Hubungan Penerimaan Diri dengan Kepatuhan Pembatasan Cairan pada Pasien Gagal Ginjal
Abstract
This study aimed to identify the relationship between self acceptance and fluid adherence in ESRD patients undergoing HD. This study used cross sectional design with consecutive sampling of 121 respondents. Data collection used fluid adherence questionnaires, self acceptance scale and documentation studies. The analysis used chi square and logistic regression. The result showed that 79,3% of respondents had adherence to fluid restriction and 78,5% of them had self acceptance. The analysis result also showed there was a significant relationship between self acceptance and fluid adherence (p=0,024), but no significant relationship between self-acceptance and IDWG (p=0.154). There was significant relationship between confounding variable of the length of time undergoing HD and fluid adherence (p=0.033), adequacy HD and IDWG (p=0,011). However, other confounding variables were not significant relationship with fluid adherence, which were: age, gender, education, and comorbidities. Furthermore, the multivariat analysis found that self acceptance was the most dominant variable affecting fluid adherence (p=0.006) after controlling by variables of the sex and the length of time undergoing HD, which can predicted 21% to fluid adherence. In conclusion, from the results of this study, it was found that there was a significant relationship between self-acceptance and length of time undergoing hemodialysis with fluid adherence in terminal renal failure patients undergoing hemodialysis.
Key words: Hemodialysis, End Stage Renal Disease, Fluid adherence, Self Acceptance
References
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Al-Wahsh, H., Lam, N. N., Liu, P., Quinn, R. R., Fiocco, M., Hemmelgarn, B., Tangri, N., Tonelli, M., & Ravani, P. (2020). Investigating the Relationship Between Age and Kidney Failure in Adults With Category 4 Chronic Kidney Disease. Canadian Journal of Kidney Health and Disease, 7. https://doi.org/10.1177/2054358120966819
Al Husna, C. H., Yetti, K., & Sukmarini, L. (2019). Determinant of Fluid Adherence Among Hemodialysis Patients in Malang, Indonesia. Enfermeria Clinica, 29, 117-122. https://doi.org/10.1016/j.enfcli.2019.04.018
Albalate, M., Pérez-GarcÃa, R., de Sequera, P., Corchete, E., Alcazar, R., Ortega, M., & Puerta, M. (2015). Is it Useful to Increase Dialysate Flow Rate to Improve the Delivered Kt?. BMC nephrology, 16, 1-6. https://doi.org/10.1186/s12882-015-0013-9
Anita, C. A., & Novitasari, D. (2017). Kepatuhan Pembatasan Asupan Cairan terhadap Lama Menjalani Hemodialisa. Prosiding Seminar Nasional dan Internasional LPPM Universitas Muhammadiyah Semarang, 104–112. https://jurnal.unimus.ac.id/index.php/psn12012010/article/view/2280
Ashby, D., Borman, N., Burton, J. et al. Renal Association Clinical Practice Guideline on Haemodialysis. BMC Nephrol 20, 379 (2019). https://doi.org/10.1186/s12882-019-1527-3
Beerendrakumar, N., Ramamoorthy, L., & Haridasan, S. (2018). Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients. Journal of Caring Sciences, 7(1), 17- 20. doi:10.15171/jcs.2018.003
Bernard, M. E., Vernon, A., Terjesen, M., & Kurasaki, R. (2013). Self-Acceptance in the Education and Counseling of Young People. The strength of self-acceptance: Theory, practice and research, 155-192. https://doi.org/10.1007/978-1-4614-6806-6_10
Chironda, G & Bhengu, B. (2016). Contributing Factors to Non-Adherence Among Chronic Kidney Disease (CKD) Patients: A Systematic Review of Literature. Medical & Clinical Reviews, 2(4). https://doi.org/10.21767/2471-299x.1000038
Darmagita, S. F. (2018). Hubungan Penerimaan Diri dengan Kepatuhan Minum Obat Pada Pasien HIV/AIDS di Kota Malang, Doctoral dissertation, Universitas Brawijaya.http://repository.ub.ac.id/id/eprint/168967
