THE EFFECT OF COUNSELLING WITH DIETARY DIARY ON KNOWLEDGE, ATTITUDE, AND COMPLIANCE OF RENAL FAILURE PATIENTS WITH HAEMODIALYSIS THERAPY
Chronic kidney disease (CKD) is a form of renal failure for at least 3 consecutive months that can be treated
with hemodialysis. CKD patients need to undergo diet according to their kidney condition to prevent
complications. On Basic Health Research 2018, the prevalence of CKD reached 3.8 percent for population aged
≥15 years. The study aimed to determine the effect of nutritional counselling with dietary diary on the
knowledge, attitudes, and dietary compliance of CKD patients undergoing hemodialysis at Council of Churches
Indonesia (PGI) Cikini Hospital. The study used a one-group pre and post-test design with 39 subjects. Nutrition
counselling was carried out using a dietary diary. Knowledge and attitudes of subjects were collected by asking
subjects to fill out questionnaire before and 1 week after nutrition counsellings was done. Dietary compliances
were collected through energy intake, macro and micronutrients, and Inter Dialytic Weight Gain (IDWG)
values. The results showed that there were increases in the number of subjects with adequate and good
knowledge levels, positive attitudes, and in the compliant group as 84.6 percent; 94.9 percent; and 69.3 percent,
respectively. Bivariate analysis showed that there were significant differences in the level of knowledge and
compliance of CKD patients underwent hemodialysis at RSI PGI Cikini after nutrition counselling with a
dietary diary. However, nutrition counselling has no effect on patients’ attitudes towards hemodialysis diet. It
was concluded that nutritional counselling with a dietary diary affected the knowledge and dietary compliance
of CKD patients underwent hemodialysis at PGI Cikini Hospital. Dietary diary can be used as a tool to monitor
patient’s dietary compliance.
Keywords: nutrition counselling, dietary diary, CKD patients
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