The Effect of Integrated Education on the Knowledge of Hemodialysis Patients

Apriria EP; Reni Prima Gusty; Devia Putri Lenggogeni

doi:10.37287/ijghr.v6i6.4149

Apriria EP Universitas Andalas
Reni Prima Gusty Universitas Andalas
Devia Putri Lenggogeni Universitas Andalas

DOI: https://doi.org/10.37287/ijghr.v6i6.4149

Keywords: hemodialysis, integrated education, patient knowledge

Abstract

ESRD (End-Stage Renal Disease) patients receive inadequate information regarding fluid and dietary restrictions, and the current educational methods provided by nurses are not optimal and do not fully meet the needs of hemodialysis patients. This study aims to evaluate the effect of integrated education on the knowledge of hemodialysis patients at Raden Mattaher Public Hospital Jambi Method: The study is a quantitative research with a quasi-experimental design and a Pre-Test-Post-Test design. The sample size is 56, with 28 in the intervention group and 28 in the control group, using purposive sampling technique. The intervention group received integrated education for 4 weeks. The instrument used in this study measures knowledge using Curtin's knowledge The questionnaire met validity criteria with a Pearson correlation value > 0.40 and reliability with a Cronbach's alpha value > 0.70. The computerized data analysis results show a significant average difference in the intervention group's knowledge (p < 0.05). Based on this study, integrated education is effective in improving the knowledge of hemodialysis patients. The implementation of an integrated education program is recommended as the standard for educating hemodialysis patients.

References

Ammirati, A. L. (2020). Chronic kidney disease. In Revista da Associacao Medica Brasileira (Vol. 66, pp. 3–9). Associacao Medica Brasileira. https://doi.org/10.1590/1806-9282.66.S1.3

Aprilia, & Fayasari, A. (2022). Pemberian Edukasi Leaflet Self-Care Terhadap Kepatuhan Diet Pada Pasien Penyakit Ginjal Kronis Dengan Hemodialisa Di Rumah Sakit Bhayangkara TK.1 R.Said Sukanto. In Daerah Khusus Ibukota Jakarta (Vol. 2022, Issue 1). http://journal.binawan.ac.id/JAKAGI

Armiyati, Y., Hadisaputro, S., Chasani, S., & Sujianto, U. (2021). Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions. Media Keperawatan Indonesia, 4(3), 208. https://doi.org/10.26714/mki.4.3.2021.208-217

Dewi, Y., Pujiastuti, T. T., & Maria, A. (2022). Hubungan Interdialytic Weight Gain (IDWG) dengan Hipertensi Intradialisis pada Pasien yang Menjalani Hemodialisis. Jurnal Keperawatan Klinis Dan Komunitas (Clinical and Community Nursing Journal), 6(3), 156. https://doi.org/10.22146/jkkk.75309

Ekinci, İ., Buyukkaba, M., Cinar, A., Tunc, M., Cebeci, E., Gursu, M., & Kazancioglu, R. (2021). Endothelial Dysfunction and Atherosclerosis in Patients With Autosomal Dominant Polycystic Kidney Disease. Cureus. https://doi.org/10.7759/cureus.13561

Ezdha, A. U. A., Hamid, A., Fitri, D. E., Anggreini, S. N., & Julianti, E. E. (2023). Pengaruh Pendidikan Kesehatan dengan Booklet Diet Hemodialisa (BookET Lisa) Terhadap Tingkat Pengetahuan dan Sikap Pasien Hemodialisa di RSUD dr. RM. Pratomo Bagansiapiapi. Jurnal Kesehatan Holistic, 7(1), 43–51. https://doi.org/10.33377/jkh.v7i1.152

Fikawati, S., & Syafiq, A. (2012). Status Gizi Ibu dan Persepsi Ketidakcukupan Air Susu Ibu. Kesmas: National Public Health Journal, 6(6), 249. https://doi.org/10.21109/kesmas.v6i6.77

Hidayati, W., Pangestu, E. W., Lestariningsih, L., & Kristina, T. N. (2023). Interdialytic weight gain and pre-dialysis mean arterial pressure on patients with chronic hemodialysis. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(2). https://doi.org/10.30604/jika.v8i2.2059

Howren, M. B., Kellerman, Q. D., Hillis, S. L., Cvengros, J., Lawton, W., & Christensen, A. J. (2016). Effect of a Behavioral Self-Regulation Intervention on Patient Adherence to Fluid-Intake Restrictions in Hemodialysis: a Randomized Controlled Trial. Annals of Behavioral Medicine, 50(2), 167–176. https://doi.org/10.1007/s12160-015-9741-0

Lestari, S., Kuswadi, I., & Prasanto, H. (2021). Management of Thirst in Hemodialysis Patients in Primary Services. https://doi.org/10.1111/j.1547

Levey, A. S., Schwartz, W. B., & Coresh, J. (2012). Chronic kidney disease. Lancet, 379, 165–180. https://doi.org/10.1016/S0140

Mahyuvi, T., & Hasina, S. N. (2021). Improving the Compliance of Fluid Diet of Patients with Chronic Kidney Failure with Family Support-Based Health Education. Journal for Quality in Public Health, 5(1), 348–353. https://doi.org/10.30994/jqph.v5i1.277

Mailani, F., Muthia, R., Herien, Y., Huriani, E., Chan, C. M., & Abdullah, K. L. (2021). ORIGINAL RESEARCH The Fluid Management Experience in Patients with Chronic Kidney Disease Undergoing Hemodialysis in Indonesia: A Qualitative Study. Nurse Media Journal of Nursing, 11(3), 389–403. https://doi.org/10.14710/nmjn.v11i3.38838

Maksum, Purnomo, Sujianto, U., Johan, A., Miftakhul Nizar, A., & Tunjung Fitriani, E. (2019). Natural Restorative Environment on Anxiety on Patients With Chronic Kidney Diseases. Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban, 5(1), 28–36.

