UNIVERSITAS AIRLANGGA



Detail Article

Critical, Medical & Surgical Nursing Journal

ISSN 2355-1992

Vol. 3 / No. 2 / Published : 2015-04

Order : 1, and page :1 - 7

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Original Article :

Education in improving compliance fluid intake patients with chronic kidney disease (ckd) on hemodialysis

Author :

  1. Desak Putu Kurniasih*1
  2. Ika Yuni Widyawati*2
  3. Herdina Mariyanti*3
  1. Perawat Graha Rawat Inap Utama RSUD Dr. Soetomo Surabaya
  2. Dosen Fakultas Keperawatan
  3. Dosen Fakultas Keperawatan

Abstract :

Introduction: One of the causes of death in patients with chronic kidney disease on hemodialysis was due to the problem of uncontrolled fluid intake. The prevalence at Dr. Soetomo ireported hospital as much as 80% increase weight more than 6%.  Nursing education in fluid restriction was expected to improve adherence to fluid intake, and therefore contributes to the achievement of the ideal IDGW was  less than 2%. Method: Design in this study was pre-experiment. The population in the study were all patients with chronic kidney disease undergoing hemodialysis. The samples  obtained were 28 respondents who met to the inclusion and exclusion criteria. Purposive  sampling technique was used in this study. The independent variabel was education. The dependent variabel was Inter Dialitic Weight Gain, Qb and systolic blood pressure. Body weight was observered before and after hemodialysis. Blood pressure was observered during hemodialysis. Data were analyzed using  Wilcoxon Signed Rank test with  significant level of p=0.005. Result: The results showed that IDWG (p=0.157); Qb (p=0.007) and systolic blood pressure (p=0.021). IDWG patients did not undergo significant changes before and after education. Qb and systolic blood pressure of patients experiencing significant changes before and after education. Nursing educations  provides significant effect on the patient's fluid intake compliance with indicator Qb and systolic blood pressure. Conclusions: Nursing educations would  provide significant effect on compliance if supported by many factors such as family support advocates, social support and motivation of the patients. The provision of education should be carried out continuously and sustainably to obtain optimal results in patients undergoing regular hemodialysis , especially in terms of compliance with hemodialysis therapy and fluid therapy regimen , in order to achieve adequate dialysis. In a subsequent study can be developed not only limited to the provision of education to the patient but also involve the patient's family .

Keyword :

compliance, fluid intake, chronic kidney disease, IDWG, hemodialysis,


References :

Cahyaningsih, N.D. ,(2009) Hemodialisa (cuci darah) Jogjakarta : Mitra Cendikia Press

Era,(2008) Quality of care in and stage renal disease April 23 : Journal Nephrol Deal Transplant

Mistiaen P,(2001) Thristinterdyalitic weight gain and thirst intervention in hemodialysis patient Vol. 2, Hal.1-5 : Nephrology Nursing Journal

Nissenson, A.R. & Fine, R.N,(2008) Handbook of dialysis therapy, edisi 4 Philadelphia : Saunders Elsevier





Archive Article

Cover Media Content

Volume : 3 / No. : 2 / Pub. : 2015-04
  1. Education In Improving Compliance Fluid Intake Patients With Chronic Kidney Disease (ckd) On Hemodialysis
  2. Indwelling Urine Catheters Care With Chlorhexidine Gluconate 2% In Preventing Urinary Tract Infections In Inpatient Room Rsud Taman Husada Bontang
  3. Progressive Muscle Relaxation Reduce Frequency Of Pain In Breast Cancer Patients Undergoing Chemotherapy In Posa Rsud Dr.soetomo Surabaya
  4. The Correlation Of Parent's Knowledge With Anal Dilatation Care Post Psarp In Surgical Clinic Rsud Dr. Soetomo
  5. Health Education About Rom Improving Family Motivation In Doing Range Of Motion (rom) Exercise In Patient With Stroke Infarction
  6. The Correlation Between Nurse's Knowledge About Triage Labelling With Nurse's Action Based On Triage Label In Emergency Unit Petrokimia Hospital Gresik
  7. Preventing The Incidence Of Decubitus By Using Heel Ring In Patients With Sceleton Traction
  8. The Correlation Between Giving Exclusive Breastfeeding With The Incidence Of Bronchiolitis In Infants 7-24 Month
  9. The Correlation Between Perceived Benefit And Perceived Barrier With Breast Cancer Stage Based On Health Belief Model Theory In Patient Of Posa Rsud Dr. Soetomo Surabaya
  10. Health Education With Audiovisual Media Improving Mother's Behaviour In Treating Acute Respiratory Infection In Under 5 Years Old Children In Kelurahan Lebijaga Kabupaten Ngada
  11. Social Support And Motivation Related To Adherence On Fluid Intake Restriction In Chronic Kidney Disease Patients Undergoing Hemodialysis
  12. Topical Aloe Vera Extract Provides Consistency Of Scar Hypertrophic Post-burn

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