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All Journal Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Jurnal Riset Kesehatan Nasional Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal SAGO Gizi dan Kesehatan Journal Of Health & Cardiovascular Nursing Holistik Jurnal Kesehatan
Anggri Noorana Zahra
Faculty Of Nursing, Universitas Indonesia
Humanities Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Efektivitas telehealth nutrition counseling yang dipimpin perawat untuk pasien hemodialisis: Tinjauan sistematis Nurrahmawati, Cici; Yulia, Yulia; Zahra, Anggri Noorana
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2821

Abstract

Background: Hemodialysis is the main renal replacement therapy for end-stage chronic kidney disease, yet global dietary compliance among patients remains low (30–70%), including in Indonesia. Limited nutritional knowledge, entrenched eating habits, and inadequate access to counseling contribute to this problem. Nurse-led telehealth nutrition interventions supported by digital platforms have emerged as innovative strategies to enhance patient education and adherence.Objective: To review current evidence on the effectiveness of nurse-led, telehealth-based nutritional interventions in improving dietary compliance among hemodialysis patients.Methods: A systematic narrative review was conducted following PRISMA guidelines. Literature searches in Scopus, PubMed, and Google Scholar identified studies published between 2015 and 2025 using the keywords telehealth, nutrition counseling, and hemodialysis. Twelve out of ninety-five studies met the inclusion criteria: original research involving adult hemodialysis patients receiving nurse- or healthcare worker–delivered telehealth nutrition counseling. Data were synthesized narratively, and risk of bias was evaluated descriptively based on study design and reporting quality.Results: Most studies demonstrated significant improvements in nutritional knowledge, dietary compliance, and self-management (9/12 studies, p < 0.05). Effects on clinical outcomes such as hemoglobin, serum phosphate, and interdialytic weight were inconsistent, influenced by intervention duration, study design, and methodological quality. Telehealth approaches were feasible, acceptable, and beneficial in contexts with limited in-person care.Conclusion: Nurse-led telehealth nutritional interventions effectively improve dietary compliance and patient self-management in hemodialysis populations. Integration into primary and hospital-based care may strengthen continuity of care.
Co-Authors Agung Waluyo Aris Setiawan Cut Sarida Pompey Elly Nurachmah Hasibuan, Riska Eka Fatma Hikmatia, Nurlita Dwi Marthafanny, Conny Mega Apriyanti Misella Elvira Farida Nurrahmawati, Cici Purba, Sariaman Retnowati Retnowati Sri Yona Sri Yona Tuti Herawati Wirastiningtyas, Shendika Yulia Yulia