Hubungan motivasi mencegah kelebihan cairan dengan kepatuhan menjalankan batasan asupan cairan pada pasien penyakit ginjal kronik di Pusat Dialisis Siloam Hospitals Lippo Village = The Relationship between motivation of preventing overload and fluid restriction adherence of patients with chronic kidney disease at the Dialysis Center, Siloam Hospitals Lippo Village

Mangihut, Aldo Carlos (2014) Hubungan motivasi mencegah kelebihan cairan dengan kepatuhan menjalankan batasan asupan cairan pada pasien penyakit ginjal kronik di Pusat Dialisis Siloam Hospitals Lippo Village = The Relationship between motivation of preventing overload and fluid restriction adherence of patients with chronic kidney disease at the Dialysis Center, Siloam Hospitals Lippo Village. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Penderita penyakit ginjal kronik memiliki beberapa regimen terapi yang harus dilakukan untuk memertahankan derajat kesehatannya, salah satunya adalah batasan asupan cairan. Motivasi berperan penting bagi pasien untuk dapat mempertahankan derajat kesehatannya. Penelitian ini bertujuan untuk mengetahui hubungan motivasi mencegah kelebihan cairan dengan kepatuhan menjalankan batasan asupan cairan di pusat dialisis Siloam Hospitals Lippo Village. Desain penelitian adalah deskriptif korelasi, dengan pendekatan cross sectional. Populasi penelitian adalah semua pasien penyakit ginjal kronik yang menjalani terapi hemodialisis. Teknik pengambilan sampel menggunakan consecutive sampling dengan sampel sebanyak 31 responden. Instrumen penelitian menggunakan kuesioner. Analisa univariat menunjukan bahwa 35,6 % responden memiliki motivasi tinggi, 32,3 % memiliki motivasi sedang dan 32,3% memiliki motivasi rendah. Pada variabel kepatuhan, sebanyak 54,8% patuh menjalankan batasan asupan cairan sementara 45,2% responden tidak mematuhi batasan asupan cairan. Analisa bivariat menunjukan bahwa motivasi mencegah kelebihan cairan tidak memiliki hubungan dengan kepatuhan menjalankan batasan asupan cairan (nilai ρ = 0,398). Untuk meningkatkan kepatuhan menjalankan batasan asupan cairan bagi pasien penyakit ginjal kronik, sebaiknya perawat membuat program edukasi secara berkala tentang pentingnya batasan asupan cairan serta membentuk kelompok diskusi dengan melibatkan keluarga./ Patients with Chronic Kidney Disease need to adhere the therapeutic regimen in order to maintain their health and fluid restriction is one of them. Motivation is consider to be one aspect that can influence patients’ fluid restriction adherence. The purpose of this research was to find out the correlation of motivation preventing overload with fluid restriction adherence in patients with Chronic Kidney Disease at the dialysis center of Siloam Hospitals Lippo Village. The design used for this study was descriptive correlation with cross sectional approach. The population was patients with Chronic Kidney Disease who were under treatment at the dialysis center. Samples were taken using consecutive sampling technique, resulting in 31 respondents. Two questionnaires were used at this study. The results showed that 35.6% respondents had high motivation, 32.2% had moderate motivation and 32.2% had low motivation of preventing overload. As in fluid restriction adherence, 54.8% respondents showed that they adhered to control their fluid intake. The study also showed that there were no relationship between motivation with fluid restriction adherence (ρ value = 0,398). To improve patient’s adherence, nurses are encouraged to develop session(s) of health education regularly related to fluid restriction as well as to develop a group discussion involving patients and their family.

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