Hubungan Kepatuhan Hemodialisis dengan Interdialytic Weight Gain (IDWG) Pada Pasien Hemodialisis
Sari
ABSTRACT
Hemodialysis is a type of kidney replacement therapy for CKD patients. The main problem that often occurs in CKD patients undergoing hemodialysis is an increase in body weight between two periods of hemodialysis or what is often called Interdialysis Weight Gain (IDWG). Increased intra-dialysis weight can cause various complications, namely intradialysis hypotension, hypertension, shortness of breath, and discomfort. One factor that can increase a patient's IDWG is hemodialysis compliance.This study aims to determine the relationship between hemodialysis compliance and IDWG of hemodialysis patients. The method used in this research is descriptive analysis with cross sectional analysis. Data collection in this study used consecutive sampling with a total research sample of 96 respondents. The research results showed that there was a significant relationship between hemodialysis compliance and IDWG of hemodialysis patients (p-value=0.013). Based on research results, it is important to know IDWG, because fluids can determine the compliance of hemodialysis patients, especially regarding problems with the patient's body fluids.
Keywords: Hemodialysis Compliance, IDWG, Hemodialysis
ABSTRAK
Hemodialisis merupakan jenis terapi pengganti ginjal pada pasien CKD. Masalah utama yang sering terjadi pada pasien CKD yang sedang menjalani hemodialisis adalah peningkatan berat badan diantara dua waktu hemodialisis atau yang sering disebut dengan Interdialityc Weight Gain (IDWG). Peningkatan berat badan intra dialisis dapat menyebabkan berbagai komplikasi yaitu hipotensi intradialisis, hipertensi, sesak nafas, dan ketidaknyamanan. Salah satu faktor yang dapat meningkatkan IDWG pasien adalah kepatuhan hemodialisis. Metode yang digunakan pada penelitian ini adalah analisis deskriptif dengan cross sectional. Pengambilan data pada penelitian ini menggunakan consecutive sampling dengan jumlah sampel penelitian 96 responden. Hasil penelitian diketahui terdapat hubungan yang signifikan antara kepatuhan hemodialisis dengan IDWG pasien hemodialisis (p-value=0,013). Berdasarkan hasil penelitian bahwa penting dalam mengetahui IDWG, karena peningkatan cairan dapat diketahui dari kepatuhan pasien hemodialisa khususnya pada masalah cairan tubuh pasien.
Kata Kunci: Kepatuhan Hemodialisis, IDWG, Hemodialisis
Teks Lengkap:
Download ArtikelReferensi
Aeddula Nr, Bardhan M, B. K. (2022). Sickle Cell Nephropathy. Statpearls Publishing.
Ariyani, H., Hilmawan, R. G., S., B. L., Nurdianti, R., Hidayat, R., & Puspitasari, P. (2019). Gambaran Karakteristik Pasien Gagal Ginjal Kronis Di Unit Hemodialisa Rumah Sakit Umum Dr. Soekardjo Kota Tasikmalaya. Keperawatan & Kebidanan, 3 No 2(November), 1–6.
E.D. Wahyuni; F.N.W. Haloho; C.P. Asmoro; N.R. Laili. (2019). Factors Affecting Interdialytic Weight Gain (Idwg) In Hemodialysis Patients With Precede-Proceed Theory Approach. Earth And Environmental Science. Https://Doi.Org/10.1088/1755-1315/246/1/012034
Erika Nurwidiyanti. (2021). Faktor-Faktor Yang Berhubungan Dengan Kadar Hemoglobin (Hb) Pasien Hemodialisis; Studi Pendahuluan. Jurnal Kesehatan, 8(2), 109–119. Https://Doi.Org/10.35913/Jk.V8i2.202
Fauzi, A., Triaswati, R., & Jumari, J. (2021). Patients Compliance In Limiting Liquid Intake And Nutrition Can Regulate Biological And Biochemical Value Of Blood In Patients Through Hemodialysis. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 11(02), 70–80. Https://Doi.Org/10.33221/Jiiki.V11i02.1124
Gunarathne, T. G. N. S., Tang, L. Y., Lim, S. K., Nanayakkara, N., Damayanthi, H. D. W. T., & Abdullah, K. L. (2022). Factors Associated With Symptom Burden In Adults With Chronic Kidney Disease Undergoing Hemodialysis: A Prospective Study. International Journal Of Environmental Research And Public Health, 19(9). Https://Doi.Org/10.3390/Ijerph19095540
Hajj, J., & Laudanski, K. (2017). Home Hemodialysis (Hhd) Treatment As An Effective Yet Underutilized Treatment Modality In The United States. Healthcare, 5(4), 90. Https://Doi.Org/10.3390/Healthcare5040090
Handi Rustandi. (2016). Faktor-Faktor Yang Mempengaruhi Kualitas Hidup Pasien Ckd Yang Menjalani Hemodialisa Di Rsud Dr. M. Yunus Bengkulu Tahun 2016. E-Jurnal Profit (Jurnal, 5(1), 1–6.
Hidayangsih, P. S., Tjandrarini, D. H., Widya Sukoco, N. E., Sitorus, N., Dharmayanti, I., & Ahmadi, F. (2023). Chronic Kidney Disease In Indonesia: Evidence From A National Health Survey. Osong Public Health And Research Perspectives, 14(1), 23–30. Https://Doi.Org/10.24171/J.Phrp.2022.0290
Hustrini, N. M., Susalit, E., Lydia, A., Marbun, M. B. H., Syafiq, M., Yassir, Sarwono, J., Wardoyo, E. Y., Jonny, Suhardjono, Pradwipa, R. Y., Nugraheni, A., Van Diepen, M., & Rotmans, J. I. (2023). The Etiology Of Kidney Failure In Indonesia: A Multicenter Study In Tertiary-Care Centers In Jakarta. Annals Of Global Health, 89(1), 1–13. Https://Doi.Org/10.5334/Aogh.4071
Ipo, A., Aryani, T., & Suri, M. (2016). Hubungan Jenis Kelamin Dan Frekuensi Hemodialisa Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di Rumah Sakit Umum Daerah Raden Mattaher Jambi. Jurnal Akademika Baiturrahim, 5(2), 46–55.
