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All Journal Journal SAGO Gizi dan Kesehatan Jurnal Ilmiah Mahasiswa Fakultas Keperawatan
Nurrahmawati, Cici
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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ASUHAN KEPERAWATAN PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) STAGE V: STUDI KASUS Nurrahmawati, Cici; Darliana, Devi; Bahri, Teuku Samsul
Jurnal Ilmiah Mahasiswa Fakultas Keperawatan Vol 8, No 1 (2024)
Publisher : Jurnal Ilmiah Mahasiswa Fakultas Keperawatan

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Abstract

Chronic Kidney Disease (CKD) stage V merupakan salah satu penyakit kronik yang ditimbulkan beberapa faktor, antara lain penyakit metabolik atau degeneratif seperti diabetes mellitus dan hipertensi, tumor, kelainan bawaan dan penyakit lainnya. Studi kasus ini bertujuan untuk mengidentifikasi asuhan keperawatan pada pasien dengan Chronic Kidney Disease (CKD) stage V. Hasil pengkajian menunjukkan pasien mengalami oliguria, serum kreatinin dan ureum meningkat, sesak nafas, asidosis metabolik, nyeri dada, mual, penurunan nafsu makan, IMT 20,70 kg/m2. Masalah keperawatan adalah gangguan pertukaran gas, nyeri akut, penurunan curah jantung, perfusi renal tidak efektif, dan risiko defisit nutrisi. Intervensi yang diberikan pada pasien berupa mengkaji pemantauan pernapasan, tirah baring, monitor EKG, pemberian terapi oksigen, mengajarkan terapi deep diphragmatic breathing, terapi pijat punggung, pemantauan intake dan output, dan memberikan terapi farmakologi dan nonfarmakologi. Evaluasi pasien ini diharapkan dapat menjadi referensi kepada perawat untuk memberikan edukasi kesehatan pada pasien dan keluarga untuk melakukan pemantauan intake dan output cairan sebagai salah satu terapi yang bisa dilanjutkan dirumah pada pasien yang menderita CKD stage V.
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 Anggri Noorana Zahra Bahri, Teuku Samsul Darliana, Devi Yulia Yulia