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All Journal JURNAL WACANA KESEHATAN Journal Of Nursing Practice
Wahyu Sukma Samudera
Institut Ilmu Kesehatan Bhakti Wiyata Kediri
Nursing Public Health

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Hubungan Kepatuhan Diet Dengan Kadar Gula Darah Pasien Diabetes Melitus Dengan Hiperglikemia Wahyu Sukma Samudera; Sujatmiko Sujatmiko; Florentina Florentina; Jesica Jesica
JURNAL WACANA KESEHATAN Vol 11, No 1 (2026): Juli
Publisher : Universitas Dharma Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52822/jwk.v11i1.925

Abstract

Diabetes melitus (DM) merupakan penyakit metabolik kronis yang ditandai dengan hiperglikemia akibat gangguan sekresi maupun kerja insulin. Prevalensi DM terus meningkat secara global dan menjadi masalah kesehatan utama, termasuk di Indonesia. Salah satu faktor penting dalam pengendalian kadar gula darah adalah kepatuhan terhadap diet rendah kalori. Tujuan: Mengetahui hubungan antara kepatuhan diet rendah kalori dengan kadar gula darah pada pasien DM dengan hiperglikemia. Penelitian kuantitatif dengan desain cross-sectional. Sampel sebanyak 87 responden dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner kepatuhan diet dan hasil pemeriksaan kadar gula darah. Analisis menggunakan uji Chi-Square dengan α = 0,05. Sebanyak 70,1% responden memiliki kepatuhan diet tinggi, namun 93,1% masih mengalami hiperglikemia. Hasil uji menunjukkan p = 0,002 (p < 0,05), yang berarti terdapat hubungan signifikan antara kepatuhan diet dengan kadar gula darah. Kepatuhan diet rendah kalori berhubungan signifikan dengan pengendalian kadar gula darah pada pasien DM
Adherence, Quality of Life, and Determinant Factors among Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Cross-Sectional Analysis Wenny Trisnaningtyas; Novita Kusuma Wulandari; Sherly Metasari; Nina Indriyawati; Ana Permatasari; Sawab; Rodhi Hartono; Wahyu Sukma Samudera
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1099

Abstract

Background: Hemodialysis sustains life for chronic kidney disease patients but imposes heavy physical, psychological, and social burdens. Poor adherence worsens complications and reduces quality of life, emphasizing the need to explore how compliance and patient well-being interact to improve outcomes. Purpose: This study examined how quality of life and patient factors shape treatment adherence in chronic hemodialysis. Methods: A cross-sectional design was employed with 158 adult patients recruited from hospitals in Central Java. Data were collected using validated instruments: KDQOL-36 for quality of life and MMAS for adherence. Multivariable linear regression analysis was performed to examine associations between variables. Results: Moderate adherence was observed (47.66 ± 5.90), with the highest quality of life domain in the problem list (78.30 ± 9.67). Strong positive correlations were found between adherence and all QoL domains: SF-12 (r = 1.000, p < 0.001). Regression analysis showed that age, employment, education, income, dialysis duration, and CKD length negatively influenced adherence, while quality of life was a significant positive predictor (B = 0.021, p < 0.001), confirming that better adherence is strongly linked to improved quality of life across physical, psychological, and social domains, with patient-reported challenges being the most critical factor. Conclusion: Quality of life influences adherence by affecting burden, motivation, and self-management, while age and longer dialysis history weaken this link through fatigue and reduced resilience. Socioeconomic factors help only with psychosocial support, so nursing should reduce treatment burden.
Co-Authors Ana Permatasari Florentina Florentina Jesica Jesica Nina Indriyawati Novita Kusuma Wulandari Rodhi Hartono Sawab Sherly Metasari Sujatmiko Sujatmiko Wenny Trisnaningtyas