Pemberdayaan Keluarga dalam Manajemen Nutrisi pada Pasien Gagal Ginjal Kronis di Garut
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ABSTRAK
Pasien Penyakit Ginjal Kronik harus melakukan self-management termasuk pada pengaturan nutrisi yang harus dikonsumsinya. Hal ini menyebabkan pasien PGK mengalami kebingungan dan ketakutan untuk mengkonsumsi makanan. Selain itu, Pasien PGK sering mengalami mual dan muntah akibat dari peningkatan kadar ureum dan kreatinin sehingga dapat mengurangi asupan nutrisi sesuai dengan kebutuhan. Kondisi tersebut dapat menyebabkan pasien mengalami malnutrisi yang dapat memperburuk kondisinya. Keluarga memiliki peran yang penting dalam memberikan dukungan kepada pasien PGK dalam menjalankan manajemen nutrisi. Program pengabdian kepada masyarakat ini dilakukan untuk memberdayakan keluarga dalam memberikan dukungan yang adekuat kepada pasien PGK untuk melakukan manajemen nutrisi. Program pengabdian ini dilakukan dengan memberikan edukasi kepada keluarga pasien PGK mengenai manajemen nutrisi dengan menggunakan metode ceramah dan tanya jawab serta menggunakan berbagai media edukasi. Program ini dievaluasi dengan menggunakan pre-post test. Terdapat peningkatan total skor pre-post test sebesar 29,8 % yang mengindikasikan adanya peningkatan pengetahuan keluarga mengenai manajemen nutrisi pasien PGK. Program pengabdian kepada masyarakat dengan menggunakan metode ceramah dan tanya jawab dapat meningkatkan pengetahuan keluarga dalam manajemen nutrisi pasien PGK. Tenaga kesehatan diharapkan dapat menlakukan edukasi kepada pasien dan keluarga secara berkesinambungan dan berkelanjutan terkait dengan manajemen nutrisi pada pasien PGK.
Kata Kunci: Manajemen Nutrisi, Pemberdayaan Keluarga, Penyakit Ginjal Kronik
ABSTRACT
Patients with chronic kidney disease (CKD) are required to perform self-management, which includes managing their nutritional intake. This causes CKD patients to experience confusion and fear of consuming food. In addition, CKD patients often experience nausea and vomiting due to increased levels of urea and creatinine, which can reduce nutritional intake according to their needs. These conditions can lead to malnutrition in patients, potentially worsening their condition. Families play a crucial role in assisting CKD patients with their nutritional management. The goal of this community service program was to enable families to effectively support CKD patients in their nutritional management. We conducted this community service program by educating families of CKD patients about nutritional management through lectures, question-and-answer sessions, and various educational media. We evaluated this program using a pre-post test. There was an increase in the total pre-post test score of 29.8%, indicating an increase in family knowledge regarding nutritional management for CKD patients. Conclusion: Community service programs using lecture and question-and-answer methods can improve family knowledge in nutritional management for CKD patients. We expect health workers to continuously and sustainably educate patients and families about nutritional management in CKD patients.
Keywords: Nutrition Management, Family Empowerment, Chronic Kidney Disease
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Bramania, P., Ruggajo, P., Bramania, R., Mahmoud, M., & Furia, F. (2021). Nutritional Status of Patients on Maintenance Hemodialysis at Muhimbili National Hospital in Dar es Salaam, Tanzania: A Cross-Sectional Study. Journal of Nutrition and Metabolism, 2021(1), 6672185. https://doi.org/10.1155/2021/6672185
Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic Kidney Disease Diagnosis and Management: A Review. JAMA, 322(13), 1294–1304. https://doi.org/10.1001/JAMA.2019.14745
Cui, Y., Yang, T., Li, R., Wang, H., Jin, S., Liu, N., Liu, X., Liu, H., & Zhang, Y. (2023). Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic. Frontiers in Public Health, 10, 1073409. https://doi.org/10.3389/FPUBH.2022.1073409/FULL
Dageforde, L. A., & Cavanaugh, K. L. (2013). Adv Chronic Kidney Dis. 20(4), 311–319. https://doi.org/10.1053/j.ackd.2013.04.005
El-Sheikh, M., & El-Ghazaly, G. (2016). Assessment of hemodialysis adequacy in patients with chronic kidney disease in the hemodialysis unit at Tanta University Hospital in Egypt. Indian Journal of Nephrology, 26(6), 398–404. https://doi.org/10.4103/0971-4065.168141
Farrell, M., Suzanne C. Smeltzer, & Brenda G. Bare. (n.d.). Textbook of Medical¬ Surgical Nursing: Volume 2.
