Faktor-Faktor yang Memengaruhi Peningkatan Interdialytic Weight Gain (IDWG) pada Pasien Hemodialisa

Abstract

This study aims to identify factors that influence the increase in Interdialytic Weight Gain (IDWG) in hemodialysis patients. This research method uses a narrative literature review method by entering keywords into five databases: PubMed, CINAHL, Science Direct, Wiley, and ProQuest. The results showed that the search results obtained 521 articles and ten relevant and qualified articles, then extracted using the DSVIA method. The intrinsic and extrinsic factors that contribute to the increase in Interdialytic Weight Gain (IDWG) in hemodialysis patients. Intrinsic factors include age, gender, knowledge, body mass index, psychological condition, thirst, xerostomia, and self-efficacy. In contrast, external factors (extrinsic) that influence the increase in IDWG are the duration and frequency of hemodialysis, and serum dialysate, including serum sodium and serum creatinine. In conclusion, the rise in Interdialytic Weight Gain (IDWG) can severely impact the patient's condition, so it is necessary to identify the factors that contribute to the increase in interdialytic weight gain plan appropriate nursing actions.
 Keywords: Hemodialysis, Interdialytic Weight Gain

Factors Affecting Interdialytic Weight Gain (IDWG) in Kidney Failure

“…Based on studies Fazriansyah et al, (2018) mainly (70.8%) of the respondents experienced moderate weight gain. Based on study Saswati et al, (2020) the majority of respondents had a moderate Interdialytic Weight Gain (IDWG) value of 56% and this is in line with research Khairidina et al, (2020) as many as 72.5% showed an increase in IDWG ≥ 3%, so most patients with kidney failure undergoing hemodialysis experienced an increase in Interdialytic Weight Gain (IDWG). An increase in IDWG has a serious impact on patients with kidney failure undergoing hemodialysis such as hypertension, (Sobhi et al, 2021), malnutrition (Kahraman et al, 2015) and hypotension (Juliardi et al, 2020).…”

Telenursing terhadap Interdialytic Weight Gain dan Kualitas Pelayanan Keperawatan Hemodialisa

“…Salah satu upaya yang dilakukan untuk membatasi asupan cairan adalah penelitian yang dilakukan Isrofah et al, (2019) yang menyatakan ada penurunan tingkat rasa haus setelah memberikan intervensi untuk mengulum es batu. Ada dampak positif terhadap asupan cairan pasien dan terdapat pengaruh yang signifikan setelah pemberian edukasi terhadap kepatuhan dalam pembatasan cairan berdasarkan teori efikasi diri pada pasien gagal ginjal yang menjalani hemodialisis (Sari et al, 2020). Di ruang Hemodialisa rutin diberikan pendidikan kesehatan dengan menggunakan media leaflet hanya 1 kali dalam 1 bulan mengenai diet nutrisi, diet rendah garam, diet cairan dan hal ini dinilai kurang optimal karena sebanyak 45 pasien dari 247 atau sekitar >18% pasien hemodialisis masih mengalami kenaikan nilai IDWG.…”