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Sa'bania Hari Raharjeng

Abstract

This study aims to determine the effect of high-energy-protein interlude on increasing dietary compliance, nutritional intake adequacy and quality of life of hemodialysis patients. This research is a pre-experimental study with a one group pre-test and post-test design. The number of samples in this study was 71. All research subjects were patients undergoing hemodialysis treatment at Dr. Sardjito Hospital Yogyakarta. Patients will be given high-energy and protein snacks twice a day for 21 days. The sample it self was selected by using the consecutive sampling method. Data analysis using McNemar test and Multiple Logistics Regression. The results showed that there was a significant increase in dietary compliance and nutrient intake during the intervention, but after the intervention was completed, decreased compliance and nutritional intake. So that there was no significant difference in dietary adherence between before and after the intervention (p = 0.32) and there was no significant increase in the adequacy of nutrient intake between before and after the intervention. There was a significant difference between the quality of life scores before and after being given a snack (p = 0.01). Multivariate analysis showed that energy intake, fat intake, and length of hemodialysis period could be used to predict poor quality of life of hemodialysis patients (R2 = 0.125; AIC = 72). The provision of snacks can help to increase the average intake of nutrients to meet the intake of nutrients and the quality of life of hemodialysis patients.

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How to Cite
Hari Raharjeng, S. (2022). PROVIDING SNACKS TO IMPROVE DIETARY ADHERENCE, ADEQUACY OF NUTRITION INTAKE AND QUALITY OF LIFE FOR HEMODIALYSIS PATIENTS. Medical Technology and Public Health Journal, 6(1), 51–62. https://doi.org/10.33086/mtphj.v6i1.3219
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Articles
nutrition intake, hemodialysis, dietary compliance, quality of life

References

Indonesian Nephrology Association (PERNEFRI). 10th Report Of Indonesian Renal Registry 2017. 2017.

Kang SS, Chang JW, Park Y. Nutritional status predicts 10-year mortality in patients with end-stage renal disease on hemodialysis. Nutrients. 2017;9(4).

Burrowes JD, Larive B, Cockram DB, Dwyer J, Kusek JW, McLeroy S, et al. Effects of dietary intake, appetite, and eating habits on dialysis and non-dialysis treatment days in hemodialysis patients:Cross-sectional results from the HEMO study. J Ren Nutr. 2003;13(3):191–8.

Cupisti A, D'Alessandro C, Valeri A, Capitanini A, Meola M, Betti G, et al. Food Intake and Nutritional Status in Stable Hemodialysis Patients. RenFail [Internet]. 2010 Feb;32(1):47–54. Available from: https://www.tandfonline.com/doi/full/10.3109/08860220903391234

Therrien M, Byham-Gray L, Beto J. A Review of Dietary Intake Studies in Maintenance Dialysis Patients. J Ren Nutr [Internet]. 2015;25(4):329–38. Available from: http://dx.doi.org/10.1053/j.jrn.2014.11.001

Sharma M, Rao M, Jacob S, Jacob C. A Dietary Survey in Indian Hemodialysis. J Ren Nutr. 1999;9(1):21–5.

Roach LA, Lambert K, Holt JL, Meyer BJ. Diet quality in patients with end-stage kidney disease undergoing dialysis. J Ren Care. 2017;43(4):226–34.

Martin-Alemañy G, Valdez-Ortiz R, Olvera-Soto G, Gomez-Guerrero I, Aguire-Esquivel G, Cantu-Quintanilla G, et al. The effects of resistance exercise and oral nutritional supplementation during hemodialysis on indicators of nutritional status and quality of life. Nephrol Dial Transplant. 2016;31(10):1712–20.

Nayana SA, Balasubramanian T,Nathaliya PM, Nimsha Hussain P, Mohammed Salim KT, Muhammed Lubab P. A Cross Sectional Study on Assessment of Health Related Quality of Life Among End Stage Renal Disease Patients Undergoing Hemodialysis. Clin Epidemiol Glob Heal [Internet]. 2017 Sep;5(3):148–53. Available from: http://dx.doi.org/10.1016/j.cegh.2016.08.005

Wahyuni P, Miro S, Kurniawan E. The Relationship of Long Undergoing Hemodialysis with Quality of Life of Chronic Kidney Disease Patients with Diabetes Mellitus. J Health Andalas. 2018;7(4):480–5.

