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
References
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Beerendrakumar, N., Ramamoorthy, L., & Haridasan, S. (2018). Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients. Journal of Caring Sciences, 7(1), 17–20. https://doi.org/10.15171/jcs.2018.003
Bellomo, G., Coccetta, P., Pasticci, F., Rossi, D., & Selvi, A. (2015). The Effect of Psychological Intervention on Thirst and Interdialytic Weight Gain in Patients on Chronic Hemodialysis: A Randomized Controlled Trial. Journal of Renal Nutrition, 25(5), 426–432. https://doi.org/10.1053/j.jrn.2015.04.005
Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., Ahmadian, E., Al-Aly, Z., Alipour, V., Almasi-Hashiani, A., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Andrei, T., Andrei, C. L., & Murray, C. J. L. (2020). Global, Regional, and National Burden of Chronic Kidney Disease, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3
Bossola, M., Calvani, R., Marzetti, E., Picca, A., & Antocicco, E. (2020). Thirst in Patients on Chronic Hemodialysis: What Do We Know so far? International Urology and Nephrology, 52(4), 697–711. https://doi.org/10.1007/s11255-020-02401-5
Bossola, M., Pepe, G., & Vulpio, C. (2018). The Frustrating Attempt to Limit the Interdialytic Weight Gain in Patients on Chronic Hemodialysis: New Insights Into an Old Problem. Journal of Renal Nutrition, 28(5), 293–301. https://doi.org/10.1053/j.jrn.2018.01.015
BPJS Kesehatan. (2020). Laporan Pengelolaan Program BPJS Kesehatan Tahun 2019. https://www.bpjs-kesehatan.go.id/bpjs/
Chang, A., Chung, Y., & Kang, M. (2021). Effects of the Combination of Auricular Acupressure and a Fluid-Restriction Adherence Program on Salivary Flow Rate, Xerostomia, Fluid Control, Interdialytic Weight Gain, and Diet-Related Quality of Life in Patients Undergoing Hemodialysis. International Journal of Environmental Research and Public Health, 18(19). https://doi.org/10.3390/ijerph181910520
De-Brito, D. C. S., Machado, E. L., Reis, I. A., De-Freitas, D. L. P., & Cherchiglia, M. L. (2019). Depression and Anxiety among Patients Undergoing Dialysis and Kidney Transplantation: A Cross-Sectional Study. Sao Paulo Medical Journal, 137(2), 137–147. https://doi.org/10.1590/1516-3180.2018.0272280119
Goto, J., Forsberg, U., Jonsson, P., Matsuda, K., Nilsson, B., Nilsson-Ekdahl, K., Henein, M. Y., & Stegmayr, B. G. (2021). Interdialytic Weight Gain of Less Than 2.5% Seems to Limit Cardiac Damage During Hemodialysis. International Journal of Artificial Organs, 44(8), 539–550. https://doi.org/10.1177/0391398820981385
Griva, K., Nandakumar, M., Ng, J. an H., Lam, K. F. Y., McBain, H., & Newman, S. P. (2018). Hemodialysis Self-Management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis. American Journal of Kidney Diseases, 71(3), 371–381. https://doi.org/10.1053/j.ajkd.2017.09.014
Iorember, F. M. (2018). Malnutrition in Chronic Kidney Disease. Frontiers in Pediatrics, 6(June). https://doi.org/10.3389/fped.2018.00161
Ipema, K. J. R., Kuipers, J., Westerhuis, R., Gaillard, C. A. J. M., Van-Der-Schans, C. P., Krijnen, W. P., & Franssen, C. F. M. (2016). Causes and Consequences of Interdialytic weight gain. Kidney and Blood Pressure Research, 41(5), 710–720. https://doi.org/10.1159/000450560
