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Faktor-Faktor yang Berkontribusi terhadap Interdialytic Weight Gains pada Pasien Chronic Kidney Diseases yang Menjalani Hemodialisis
Abstract
Interdialytic Body Weight Gains (IDWG) adalah peningkatan volume cairan yang dimanifestasikan dengan peningkatan berat badan sebagai indikator untuk mengetahui jumlah cairan yang masuk selama periode interdialitik dan kepatuhan pasien terhadap pengaturan cairan pada pasien yang mendapatkan terapi hemodialisis. Peningkatan IDWG melebihi 5% dari berat badan kering dapat menyebabkan berbagai macam komplikasi seperti hipertensi, hipotensi intradialisis, gagal jantung kiri, asites, pleural effusion, gagal jantung kongestif, bahkan kematian. Berbagai faktor penyebab IDWG baik internal (usia, jenis kelamin, tingkat pendidikan, rasa haus, stres, self efficacy), maupun eksternal (dukungan keluarga, sosial dan jumlah intake cairan). Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berkontribusi terhadap IDWG pada pasien gagal ginjal kronik (GGK) yang menjalani hemodialisis di Unit Hemodialisis RS PKU Muhammadiyah Yogyakarta. Jenis penelitian deskriptif analitik dengan desain cross sectional. Responden adalah 48 pasien dari 79 pasien yang menjalani hemodialisis (HD). Pengambilan data dengan menggunakan kuesioner. Analisis dengan regresi linear sederhana menunjukkan ada hubungan yang signifikan antara masukan cairan dengan IDWG (r=0,541, p-value = 0,000), dan tidak ada hubungan yang signifikan antara umur, jenis kelamin, tingkat pendidikan, rasa haus, dukungan keluarga dan sosial, self efficacy serta stres dengan IDWG. Disimpulkan bahwa masukan cairan merupakan faktor yang berkontribusi secara signifikan terhadap IDWG.
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DOI: https://doi.org/10.18196/mmjkk.v11i2.938
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