PROGRAM PELATIHAN DAN PENDAMPINGAN PASIEN HEMODIALISIS DALAM UPAYA AKSELERASI CAPAIAN ADEKUASI HEMODIALISIS

G. A. A. Antari; N. L. P. S. Devi; M. V. Manangkot; I. M. Suindrayasa

doi:10.24843/BUM.2021.v20.i04.p13

G. A. A. Antari Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana
N. L. P. S. Devi Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana
M. V. Manangkot Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana
I. M. Suindrayasa Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

##plugins.pubIds.doi.readerDisplayName## https://doi.org/10.24843/BUM.2021.v20.i04.p13

Abstrak

Hemodialysis adequacy is an important parameter that reflects the success of the hemodialysis process. The main problem related to the achievement of hemodialysis adequacy is the patient's non-adherence to hemodialysis management and prescribing. Therefore, it is necessary to design programs that train patients so that they have the ability to manage disease and increase adherence to therapy. The training and mentoring program is designed to improve patient compliance with therapy and to monitor changes in the patient's condition during the hemodialysis process. This program aims to accelerate the achievement of hemodialysis adequacy. The participants involved were patients who routinely underwent hemodialysis twice a week. Patients are given training and assistance regarding the management of kidney failure and hemodialysis. The results showed an increase in knowledge and patient compliance in disease management. The achievement of adequacy was found to increase after being given this program. Therefore, assistance for hemodialysis patients is very important and needs attention by health workers who work in the hemodialysis room.

##plugins.generic.usageStats.downloads##

##plugins.generic.usageStats.noStats##

Referensi

Dantas, L.G.G., de Seixas Rocha, M., Junior, J.A.M. et al. Non-adherence to Haemodialysis, Interdialytic weight gain and cardiovascular mortality: a cohort study. BMC Nephrol 20, 402 (2019). https://doi.org/10.1186/s12882-019-1573-x
Daugirdas, J.T. (2015). Kt/V (and especially its modifications) remains a useful measure of hemodialysis dose. Kidney International, 88, 466–473. DOI: https://doi.org/10.1038/ki.2015.204
Himmelffarb, J., & Ikizler, T. (2010). Hemodialysis. The new engl and journal of medicine 2010. 363:1833-45.
Hong, Wp., Lee, YJ. The association of dialysis adequacy, body mass index, and mortality among hemodialysis patients. BMC Nephrol 20, 382 (2019). https://doi.org/10.1186/s12882-019-1570-0
Jindal, K., Chan, C.T., Deziel, C., Hirsch, D., Soroka, S.D., Tonelli, M., & Culleton, B.F. (2006). CHAPTER 1: Hemodialysis Adequacy in Adults. JASN, 17 (3 suppl 1) S4-S7
Johnson, R. J., Feehally, J., & Floege, J. (2015). Comprehensive clinical nephrology (5th ed.). Philadelphia: Elsevier Saunders
KDOQI. (2016). KDOQI Hemodialysis adequacy clinical practice guideline update 2015: What you need to know. Available at: https://www.kidney.org/sites/default/files/KDOQI-HD-update-NRAA- 2016FINAL.pdf
Qunibi, W.Y. (2021). Prescribing and assessing adequate hemodialysis. https://www.uptodate.com/contents/prescribing-and-assessing-adequate-hemodialysis
Saran, R., Robinson, B., Abbott, K.C., ... Shahinian, V. (2018). US Renal data system 2017 annual data report: Epidemiology of kidney disease in the United States. Am J Kidney Dis, 71(3s1), A7. doi: 10.1053/j.ajkd.2018.01.002.
Thomas, N. (2014). Renal nursing (4th ed.). United Kingdom: Wiley Blackwell