ASUHAN KEPERAWATAN PADA PASIEN CHRONIC KIDNEY DISEASE DENGAN MASALAH KEPERAWATAN DEFISIT NUTRISI

Chronic kidney failure (CKD) causes a decline in the kidneys' ability to filter metabolic waste, resulting in the accumulation of substances such as urea and creatinine in the blood (Smeltzer & Bare, 2013). This condition triggers symptoms such as nausea, vomiting, loss of appetite, and taste disturbances, which directly reduce food intake. Furthermore, a strict diet low in protein and minerals also limits the patient's food choices. Consequently, CKD patients are at high risk of protein-energy malnutrition, which can maintain clinical condition (Mahan & Raymond, 2017). Therefore, nutritional monitoring and intervention are essential components in the management of kidney failure.
Care for CKD patients with nutritional deficits was provided at Dr. Harjono Ponorogo Regional Hospital for three days, from June 11–13, 2025. The research method used a case study design, with a problem-solving approach utilizing a causal process.
The assessment results showed that the patient experienced weakness, nausea, vomiting, abdominal fullness, and decreased appetite. His initial weight before the illness was 60 kg, and after the illness, it decreased to 50 kg. Nutritional management was undertaken to address these issues. Following surgery, Mr. D's nutritional deficit was partially resolved.
Hopefully, the effective blanket care provided by nurses for CKD patients with nutritional deficits can be maintained and improved to achieve more optimal and effective results. It is also hoped that the assessment will be conducted comprehensively so that the patient's problems can be addressed.
Keywords: Nutritional deficit, Chronic Kidney Disease, nursing care