Skiff, A & Bailey, T.T. (2016). Dialysis Adequacy. Michigan Dialysis Services.https://www.med.umich.edu/1libr/Nephrology/Dialysis/DialysisAdequacyHando ut.pdf
Fatonah, L., Andayani, T.M & Yasin, N.M. (2021). Hubungan antara Efektifitas Hemodialisis dengan Kualitas Hidup Pasien Penyakit Gagal Ginjal Kronis di Yogyakarta. Jurnal Farmasi dan Ilmu Kefarmasian Indonesia, 8(1), 22-28. Doi: 10.20473/JFIKI.VBI12021.22-28
Fresenius Medical Care. (2016). Annual Report 2016: Applying knowledge. https://www.freseniusmedicalcare.com/fileadmin/data/de/pdf/investors/Annual_General_Meeting/2017/FMC_AnnualReport_2016_en.pdf
Fresenius Kidney Care. (2023). Dialysis Lifestyle Changes. https://www.freseniuskidneycare.com/thrive-central/dialysis-lifestyle-changes
Gultom, E.C.V., Kariasa, I.M & Masfuri. (2020). Factors Associated with Adherence to Fluide Restriction Towards Patients with End Stage Renal Disease Undergoing Hemodialysis in A Private Hospital, West Indonesia. Nursing Current, 6(1), 56-70. http://dx.doi.org/10.19166/nc.v8i1.2723
Hecking, M., Moissl, U., Genser, B., Rayner, H., Dasgupta, I., Stuard, S., Stopper, A., Chazot, C., Maddux, F. W., Canaud, B., Port, F. K., Zoccali, C., & Wabel, P. (2018). Greater Fluid Overload and Lower Interdialytic Weight Gain Are Independently Associated with Mortality in A Large International Hemodialysis Population. Nephrology Dialysis Transplantation, 33(10), 1832–1842. https:// doi.org/10.1093/ndt/gfy083
Iseni, E., Bexheti, S., & Zulbeari, L.(2016). Benefits of Type Membrane High Flux and Low Flux Membrane In Efficacy of Hemodialysis in Patients With ESRD. International Journal of Scientific & Engineering Research Volume 7(1), 875-882. https://www.Ijser.Org/Researchpaper/Benefits-Of-Type-Membrane-High-Flux- And--Low-Flux-Membrane-In-Efficacy-Of-Hemodialysis-In-Patients- With-Esrd.Pdf
Kao, H. Y., Chang, C. C., Chang, C. F., Chen, Y. C., Cheewakriangkrai, C., & Tu, Y. L. (2022). Associations Between Sex and Risk Factors for Predicting Chronic Kidney Disease. International journal of environmental research and public health, 19(3), 1219. https://doi.org/10.3390/ijerph19031219.
Kemenkes RI. (2017). Info dantin ginjal. Situasi Penyakit Ginjal Kronik, 1–10. Jakarta: Kemenkes. https://www.kemkes.go.id/article/view/17050400001/situasi-penyakit-ginjal-kronis-.html
Kuwa, M. K. R., Wela, Y., & Sulastien, H. (2022). Faktor–faktor yang Mempengaruhi Penerimaan Diri Pasien dengan Gagal Ginjal Kronik yang Menjalani Terapi Hemodialisis. Jurnal Keperawatan Jiwa, 10(1), 193-202. https://doi.org/10.26714/jkj.10.1.2022.193-202
Ladesvita, F., & Sukmarini, L. (2019). Berat Badan Interdialisis terhadap Adekuasi Hemodialisa pada Pasien Hemodialisa Kronik. Jurnal Keperawatan Widya Gantari Indonesia, 3(1), 1–6. https://doi.org/10.52020/jkwgi.v3i1.1080
Lestari, R. L., Nasution, T. H., Wibisono, A. H., Jannah, M., Widiyanti, U. N., & Dewi, E. S. (2021). Hubungan Tingkat Penerimaan diri dengan Tingkat Kepatuhan Minum Obat Pasien Lupus di Yayasan Kupu Parahita Indonesia. Buletin Penelitian Kesehatan, 49(4), 215–222. https://doi.org/10.22435/bpk.v49i4.3822
Loutradis, C., Sarafidis, P. A., Ferro, C. J., & Zoccali, C. (2021). Volume Overload in Hemodialysis: Diagnosis, Cardiovascular Consequences, and Management. Nephrology Dialysis Transplantation, 36(12), 2182–2193. https://doi.org/10.1093/ndt/gfaa182
Melastuti, E., Nafsiah, H. & Fachrudin, A. (2018). Gambaran Karakteristik Pasien Hemodialisis di Rumah Sakit Islam Sultan Agung Semarang. Jurnal Ilmiah Kesehatan Rustida, 4(2), 518-525. https://www.akesrustida.ac.id/e-journal/index.php/jikr/article/view/59
Murugan, R. (2020). Solute and Volume Dosing during Kidney Replacement Therapy in Critically Ill Patients with Acute Kidney Injury. Indian J Crit Care Med, 24(3), S107-S111. doi: 10.5005/jp-journals-10071-23391. PMID: 32704215; PMCID: PMC7347058.
