The Effect of Coaching Support on Kidney Function in Chronic Kidney Disease Patients

Susanti Susanti; Difran Nobel Bistara

doi:10.3889/oamjms.2021.5820

Authors

Susanti Susanti Department of Medical Surgical of Nursing, Adi Husada College of Health Sciences, Surabaya, Indonesia
Difran Nobel Bistara Department of Medical Surgical of Nursing, Nahdlaltul Ulama University, Surabaya, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5820

Keywords:

Chronic Kidney Disease, Coaching Support, Kidney function

Abstract

BACKGROUND: Chronic kidney disease (CKD) is a chronic illness with complex disease which could lead to other underlying diseases such as diabetes mellitus (DM), hypertension, and dyslipidemia. Urban population must manage their illness due to their occupation. Coaching support is an advanced method to help individuals manage their illnesses, especially chronic illness. Symptoms and complaints in early-stage renal disorders tend to be mild, making it difficult to diagnose only by clinical examination. Impaired kidney function can lead to progressive kidney damage.

AIM: This study aimed was to analyze the effect of coaching support in maintaining kidney function in patients with CKD.

METHODS: This research used quasi-experiment with pre-test and post-test with control group design. Respondents in this study were 40 CKD patients which were taken by consecutive sampling technique and divided into two groups, namely, control group and treatment group. Data were collected using blood urea nitrogen and creatinine values observation sheet. Coaching support was divided into four steps of therapy, identify the disturbance, identify based on experience, use a family support system, and evaluating the results. Data were analyzed using paired t-test and independent t-test with a significance of p < 0.05.

RESULTS: This study found that there was a significant difference in kidney function between the control group and the treatment group (p = 0.000). Coaching support interventions were effective on kidney function in patients with CKD. The implementation of coaching support went well because respondents and families were proactive.

CONCLUSION: Coaching support should be applied by nurses as daily activity management of CKD patients at early stage to inhibit the kidney function damage progression.

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