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The Effectiveness of Roy's Adaptation Model for Patients with Chronic Kidney Disease Undergoing Pre-Dialysis in Indonesia

Jurnal Ners · Vol. 13 No. 2 (2019) · hlm. 150–155

DOI
10.20473/jn.v13i2.7836
ISSN
2502-5791, 1858-3598
Terbit
2019-03-27
Penerbit
Universitas Airlangga
Bahasa
eng

Abstrak

Introduction: Patients with chronic kidney disease (CKD) undergoing pre-dialysis requires a good self-management to control low protein intake and maintain kidney function. Adaptation to the existing stimulus through coping and adjustment mechanisms is important to maintaining good kidney function. However, few studies applied nursing theory based to guide intervention in helping the adaptation of patient CKD with their condition. The purpose of this study is to evaluate the effectiveness of Roy's adaptation model towards physiological and psychological adaptation response among patients with CKD undergoing pre-dialysis.Methods: This study was conducted using a quasi-experiment to patients with CKD pre-dialysis, age over 18 years old. We modified Roy's adaptation model for patients with CKD undergoing pre-dialysis.Results: A total of 70 subjects agreed to join the study, 38 subjects in intervention and 32 subjects in the control group. The mean of eGFR ranged from 26.3 to 26.6 mL/min/1.73 m2. We found that Roy's adaptation model has significantly improved drinking behavior, reduce protein intake, blood creatinine, and psychosocial adaptation response after the intervention.Conclusion: These study findings suggested that Roy's adaptation model is effective to help patients with CKD undergoing pre-dialysis improve their behavior and maintain kidneyfunction. Model dissemination, advocacy to related units, and application in nursing care in patients with chronic kidney disease pre-dialysis are necessary.

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  • University of Indonesia
  • Sekolah Tinggi Ilmu Kesehatan Sint Carolus
  • Poltekkes Kemenkes Bandung
  • STIKes Panti Rapih Yogyakarta
  • Universitas dr. Soebandi
  • Universitas Halu Oleo
  • Poltekkes Kemenkes Maluku
  • Organisasi lain
  • Afiliasi tidak diketahui
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  • Organisasi sama
  • Afiliasi tidak diketahui
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Rekan penulisOrganisasiArtikel bersama
Lestari SukmariniUniversity of Indonesia6
Krisna YettiUniversity of Indonesia3
Sri YonaUniversity of Indonesia3
Dewi GayatriUniversity of Indonesia3
Elly NurachmahUniversity of Indonesia3
Yati AfiyantiUniversity of Indonesia3
Tuti HerawatiUniversity of Indonesia3
Evi MarthaUniversity of Indonesia2
Astuti Yuni NursasiUniversity of Indonesia2
Paulus SubiyantoSTIKes Panti Rapih Yogyakarta2
Rosakawati RosakawatiAfiliasi tidak diketahui2
Luknis SabriUniversity of Indonesia2
Edianto EdiantoAfiliasi tidak diketahui2
Ina MartianaUniversitas dr. Soebandi2
I Made KariasaUniversity of Indonesia2
Hening PujasariUniversity of Indonesia2
Hasmi HasmiUniversitas Halu Oleo1
Usman Barus OhorellaPoltekkes Kemenkes Maluku1
Lea Morry Br GintingUniversity of Indonesia1
Cindy Nur KhalizaUniversity of Indonesia1
Iwan AriawanUniversity of Indonesia1
Herlina Jamaluddin EL- MaturyInstitut Kesehatan Deli Husada Deli Tua1
Ratna DjuwitaUniversity of Indonesia1
Cici Apriza YantiUniversitas Prima Nusantara Bukittinggi1
Kalamullah RamliUniversity of Indonesia1
Kemal N. SiregarUniversity of Indonesia1
Rico KurniawanUniversity of Indonesia1
Budi UtomoUniversity of Indonesia1
Ruddy J SuhatrilGunadarma University1
Okky Assetya PratiwiUniversitas Binawan1
Kristina LisumSekolah Tinggi Ilmu Kesehatan Sint Carolus1
Jesika PasaribuSekolah Tinggi Ilmu Kesehatan Sint Carolus1
Sri Novita LubisUniversitas Sumatera Utara1
Sudarto RonoatmodjoUniversity of Indonesia1
Muhammed SaifulamanAfiliasi tidak diketahui1
Noor DianiLambung Mangkurat University1

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Sumber metadata: OAI-PMH (metadata jurnal) http://e-journal.unair.ac.id/index.php/JNERS/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">The Effectiveness of Roy's Adaptation Model for Patients with Chronic Kidney Disease Undergoing Pre-Dialysis in Indonesia</dc:title>
	<dc:creator>Agustiyowati, Tri Hapsari Retno</dc:creator>
	<dc:creator>Sitorus, Ratna</dc:creator>
	<dc:creator>Waluyo, Agung</dc:creator>
	<dc:creator>Besral, Besral</dc:creator>
	<dc:subject xml:lang="en-US">chronic kidney disease</dc:subject>
	<dc:subject xml:lang="en-US">pre-dialysis</dc:subject>
	<dc:subject xml:lang="en-US">physiological adaptation response</dc:subject>
	<dc:subject xml:lang="en-US">psychological adaptation behavior</dc:subject>
	<dc:subject xml:lang="en-US">Roy's adaptation model</dc:subject>
	<dc:description xml:lang="en-US">Introduction: Patients with chronic kidney disease (CKD) undergoing pre-dialysis requires a good self-management to control low protein intake and maintain kidney function. Adaptation to the existing stimulus through coping and adjustment mechanisms is important to maintaining good kidney function. However, few studies applied nursing theory based to guide intervention in helping the adaptation of patient CKD with their condition. The purpose of this study is to evaluate the effectiveness of Roy's adaptation model towards physiological and psychological adaptation response among patients with CKD undergoing pre-dialysis.Methods: This study was conducted using a quasi-experiment to patients with CKD pre-dialysis, age over 18 years old. We modified Roy's adaptation model for patients with CKD undergoing pre-dialysis.Results: A total of 70 subjects agreed to join the study, 38 subjects in intervention and 32 subjects in the control group. The mean of eGFR ranged from 26.3 to 26.6 mL/min/1.73 m2. We found that Roy's adaptation model has significantly improved drinking behavior, reduce protein intake, blood creatinine, and psychosocial adaptation response after the intervention.Conclusion: These study findings suggested that Roy's adaptation model is effective to help patients with CKD undergoing pre-dialysis improve their behavior and maintain kidneyfunction . Model dissemination, advocacy to related units, and application in nursing care in patients with chronic kidney disease pre-dialysis are necessary.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2019-03-27</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/JNERS/article/view/7836</dc:identifier>
	<dc:identifier>10.20473/jn.v13i2.7836</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Ners; Vol. 13 No. 2 (2018): October 2018; 150-155</dc:source>
	<dc:source>2502-5791</dc:source>
	<dc:source>1858-3598</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/JNERS/article/view/7836/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2018 Jurnal Ners</dc:rights>
</oai_dc:dc>