Penerapan Intervensi Self-Management Berbasis Whatsapp (Wa) Pada Pasien Gagal Ginjal Kronik (Ggk) Yang Menjalani Hemodialisis (Hd) Di Rumah Sakit Pku Muhammadiyah Gamping: Laporan Kasus
DOI:
https://doi.org/10.59841/an-najat.v2i4.1677Keywords:
Chronic kidney diseases, hemodialysis, self-management.Abstract
Hemodialysis (HD) is the most common kidney replacement therapy in the world. HD will affect changes in the patient's lifestyle. WA-based self-management program as one of the interventions in managing HD patients. This study aims to determine the effectiveness of implementing WA-based self-management interventions in CKD patients undergoing HD. This study is a case report using a nursing care approach with HDMI questionnaires as pretest and posttest. The results of this study showed that there was an increase in the average HDMI score by 9 points and decrease the average of IDWG in respondent 1 by 0.19 kg, while respondent 2 by 1.67 kg. Conclusion: the application of WA-based self-management intervention is effective in increasing self-management scores. However, this program less effective to reduce IDWG according to expected target in patients undergoing HD at PKU Muhammadiyah Gamping.
References
Bagheri, M., Bagheri, M., & Niknami, S. (2018). The Effect of Educational Intervention on Knowledge and Self-Care of Elderly People with Type 2 Diabetes. Journal of Gerontology, 3(3), 21–30. https://doi.org/10.29252/JOGE.3.2.21
Bourbeau, J., Casan, P., Tognella, S., Haidl, P., Texereau, J. B., & Kessler, R. (2016). An International Randomized Study of A Home-Based Self-Management Program for Severe COPD: The COMET. International Journal of Chronic Obstructive Pulmonary Disease, 11(1), 1447–1451. https://doi.org/10.2147/COPD.S107151
CDC. (2021). Chronic Kidney Disease in the United States, 2021. Chronic Kidney Disease, 1, 1–6. https://www.cdc.gov/kidneydisease/publications-resources/ckd-national-facts.html%0Ahttps://www.cdc.gov/kidneydisease/publications-resources/2019-national-facts.html
Dehghan, B. A., Shoghi, M., & Fatemi, N. S. (2019). Effect of Self-management training with Group Discussion method on Self-esteem of Adolescents with Hemodialysis. Journal of Pediatric Nursing, 5(3), 74–82. https://doi.org/10.21859/jpen-050310
Gela, D., & Mengistu, D. (2018). Self-Management And Associated Factors Among Patients With End-Stage Renal Disease Undergoing Hemodialysis at Health Facilities in Addis Ababa, Ethiopia. International Journal of Nephrology and Renovascular Disease, 11, 329–336. https://doi.org/10.2147/IJNRD.S184671
Griva, K., Nandakumar, M., Ng, J. an H., Lam, K. F. Y., McBain, H., & Newman, S. P. (2018). Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis. American Journal of Kidney Diseases, 71(3), 371–381. https://doi.org/10.1053/j.ajkd.2017.09.014
Hou, Y., Li, L., Zhou, Q., Wang, G., & Li, R. (2021). Relationships Between Social Capital, Patient Empowerment, and Self-Management of Patients Undergoing Hemodialysis: A Cross-Sectional Study. https://doi.org/10.1186/s12882-022-02669-y
Husain, F., Kusuma, H., & Johan, A. (2020). Effects of Peer Support Program on Self-Management in Patients with End-Stage Renal Disease Undergoing Hemodialysis. Nurse Media Journal of Nursing, 10(2), 171–181. https://doi.org/10.14710/NMJN.V10I2.26502
Jalalzadeh, M., Mousavinasab, S., Villavicencio, C., Aameish, M., Chaudhari, S., & Baumstein, D. (2021). Consequences of Interdialytic Weight Gain Among Hemodialysis Patients. Cureus, 13(5). https://doi.org/10.7759/CUREUS.15013
Jonkman, N. H., Schuurmans, M. J., Jaarsma, T., Shortridge-Baggett, L. M., Hoes, A. W., & Trappenburg, J. C. A. (2016). Self-Management Interventions: Proposal and Validation of A New Operational Definition. Journal of Clinical Epidemiology, 80, 34–42. https://doi.org/10.1016/J.JCLINEPI.2016.08.001
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
KDIGO. (2022). KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease. Kidney International, 102(5), S1–S127. https://doi.org/10.1016/j.kint.2022.06.008
Keivan, S., Shariati, A., Miladinia, M., & Haghighizadeh, M. H. (2023). Role of self-management program based on 5A nursing model in quality of life among patients undergoing hemodialysis: a Randomized Clinical Trial. BMC Nephrology, 24(1). https://doi.org/10.1186/S12882-023-03108-2
Kemenkes RI. (2024). Keputusan Menteri Kesehatan Republik Indonesia. 1–289.