Feroze U, Noori N, Kovesdy CP, Molnar MZ, Martin DJ, Reina-Patton A, et al. Quality-of-life and mortality in hemodialysis patients: Roles of race and nutritional status. Clin J Am Soc Nephrol. 2011;6(5):1100–11.

Lazarus ER. Effectiveness of education and exercise on quality of life among patients undergoing hemodialysis. Clin Epidemiol Glob Heal [Internet]. 2018;7(3):402–8. Available from: https://doi.org/10.1016/j.cegh.2018.07.003

Santos ACB dos, Machado M do C, Pereira LR abel., Abreu JL emo. P, Lyra MB arbos. Association Between the Levels of Quality of Life and Nutritional Status in Patients Undergoing Chronic Renal Hemodialysis. J Bras Nefrol [Internet]. 2013;35(4):279–88. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002013000400008

Abbott Nutrition. Nutrition Intervention is Effective in Mitigating Protein-Energy Wasting (PEW) and Improving Outcomes in Patients with Chronic Kidney Disease (CKD). Abbott Lab. 2011;

National Kidney Foundation. K/DOQI(TM) clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis. 2000;35(6 SUPPL. 2).

Hill Gallant KM, Spiegel DM. Calcium Balance in Chronic Kidney Disease. Curr Osteoporos Rep. 2017;15(3):214–21.

Hsu CH. Calcium and Phosphate Metabolism Management in Chronic Renal Disease - Google Books [Internet]. Springer Science & Business Media. 2007 [cited 2020 Jun 10]. p. 186. Available from: https://books.google.co.id/ books?id=Fle55UMSOcwC&dq=calcium+intake+per+day+for+dialysis+patients+800+mg&hl=id&source=gbs_navlinks_s

National Kidney Foundation. KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for 2006 Updates: Hemodialysis Adequacy, Peritoneal Dialysis Adequacy and Vascular Access. Am J Kidney Dis Dis 48S1-S322 [Internet]. 2006; Available from: http://www.ncbi.nlm.nih.gov/pubmed/17044433

Wyskida K, Witkowicz J, Chudek J, Więcek A. Daily Magnesium Intake and Hypermagnesemia in Hemodialysis Patients With Chronic Kidney Disease. J Ren Nutr [Internet]. 2012 Jan;22(1):19–26. Available from: https://linkinghub.elsevier.com/retrieve/pii/S105122761100063X

Yusop NBM, Mun CY, Shariff ZM, Huat CB. Factors associated with quality of life among hemodialysis patients in Malaysia. PLOS One. 2013;8(12):1–11.

Struijk-wielinga GI, Romijn M, Neelemaat F, Wee PM, Weijs PJM. Providing In-Between Meals During Dialysis Treatment Contributes to an Adequate Protein And Energy Intake in Hemodialysis Patients : A Non-Randomized Intervention Study. Mathews J Nutr Diet. 2016;1(2):006.

Kalantar-Zadeh K, Ikizler TA. Let Them Eat During Dialysis: An Overlooked Opportunity to Improve Outcomes in Maintenance Hemodialysis Patients. J Ren Nutr [Internet]. 2013 May;23(3):157–63. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3624763/pdf/nihms412728.pdf

Agarwal R, Georgianos P. Feeding during dialysis - Risks and uncertainties. Nephrol Dial Transplant. 2018;33(6):917–22.

Murali KM, Mullan J, Roodenrys S, Hassan HC, Lambert K, Lonergan M. Strategies to improve dietary, fluid, dialysis or medication adherence in patients with end stage kidney disease on dialysis: A systematic review and meta-analysis of randomized intervention trials. PLoS One [Internet]. 2019;14(1):1–27. Available from: http://dx.doi.org/ 10.1371/journal.pone.0211479

Cho MK. Effect of Health Contract Intervention on Renal Dialysis Patients in Korea. Nurs Health Sci [Internet]. 2013 Mar;15(1):86–93. Available from: http://doi.wiley.com/ 10.1111/nhs.12003

Gillison F, Stathi A, Reddy P, Perry R, Taylor G, Bennett P, et al. Processes of Behavior hange and weight loss in a theory-based weight loss intervention program: a test of the process model for lifestyle behavior change. Int J Behav Nutr Phys Act [Internet]. 2015;12(1):2. Available from: http://www.ijbnpa.org/content/12/1/2

Shumaker SA, Ockene JK, Riekert KA. The Handbook of Health Behavior Change, Third Edition - Google Books [Internet]. Springer Publishing Company. 2008 [cited 2020 Jun 10]. p. 856. Available from: https://books.google.co.id/books?id=4jRNJKzlhlwC&dq= patient+need+12+months+to+change+dietary+behavior&hl=id&source=gbs_navlinks_s

Verheijden MW. Nutrition counseling in general practice: the Stages of Change Model. Nutrition counseling in general practice: the stages of change model. 2004. 144-pp p.

