Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital
DOI:
https://doi.org/10.33755/jkk.v10i3.644Keywords:
IDWG, Self-care fluid restriction managementAbstract
Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes.
Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital.
Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test.
Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001.
Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital
References
PERNEFRI. 13th Annual Report of Indonesian Renal Registry 2020. Indones Ren Regist [Internet]. 2020;13:11. Available from: https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Lim HS, Kim HS, Kim JK, Park M, Choi SJ. Nutritional Status and Dietary Management According to Hemodialysis Duration. Clin Nutr Res. 2019;8(1):28.
Adib-Hajbagheri M, Molavizadeh N, Alavi NM, Abadi MHM. Factors associated with complications of vascular access site in hemodialysis patients in Isfahan Aliasghar hospital. Iran J Nurs Midwifery Res [Internet]. 2019;19(2):208–14. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24834093%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4020033
Jeong EY. Impact on health outcomes of hemodialysis patients based on the experience level of registered nurses in the hemodialysis department: a cross-sectional analysis. Front Heal Serv. 2023;3(August):1–7.
Pretto CR, Winkelmann ER, Hildebrandt LM, Barbosa DA, Colet C de F, Stumm EMF. Quality of life of chronic kidney patients on hemodialysis and related factors. Rev Lat Am Enfermagem. 2020;28:1–11.
Lee MC, Wu SFV, Lu KC, Liu CY, Liang SY, Chuang YH. Effectiveness of a self-management program in enhancing quality of life, self-care, and self-efficacy in patients with hemodialysis: A quasi-experimental design. Semin Dial. 2021;34(4):292–9.
Hafezieh A, Dehghan M, Taebi M, Iranmanesh S. Self-management, self-efficacy and knowledge among patients under haemodialysis: a case in Iran. J Res Nurs. 2020;25(2):128–38.
Schrauben SJ, Rivera E, Bocage C, Eriksen W, Amaral S, Dember LM, et al. A Qualitative Study of Facilitators and Barriers to Self-Management of CKD. Kidney Int Reports [Internet]. 2022;7(1):46–55. Available from: https://doi.org/10.1016/j.ekir.2021.10.021
A REP, Syam Y, Syahrul S. Correlation of self-efficacy and self-care of patients undergoing hemodialysis with their quality of life. Enfermería Clínica. 31(Supplement 5):S797–801.
Wahyuni ED, Haloho FNW, Asmoro CP, Laili NR. Factors Affecting Interdialytic Weight Gain (IDWG) in Hemodialysis Patients with Precede-Proceed Theory Approach. IOP Conf Ser Earth Environ Sci. 2019;246(1).
Mailani F, Huriani E, Muthia R, Rahmiwati. Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study. Nurse Media J Nurs. 2023;13(1):109–20.
Riswanda V, Wijayanti GASPW. Efektifitas Penggunaan Kalender Pengelolaan Cairan dan Mobile Phone terhadap Interdialytic Weight Gain pada Pasien Gagal Ginjal Kronik di Ruang Hemodialisa. J Keperawatan Terpadu (Integrated Nurs Journal). 2021;2(2):165.
Potter PA, Perry AG. Fundamentals of Nursing: Concepts, Process, and Practice. 9th ed. Singapore: Elsevier; 2020.
LeMone, P., Burke KM, Bauldoff G. Textbook of Medical Surgical Nursing. Yogyakarta: EGC; 2016.
Sari F, Raveinal, Apriyanti E. Pengaruh Edukasi Berdasarkan Teori Efikasi Diri Terhadap Kepatuhan Pembatasan Cairan dan Interdialytic Weight Gain (IDWG) Pada Pasien Hemodialisis. J Penelit Kesehat Suara Forikes [Internet]. 2020;11(9):67–70. Available from: http://forikes-ejournal.com/index.php/SF/article/view/sf11nk411
Barus SB, Zainaro MA. BOOKLET KONSELING TERHADAP PENINGKATAN PENGETAHUAN SELF CARE MANAGEMENT PADA PASIEN GAGAL GINJAL KRONIK (GGK) DENGAN HEMODIALISA. Holistik J Kesehat. 2019;13(2):84–91.
Natashia D, Yen M, Chen HM, Fetzer SJ. Self-Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia. J Nurs Scholarsh. 2019;51(4):417–26.
Rahmanti A, Sunarto. Penerapan Intervensi Self Care Management Untuk Mencegah Peningkatan. J Jufdikes. 2022;4(1).
Arad M, Goli R, Parizad N, Vahabzadeh D, Baghaei R. Do the patient education program and nurse-led telephone follow-up improve treatment adherence in hemodialysis patients? A randomized controlled trial. BMC Nephrol. 2021;22(1):1–13.
Putri NS, Sukartini T, Efendy F. Fluid Adherence Level Among Patients Undergoing With Hemodialysis. Int J Nurs Heal Serv [Internet]. 2019;2(4):320–5. Available from: https://ijnhs.net/index.php/ijnhs/article/view/133
Canaud B, Chazot C, Koomans J, Collins A. Fluid and hemodynamic management in hemodialysis patients: Challenges and opportunities. Brazilian J Nephrol. 2019;41(4):550–9.
Pratiwi D tunjung, Tamtomo DG, Sueyono A. Determinants of the Quality of Life for Hemodialysis Patients. Indones J Med. 2019;4(2):145–54.
Mailani F, Mahathir M, Yuni AR. Self-Efficacy and Compliance Fluid Intake Restrictions in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-Sectional Study. J Keperawatan Komprehensif [Internet]. 2023;9(July):269–76. Available from: https://doi.org/10.33755/jkk
Melastuti E, Nursalam N, Sukartini T, Putra MM, Adiutama NM. Self-care Adherence in Hemodialysis Patients: A Structural Equation Modeling. Sci Found SPIROSKI, Skopje, Repub Maced [Internet]. 2022;10(B):1107–12. Available from: https://oamjms.eu/index.php/mjms/article/view/9365
Hidayati R. Aplikasi Teori Adapatasi Roy Pada Pasien dengan End Stage Renal Disease (ESRD). J Sci Soluterm. 2019;2(1):30–40.
Yasin F, Khraim F, Santos M, Forgrave D, Hamad A. Factors influencing self-care management in adult hemodialysis patients: An integrative review. Qatar Med J. 2024;2024(1):1–17.
Shen H, Kleij RMJJ van der, Boog PJM van der, Chang X, Chavannes NH. Electronic Health Self-Management Interventions for Patients With Chronic Kidney Disease: Systematic Review of Quantitative and Qualitative Evidence. J Med Internet Res [Internet]. 2019;21(11). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864489/
Johnson AM, Brimhall AS, Johnson ET, Hodgson J, Didericksen K, Pye J, et al. A systematic review of the effectiveness of patient education through patient portals. JAMIA Open. 2023;6(1):1–10.
Kuwabara A, Su S, Krauss J. Utilizing Digital Health Technologies for Patient Education in Lifestyle Medicine. Am J Lifestyle Med. 2020;14(2):137–42.
Haleema A, Javaida M, B MAQ, Rajiv Sumanc. Understanding the role of digital technologies in education: A review. Sustain Oper Comput [Internet]. 2022;3:275–85. Available from: https://www.sciencedirect.com /science/article/pii/S2666412722000137
