Inovasi Dialisis Berbasis Rumah Dan Hemodialisis Di Indonesia: Peluang Dan Tantangan Untuk Pasien Chronic Kidney Disease (CKD)

Muhammad Iqbal Cahyana Eka Putra

Sari


Penyakit ginjal kronik (CKD) di Indonesia menunjukkan tren peningkatan, dengan prevalensi lebih dari 0,38%. Sebagian besar layanan hemodialisis (HD) terkonsentrasi di kota besar, menciptakan kesenjangan akses bagi pasien di wilayah rural dan 3T. Inovasi dialisis berbasis rumah, seperti Continuous Ambulatory Peritoneal Dialysis (CAPD) dan Home Hemodialysis (HHD), menjadi solusi potensial yang lebih mandiri dan efisien. Kajian ini bertujuan untuk mengevaluasi peluang dan tantangan penerapan dialisis rumah di Indonesia melalui pendekatan narrative literature review. Literatur ditelusuri dari PubMed, DOAJ, dan Google Scholar untuk periode 2018–2024, dan diperoleh 15 artikel yang relevan untuk dianalisis secara tematik. Hasil menunjukkan bahwa CAPD terbukti meningkatkan kualitas hidup pasien dan lebih efisien secara ekonomi dibanding HD konvensional. Namun, adopsi masih rendah akibat keterbatasan infrastruktur rumah, rendahnya literasi pasien, dan belum optimalnya regulasi serta distribusi logistik. HHD juga memiliki potensi besar, namun memerlukan kesiapan sistem yang lebih kompleks. Diperlukan kolaborasi lintas sektor untuk memperkuat regulasi, pelatihan, logistik, dan edukasi masyarakat. Dialisis rumah dapat menjadi pilar transformasi layanan nefrologi nasional yang lebih adil dan berkelanjutan.


Kata Kunci


CAPD; dialisis berbasis rumah; hemodialisis; penyakit ginjal kronik

Teks Lengkap:

PDF

Referensi


Andersson, M. (2021). Community nurse support for home dialysis: A Swedish model. Journal of Advanced Nursing, 77(12), 4955–4964. https://doi.org/10.1111/jan.15055

Brown, E. A. (2020). Home-based dialysis: A global perspective. Kidney International Supplements, 10(1), 41–50. https://doi.org/10.1016/j.kisu.2019.11.003

Cheng, X. B. J., Patel, P., Ramirez, L., et al. (2023). Systems innovations to increase home dialysis utilization: A global review. BMC Nephrology, 24(1), 301. https://doi.org/10.1186/s12882-023-03298-9

Desbiens, L. C., Tan, J., O’Connor, A., et al. (2024). Outcomes of integrated home dialysis care: A multicenter study. American Journal of Kidney Diseases, 83(2), 187–196. https://doi.org/10.1053/j.ajkd.2023.09.004

Elliott, M. J. (2023). Barriers to home dialysis: Findings from the IM-HOME study. Clinical Journal of the American Society of Nephrology, 18(1), 44–52. https://doi.org/10.2215/CJN.08340722

Enikmawati, A., Hastuti, W., & Purwaningsih, H. (2024). Self-efficacy and quality of life among patients undergoing continuous ambulatory peritoneal dialysis in Indonesia. Jurnal Ners Indonesia, 15(1), 45–53. https://doi.org/10.20473/jni.v15i1.2024.45-53

Fadillah, F. (2022). Barriers to CAPD uptake in Indonesia. International Journal of Nephrology, 2022(9827410). https://doi.org/10.1155/2022/9827410

Fukuma, S. (2021). Telehealth and home dialysis in Japan. Clinical and Experimental Nephrology, 25(7), 788–796. https://doi.org/10.1007/s10157-021-02049-0

Handayani, P. W. (2022). Telehealth implementation in Indonesian dialysis care. Health Informatics Journal, 28(4), 14604582221092043. https://doi.org/10.1177/14604582221092043

Hidayati, M. (2021). Equity of dialysis service distribution in Indonesia. Journal of Global Health Science, 3(2), 54–62. https://doi.org/10.35500/jghs.v3i2.102

Htay, H., Alrukhaimi, M., Johnson, D. W., et al. (2024). Telemedicine in peritoneal dialysis: A systematic review and meta-analysis. Nephrology (Carlton), 29(3), 421–432.

https://doi.org/10.1111/nep.14232

Idris, M. (2023). Role of family support in dialysis adherence. Journal of Renal Care, 49(2), 75–81. https://doi.org/10.1111/jorc.12420

IRR. (2023). 14th Report of Indonesian Renal Registry 2023. Perhimpunan Nefrologi Indonesia (Pernefri).

Komalasari, D., & Putra, G. A. (2023). Evaluasi layanan CAPD di RSUD Kupang. Jurnal Kesehatan Daerah, 6(2), 85–91.

Liu, M., Zhang, Q., & Lee, Y. (2023). Peritoneal dialysis outcomes in low-resource settings: A systematic review and meta-analysis. Frontiers in Nephrology, 2, 119–128. https://doi.org/10.3389/fneph.2023.119128

Riskesdas. (2018). Laporan Nasional Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia.

Rope, R. (2024). Home-based dialysis: A primer for the internist. Annual Review of Medicine, 75, 211–224. https://doi.org/10.1146/annurev-med-040223-023115

Sari, N. P. (2021). Sanitation and home-based dialysis in West Java. Journal of Public Health Research, 10(3), 286–294. https://doi.org/10.4081/jphr.2021.2406

Setiawan, E. (2022). Health literacy and dialysis modality decision. Jurnal Kedokteran Indonesia, 72(3), 112–119.

Usman, H. (2021). Cost analysis of CAPD vs HD in Indonesia. Indonesian Journal of Health Economics, 4(1), 44–50.

Walker, R. C. (2020). Patient and caregiver experiences with home dialysis. BMC Nephrology, 21(1), 18–26. https://doi.org/10.1186/s12882-020-01880-0

WHO. (2022). Kidney health: Improving global outcomes. World Health Organization.

Wong, B. (2019). Predictors of home dialysis uptake: A systematic review. Nephrology Dialysis Transplantation, 34(4), 590–602. https://doi.org/10.1093/ndt/gfy304

Wulandari, R. (2020). CAPD in Indonesia: Effectiveness and challenges. Indonesian Journal of Nephrology, 12(2), 98–105.

Yusuf, I. (2024). Ketersediaan logistik dialisis di daerah terpencil. Jurnal Manajemen Pelayanan Kesehatan, 7(1), 11–19.




DOI: https://doi.org/10.33024/jikk.v12i11.21203

Refbacks

  • Saat ini tidak ada refbacks.


##submission.copyrightStatement##

##submission.license.cc.by-nc4.footer##

Pendidikan Dokter Universitas Malahayati Lampung


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