Relationship between Energy, Protein Intake, and Hemodialysis Adequacy with Nutritional Status Chronic Kidney Failure Patients on Outpatient Hemodialysis at Baliméd Hospital, Denpasar
Abstract
Chronic kidney failure is a progressive disorder of kidney function. When chronic kidney disease has entered the ESRD (End Stage Renal Disease) phase, patients require lifelong therapy, namely hemodialysis therapy. Hemodialysis is a kidney function replacement therapy to remove metabolic waste or toxins from the bloodstream using a dialyzer. Malnutrition is a major nutritional problem in patients undergoing hemodialysis therapy, which can cause poor nutritional status and predict death in patients with chronic kidney failure. The general objective of this study was to determine the relationship between energy, protein, and hemodialysis adequacy intake with the nutritional status of outpatient chronic kidney failure hemodialysis patients at BaliMéd Hospital, Denpasar. The type of research used was observational analytic with a cross-sectional design. The number of samples in the study was 30 people. Sampling was carried out using the consecutive sampling method. Data collection was carried out using the interview method, measurement, and recording of patient medical records. Nutritional status was assessed using the SGA (Subjective Global Assessment) score, energy and protein intake were obtained from the average results of 2x24-hour food recall, and hemodialysis adequacy was assessed based on the percentage of URR (Urea Reduction Ratio) recorded in the patient's medical records for the last 3 months. Data were presented in frequency tables and cross tables. The results of the Spearman Rank analysis test showed that there was a significant relationship between energy intake and nutritional status (p = 0.001; r = 0.642). There was a significant relationship between protein intake and nutritional status (p = 0.001; r = 0.624). However, there was no significant relationship between hemodialysis adequacy and nutritional status (p = 0.087; r = 0.318).
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Pardede JA, Safitra N, Simanjuntak EY. Self-Concept Related to Depression Incidence in Patients Undergoing Hemodialysis.J Persat Nurses National Indonesia. 2021;5(3):92. doi:10.32419/jppni.v5i3.240
Carrero JJ, Stenvinkel P, Cuppari L, et al. Etiology of the Protein-Energy Wasting Syndrome in Chronic Kidney Disease: A Consensus Statement From the International Society of Renal Nutrition and Metabolism (ISRNM).J Ren Nutr. 2013;23(2):77-90. doi:10.1053/j.jrn.2013.01.001
Joselin. The Relationship Between Hemodialysis Adequacy and Nutritional Status of Chronic Kidney Disease Patients Undergoing Hemodialysis at Santa Elisabeth Hospital Medan. Published online 2017.
Chan CT, Collins K, Ditschman EP, et al. Overcoming Barriers for Uptake and Continued Use of Home Dialysis: An NKF-KDOQI Conference Report.Am J Kidney Dis. 2020;75(6):926-934. doi:10.1053/j.ajkd.2019.11.007
Solihatin Y, Rahmawati AS, Susilawati. The Relationship Between Hemodialysis Adequacy and Quality of Life of Hemodialysis Patients in the Hemodialysis Installation of Jasa Kartini Hospital, Tasikmalaya.Healthc Nurs J. 2019;1(2).
Kamil I, Agustina R, Wahid A. Description of Anxiety Levels in Chronic Kidney Failure Patients Undergoing Hemodialysis at Ulin Regional Hospital, Banjarmasin.Health Department. 2018;9(2):366-377. https://ojs.bisnisakesehatan.unism.ac.id/index.php/dksm/article/view/350
PERNEPHRI.11th Report of Indonesian Renal Registry 2018.; 2018. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Yani DA, Sarnianto P, Anggriani Y. Risk Factors of Hemodialysis Patients at Arjawinangun Regional Hospital and Waled Regional Hospital, Cirebon Regency.Syntax Lit J Ilm Indones. 2020;5(1).
Lilia IH, Supadmi W. Risk Factors for Chronic Kidney Failure in Hemodialysis Units of Private Hospitals in Yogyakarta.Maj Pharmaceutics. 2019;4(Suppl 1):60-65. doi:10.24198/mfarmasetika.v4i0.25860
Mahayundhari NPE, Wiardani NK, Cintari L. The Relationship between Hemodialysis Adequacy and Nutritional Status with the Quality of Life of Chronic Kidney Failure Patients Undergoing Hemodialysis at Sanglah General Hospital, Denpasar.J Nutritional Sciences J Nutr Sci. 2018;7(4):156-164.
Putri DA, Sukron, Tiranda Y. Nutritional Status of Chronic Kidney Failure Patients in Hemodialysis Room.Indones Acad Heal Sci J. 2020;1(1):8-12.
Maigoda TC, Maisyorah E, Krisnasary A, Ardiansyah S. Energy, Protein, And Potassium Intake With Nutritional Status Among Chronic Renal Failure Patients Undergoing Hemodialysis In Hospital Dr. M. Yunus, Bengkulu, Indonesia.Ann Trop Med Public Heal. 2020;23(8):1292-1300. doi:10.36295/ASRO.2020.23816
Ministry of Health of the Republic of Indonesia. Decree of the Minister of Health of the Republic of Indonesia Concerning National Guidelines for Medical Services for the Management of Chronic Kidney Disease.Ministry of Health of the Republic of Indonesia. Published online 2023.
Setiawan I. Analysis of Factors Affecting Dialysis Adequacy in Dialysis Patients at Premier Hospital Surabaya.Hang Tuah College of Health Sciences. Published online 2022. www.aging-us.com
Khaerudin F, Gartika N, Wilandika A. Relationship between Adequacy of Hemodialysis Urea Reduction Rate (URR) and Fatigue Level in End Stage Renal Disease (ESRD) Patients.J Nursing 'Aisyiyah. 2019;6(2):41-51. doi:10.33867/jka.v6i2.138
Azahra PA. Factors Related to Dialysis Adequacy in Hemodialysis Patients at the Sahabat Keluarga Clinic, Jakarta. Published online 2019
DOI: https://doi.org/10.33992/icmahs.v2i1.3672
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