Fawzi, A., Putra, A. I., Rusmawati, A., Ellina, A. D., Effendy, M. A., Sutrisno, J., & Sismulyanto. (2023). Knowledge Analysis And Family Support On Diet Compliance In Patients With Chronic Kidney Failure In The Hemodialysis Room, Mayapada Surabaya Hospital. Journal of Health Science Community, 4(1), 31–38. https://doi.org/10.30994/JHSC.V4I1.189
Health Care Education Association. (n.d.). Patient Education Practice Guidelines for Health Care Professionals. Retrieved November 13, 2024, from https://www.hcea-info.org/patient-education-practice-guidelines-for-health-care-professionals
Iorember, F. M. (2018). Malnutrition in Chronic Kidney Disease. Frontiers in Pediatrics, 6, 161. https://doi.org/10.3389/FPED.2018.00161
Kalantar-Zadeh, K., & Fouque, D. (2017). Nutritional Management of Chronic Kidney Disease. New England Journal of Medicine, 377(18), 1765–1776. https://doi.org/10.1056/NEJMRA1700312/SUPPL_FILE/NEJMRA1700312_DISCLOSURES.PDF
Kalantar-Zadeh, K., Jafar, T. H., Nitsch, D., Neuen, B. L., & Perkovic, V. (2021). Chronic kidney disease. The Lancet, 398(10302), 786–802. https://doi.org/10.1016/S0140-6736(21)00519-5
Kalender, B. (2010). Malnutrition in Chronic Kidney Disease and Relationship to Quality of Life. Handbook of Disease Burdens and Quality of Life Measures, 3159–3170. https://doi.org/10.1007/978-0-387-78665-0_183
Kampmann, J. D., Heaf, J. G., Mogensen, C. B., Mickley, H., Wolff, D. L., & Brandt, F. (2023). Prevalence and incidence of chronic kidney disease stage 3–5 – results from KidDiCo. BMC Nephrology, 24(1), 1–9. https://doi.org/10.1186/S12882-023-03056-X/TABLES/4
Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional Riskesdas 2018. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
Kim, S. M., & Jung, J. Y. (2020). Nutritional management in patients with chronic kidney disease. The Korean Journal of Internal Medicine, 35(6), 1279. https://doi.org/10.3904/KJIM.2020.408
Lianti, D., & Rosyid, F. N. (2024). Family support and self-care management of patients with chronic kidney disease undergoing hemodialysis. Malahayati International Journal of Nursing and Health Science, 7(8), 1025–1032. https://doi.org/10.33024/MINH.V7I8.291
Melastuti, E., Nursalam, N., Sukartini, T., & Putra, M. M. (2022). Self-care Adherence in Hemodialysis Patients: A Structural Equation Modeling. Open Access Macedonian Journal of Medical Sciences, 10(B), 1107–1112. https://doi.org/10.3889/OAMJMS.2022.9365
Ningrum, V. D. A., Yuantari, R., Medisa, & Kurniawan. (n.d.). View of The Effects of Education Models on the Improvement of Public Knowledge of Chronic Kidney Disease. Retrieved November 13, 2024, from https://mki-ojs.idionline.org/jurnal/article/view/611/238
Ouyang, W. wei, Chen, H. fen, Xu, X. yi, Zhang, X. long, Fu, L. zhe, Tang, F., Wen, Z. huai, Marrone, G., Liu, L. chang, Lin, J. xia, Liu, X. sheng, & Wu, Y. fan. (2022). Self-management program for patients with chronic kidney disease (SMP-CKD) in Southern China: protocol for an ambispective cohort study. BMC Nephrology, 23(1), 93. https://doi.org/10.1186/S12882-022-02700-2
