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All Journal JMM (Jurnal Masyarakat Mandiri) Indonesian Journal for Health Sciences (IJHS) Jurnal Aisyah : Jurnal Ilmu Kesehatan
Setiowati, Tutut
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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OPTIMIZING INTRADIALYTIC NUTRITIONAL INTAKE: A SYSTEMATIC REVIEW OF SAFETY AND CLINICAL EFFECTS DURING HEMODIALYSIS Setiowati, Tutut; Yulian, Vinami; Sugiharto, Sugiharto
Indonesian Journal of Health Science Vol 9 No 2 (2025): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v9i2.12150

Abstract

Hemodialysis is an essential therapy for patients with end-stage kidney disease; however, it is often accompanied by the risk of malnutrition, which contributes to reduced quality of life and increased mortality. Intradialytic eating (IDE) has the potential to offer clinical benefits for hemodialysis patients, but its practice remains controversial, particularly regarding safety and possible clinical outcomes. This study aims to evaluate the safety and clinical impact of IDE through a systematic review of the available scientific evidence. A comprehensive literature search was conducted using PubMed, Cochrane CENTRAL, ScienceDirect, EBSCO, and Scopus databases. Studies were selected based on relevance to the PICO framework. A total of 9,142 articles were identified, and after data screening and extraction, eight studies met the inclusion criteria. The findings suggest that intradialytic eating (IDE) has the potential to improve nutritional status and quality of life in hemodialysis patients at risk of malnutrition, although it still carries the risk of hypotension and blood pressure instability. Safe and effective implementation of IDE requires careful patient selection based on hemodynamic stability, provision of high-protein and low-electrolyte foods, administration during the mid-to-late phase of dialysis, and close clinical monitoring. Multidisciplinary team involvement and supportive health service policies are crucial for the long-term success of IDE practices.
IMPACT OF DIFFERENT INTRADIALYTIC EATING TIMES ON HEMODYNAMIC STABILITY AND HEMODIALYSIS ADEQUACY Setiowati, Tutut; Rosyid, Fahrun Nur; Kristinawati, Beti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 2 (2025): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i2.3222

Abstract

Intradialytic eating (IE) remains controversial due to the absence of standardised clinical guidelines. While it can potentially improve patients' nutritional status, its effects on hemodynamic stability and dialysis adequacy remain inconclusive. This study aimed to evaluate the impact of IE timing on hemodynamic and dialysis adequacy. A quasi-experimental design with a control group was employed, involving 32 hemodialysis patients assigned to either an intervention or control group. The intervention group received a standardised meal consisting of 100 ml of milk and two egg whites (200 kcal; approximately 15 grams of protein) at varying times during five dialysis sessions. Observed parameters included systolic and diastolic blood pressure, pulse rate, MAP, and Kt/V. Measurements were recorded every 30 minutes throughout each session. Data were analysed using independent t-test and Repeated Measures ANOVA with Bonferroni correction. No statistically significant differences between the intervention and control groups across all parameters (p 0.05). However, within the intervention group, repeated measures ANOVA revealed changes in systolic blood pressure (p = 0.004), MAP (p = 0.021), and Kt/V (p = 0.031). Post-hoc Bonferroni tests identified significant differences in systolic blood pressure (p = 0.010 and p = 0.045) and MAP (p = 0.041). IE had a significant impact on hemodynamics during the first and second hours of dialysis (p 0.05). These findings indicate that IE toward the end of dialysis may serve as a safe nutritional approach, with minimal hemodynamic risk and greater potential for preserving dialysis adequacy compared to earlier phases of the session
PENINGKATAN PENGETAHUAN DAN KETERAMPILAN IBU PKK DALAM PENCEGAHAN PENYAKIT GINJAL KRONIS MELALUI EDUKASI KESEHATAN DAN DETEKSI DINI Fahrun Nur Rosyid; Gracia Foreva Zinta; Tutut Setiowati
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 6 (2025): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i6.34921

Abstract

Abstrak: Penyakit ginjal kronis (PGK) merupakan masalah kesehatan global yang berdampak serius terhadap kualitas hidup dan ekonomi masyarakat. Kegiatan ini bertujuan meningkatkan pengetahuan dan keterampilan Ibu PKK dalam pencegahan PGK melalui edukasi kesehatan dan deteksi dini. Metode pengabdian dilaksanakan melalui pendidikan kesehatan berupa ceramah dan diskusi interaktif untuk meningkatkan pemahaman peserta mengenai PGK. Materi mencakup pengertian, faktor risiko, tanda dan gejala, prinsip pencegahan dengan perilaku hidup sehat, serta pemeriksaan sederhana untuk deteksi dini. Kegiatan didukung media PowerPoint dan leaflet, dilanjutkan evaluasi pre-test dan post-tes. Sebanyak 25 orang peserta berpartisipasi dalam kegiatan ini. Hasil analisis menunjukkan peningkatan pengetahuan peserta secara signifikan setelah pemberian edukasi, dengan nilai p = 0,007. Temuan ini menegaskan adanya pengaruh positif edukasi kesehatan terhadap peningkatan pengetahuan peserta mengenai pencegahan dan manajemen PGK.Abstract: Chronic kidney disease (CKD) represents a global health concern that significantly impacts both quality of life and economic well-being. This community service activity aimed to enhance the knowledge and skills of PKK mothers in CKD prevention through health education and early detection. The intervention was conducted using health education methods, including lectures and interactive discussions, to improve participants’ understanding of CKD. The educational content covered the definition of CKD, risk factors, signs and symptoms, preventive principles through healthy lifestyle practices, and simple screening methods for early detection. The program was supported by PowerPoint presentations and leaflets and was followed by pre-test and post-test evaluations. A total of 25 participants took part in the activity. The results demonstrated a statistically significant improvement in participants’ knowledge after the intervention (p = 0.007), indicating a positive effect of health education on increasing participants’ knowledge regarding CKD prevention and management.
Co-Authors Beti Kristinawati Fahrun Nur Rosyid Gracia Foreva Zinta S. Sugiharto Vinami Yulian