Effect of Theory of Planned Behaviour-Based Structured Education on Knowledge and Interdialytic Weight Gain Among Patients with Chronic Kidney Disease

2026-05-08T02:13:27+00:00

Globally, CKD and ESRD continue to increase substantially with the majority receiving dialysis treatment, involves an irreversible decline in kidney function so that continuous dialysis is carried out for survival. The success of haemodialysis therapy is highly dependent on patient adherence, especially in controlling interdialytic weight gain (IDWG). Knowledge and behavior patient are required in the control of IDWG. One of the health education models is used to increase knowledge so that it has an impact on health-related behaviour change, namely Planned Behaviour Theory (TPB). This study aimed to determine the effect of Theory Planned Behaviour-based structured education on knowledge of fluid restriction and IDWG reduction in CKD patients on haemodialysis. The research employed a quantitative method design using an quasi-experimental pretest-posttest with a control group design. The population of all patients analyzed at the Inche Abdoel Moeis Regional General Hospital, Samarinda, amounted to 60 respondents, sample technique used purposive sampling (according to the inclusion criteria), each group amounted to 30 respondents (with intervention and control groups) The intervention group received structured education based on the TPB and fluid evaluation monitoring with discussion forums. Intervention groups are given with a frequency of education 2x a week, the duration education was 30 minutes and then total implementation was 4 weeks, used instruments consisting of the SOP for Providing TPB-Based Education, IDWG observation sheets, and questionnaires (the questionnaire validity and reliability Cronbach’s Alpha is 0.760). And statistical tests using paired t-tests and independent t-tests. The results of the hypothesis test in the intervention group with the Paired T-test obtained a p value of 0.000<0.05. Meanwhile, in the control group, the p-value was 0.053>0.05. There were significant differences between the intervention and control groups, so it was concluded that there was an effect of TPB-based structured education on knowledge of fluid restriction and IDWG reduction in CKD patients on haemodialysis.

Analysis of Dietary Patterns and Nutritional Adequacy in Relation to Nutritional Status

2026-06-03T22:33:07+00:00

University students are vulnerable to unhealthy eating behaviors due to academic demands, time constraints, and reliance on convenience foods, which may affect their nutritional status. This study aimed to assess nutritional status, dietary patterns, and nutritional adequacy among second-semester students at the Faculty of Medicine and Health Sciences, University of Mataram, and to examine their associations. A cross-sectional study was conducted among 215 students. Nutritional status was determined using body mass index (BMI), while dietary intake was assessed through 24-hour food records analyzed using NutriSurvey. Participants had a mean age of 18.81 ± 0.75 years and a mean BMI of 21.83 ± 4.18 kg/m², with 66.51% classified as having normal nutritional status. The study shows that most students have inappropriate dietary patterns (66.51%) and inadequate macronutrient intake, particularly carbohydrates. Although 69.77% achieved adequate total energy intake, the overall dietary pattern reflected an imbalanced macronutrient distribution. No significant association was found between dietary patterns and nutritional status (p = 0.109) or between nutritional adequacy and nutritional status (p = 0.295). These findings suggest that factors beyond dietary intake alone may influence nutritional status among university students. Therefore, targeted nutrition education and behavior-based interventions are needed to promote healthier eating habits among future health professionals.

MEDICA (International Medical Scientific Journal)

Effect of Theory of Planned Behaviour-Based Structured Education on Knowledge and Interdialytic Weight Gain Among Patients with Chronic Kidney Disease

Analysis of Dietary Patterns and Nutritional Adequacy in Relation to Nutritional Status