Isnaini, N., Styandini, D. A., & Ratnasari, D. (2021). The Effect of Using Booklets on Patients’ Self-Efficacy Knowledge and Interdialytic Weight Gain. Bali Medical Journal, 10(3), 1103–1106. https://doi.org/10.15562/bmj.v10i3.2840
Jalalzadeh, M., Mousavinasab, S., Villavicencio, C., Aameish, M., Chaudhari, S., & Baumstein, D. (2021). Consequences of Interdialytic Weight Gain Among Hemodialysis Patients. Cureus, 13(5), 8–9. https://doi.org/10.7759/cureus.15013
Kumar, B., Kartikheyan, S., Ramashamy, A., Salman, V., Rathi, M., Kohli, H. S., & Gupta, K. L. (2021). A Study of Factors Affecting Dialysis Recovery Time in Hemodialysis Patients in India. Indian Journal of Nephrology, 31(5), 460-466. https://doi.org/10.4103/ijn.IJN
Kustimah, K., Siswadi, A. G. P., Djunaidi, A., & Iskandarsyah, A. (2019). Factors Affecting Non-Adherence to Treatment in End Stage Renal Disease (ESRD) Patients Undergoing Hemodialysis in Indonesia. The Open Psychology Journal, 12(1), 141–146. https://doi.org/10.2174/1874350101912010141
Kusumawardhani, Y., & Yetti, K. (2020). Manajemen Xerostomia dan Interdialytic Weight Gain. Jurnal Keperawatan, 12(1), 7–16. https://journal.stikeskendal.ac.id/index.php/Keperawatan/article/view/685
Luyckx, V. A., Tonelli, M., & Stanifer, J. W. (2018). The Global Burden of Kidney Disease and the Sustainable Development Goals. Bulletin of the World Health Organization, 96(6), 414-422C. https://doi.org/10.2471/BLT.17.206441
Maimani, Y. Al, Elias, F., Salmi, I. Al, Aboshakra, A., Alla, M. A., & Hannawi, S. (2021). Interdialytic Weight Gain in Hemodialysis Patients: Worse Hospital Admissions and Intradialytic Hypotension. Open Journal of Nephrology, 11(02), 156–170. https://doi.org/10.4236/ojneph.2021.112013
Maqfiroh, Y., Hasanah, O., Keperawatan, F., & Riau, U. (2021). Pengetahuan Manajemen Cairan dan Inter-Dialytic Weight Gain (IDWG) Pasien yang Menjalani Hemodialisis: Studi Lieratur. Journal Management System, 4, 88–97. https://jurnal.umt.ac.id/index.php/jik/article/download/3023/2539
Naderifar, M., Tafreshi, M. Z., Ilkhani, M., Akbarizadeh, M. R., & Ghaljaei, F. (2019). Correlation between Quality of Life and Adherence to Treatment in Hemodialysis Patients. Journal of Renal Injury Prevention, 8(1), 22–27. https://doi.org/10.15171/jrip.2019.05
Natashia, D., Yen, M., Chen, H. M., & Fetzer, S. J. (2019). Self-Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia. Journal of Nursing Scholarship, 51(4), 417–426. https://doi.org/10.1111/jnu.12464
Ok, E., & Kutlu, F. Y. (2019). Hopelessness, Anxiety, Depression and Treatment Adherence in Chronic Hemodialysis Patients. International Journal of Caring Sciences, 12(1), 423–429. www.internationaljournalofcaringsciences.org
Pakaya, R. E., Syam, Y., & Syahrul, S. (2021). Analysis of Self-Efficacy and Characteristics of Patients with Chronic Kidney Disease Underwent Hemodialysis. Jurnal Keperawatan, 12(1), 93–98. https://doi.org/10.22219/jk.v12i1.13248
Park, O. L., & Kim, S. R. (2019). Integrated Self-Management Program Effects on Hemodialysis Patients: A Quasi-Experimental Study. Japan Journal of Nursing Science, 16(4), 396–406. https://doi.org/10.1111/jjns.12249