Chan YM, Zalilah MS, Hii SZ. Determinants of compliance behaviors among patients undergoing hemodialysis in malaysia. PLOS One. 2012;7(8).

Opiyo RO, Nyasulu PS, Olenja J, Zunza M, Nguyen KA, Bukaia Z, et al. Factors associated with adherence to dietary prescription among adult patients with chronic kidney disease on hemodialysis in national referral hospitals in Kenya: A mixed-methods survey. Ren Replace Ther. 2019;5(1):1–14.

Ozen N, Cinar FI, Askin D, Dilek MUT, Turker T. Nonadherence in hemodialysis patients and related factors: A multicenter study. J Nurs Res. 2019;27(4):1–11.

Roy LG, Shetty MS, Urooj A. Effect of Nutritional Intervention On Malnutrition Indicators in Patients On Hemodialysis. J Ren Care [Internet]. 2013 Mar;39(1):39–46. Available from: http://doi.wiley.com/10.1111/j.1755-6686.2013.12000.x

González-Parra E, Gracia-Iguacel C, Egido J, Ortiz A. Phosphorus and Nutrition in Chronic Kidney Disease. Int J Nephrol [Internet]. 2012;1–5. Available from: http://www.hindawi.com/journals/ijn/2012/597605/

Cupisti A, Kovesdy C, D'Alessandro C, Kalantar-Zadeh K. Dietary Approach to Recurrent or Chronic Hyperkalaemia in Patients with Decreased Kidney Function. Nutrients [Internet]. 2018 Feb 25;10(3):261. Available from: http://www.mdpi.com/2072-6643/10/3/261

St-Jules DE, Woolf K, Pompeii M Lou, Kalantar-Zadeh K, Sevick MA. Reexamining the Phosphorus–Protein Dilemma: Does Phosphorus Restriction Compromise Protein Status? J Ren Nutr [Internet]. 2016 May;26(3):136–40. Available from: http://dx.doi.org/ 10.1053/j.jrn.2015.12.004

García-Llana H, Remor E, del Peso G, Selgas R. The role of depression, anxiety, stress and adherence to treatment in dialysis patients' health-related quality of life: a systematic review of the literature. Nephrology. 2014;34(5):637–57.

Ferreira Corra R, Filho CRDS. Quality of Life of Chronic Renal Patients on Hemodialysis in Marilia, SP, Brazil. J Bras Nephrol. 2011;33(2):129–35.

Wang LJ, Wu MS, Hsu HJ, Wu IW, Sun CY, Chou CC, et al. The Relationship between Psychological Factors, Inflammation, and Nutrition in Patients with Chronic Renal Failure Undergoing Hemodialysis. Int J Psychiatry Med [Internet]. 2012 Aug 7;44(2):105–18. Available from: http://journals.sagepub.com/doi/10.2190/PM.44.2.b

Kalantar-Zadeh K, Block G, McAllister CJ, Humphreys MH, Kopple JD. Appetite and inflammation, nutrition, anemia, and clinical outcomes in hemodialysis patients. Am J Clin Nutr. 2004;80(2):299–307.

Shinaberger CS, Kilpatrick RD, Regidor DL, McAllister CJ, Greenland S, Kopple JD, et al. Longitudinal Associations Between Dietary Protein Intake and Survival in Hemodialysis Patients. Am J Kidney Dis. 2006;48(1):37–49.

Scott MK, Shah NA, Vilay AM, Thomas J, Kraus MA, Mueller BA. Effects of Peridialytic Oral Supplements on Nutritional Status and Quality of Life in Chronic Hemodialysis Patients. J Ren Nutr [Internet]. 2009 Mar;19(2):145–52. Available from: http://dx.doi.org/10.1053/j.jrn.2008.08.004

Veerappan I, Arvind RM, Ilayabharthi V. Predictors of quality of life of hemodialysis patients in India. Indian J Nephrol. 2012;22(1):18–25.

Sa'bania Hari Raharjeng, Universitas Nahdlatul Ulama Surabaya