The Characteristic Description of Compliance With Fluid Limitation, Interdyalitic Weight Gain (Idwg), and Quality of Life in Hemodialysis Patients in Palembang City

Abstract

Patients with hemodialysis are required to carry out routine care, diet arrangements, and fluid restrictions. The highest non-compliance in patients is fluid restriction. Excessive fluid intake can be seen from weight gain between dialysis time (IDWG). IDWG in hemodialysis patients should not be more than 3.5%, where an increase in IDWG can cause the risk of death and decreased quality of life. However, at the hospital itself, routine identification of fluid restriction non-compliance activities was not carried out, so that there were still many patients with hemodialysis who experienced an increase in IDWG in the moderate and severe categories. The purpose of this study is to explore the characteristics, fluid restriction compliance, IDWG, and quality of life in hemodialysis patients. This is done to plan the provision of further intervention in patients. The design in this study was cross-sectional with sampling techniques with simple random sampling. The results of the study characteristics of respondents at the age of 46-55 years (64.7%) more male sex (55.9%), and high school education (47.1%), all respondents were married (100%), most not working (58.8%), the average length of hemodialysis is 18 months. The mean mean liquid restriction compliance was 27.35, the mean value of IDWG was 4.97 and the mean value of quality of life was 51.72.

Hubungan Kepatuhan Hemodialisis dengan Interdialytic Weight Gain (IDWG) Pada Pasien Hemodialisis

“…Faktor yang mempengaruhi peningkatan IDWG adalah usia muda, berat dan tinggi badan, sisa diuresis, serta kadar natrium pascadialisis (Karin J.R. Ipema et al, 2016) (Wayunah, 2022). Jika kepatuhan dalam pembatasan cairan diabaikan oleh pasien dapat menyebabkan komplikasi sampai menyebabkan kematian akibat hiperkalemia, edema paru, sesak nafas, dan rawat inap ulang (Sari et al, 2020)…”

Pengaruh Pemberian Cairan Berdasarkan Urin Output Terhadap Inter-Dialytic Weight Gain Pasien Hemodialisis Reguler

“…Pembatasan asupan cairan harus diidentifikasi karena menurunnya kepatuhan pasien terhadap diet cairan berdampak pada meningkatnya risiko mordibitas dan mortalitas kardiovaskuler pada pasien hemodialisis (10). Penambahan IDWG dipengaruhi oleh beberapa faktor seperti ketidakpatuhan terhadap asupan cairan dan garam (19). Selain itu, berbagai faktor dapat mempengaruhi kenaikan IDWG, diantaranya intake cairan, rasa haus, dukungan sosial dan keluarga, self-efficacy, stres dan lama HD (20,28).…”

Intervention Compliance of Diet and Fluids to Interdialytic Weight Gain in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review

“…Excessive fluid intake in people with chronic kidney disease can be seen through increased body weight or interdialytic weight gain status, namely weight gain between two hemodialysis sessions. The value of interdialytic weight gain in hemodialysis patients is recommended not to be more than 3.5% [6]. Poor adherence to fluid intake management is detrimental to long-term survival in patients undergoing hemodialysis.…”

“…Patients with chronic kidney disease undergoing hemodialysis programs must make dietary adjustments, routine care, and limit fluids [6]. Sodium build-up results in a decrease in kidney function that is not optimal to maintain homeostasis and ultimately causes an increase in extracellular fluid volume during the interval between hemodialysis [8].…”