance and fluid restriction (p > .005). Factors related to dietary compliance and fluid restriction were age, length of hemodialysis, self-efficacy, motivation and social support (p < .005). multivariate analysis using multiple linear regression tests showed that the most dominant factor associated with dietary compliance and fluid restriction was self-efficacy (R2 = .504, p = .000). Thus, it is important to periodically assess the patient's self-efficacy and plan actions to increase self-efficacy so that adherence to diet and fluid restriction can also be improved.

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Kepatuhan Menjalankan Manajemen Diri Pada Pasien Hemodialisis

Cited by 7 publications

References 7 publications

Hemodialysis Therapy Compliance in Chronic Kidney Disease Patients

Hemodialysis Therapy Compliance in Chronic Kidney Disease Patients

Pemberdayaan Masyarakat dalam Melakukan Self Management untuk Meningkatkan Kualitas Hidup Pasien Hipertensi

Factors associated with dietary and fluid restriction adherence of chronic kidney disease patients undergoing hemodialysis

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