Pernefri. (2018). 11th Report of Indonesian Renal Registry 2018. Irr, 1–46. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Rosdiana, I., Cahyanti, Y., & Hartono, D. (2018). The Effect of Education on Interdialytic Weight Gain in Patients Undergoing Hemodialysis. Malaysian Journal of Medical Research, 2(10), 27. https://doi.org/10.31674/mjmr.2018.v02i04
Thomson, B. K. A., Dixon, S. N., Huang, S. H. S., Leitch, R. E., Suri, R. S., Chan, C. T., & Lindsay, R. M. (2013). Modifiable Variables Affecting Interdialytic Weight Gain Include Dialysis Time, Frequency, and Dialysate Sodium. Hemodialysis International, 17(4), 576–585. https://doi.org/10.1111/hdi.12056
Veetil, R. T. P., Kamath, J., & Mateti, U. V. (2017). Impact of Patient Education on Interdialytic Weight Gain and Blood Pressure in Patients Undergoing Hemodialysis. Indian Journal of Pharmaceutical Education and Research, 51(4), S653–S660. https://doi.org/10.5530/ijper.51.4s.95
Visweswaran, K., Shaffi, M., Mathew, P., Abraham, M., Lordson, J., Rajeev, P., Thomas, R., Aravindakshan, R., Jayadevan, G., Nayar, K. R., & Pillai, M. (2020). Quality of Life of End Stage Renal Disease Patients Undergoing Dialysis in Southern Part of Kerala, India: Financial Stability and Inter-Dialysis Weight Gain as Key Determinants. Journal of Epidemiology and Global Health, 10(4), 344–350. https://doi.org/10.2991/jegh.k.200716.001
Wahyuni, E. D., Haloho, F. N. W., Asmoro, C. P., & Laili, N. R. (2019). Factors Affecting Interdialytic Weight Gain (IDWG) in Hemodialysis Patients with Precede-Proceed Theory Approach. IOP Conference Series: Earth and Environmental Science, 246(1). https://doi.org/10.1088/1755-1315/246/1/012034
Beerendrakumar, N., Ramamoorthy, L., & Haridasan, S. (2018). Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients. Journal of Caring Sciences, 7(1), 17–20. https://doi.org/10.15171/jcs.2018.003
Bellomo, G., Coccetta, P., Pasticci, F., Rossi, D., & Selvi, A. (2015). The Effect of Psychological Intervention on Thirst and Interdialytic Weight Gain in Patients on Chronic Hemodialysis: A Randomized Controlled Trial. Journal of Renal Nutrition, 25(5), 426–432. https://doi.org/10.1053/j.jrn.2015.04.005
Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., Ahmadian, E., Al-Aly, Z., Alipour, V., Almasi-Hashiani, A., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Andrei, T., Andrei, C. L., & Murray, C. J. L. (2020). Global, Regional, and National Burden of Chronic Kidney Disease, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3
Bossola, M., Calvani, R., Marzetti, E., Picca, A., & Antocicco, E. (2020). Thirst in Patients on Chronic Hemodialysis: What Do We Know so far? International Urology and Nephrology, 52(4), 697–711. https://doi.org/10.1007/s11255-020-02401-5
Bossola, M., Pepe, G., & Vulpio, C. (2018). The Frustrating Attempt to Limit the Interdialytic Weight Gain in Patients on Chronic Hemodialysis: New Insights Into an Old Problem. Journal of Renal Nutrition, 28(5), 293–301. https://doi.org/10.1053/j.jrn.2018.01.015
BPJS Kesehatan. (2020). Laporan Pengelolaan Program BPJS Kesehatan Tahun 2019. https://www.bpjs-kesehatan.go.id/bpjs/
