Innovation of the M-Nursing Application to Improve Compliance with Haemodialysis Therapy and Urea-Creatinine Levels in Patients with Chronic Kidney Disease

Abstract

Background: Chronic Kidney Disease (CKD) represents a prominent health concern due to soaring propensity and occurrence rate, alongside the growing demand for kidney replacement therapies among affected individuals. Objective: This research focused on improving compliance, decreasing urea and creatinine with haemodialysis therapy among chronic renal failure patients by utilising the innovative M-Nursing Application model and assessing the impact of this novel approach. Methods: This research is experimental research with one group Pretest-Posttest design. The M-Nursing Application is an alternative therapy that can be given to patients by providing a Supportive Educative System in digital form. The procedure for this study was a pre-test to measure haemodialysis compliance, urea and creatinine; then the provision of M-Nursing Application intervention for 3 months; and then a post-test to measure haemodialysis compliance, urea and creatinine again. The measurement of the effectiveness of providing the M-Nursing Application intervention was carried out with 110 kidney failure patients at the Tangerang Regency General Hospital. Results: The results showed that in the pre-test, 31 respondents (56.4%) were compliant, while the post-test showed that number raised to 100.0% (55 compliant respondents). There was a significant decrease in mean urea level from pre-test to post-test (179.709 to 79.709), while the creatinine level dropped from pre-test (5.880) to 2.572 (post-test). The average knowledge score increased from 13.854 (pre-test) to 14.945 (post-test). The average attitude improved from 50.909 (pre-test) to 55.800 (post-test). Analysis that was done statistically confirmed a notable advancement in adherence (p-value 0.000). Conclusion: The M-Nursing Application as Innovation model was a strategy for decreasing urea values and creatinine values and increasing compliance in chronic kidney failure patients. This study provides nursing care promotive and preventive aspects, namely providing health education regarding patient compliance with haemodialysis so that optimal patient health status was achieved through the M-Nursing Application.