EVIDENCE-BASED NURSING ON MOBILE HEVIDENCE BASE NURSING PENGGUNAAN MOBILE HEALTH DIALYSIS UNTUK EVALUASI MANDIRI ADEKUASI HEMODIALISIS PADA PASIEN GAGAL GINJAL KRONIK
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DOI:
https://doi.org/10.32584/jpi.v8i1.2096Abstract
(Evidence Base Nursing Use Of Mobile Health Dialysis For Independent Evaluation of Hemodialysis Adequation
In Patiens With Chronic Renal Failure) Introduction : Adequacy of hemodialysis is the fulfillment of hemodialysis
doses according to the needs of the patient which is characterized by the patient feeling better, comfortable and the
patient's life span is getting longer. If the dose of hemodialysis is insufficient, the patient will experience various
disorders such as shortness of breath, headaches, leg cramps, nausea and vomiting, hypotension and pruritis. There
is a strong relationship between adequate hemodialysis and morbidity and mortality in patients with chronic kidney
failure. Objective: To determine the effectiveness of using mobile health dialysis for independent evaluation of
hemodialysis adequacy in patients with chronic kidney failure Methods: This literature study uses the PRISMA
approach. PICO is used to make systematic payments. The database searches used included Google Scholar, Science
Direct, Cochrane, Pubmed and Wiley Online Library with the selected keywords. Results: several reviewed articles
show that eHealth interventions can improve the management of sodium intake, food and fluid management. In
addition, the mHealth intervention showed neutral to positive results in the management of chronic dialysis patients,
and reported no significant increase in dialysis specific measures and some components of quality of life assessment.
Another study shows that dietary interventions delivered via telehealth can improve the clinical and nutritional
parameters of hemodialysis patients. Conclusion: The use of mobile health dialysis is effective for independent
evaluation of hemodialysis adequacy in patients with chronic kidney failure.
Keywords: Adequacy of hemodialysis, hemodialysis, mobile health
Abstrak
Pendahuluan: Adekuasi hemodialisis adalah terpenuhinya dosis hemodialisis sesuai dengan kebutuhan pasien
dimana ditandai dengan pasien merasa lebih baik, dan nyaman serta semakin panjang usia hidup pasien. Jika dosis
hemodialisa tidak mencukupi maka pasien akan mengalami berbagai gangguan seperti sesak napas, sakit kepala,
kaki kram, mual dan muntah, hipotensi dan pruritis. Ada hubungan yang kuat antara adekuasi hemodialisa dengan
morbiditas dan mortalitas pada pasien gagal ginjal kronik. Tujuan: Mengetahui efektifitas penggunaan mobile health
dialysis untuk evaluasi mandiri adekuasi hemodialisis pada pasien gagal ginjal kronik Metode: Studi pustaka ini
menggunakan pendekatan PRISMA. PICO digunakan untuk melakukan tinjauan sistematis. Database pencarian yang
digunakan antara lain Google Scholar, Science Direct, Cochrane, Pubmed dan Wiley Online Library dengan kata
kunci yang dipilih. Hasil: beberapa artikel yang direview menunjukkan bahwa intervensi eHealth dapat meningkatkan
pengelolaan asupan natrium, makanan dan pengelolaan cairan. Selain itu intervensi mHealth menunjukkan hasil netral
hingga positif dalam manajemen pasien dialysis kronis, serta melaporkan tidak ada peningkatan yang signifikan dari
pengukuran spesifik dialysis dan beberapa komponen penilaian kualitas hidup. Studi lain menunjukkan bahwa
intervensi diet yang disampaikan melalui telehealth dapat meningkatkan parameter klinis dan gizi pasien hemodialisis.
Kesimpulan: Penggunaan mobile health dialysis efektif untuk evaluasi mandiri adekuasi hemodialisis pada pasien
gagal ginjal kronik.
Kata Kunci: Adekuasi hemodialisis, hemodialisis, mobile health
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