Maduell, F., Rodas, L., Broseta, J. J., Gómez, M., Montagud-Marrahi, E., Guillén, E., ... & Rico, N. (2019). Evaluation of the Influence of the Surface Membrane and Blood Flow in Medium «cut-off»(MCO) dialyzers. NefrologÃa (English Edition), 39(6), 623-628. https://doi.org/10.1016/j.nefroe.2019.11.001
Mailani, F & Bakri, S.O. (2020). The Duration of Hemodialysis Treatment and the Adherence of Chronic Kidney Disease Patients in Fluid Intake Limitation: a Relationship. Indonesian Journal of Nursing Science (IJNS), 1(1), 43-48 https://doi.org/10.32734/ijns.v2i1.4188
Muliani, R., Jundiah, R. S., HHK, N. I., & Megawati, S. W. (2021). Adherence of Self-Care Management Among Hemodialysis Patients. The Malaysian Journal of Nursing (MJN), 12(3), 55-63. https://doi.org/10.31674/mjn.2021.v12i03.007
Naalweh, K. S., Barakat, M. A., Sweileh, M. W., Al-Jabi, S. W., Sweileh, W. M., & Zyoud, S. E. H. (2017). Treatment Adherence and Perception in Patients on Maintenance Hemodialysis: A Cross–Sectional Study From Palestine. BMC nephrology, 18, 1-9. https://doi.org/10.1186/s12882-017- 0598-1
Daugirdas, J. T., Depner, T. A., Inrig, J., Mehrotra, R., Rocco, M. V., Suri, R. S., ... & Brereton, L. (2015). KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015 Update. American Journal of Kidney Diseases, 66(5), 884-930. http://doi.org/10/1053/j.akdj.2015.07.015
Nurudin, A., & Sulistyaningsih, D. R. (2018). Hubungan antara Lama Menjalani Terapi Hemodialisis dengan Kepatuhan Asupan Cairan pada Pasien Penyakit Ginjal Kronik. Jurnal Ilmu Keperawatan Medikal Bedah, 1(1), 1-7. https://doi.org/10.32584/jikmb.v1i1.74
Madan, N., Yeun, J. Y., & Depner, T. A. (2019). Urea Kinetics, Efficiency, and Adequacy of Hemodialysis and Other Intermittent Treatments. In Critical Care Nephrology (pp. 947-955). Elsevier. https://doi.org/10.1016/B978-0323-44942-7.00156-4
Pahrul, D., & Andamsari, R. R. (2018). Lamanya Hemodialisa dengan Kepatuhan Pembatasan Asupan Cairan dan Nutrisi Pada Pasien Gagal Ginjal Kronik. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 9(2). https://doi.org/10.36729/bi.v9i2.130
PERNEFRI. (2018). 11th Report Of Indonesian Renal Registry 2018. Irr, 1–46. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Rahman, A. R. A., Rudiansyah, M., & Triawanti, T. (2013). Hubungan antara Adekuasi Hemodialisis dan Kualitas Hidup Pasien di RSUD Ulin Banjarmasin: Tinjauan terhadap Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis Rutin. Berkala Kedokteran, 9(2), 151-160. http://dx.doi.org/10.20527/jbk.v9i2.945
Silaen, H., & Tarihoran, Y. (2019). Pengaruh Penentuan Quick Of Blood (Qb) terhadap Keberhasilan Ureum Reduction Ratio (Urr) dengan Lamanya Hemodialisis di Murni Teguh Memorial Hospital. Jurnal Ilmiah Keperawatan IMELDA, 5(2), 122-127. https://doi.org/10.52943/jikeperawatan.v5i2.320
Siagian, Y., Alit, D. N., & Suraidah, S. (2021). Analisis Faktor yang Berhubungan dengan Kepatuhan Pembatasan Asupan Cairan Pasien Hemodialisa. Menara Medika, 4(1). https://doi.org/10.31869/mm.v4i1.2801
HABIBAH, S. U. (2020). Hubungan Self Acceptance dengan Kepatuhan Menjalani Hemodialisa pada Pasien Gagal Ginjal Di Rsi A. Yani Surabaya (Doctoral dissertation, http://digilib.unusa.ac.id/data_pustaka-26880.html
