Overview of Nutritional Status of Patients with Chronic Kidney Disease Who Undergoing Hemodialisis

https://doi.org/10.33860/jik.v18i2.3892

Authors

  • Ismunandar Departement of Nursing, Poltekkes Kemenkes Palu, Palu, Indonesia
  • Irsanty Collein Departement of Nursing, Poltekkes Kemenkes Palu, Palu, Indonesia
  • Nuswatul Khaira Departement of Nursing, Poltekkes Kemenkes Palu, Palu, Indonesia

Keywords:

Nutritional status, quality of life, CKD patients, Hemodialysis

Abstract

Patients undergoing hemodialysis for a period of more than 3 years tend to experience malnutrition due to inadequate food intake, diseases of the digestive tract, eating restrictions, drugs that cause impaired nutrient absorption, inadequate dialysis, and comorbidities. This study aimed to determine the relationship between nutritional status and the quality of life of chronic kidney disease patients undergoing hemodialysis in Palu. This study used a quasy experiment design to determine the the 2-mean difference test.. The sample formula determined the number of samples to test the hypothesis on the average of two populations with 100 respondents. This study was carried out in 2 hemodialysis units in Palu. The samples involved in this study were selected by simple random sampling. The KDQOL SF-36 is used to measure quality of life, whereas the malnutrition inflammation score is employed in the questionnaire used to assess nutritional status. The results of this study show that most respondents are in the age range of > 55 years, with 60 people (60%); are female, with 48 people (48%). 48% have a poor quality of life, and 52% have a good quality of life. The p-value for MIS is 0.001, so it can be concluded that at 5% alpha, there is a significant difference between the malnutrition inflammation score before and after education, while there is no significant difference for quality of life and kt/v values. There is an influence of health education on patient nutrition, there is no influence of health education using the KADOic application on quality of life and kt/v.

References

Ikizler TA, Cuppari L. The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease. Blood Purif. 2021;50(4–5):667–71.

Okasha, K., Negm, M., Gawaly A. Subjective Global Assessment for Nutritional Assessment of Patients on Regular Hemodialysis at Dialysis Unit at Tanta University Hospital. Med J Cairo Univ. 2019;87(9):3023–9.

Collein I, Hafid F, Ismunandar I. The Relationship Between Nutritional Status and The Quality of Life of Chronic Kidney Disease Patients Undergoing Hemodialysis. Poltekita J Ilmu Kesehat. 2023;17(3):909–16.

Alvarenga L de A, Andrade BD, Moreira MA, Nascimento R de P, Macedo ID, Aguiar AS de. Nutritional profile of hemodialysis patients concerning treatment time. J Bras Nefrol. 2017;39(3):283–6.

Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis [Internet]. 2020;76(3):S1–107. Available from: https://doi.org/10.1053/j.ajkd.2020.05.006

Kefale B, Alebachew M, Tadesse Y, Engidawork E. Quality of life and its predictors among patients with chronic kidney disease: A hospital-based cross sectional study. Vol. 14, PLoS ONE. 2019.

Cruz MC, Andrade C, Urrutia M, Draibe S, Nogueira-Martins LA, Sesso R de CC. Quality of life in patients with chronic kidney disease. Clinics. 2011;66(6):991–5.

Supriyadi R, Rakhima F, Gondodiputro RS, Darmawan G. Validity and Reliability of the Indonesian Version of Kidney Disease Quality of Life (KDQOL-36) Questionnaire in Hemodialysis Patients at Hasan Sadikin Hospital, Bandung, Indonesia. Acta Med Indones. 2019;51(4):318–23.

Post M. Definitions of Quality of Life: What Has Happened and How to Move On. Top Spinal Cord Inj Rehabil [Internet]. 2014;20(3):167–80. Available from: http://archive.scijournal.com/doi/abs/10.1310/sci2003-167

Collein I. Model Pengelolaan diri KADO pada penyakit ginjal kronik. Winoto DE, editor. Eureka Media Aksara. Eureka Media Aksara; 2023. 5–24 p.

Collister D, Pyne L, Cunningham J, Donald M, Molnar A, Beaulieu M, et al. Multidisciplinary Chronic Kidney Disease Clinic Practices: A Scoping Review. Vol. 6, Canadian Journal of Kidney Health and Disease. 2019.

Yonata A, Islamy N, Taruna A, Pura L. Factors Affecting Quality of Life in Hemodialysis Patients. Int J Gen Med. 2022;30(1):1–12.

Awuah KT, Finkelstein SH, Finkelstein FO. Quality of life of chronic kidney disease patients in developing countries. 2013;227–9.

Kalfoss M, Schick-Makaroff K, Molzahn AE. Living with Chronic Kidney Disease: Illness Perceptions, Symptoms, Coping, and Quality of Life. Nephrol Nurs J. 2019;46(3):277–90.

Sharma S, Kalra D, Rashid I, Mehta S, Maity MK. Assessment of Health-Related Quality of Life in Chronic Kidney Disease Patients : A Hospital-Based. 2023;

Higuita-Guterrrez LF, Velasco-Castano JJ, Quiceno JNJ. Health-related quality of life in patients with chronic kidney disease. Patient Prefer Adherence. 2019;21(1):2061–70.

Lewis SL, Dirksen SR, Heitkemper MM, Bucher L. Medical Surgical Nursing: Assesment and management of clinical problems. Vol 2. Ninth edit. St Louis Missiouri: Elsevier Ltd; 2014.