Chang, A., Chung, Y., & Kang, M. (2021). Effects of the Combination of Auricular Acupressure and a Fluid-Restriction Adherence Program on Salivary Flow Rate, Xerostomia, Fluid Control, Interdialytic Weight Gain, and Diet-Related Quality of Life in Patients Undergoing Hemodialysis. International Journal of Environmental Research and Public Health, 18(19). https://doi.org/10.3390/ijerph181910520
De-Brito, D. C. S., Machado, E. L., Reis, I. A., De-Freitas, D. L. P., & Cherchiglia, M. L. (2019). Depression and Anxiety among Patients Undergoing Dialysis and Kidney Transplantation: A Cross-Sectional Study. Sao Paulo Medical Journal, 137(2), 137–147. https://doi.org/10.1590/1516-3180.2018.0272280119
Goto, J., Forsberg, U., Jonsson, P., Matsuda, K., Nilsson, B., Nilsson-Ekdahl, K., Henein, M. Y., & Stegmayr, B. G. (2021). Interdialytic Weight Gain of Less Than 2.5% Seems to Limit Cardiac Damage During Hemodialysis. International Journal of Artificial Organs, 44(8), 539–550. https://doi.org/10.1177/0391398820981385
Griva, K., Nandakumar, M., Ng, J. an H., Lam, K. F. Y., McBain, H., & Newman, S. P. (2018). Hemodialysis Self-Management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis. American Journal of Kidney Diseases, 71(3), 371–381. https://doi.org/10.1053/j.ajkd.2017.09.014
Iorember, F. M. (2018). Malnutrition in Chronic Kidney Disease. Frontiers in Pediatrics, 6(June). https://doi.org/10.3389/fped.2018.00161
Ipema, K. J. R., Kuipers, J., Westerhuis, R., Gaillard, C. A. J. M., Van-Der-Schans, C. P., Krijnen, W. P., & Franssen, C. F. M. (2016). Causes and Consequences of Interdialytic weight gain. Kidney and Blood Pressure Research, 41(5), 710–720. https://doi.org/10.1159/000450560
Isnaini, N., Styandini, D. A., & Ratnasari, D. (2021). The Effect of Using Booklets on Patients’ Self-Efficacy Knowledge and Interdialytic Weight Gain. Bali Medical Journal, 10(3), 1103–1106. https://doi.org/10.15562/bmj.v10i3.2840
Jalalzadeh, M., Mousavinasab, S., Villavicencio, C., Aameish, M., Chaudhari, S., & Baumstein, D. (2021). Consequences of Interdialytic Weight Gain Among Hemodialysis Patients. Cureus, 13(5), 8–9. https://doi.org/10.7759/cureus.15013
Kumar, B., Kartikheyan, S., Ramashamy, A., Salman, V., Rathi, M., Kohli, H. S., & Gupta, K. L. (2021). A Study of Factors Affecting Dialysis Recovery Time in Hemodialysis Patients in India. Indian Journal of Nephrology, 31(5), 460-466. https://doi.org/10.4103/ijn.IJN
Kustimah, K., Siswadi, A. G. P., Djunaidi, A., & Iskandarsyah, A. (2019). Factors Affecting Non-Adherence to Treatment in End Stage Renal Disease (ESRD) Patients Undergoing Hemodialysis in Indonesia. The Open Psychology Journal, 12(1), 141–146. https://doi.org/10.2174/1874350101912010141
Kusumawardhani, Y., & Yetti, K. (2020). Manajemen Xerostomia dan Interdialytic Weight Gain. Jurnal Keperawatan, 12(1), 7–16. https://journal.stikeskendal.ac.id/index.php/Keperawatan/article/view/685
Luyckx, V. A., Tonelli, M., & Stanifer, J. W. (2018). The Global Burden of Kidney Disease and the Sustainable Development Goals. Bulletin of the World Health Organization, 96(6), 414-422C. https://doi.org/10.2471/BLT.17.206441
Maimani, Y. Al, Elias, F., Salmi, I. Al, Aboshakra, A., Alla, M. A., & Hannawi, S. (2021). Interdialytic Weight Gain in Hemodialysis Patients: Worse Hospital Admissions and Intradialytic Hypotension. Open Journal of Nephrology, 11(02), 156–170. https://doi.org/10.4236/ojneph.2021.112013