Vaidya, S. R., Aeddula, N. R., & Doerr, C. (2022). Chronic Renal Failure (Nursing). StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK568778/
Wahdania, N. (2021). Hubungan Penerimaan Diri dengan Kepatuhan Diet Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di RSUD Dr. Soedarso Pontianak. ProNers, 6(1). http://dx.doi.org/10.26418/jpn.v6i1.48005
Wayunah, W., Saefulloh, M., & Yanganto, Y. (2023). Factors Affecting Hemodialysis Adequacy in Patients Undergoing Hemodialysis: A Cross-Sectional Study. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(1), 215–220. https://doi.org/10.30604/jika.v8is1.1699
Al-Wahsh, H., Lam, N. N., Liu, P., Quinn, R. R., Fiocco, M., Hemmelgarn, B., Tangri, N., Tonelli, M., & Ravani, P. (2020). Investigating the Relationship Between Age and Kidney Failure in Adults With Category 4 Chronic Kidney Disease. Canadian Journal of Kidney Health and Disease, 7. https://doi.org/10.1177/2054358120966819
Al Husna, C. H., Yetti, K., & Sukmarini, L. (2019). Determinant of Fluid Adherence Among Hemodialysis Patients in Malang, Indonesia. Enfermeria Clinica, 29, 117-122. https://doi.org/10.1016/j.enfcli.2019.04.018
Albalate, M., Pérez-GarcÃa, R., de Sequera, P., Corchete, E., Alcazar, R., Ortega, M., & Puerta, M. (2015). Is it Useful to Increase Dialysate Flow Rate to Improve the Delivered Kt?. BMC nephrology, 16, 1-6. https://doi.org/10.1186/s12882-015-0013-9
Anita, C. A., & Novitasari, D. (2017). Kepatuhan Pembatasan Asupan Cairan terhadap Lama Menjalani Hemodialisa. Prosiding Seminar Nasional dan Internasional LPPM Universitas Muhammadiyah Semarang, 104–112. https://jurnal.unimus.ac.id/index.php/psn12012010/article/view/2280
Ashby, D., Borman, N., Burton, J. et al. Renal Association Clinical Practice Guideline on Haemodialysis. BMC Nephrol 20, 379 (2019). https://doi.org/10.1186/s12882-019-1527-3
Beerendrakumar, N., Ramamoorthy, L., & Haridasan, S. (2018). Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients. Journal of Caring Sciences, 7(1), 17- 20. doi:10.15171/jcs.2018.003
Bernard, M. E., Vernon, A., Terjesen, M., & Kurasaki, R. (2013). Self-Acceptance in the Education and Counseling of Young People. The strength of self-acceptance: Theory, practice and research, 155-192. https://doi.org/10.1007/978-1-4614-6806-6_10
Chironda, G & Bhengu, B. (2016). Contributing Factors to Non-Adherence Among Chronic Kidney Disease (CKD) Patients: A Systematic Review of Literature. Medical & Clinical Reviews, 2(4). https://doi.org/10.21767/2471-299x.1000038
Darmagita, S. F. (2018). Hubungan Penerimaan Diri dengan Kepatuhan Minum Obat Pada Pasien HIV/AIDS di Kota Malang, Doctoral dissertation, Universitas Brawijaya.http://repository.ub.ac.id/id/eprint/168967
Skiff, A & Bailey, T.T. (2016). Dialysis Adequacy. Michigan Dialysis Services.https://www.med.umich.edu/1libr/Nephrology/Dialysis/DialysisAdequacyHando ut.pdf
Fatonah, L., Andayani, T.M & Yasin, N.M. (2021). Hubungan antara Efektifitas Hemodialisis dengan Kualitas Hidup Pasien Penyakit Gagal Ginjal Kronis di Yogyakarta. Jurnal Farmasi dan Ilmu Kefarmasian Indonesia, 8(1), 22-28. Doi: 10.20473/JFIKI.VBI12021.22-28
Fresenius Medical Care. (2016). Annual Report 2016: Applying knowledge. https://www.freseniusmedicalcare.com/fileadmin/data/de/pdf/investors/Annual_General_Meeting/2017/FMC_AnnualReport_2016_en.pdf
