The Effectiveness of Nutritional Monitoring by Text Message Reminders in Controlling Albumin Levels in Hemodialysis Patients
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Abstract
Background: One of the major problems contributing to hemodialysis failure is patient compliance. The support that can be given as a form of attention to patients can take the shape of continuous nutritional monitoring using a simple, effective, and efficient method, namely short message service (SMS) reminder. This study aimed to explore the effectiveness of nutritional monitoring using SMS reminder in controlling albumin levels in hemodialysis patients.
Methods: This was a quasi-experimental study with a pre-post design with one control group, involving 30 participants recruited through purposive sampling technique. The inclusion criteria were being >18 years of age, willing to be a participant and follow the procedure, having a cell phone and being able to operate it, and being able to read and write. Patients with systemic edema and malignancy complications were excluded. The independent variable was nutritional monitoring by SMS reminder, while the dependent variable was albumin level. An independent t test was used to compare the mean changes in albumin level between the groups.
Results: After the intervention, 100% of the participants in both groups had normal albumin levels. However, the mean change was significantly greater in the treatment group compared with the controls (0.87 mg/dL vs 0.57 mg/dL, p = 0.04).
Conclusion: Nutritional monitoring by SMS reminder is effective in managing the albumin level of hemodialysis patients.
2. St-Jules DE, Woolf K, Pompell M, Sevick MA. Exploring problems in following the hemodialysis diet, and their relation to energy and nutrient intakes: The Balance Wise Study. J Ren Nutr. 2016:26(2):118–24.
3. Carrero JJ, Stenvinkel P, Cuppari L, Ikizler TA, Kalanter-Zadeh K, Kaysen G, et al. Etiology of the protein-energy wasting syndrome in chronic kidney disease: a consensus statement from the International Society of Renal Nutrition and Metabolism J Ren Nutr. 2013:23(2):77- 90.
4. Mutsert R, Grootendorst DC, Indemans F, Boeschoten EW, Krediet RT, Dekker FW, et al. Association between serum albumin and mortality in dialysis patients is partly explained by inflammation, and not by malnutrition. J Ren Nutr. 2009:19(2):127-135.
5. Widiany FL. Faktor-faktor yang mempengaruhi kepatuhan diet pasien hemodialisis. Jurnal Gizi Klinik Indonesia. 2017:14(02):72-79.
6. Sacher and Ronald A. Tinjauan klinik hasil pemeriksaan laboratorium. Jakarta: EGC; 2004.
7. Arinta, Rihiantoro T, Hardono H. Peningkatan kadar albumin pada pasien gagal ginjal kronik yang menjalani hemodialisis. Internet: https://media.neliti.com/media/publications/195262-ID-peningkatan-kadar-albumin-pada-pasien-ga.pdf (accessed 15 October 2018). [Internet].
8. Bashardoust B, Gavami M, Maleki N, Doustkami H, Habibzadeh S. Mortality and nutritional status in patients undergoing hemodialysis. Shiraz E-Med J. 2015; 16(2):1-5
9. Thijssen S, Wystrychowski G, Usvyat L, Kotanko P, Levin NW. Determinants of serum albumin concentration analyzed in a large cohort of patients on maintenance hemodialysis. J Ren Nutr. 2007:17(1):70-4.
10. Mardiana N. Nutrisi pada penderita dialisis (delivered on activities Indonesian Nephrology Nurse Association (PPGII) Meeting and Symposium 2008). Internet: www.b11nk.wordpress.com (accessed 15 October 2018).
11. Yuwono A. Kualitas hidup menurut spitzer pada penderita gagal ginjal terminal yang menjalani hemodialisis di RSU DR. Kariadi Semarang. Internet: www.eprint.undip.ac.id (accessed 15 October 2018).
12. Zuyana L, Adriani M. Perbedaan asupan makan dan status gizi antara pasien hemodialisis adekuat dan inadekuat penyakit ginjal kronik. Media Gizi Indonesia. 2013:9(1):13–19.
13. Jerusalem MA. Peningkatan keterampilan bisnis mahasiswa dengan teknik coaching. Prosiding Seminar Nasional PTBB [series online]. Internet: http://staffnew.uny.ac.id (accessed 15 October 2018).
14. Niven. Psikologi kesehatan. Jakarta: EGC; 2002.
15. Hernández Morante JJ, Sánchez-Villazala A, Cutillas RC, Fuentes MC. Effectiveness of a nutrition education program for the prevention and treatment of malnutrition in end-stage renal disease. J Ren Nutr. 2014;24(1):42-9.
16. Beto JA, Schury KA, Bansal VK. Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: a narrative review and commentary. Int J Nephrol Renovasc Dis. 2016:9:21-33.
17. Kaysen GA, Dubin JA, M¨uller H, Rosales L, Levin NW, Mitch WE, et al. Inflammation and reduced albumin synthesis associated with stable decline in serum albumin in hemodialysis patients Kidney Int. 2004:65(2004):1408–1415.
18. Kaysen GA, Dubin JA, M¨uller H, Mitch WE, Rosales L, Levin NW, et al. Relationships among inflammation nutrition and physiologic mechanisms establishing albumin levels in hemodialysis patients. Kidney Int. 2002;61(6):2240-9.
| Files | ||
| Issue | Vol 4, No 3 (Summer 2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Albumin Level Counseling Education Haemodialysis Patients Nutritional Monitoring Nutritional Status SMS Reminder | ||
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