Maqfiroh, Y., Hasanah, O., Keperawatan, F., & Riau, U. (2021). Pengetahuan Manajemen Cairan dan Inter-Dialytic Weight Gain (IDWG) Pasien yang Menjalani Hemodialisis: Studi Lieratur. Journal Management System, 4, 88–97. https://jurnal.umt.ac.id/index.php/jik/article/download/3023/2539
Naderifar, M., Tafreshi, M. Z., Ilkhani, M., Akbarizadeh, M. R., & Ghaljaei, F. (2019). Correlation between Quality of Life and Adherence to Treatment in Hemodialysis Patients. Journal of Renal Injury Prevention, 8(1), 22–27. https://doi.org/10.15171/jrip.2019.05
Natashia, D., Yen, M., Chen, H. M., & Fetzer, S. J. (2019). Self-Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia. Journal of Nursing Scholarship, 51(4), 417–426. https://doi.org/10.1111/jnu.12464
Ok, E., & Kutlu, F. Y. (2019). Hopelessness, Anxiety, Depression and Treatment Adherence in Chronic Hemodialysis Patients. International Journal of Caring Sciences, 12(1), 423–429. www.internationaljournalofcaringsciences.org
Pakaya, R. E., Syam, Y., & Syahrul, S. (2021). Analysis of Self-Efficacy and Characteristics of Patients with Chronic Kidney Disease Underwent Hemodialysis. Jurnal Keperawatan, 12(1), 93–98. https://doi.org/10.22219/jk.v12i1.13248
Park, O. L., & Kim, S. R. (2019). Integrated Self-Management Program Effects on Hemodialysis Patients: A Quasi-Experimental Study. Japan Journal of Nursing Science, 16(4), 396–406. https://doi.org/10.1111/jjns.12249
Pernefri. (2018). 11th Report of Indonesian Renal Registry 2018. Irr, 1–46. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Rosdiana, I., Cahyanti, Y., & Hartono, D. (2018). The Effect of Education on Interdialytic Weight Gain in Patients Undergoing Hemodialysis. Malaysian Journal of Medical Research, 2(10), 27. https://doi.org/10.31674/mjmr.2018.v02i04
Thomson, B. K. A., Dixon, S. N., Huang, S. H. S., Leitch, R. E., Suri, R. S., Chan, C. T., & Lindsay, R. M. (2013). Modifiable Variables Affecting Interdialytic Weight Gain Include Dialysis Time, Frequency, and Dialysate Sodium. Hemodialysis International, 17(4), 576–585. https://doi.org/10.1111/hdi.12056
Veetil, R. T. P., Kamath, J., & Mateti, U. V. (2017). Impact of Patient Education on Interdialytic Weight Gain and Blood Pressure in Patients Undergoing Hemodialysis. Indian Journal of Pharmaceutical Education and Research, 51(4), S653–S660. https://doi.org/10.5530/ijper.51.4s.95
Visweswaran, K., Shaffi, M., Mathew, P., Abraham, M., Lordson, J., Rajeev, P., Thomas, R., Aravindakshan, R., Jayadevan, G., Nayar, K. R., & Pillai, M. (2020). Quality of Life of End Stage Renal Disease Patients Undergoing Dialysis in Southern Part of Kerala, India: Financial Stability and Inter-Dialysis Weight Gain as Key Determinants. Journal of Epidemiology and Global Health, 10(4), 344–350. https://doi.org/10.2991/jegh.k.200716.001
Wahyuni, E. D., Haloho, F. N. W., Asmoro, C. P., & Laili, N. R. (2019). Factors Affecting Interdialytic Weight Gain (IDWG) in Hemodialysis Patients with Precede-Proceed Theory Approach. IOP Conference Series: Earth and Environmental Science, 246(1). https://doi.org/10.1088/1755-1315/246/1/012034
Published
2022-04-30
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