Fresenius Kidney Care. (2023). Dialysis Lifestyle Changes. https://www.freseniuskidneycare.com/thrive-central/dialysis-lifestyle-changes
Gultom, E.C.V., Kariasa, I.M & Masfuri. (2020). Factors Associated with Adherence to Fluide Restriction Towards Patients with End Stage Renal Disease Undergoing Hemodialysis in A Private Hospital, West Indonesia. Nursing Current, 6(1), 56-70. http://dx.doi.org/10.19166/nc.v8i1.2723
Hecking, M., Moissl, U., Genser, B., Rayner, H., Dasgupta, I., Stuard, S., Stopper, A., Chazot, C., Maddux, F. W., Canaud, B., Port, F. K., Zoccali, C., & Wabel, P. (2018). Greater Fluid Overload and Lower Interdialytic Weight Gain Are Independently Associated with Mortality in A Large International Hemodialysis Population. Nephrology Dialysis Transplantation, 33(10), 1832–1842. https:// doi.org/10.1093/ndt/gfy083
Iseni, E., Bexheti, S., & Zulbeari, L.(2016). Benefits of Type Membrane High Flux and Low Flux Membrane In Efficacy of Hemodialysis in Patients With ESRD. International Journal of Scientific & Engineering Research Volume 7(1), 875-882. https://www.Ijser.Org/Researchpaper/Benefits-Of-Type-Membrane-High-Flux- And--Low-Flux-Membrane-In-Efficacy-Of-Hemodialysis-In-Patients- With-Esrd.Pdf
Kao, H. Y., Chang, C. C., Chang, C. F., Chen, Y. C., Cheewakriangkrai, C., & Tu, Y. L. (2022). Associations Between Sex and Risk Factors for Predicting Chronic Kidney Disease. International journal of environmental research and public health, 19(3), 1219. https://doi.org/10.3390/ijerph19031219.
Kemenkes RI. (2017). Info dantin ginjal. Situasi Penyakit Ginjal Kronik, 1–10. Jakarta: Kemenkes. https://www.kemkes.go.id/article/view/17050400001/situasi-penyakit-ginjal-kronis-.html
Kuwa, M. K. R., Wela, Y., & Sulastien, H. (2022). Faktor–faktor yang Mempengaruhi Penerimaan Diri Pasien dengan Gagal Ginjal Kronik yang Menjalani Terapi Hemodialisis. Jurnal Keperawatan Jiwa, 10(1), 193-202. https://doi.org/10.26714/jkj.10.1.2022.193-202
Ladesvita, F., & Sukmarini, L. (2019). Berat Badan Interdialisis terhadap Adekuasi Hemodialisa pada Pasien Hemodialisa Kronik. Jurnal Keperawatan Widya Gantari Indonesia, 3(1), 1–6. https://doi.org/10.52020/jkwgi.v3i1.1080
Lestari, R. L., Nasution, T. H., Wibisono, A. H., Jannah, M., Widiyanti, U. N., & Dewi, E. S. (2021). Hubungan Tingkat Penerimaan diri dengan Tingkat Kepatuhan Minum Obat Pasien Lupus di Yayasan Kupu Parahita Indonesia. Buletin Penelitian Kesehatan, 49(4), 215–222. https://doi.org/10.22435/bpk.v49i4.3822
Loutradis, C., Sarafidis, P. A., Ferro, C. J., & Zoccali, C. (2021). Volume Overload in Hemodialysis: Diagnosis, Cardiovascular Consequences, and Management. Nephrology Dialysis Transplantation, 36(12), 2182–2193. https://doi.org/10.1093/ndt/gfaa182
Melastuti, E., Nafsiah, H. & Fachrudin, A. (2018). Gambaran Karakteristik Pasien Hemodialisis di Rumah Sakit Islam Sultan Agung Semarang. Jurnal Ilmiah Kesehatan Rustida, 4(2), 518-525. https://www.akesrustida.ac.id/e-journal/index.php/jikr/article/view/59
Murugan, R. (2020). Solute and Volume Dosing during Kidney Replacement Therapy in Critically Ill Patients with Acute Kidney Injury. Indian J Crit Care Med, 24(3), S107-S111. doi: 10.5005/jp-journals-10071-23391. PMID: 32704215; PMCID: PMC7347058.
