Non Adherence to Fluid Restriction among Patients who Undergoing Hemodialysis and Influencing Factors: Study at RSI Sakinah Mojokerto

Muhammad Zulfikar Asumta; Herin Mawarti; Siti Urifah; Yuni Ernawati; Mukhoirotin

doi:10.30994/jnp.v7i2.502

Authors

Muhammad Zulfikar Asumta Department of Public Health, Unipdu Jombang, Indonesia
Herin Mawarti Department of Public Health, Unipdu Jombang, Indonesia
Siti Urifah Department of Public Health, Unipdu Jombang, Indonesia
Yuni Ernawati Department of Public Health, Unipdu Jombang, Indonesia
Mukhoirotin Department of Ners, Faculty of Health Sciences, Unipdu Jombang, Indonesia

DOI:

https://doi.org/10.30994/jnp.v7i2.502

Keywords:

fluid restriction, non-adherence, risk factors

Abstract

Background: Nonadherence to Fluid Restriction is main problem among chronic renal failure patients who undergoing hemodialysis, it causingan undesirable effect on health and risk of death. Several factors such as sociodemographic, knowledge, susceptibility of illness, perceived treat, perceived controlare some factors influencing Nonadherence behavior.

Purpose: The aim of this study was to analyze the factors influencing Non-adherence to Fluid Restriction who undergoing hemodialysis at RSI Sakinah Mojokerto.

Methods: A descriptive analytic with crossectional techniques was conducted among 73 patients undergoing hemodialysis at RSI Sakinah Mojokerto by using purposive sampling technique. Data were collected through checklist and questionnaires. Descriptive statistic was used for data analysis and logistic regression test was used analysis the predictor of factors relating with Non-adherence to Fluid Restriction who undergoing hemodialysis.

Results: The results of this study showed 37% patients were Non-adherence to Fluid Restriction and 63% patients were adherence. There were three risk factors for non-adherencee, namely (Health Belief Model) HBM, history of disease and length of time undergoing hemodialysis. HBM 0.132 times higher (95% CI: 0.132, 0.035), history of disease 0.072 times higher (95% CI: 0.072, 0.012), and length of time undergoing hemodialysis 0.071 times higher (95% CI: 0.071, 0.016).

Conclusion: HBM, history of disease and length of time undergoing hemodialysis were risk factors for Non-adherence to Fluid Restriction. The nurse should consider the patient's adherence with fluid restrictions in providing nursing care.

Downloads

Download data is not yet available.

References

Abdelhalim, H. N., Zahrani, A. I., & Shuaibi, A. M. (2019). Factors affecting treatment compliance of patients on antihypertensive therapy at National Guard Health Affairs (NGHA) Dammam Primary Health Care Clinics (PHCC). Journal of Family and Community Medicine, 26(3), 168–172. https://doi.org/10.4103/jfcm.JFCM_43_19.

Anita, C. A., & Novitasari, D. (2017). Kepatuhan Pembatasan Asupan Cairan Terhadap Lama Menjalani Hemodialisa. (The Compliance with Fluid Intake Restrictions on the period of Hemodialysis). Prosiding Seminar Nasional Dan Internasional LPPM Universitas Muhammadiyah Semarang, 2(1), 104–112.

Beerappa, H., & Chandrababu, R. (2019). Adherence to dietary and fluid restrictions among patients undergoing hemodialysis: An observational study. Clinical Epidemiology and Global Health, 7(1), 127–130. https://doi.org/10.1016/j.cegh.2018.05.003.

Bidani, A. K., & Griffin, K. A. (2004). Pathophysiology of hypertensive renal damage: Implications for therapy. Hypertension, 44(5), 595–601. https://doi.org/10.1161/01.HYP.0000145180.38707.84.

Depkes RI. (2018). Peran Pemerintah dalam Pencegahan dan Pengendalian gagal ginjal pada anak. (The Government's Role on Preventing and Controlling Kidney Failure among Children).

Ghimire, S., Castelino, R. L., Lioufas, N. M., Peterson, G. M., & Zaidi, S. T. R. (2015). Nonadherence to medication therapy in haemodialysis patients: A systematic review. PLoS ONE, 10(12), 1–19. https://doi.org/10.1371/journal.pone.0144119.

Herlina, S., & Rosaline, M. D. (2021). Kepatuhan Pembatasan Cairan Pada Pasien Hemodialisis. (Compliance with Fluid Restrictions in Hemodialysis Patients) Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 9(1), 46. https://doi.org/10.20527/dk.v9i1.9613.

Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003.

Krespi, R., Bone, M., Ahmad, R., Worthington, B., & Salmon, P. (2004). Haemodialysis patients’ beliefs about renal failure and its treatment. Patient Education and Counseling, 53(2), 189–196. https://doi.org/10.1016/S0738-3991(03)00147-2.

Kugler C, Maeding I, R. C. (2011). Non-adherence in patients on chronic hemodialysis: an international comparison study. J Nephrol, 24(3), 366–375.

Kugler, C., Maeding, I., & Russell, C. L. (2011). Non-adherence in patients on chronic hemodialysis: An international comparison study. Journal of Nephrology, 24(3), 366–375. https://doi.org/10.5301/JN.2010.5823.

Lindberg, M. (2008). Excessive Fluid Overload Among Ilaemodialysis Patients. Prevalence, Individual Characteristics and Self-regulation of Fluid Intake.

Muntner, P., Anderson, A., Charleston, J., Chen, Z., Ford, V., Connor, A. O., Perumal, K., Steigerwalt, S., Townsend, R., Weir, M., Wright, J. T., & Renal, C. (2011). Hypertension Awareness, treatment, and control in adults with CKD. Journal of the American Physical Therapy Association, 55(3), 441–451. https://doi.org/10.1053/j.ajkd.2009.09.014.Hypertension.

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.

Pugh, D., Gallacher, P. J., & Dhaun, N. (2019). Management of Hypertension in Chronic Kidney Disease. Drugs, 79(4), 365–379. https://doi.org/10.1007/s40265-019-1064-1.

Sariyasih, S., Yuwindry, I., & Syamsu, E. (2022). Pendekatan Health Belief Model (HBM) Untuk Menganalisis Kepatuhan Pasien Diabetes Mellitus Dalam Menggunakan Insulin Di Kota Banjarmasin. (Health Belief Model (HBM) Approach to Analyze Compliance of Diabetes Mellitus Patients in Using Insulin in Banjarmasin City). Journal Pharmaceutical Care and Sciences, 3(1), 27–37. https://doi.org/10.33859/jpcs.v3i1.213.

Siagian, Y., Alit, D. N., & Suraidah. (2021). Analisis Faktor Yang Berhubungan Dengan Kepatuhan Pembatasan Asupan Cairan Pasien Hemodialisa.(Analysis of Factors Associated with non-adherence of Fluid Restrictions among Hemodialysis Patients) Jurnal Menara Medika, 4(1), 71–80.

WHO. (2020). The top 10 causes of death. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.

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.