Lee, M. J., Doh, F. M., Kim, C. H., Koo, H. M., Oh, H. J., Park, J. T., Han, S. H., Yoo, T. H., Kim, Y. L., Kim, Y. S., Yang, C. W., Kim, N. H., & Kang, S. W. (2014). Interdialytic Weight Gain and Cardiovascular Outcome in Incident Hemodialysis Patients. American Journal of Nephrology, 39(5), 427–435. https://doi.org/10.1159/000362743
Li, H., Jiang, Y. fang, & Lin, C. C. (2014). Factors Associated With Self-Management by People Undergoing Hemodialysis: A Descriptive Study. International Journal of Nursing Studies, 51(2), 208–216. https://doi.org/10.1016/J.IJNURSTU.2013.05.012
Lin, M. Y., Liu, M. F., Hsu, L. F., & Tsai, P. S. (2017). Effects of Self-Management on Chronic Kidney Disease: A Meta-analysis. International Journal of Nursing Studies, 74, 128–137. https://doi.org/10.1016/J.IJNURSTU.2017.06.008
Mailani, F., Muthmainah, M., & Purnama, A. J. (2023). Hubungan Self Management Dengan Penambahan Berat Badan Interdialisis Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Kesehatan Medika Saintika, 14(2), 424–436. https://doi.org/10.30633/JKMS.V14I2.1892
Natashia, D., Yen, M., Chen, H. M., & Fetzer, S. J. (2019). Self-Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia. Journal of Nursing Scholarship, 51(4), 417–426. https://doi.org/10.1111/JNU.12464
Ortiz, A., Roger, M., Jiménez, V. M., Perez, J. C. R., Furlano, M., Atxer, L. S., Zurro, D. G., Casabona, C. M. R., Gómez, C. G., Bermúdez, P. P., Armisen, M. A., López, S. A., Porras, I. G., Ruiz, J. G., Orgaz, J. M. M., Barón, M. M., Ortiz, P. D. S., De La Fuente, G. D. A., Gili, B. Q., … Gallego, R. H. (2022). RICORS2040: The Need for Collaborative Research in Chronic Kidney Disease. Clinical Kidney Journal, 15(3), 372–387. https://doi.org/10.1093/CKJ/SFAB170
Park, O. L., & Kim, S. R. (2019). Integrated Self-Management Program Effects on Hemodialysis Patients: A Quasi-Experimental Study. Japan Journal of Nursing Science, 16(4), 396–406. https://doi.org/10.1111/JJNS.12249
Pecoits-Filho, R., Okpechi, I. G., Donner, J. A., Harris, D. C. H., Aljubori, H. M., Bello, A. K., Bellorin-Font, E., Caskey, F. J., Collins, A., Cueto-Manzano, A. M., Feehally, J., Goh, B. L., Jager, K. J., Nangaku, M., Rahman, M., Sahay, M., Saleh, A., Sola, L., Turan Kazancioglu, R., … Johnson, D. W. (2020). Capturing and Monitoring Global Differences in Untreated and Treated End-Stage Kidney Disease, Kidney Replacement Therapy Modality, and Outcomes. Kidney International Supplements, 10(1), e3. https://doi.org/10.1016/J.KISU.2019.11.001
Peng, S., He, J., Huang, J., Lun, L., Zeng, J., Zeng, S., Zhang, L., Liu, X., & Wu, Y. (2019). Self-management interventions for chronic kidney disease: a systematic review and meta-analysis. BMC Nephrology, 20(1). https://doi.org/10.1186/S12882-019-1309-Y
Richard, C. J. (2006). Self-Care Management in Adults Undergoing Hemodialysis. Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, 33(4). https://pubmed.ncbi.nlm.nih.gov/17001996/
Rocco, M. V., Rigaud, M., Ertel, C., Russell, G., Zemdegs, J., & Vecchio, M. (2023). Fluid Intake Management in Maintenance Hemodialysis Using a Smartphone-Based Application: A Pilot Study. Kidney Medicine, 5(9), 100703. https://doi.org/10.1016/J.XKME.2023.100703
Timmermans, L., Boeykens, D., Sirimsi, M. M., Decat, P., Foulon, V., Van Hecke, A., Vermandere, M., Schoenmakers, B., Remmen, R., Verté, E., Sirimsi, M. M., Van Bogaert, P., De Loof, H., Van den Broeck, K., Anthierens, S., Huybrechts, I., Raeymaeckers, P., Buffel, V., Devroey, D., … Op de Beeck, S. (2022). Self-Management Support in Flemish Primary Care Practice: The Development of A Preliminary Conceptual Model Using A Qualitative Approach. BMC Primary Care, 23(1), 1–13. https://doi.org/10.1186/S12875-022-01652-8/FIGURES/1
Wong, M. M. Y., McCullough, K. P., Bieber, B. A., Bommer, J., Hecking, M., Levin, N. W., McClellan, W. M., Pisoni, R. L., Saran, R., Tentori, F., Tomo, T., Port, F. K., & Robinson, B. M. (2017). Interdialytic Weight Gain: Trends, Predictors, and Associated Outcomes in the International Dialysis Outcomes and Practice Patterns Study (DOPPS). American Journal of Kidney Diseases : The Official Journal of the National Kidney Foundation, 69(3), 367–379. https://doi.org/10.1053/J.AJKD.2016.08.030
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 An-Najat
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