Maduell, F., Rodas, L., Broseta, J. J., Gómez, M., Montagud-Marrahi, E., Guillén, E., ... & Rico, N. (2019). Evaluation of the Influence of the Surface Membrane and Blood Flow in Medium «cut-off»(MCO) dialyzers. NefrologÃa (English Edition), 39(6), 623-628. https://doi.org/10.1016/j.nefroe.2019.11.001
Mailani, F & Bakri, S.O. (2020). The Duration of Hemodialysis Treatment and the Adherence of Chronic Kidney Disease Patients in Fluid Intake Limitation: a Relationship. Indonesian Journal of Nursing Science (IJNS), 1(1), 43-48 https://doi.org/10.32734/ijns.v2i1.4188
Muliani, R., Jundiah, R. S., HHK, N. I., & Megawati, S. W. (2021). Adherence of Self-Care Management Among Hemodialysis Patients. The Malaysian Journal of Nursing (MJN), 12(3), 55-63. https://doi.org/10.31674/mjn.2021.v12i03.007
Naalweh, K. S., Barakat, M. A., Sweileh, M. W., Al-Jabi, S. W., Sweileh, W. M., & Zyoud, S. E. H. (2017). Treatment Adherence and Perception in Patients on Maintenance Hemodialysis: A Cross–Sectional Study From Palestine. BMC nephrology, 18, 1-9. https://doi.org/10.1186/s12882-017- 0598-1
Daugirdas, J. T., Depner, T. A., Inrig, J., Mehrotra, R., Rocco, M. V., Suri, R. S., ... & Brereton, L. (2015). KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015 Update. American Journal of Kidney Diseases, 66(5), 884-930. http://doi.org/10/1053/j.akdj.2015.07.015
Nurudin, A., & Sulistyaningsih, D. R. (2018). Hubungan antara Lama Menjalani Terapi Hemodialisis dengan Kepatuhan Asupan Cairan pada Pasien Penyakit Ginjal Kronik. Jurnal Ilmu Keperawatan Medikal Bedah, 1(1), 1-7. https://doi.org/10.32584/jikmb.v1i1.74
Madan, N., Yeun, J. Y., & Depner, T. A. (2019). Urea Kinetics, Efficiency, and Adequacy of Hemodialysis and Other Intermittent Treatments. In Critical Care Nephrology (pp. 947-955). Elsevier. https://doi.org/10.1016/B978-0323-44942-7.00156-4
Pahrul, D., & Andamsari, R. R. (2018). Lamanya Hemodialisa dengan Kepatuhan Pembatasan Asupan Cairan dan Nutrisi Pada Pasien Gagal Ginjal Kronik. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 9(2). https://doi.org/10.36729/bi.v9i2.130
PERNEFRI. (2018). 11th Report Of Indonesian Renal Registry 2018. Irr, 1–46. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Rahman, A. R. A., Rudiansyah, M., & Triawanti, T. (2013). Hubungan antara Adekuasi Hemodialisis dan Kualitas Hidup Pasien di RSUD Ulin Banjarmasin: Tinjauan terhadap Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis Rutin. Berkala Kedokteran, 9(2), 151-160. http://dx.doi.org/10.20527/jbk.v9i2.945
Silaen, H., & Tarihoran, Y. (2019). Pengaruh Penentuan Quick Of Blood (Qb) terhadap Keberhasilan Ureum Reduction Ratio (Urr) dengan Lamanya Hemodialisis di Murni Teguh Memorial Hospital. Jurnal Ilmiah Keperawatan IMELDA, 5(2), 122-127. https://doi.org/10.52943/jikeperawatan.v5i2.320
Siagian, Y., Alit, D. N., & Suraidah, S. (2021). Analisis Faktor yang Berhubungan dengan Kepatuhan Pembatasan Asupan Cairan Pasien Hemodialisa. Menara Medika, 4(1). https://doi.org/10.31869/mm.v4i1.2801
HABIBAH, S. U. (2020). Hubungan Self Acceptance dengan Kepatuhan Menjalani Hemodialisa pada Pasien Gagal Ginjal Di Rsi A. Yani Surabaya (Doctoral dissertation, http://digilib.unusa.ac.id/data_pustaka-26880.html
Vaidya, S. R., Aeddula, N. R., & Doerr, C. (2022). Chronic Renal Failure (Nursing). StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK568778/
Wahdania, N. (2021). Hubungan Penerimaan Diri dengan Kepatuhan Diet Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di RSUD Dr. Soedarso Pontianak. ProNers, 6(1). http://dx.doi.org/10.26418/jpn.v6i1.48005
Wayunah, W., Saefulloh, M., & Yanganto, Y. (2023). Factors Affecting Hemodialysis Adequacy in Patients Undergoing Hemodialysis: A Cross-Sectional Study. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(1), 215–220. https://doi.org/10.30604/jika.v8is1.1699
