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Factors Associated with Dietary Non-Adherence among Chronic Kidney Disease Patients Undergoing Hemodialysis at RSU Imelda Pekerja Indonesia, Medan Ali Asman Harahap; Syahrul Handoko Nainggolan; Candra Meriani Damanik; Yuni Shanti Ritonga; Satriani H. Gultom; Lamtiur Purba
International Journal of Public Health Vol. 2 No. 4 (2025): December : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v2i4.584

Abstract

Background: Dietary adherence is a crucial component in the management of patients with chronic kidney disease (CKD) undergoing hemodialysis. Non-adherence may lead to metabolic imbalance, increased morbidity, and reduced quality of life.Objective: To identify factors associated with dietary non-adherence among patients with CKD undergoing hemodialysis at Imelda Hospital, Medan. Methods: A cross-sectional study was conducted among patients undergoing routine hemodialysis. Data were collected using structured questionnaires assessing knowledge, attitudes, and family support related to dietary adherence. Statistical analysis was performed using chi-square tests and logistic regression with a significance level of p < 0.05. Results: Knowledge, attitudes, and family support were significantly associated with dietary non-adherence (p < 0.05). Family support was identified as the most influential factor. Conclusion: Dietary non-adherence among hemodialysis patients is influenced by knowledge, attitudes, and family support. Strengthening patient education and family-centered nursing interventions is essential to improve dietary adherence.
Edukasi Perawatan Mandiri Diabetes Melitus terhadap Pola Perawatan Mandiri dan Kontrol Gula Darah pada Pasien Rawat Jalan di RSU Imelda Pekerja Indonesia Medan Lamtiur Purba; Sahrul Handoko; Satriani H. Gultom; Candra Meriani Damanik; Ali Asman Harahap; Yuni Santi Ritonga
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 6, No 2 (2026): Abdira
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v6i2.1910

Abstract

Diabetes prevalence rate of 10.6%. Diabetics who do not carry out self-care have uncontrolled blood sugar levels. The purpose of activity is to see how the DM Self-Care Education Program influences the self-care behavior of DM patients and blood sugar levels at the Imelda Pekerja Indonesia Hospital. The implementation method of this Community Service Program is in the form of education and counseling.The implementation of this Program is divided into activity preparation, activity implementation and evaluation. The results of Program show that there is a significant difference in the self-care patterns of DM patients and  blood sugar levels of  DM patients before and after participating in the DM Self-Care Education Program. There are benefits of intervention in the description of self-care patterns before and after implementing program, with a p-value of 0.000.05, and in the description of blood sugar levels before and after implementation, p-value is 0.00-0.05. The Self-Care Education Program with DSME intervention provides encouragement for self-care awareness and blood sugar treatment.