Kasonde J, Makukula M, Musenge E. Quality of Life in Chronic Kidney Disease Patients on Dialysis at the University Teaching Hospital-Adult Hospital, Lusaka, Zambia. Open J Nephrol. 2022;12(04):460–81.

Clarke AL, Yates T, Smith AC, Chilcot J. Patient ’ s perceptions of chronic kidney disease and their association with psychosocial and clinical outcomes : a narrative review. 2016;9(3):494–502.

Lin CC, Chen MC, Hsieh HF, Chang SC. Illness representations and coping processes of Taiwanese patients with early-stage chronic kidney disease. J Nurs Res. 2013;

LeMone P, Burke KM, Bauldoff G. Medical-Surgical Nursing: Critical Thingking in Patient Care Fifth edition Vol 1. Fifth Edit. New jersey: Pearson Education Inc; 2011.

Nunes JAW. Education of Patients With Chronic Kidney Disease at the Interface of Primary Care Providers and Nephrologists. Adv Chronic Kidney Dis [Internet]. 2013;20(4):370–8. Available from: http://dx.doi.org/10.1053/j.ackd.2013.03.002

Llewellyn S. Concept Clarification : Uncertainty in Individuals with Chronic Kidney. 2017;44(6).

Vassalotti JA, Centor R, Turner BJ, Greer RC, Choi M, Sequist TD. Practical Approach to Detection and Management of Chronic Kidney Disease for the Primary Care Clinician. Am J Med [Internet]. 2016;129(2):153-162.e7. Available from: http://www.sciencedirect.com/science/article/pii/S0002934315008554

Evans M, Lewis RD, Morgan AR, Whyte MB, Hanif W, Bain SC, et al. A Narrative Review of Chronic Kidney Disease in Clinical Practice: Current Challenges and Future Perspectives. Adv Ther [Internet]. 2022;39(1):33–43. Available from: https://doi.org/10.1007/s12325-021-01927-z

Yarnoff BO, Hoerger TJ, Simpson SK, Leib A, Burrows NR, Shrestha SS, et al. The cost-effectiveness of using chronic kidney disease risk scores to screen for early-stage chronic kidney disease. BMC Nephrol. 2017;18(1):1–12.

National Kidney Disease Education Program. Urine Albumin-to-Creatinine Ratio (UACR) in Evaluating Patients with Diabetes for Kidney Disease. NIH Publ No 10-6286 [Internet]. 2010; Available from: https://www.niddk.nih.gov/health-information/health-communication-programs/nkdep/a-z/quick-reference-uacr-gfr/Documents/quick-reference-uacr-gfr-508.pdf

Sethi S, Sethi N, Makkar V, Kaur S, Sohal PM. Malnutrition-Inflammation Score: A Valid Tool to Assess Nutritional Status in Patient with End-stage Renal Disease. Saudi J Kidney Dis Transplant. 2022;33(4):559–65.

Bandiara R, Takaryanto D, Andhika R, Makmun A, Supriyadi R, Sukesi L. Simplified Creatinine Index as Predictor of Malnutrition in Stage 5 Chronic Kidney Disease Patients on Maintenance Haemodialysis. Int J Nephrol Renovasc Dis. 2024;17(July):205–13.

D’alessandro C, Giannese D, Avino M, Cupisti A. Energy requirement for elderly ckd patients. Nutrients. 2021;13(10):1–12.

Rasyid H, Kasim H, Zatalia SR, Sampebuntu J. Quality of Life in Patients with Renal Failure Undergoing Hemodialysis. Acta Med Indones. 2022;54(2):307–13.

Pequeno N, Cabral N, Marchioni D, Lima S, Lyra C. Quality of life assessment instruments for adults: a systematic review of population-based studies. Health and Quality of Life Outcomes [revista en Internet] 2020 [acceso 2 de abril de 2022]; 18(1): 1-13. Health Qual Life Outcomes [Internet]. 2020;18:1–13. Available from: https://hqlo.biomedcentral.com/articles/10.1186/s12955-020-01347-7

Prabhaswari L, Werdi IGSP, Sunaka IW. Hubungan antara status nutrisi dan kualitas hidup pada pasien penyakit ginjal kronik yang menjalani hemodialisis di Rumah Sakit Umum Daerah (RSUD) Wangaya, Denpasar, Bali. Intisari Sains Medis. 2020;11(3):1451–5.

Chu CD, McCulloch CE, Banerjee T, Pavkov ME, Burrows NR, Gillespie BW, et al. CKD Awareness Among US Adults by Future Risk of Kidney Failure. Am J Kidney Dis. 2020;76(2):174–83.

Collein I, Sitorus R, Yetti K, Hastono SP. Facilitators and barriers to self-management of patients chronic kidney disease. Enfermería Clínica [Internet]. 2021;31:S37–40. Available from: https://doi.org/10.1016/j.enfcli.2020.10.014

Black JM, Hawks JH. Medical-Surgical Nursing: Clinical Management for Positive Outcomes Eigth Edition. Vol 1. eigth Edit. St Louis Missiouri: Elsevier Ltd; 2009.

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Published

2024-08-31

How to Cite

Ismunandar, I., Collein, I., & Khaira, N. (2024). Overview of Nutritional Status of Patients with Chronic Kidney Disease Who Undergoing Hemodialisis . Poltekita: Jurnal Ilmu Kesehatan, 18(2), 172–177. https://doi.org/10.33860/jik.v18i2.3892

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