Karin J.R. Ipema; Johanna Kuipers; Ralf Westerhuis; Carlo A.J.M. Gaillard; Cees P. Van Der Schans; Wim P. Krijnen; Casper F.M. Franssen. (2016). Causes And Consequences Of Interdialytic Weight Gain. Kidney And Blood Pressure Research, 41(5), 710–720. Https://Doi.Org/Https://Doi.Org/10.1159/000450560
Kurniawati, D. P., Widyawati, I. Y., & Mariyanti, H. (2019). Edukasi Dalam Meningkatkan Kepatuhan Intake Cairan Pasien Penyakit Ginjal Kronik (Pgk) On Hemodialisis. Critical, Medical And Surgical Nursing Journal,.
Mahesvara, I. B. G. A., Yasa, W. P. S., & Subawa, A. N. (2020). Prevalensi Penyakit Ginjal Kronik Stadium 5 Yang Menjalani Hemodialisis Di Rsud Badung Periode Tahun 2017-2018. Jurnal Medika Udayana, 9(7), 29–35. Https://Ojs.Unud.Ac.Id/Index.Php/Eum/Article/View/62953/35995
Ozen, N., Cinar, F. I., Askin, D., Dilek, M. U. T., & Turker, T. (2019). Nonadherence In Hemodialysis Patients And Related Factors: A Multicenter Study. Journal Of Nursing Research, 27(4), 1–11. Https://Doi.Org/10.1097/Jnr.0000000000000309
Roberto Pisoni, Carolyn A. Bauer, Jerry Yee, R. C. C. (2020). The Interdisciplinary Clinic For Chronic Kidney Disease. In M. E. R. Paul L. Kimmel (Ed.), Chapter 56 (Second Edi, Pp. 921–935). Academic Press. Https://Doi.Org///Doi.Org/10.1016/B978-0-12-815876-0.00056-5.
Sari, F.-, Raveinal, R., & Apriyanti, E. (2020). The Characteristic Description Of Compliance With Fluid Limitation, Interdyalitic Weight Gain (Idwg), And Quality Of Life In Hemodialysis Patients In Palembang City. International Journal Of Nursing And Midwifery Science (Ijnms), 4(2), 132–140. Https://Doi.Org/10.29082/Ijnms/2020/Vol4/Iss2/300
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2018). Brunner & Suddarth’s Textbook Of Medical-Surgical Nursing. Wolters Kluwer Lippincott Williams & Wilkins.
Vaidya Sr, A. N. (2023). Chronic Renal Failure. Statpearls Publishing.Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk535404/
Wahyuni, E. S., & Indarti, S. (2019). Hubungan Karakteristik, Pengetahuan Tentang Asupan Natrium Dan Cairan Dengan Interdialytic Weight Gain (Idwg) Pada Penderita Gagal Ginjal Kronik Yang Menjalani Hemodialisis (Hd). Holistik Jurnal Kesehatan, 13(2), 102–113.Https://Doi.Org/10.33024/Hjk.V13i2.1269
Wayunah, W. (2022). Self-Efficacy And Compliance Fluid Intake Restriction As A Determinant Of The Interdialytic Weight Gain (Idwg) Level. Journal Of Nursing Care, 5(1), 21–29. Https://Doi.Org/10.24198/Jnc.V5i1.36233
Webster Ac, Nagler Ev, Morton Rl, M. P. (2017). Chronic Kidney Disease.
Wijayanti, S. (2019). Hubungan Kepatuhan Hemodialisis Dan Dukungan Sosial Terhadap Kejadian Rawat Inap Ulang Pasien Hemodialisis. Jurnal Kesehatan Panca Bhakti Lampung, 7(2), 90. Https://Doi.Org/10.47218/Jkpbl.V7i2.71
Wjayantii, S., Yetti, K., & Masfuri. (2019). Analysis Of The Factors Affecting The Hospital Readmission Incidence Of Hemodialysis Patients In Bandar Lampung, Indonesia. Enfermeria Clinica, 29, 720–724.Https://Doi.Org/10.1016/J.Enfcli.2019.04.110
Wong, M. M. Y., Mccullough, K. P., Bieber, B. A., Bommer, J., Hecking, M., Levin, N. W., Mcclellan, W. M., Pisoni, R. L., Saran, R., Tentori, F., Tomo, T., Port, F. K., & Robinson, B. M. (2017). Interdialytic Weight Gain: Trends, Predictors, And Associated Outcomes In The International Dialysis Outcomes And Practice Patterns Study (Dopps). American Journal Of Kidney Diseases, 69(3), 367–379. Https://Doi.Org/10.1053/J.Ajkd.2016.08.030
Yulianto, D., & Basuki, H. (2017). Analisis Ketahanan Hidup Pasien Penyakit Ginjal Kronis Dengan Hemodialisis Di Rsud Dr. Soetomo Surabaya. Jurnal Manajemen Kesehatan Yayasan Rs.Dr. Soetomo, 3(1), 96. Https://Doi.Org/10.29241/Jmk.V3i1.92
DOI: https://doi.org/10.33024/mahesa.v4i2.13148
Refbacks
- Saat ini tidak ada refbacks.
Publisher: Universitas Malahayati Lampung
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
kostenlose besucherzähler