Mina, R. J. L., Lerma, M. A. B., Litan, P. L. B., Milano, A. A. L., Mojica, A. D. R., Malong-Consolacion, C. P., Lerma, E. B., Macindo, J. R. B., & Torres, G. C. S. (2019). Fluid distribution timetable on adherence to fluid restriction of patients with end-stage renal disease undergoing haemodialysis: Single-blind, Randomized-Controlled Pilot Study. Journal of Advanced Nursing, 75(6), 1328–1337. https://doi.org/10.1111/jan.13964

Mukakarangwa, M. C., Chironda, G., Bhengu, B., & Katende, G. (2018). Adherence to Hemodialysis and Associated Factors among End Stage Renal Disease Patients at Selected Nephrology Units in Rwanda: A Descriptive Cross-Sectional Study. Nursing Research and Practice, 2018, 1–8. https://doi.org/10.1155/2018/4372716

Naryati, N., Widakdo, G., Aisyah, A., Nuraenah, N., Fadhillah, H., Mahmud, U. H., Waluyo, I. K., & Heryadi, R. (2023). Pengaruh Edukasi Terintegrasi Terhadap Manajemen Adekuasi Asuhan Pasien Hemodialisis di Rumah Sakit Islam Jakarta Cempaka Putih. Malahayati Nursing Journal, 5(10), 3613–3621. https://doi.org/10.33024/mnj.v5i10.12153

Nayana, S. A., Balasubramanian, T., Nathaliya, P. M., Nimsha Hussain, P., Mohammed Salim, K. T., & Muhammed Lubab, P. (2017). A cross sectional study on assessment of health related quality of life among end stage renal disease patients undergoing hemodialysis. Clinical Epidemiology and Global Health, 5(3), 148–153. https://doi.org/10.1016/j.cegh.2016.08.005

Saraswati, N. L. G. I., & Ni Kadek Yuni Lestari. (2024). Tingkat Fatigue Pada Pasien Yang Menjalani Hemodialisis. Journal Nursing Research Publication Media (NURSEPEDIA), 3(2), 75–82. https://doi.org/10.55887/nrpm.v3i2.128

Tamaura, Y., Nishitani, M., Akamatsu, R., Tsunoda, N., Iwasawa, F., Fujiwara, K., Kinoshita, T., Sakai, M., & Sakai, T. (2019). Association Between Interdialytic Weight Gain, Perception About Dry Weight, and Dietary and Fluid Behaviors Based on Body Mass Index Among Patients on Hemodialysis. Journal of Renal Nutrition, 29(1), 24-32.e5. https://doi.org/10.1053/j.jrn.2018.04.009

Wu, V. C., Huang, T. M., Lai, C. F., Shiao, C. C., Lin, Y. F., Chu, T. S., Wu, P. C., Chao, C. Ter, Wang, J. Y., Kao, T. W., Young, G. H., Tsai, P. R., Tsai, H. Bin, Wang, C. L., Wu, M. S., Chiang, W. C., Tsai, I. J., Hu, F. C., Lin, S. L., … Wu, K. D. (2011). Acute-on-chronic kidney injury at hospital discharge is associated with long-term dialysis and mortality. Kidney International, 80(11), 1222–1230. https://doi.org/10.1038/ki.2011.259

Wulan, S. N., & Emaliyawati, E. (2018). Kepatuhan Pembatasan Cairan dan Diet Rendah Garam (Natrium) pada Pasien GGK yang Menjalani Hemodialisa; Perspektif Health Belief Model. Faletehan Health Journal, 5(3), 99–106. https://journal.lppm-stikesfa.ac.id

Zhianfar, L., Nadrian, H., & Shaghaghi, A. (2020). Enhancement of adherence to therapeutic and lifestyle recommendations among hemodialysis patients: An umbrella review of interventional strategies. Therapeutics and Clinical Risk Management, 16, 233–243. https://doi.org/10.2147/TCRM.S240125

Zuliani, P., Irawati, D., Anggraeni, D., Jumaiyah, W., & Abriyanti, R. M. (2023). Penerapan Intervensi Edukasi Pendidikan terhadap Fatigue pada Pasien Hemodialisis. Journal of Telenursing (JOTING), 5(2), 3633–3641. https://doi.org/10.31539/joting.v5i2.7928

Zyga, S., Alikari, V., Sachlas, A., Fradelos, E. C., Stathoulis, J., Panoutsopoulos, G., Georgopoulou, M., Theophilou, P., & Lavdaniti, M. (2015). Assessment of Fatigue in End Stage Renal Disease Patients Undergoing Hemodialysis: Prevalence and Associated Factors. Medical Archives (Sarajevo, Bosnia and Herzegovina), 69(6), 376–380. https://doi.org/10.5455/medarh.2015.69.376-380