Piccoli, G. B., Cederholm, T., Avesani, C. M., Bakker, S. J. L., Bellizzi, V., Cuerda, C., Cupisti, A., Sabatino, A., Schneider, S., Torreggiani, M., Fouque, D., Carrero, J. J., & Barazzoni, R. (2023). Nutritional status and the risk of malnutrition in older adults with chronic kidney disease - implications for low protein intake and nutritional care: A critical review endorsed by ERN-ERA and ESPEN. Clinical Nutrition (Edinburgh, Scotland), 42(4), 443–457. https://doi.org/10.1016/J.CLNU.2023.01.018
Pratiwi, S. H., Nurkarimah, A., & Rahayu, U. (2018). Pemenuhan Kebutuhan Vitamin Dan Mineral Pada Pasien Gagal Ginjal Kronik Di Rsud Dr. Soekardjo Tasikmalaya. Jurnal Ilmiah Kesehatan Keperawatan, 14(1). https://doi.org/10.26753/JIKK.V14I1.272
Pratiwi, S. H., Sari, E. A., & Kurniawan, T. (2019a). Kepatuhan Menjalankan Manajemen Diri Pada Pasien Hemodialisis. Jurnal Perawat Indonesia, 3(2), 131–138–131–138. https://doi.org/10.32584/JPI.V3I2.308
Rashid, I., Sahu, G., Tiwari, P., Willis, C., Asche, C. V., Bagga, T. K., Ghule, P., & Bland, A. (2024). Malnutrition as a potential predictor of mortality in chronic kidney disease patients on dialysis: A systematic review and meta-analysis. Clinical Nutrition, 43(7), 1760–1769. https://doi.org/10.1016/J.CLNU.2024.05.037
Reilly Lukela, J., Medicine, G., Van Harrison, R., Jimbo, M., Mahallati, A., Sy, A. Z., Greenberg, G., & Van Harrison, M. R. (2014). UMHS Chronic Kidney Disease Guideline. http://www.kidney.org/professionals/kdoqi/gfr_calculator.cfm
Rhee, C. M., Wang, A. Y. M., Biruete, A., Kistler, B., Kovesdy, C. P., Zarantonello, D., Ko, G. J., Piccoli, G. B., Garibotto, G., Brunori, G., Sumida, K., Lambert, K., Moore, L. W., Han, S. H., Narasaki, Y., & Kalantar-Zadeh, K. (2023). Nutritional and Dietary Management of Chronic Kidney Disease Under Conservative and Preservative Kidney Care Without Dialysis. Journal of Renal Nutrition: The Official Journal of the Council on Renal Nutrition of the National Kidney Foundation, 33(6 Suppl), S56. https://doi.org/10.1053/J.JRN.2023.06.010
Sukartini, T., Hasibuan, K. E., & Bakar, A. (2020). The effect of health education by giving leaflets media on behavior changes in prevention of asthma relapse in asthma patients. EurAsian Journal of BioSciences, 14(1), 1699–1702. https://scholar.unair.ac.id/en/publications/the-effect-of-health-education-by-giving-leaflets-media-on-behavi
Vaidya, S. R., & Aeddula, N. R. (2024). Chronic Kidney Disease. The Scientific Basis of Urology, Second Edition, 257–264. https://doi.org/10.51249/hs.v4i01.1865
Wilson, E. A. H., Makoul, G., Bojarski, E. A., Bailey, S. C., Waite, K. R., Rapp, D. N., Baker, D. W., & Wolf, M. S. (2012). Comparative analysis of print and multimedia health materials: A review of the literature. Patient Education and Counseling, 89(1), 7–14. https://doi.org/10.1016/J.PEC.2012.06.007
Wright, M., Southcott, E., MacLaughlin, H., & Wineberg, S. (2019). Clinical practice guideline on undernutrition in chronic kidney disease. BMC Nephrology, 20(1), 1–10. https://doi.org/10.1186/S12882-019-1530-8/METRICS
DOI: https://doi.org/10.33024/jkpm.v8i3.18357
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