RELATIONSHIP BETWEEN INTERDIALYTIC WEIGHT GAIN (IDWG) AND FATIGUE LEVELS WITH DIALYSIS ADEQUACY IN CHRONIC KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS

Authors

  • Santi Herlina Fakultas Ilmu Kesehatan, Universitas Pembangunan Nasional “Veteran” Jakarta https://orcid.org/0000-0002-8314-2770
  • Meisya Tri Utami Fakultas Ilmu Kesehatan, Universitas Pembangunan Nasional “Veteran” Jakarta

Abstract

Hemodialysis is the most widely used renal replacement therapy in Indonesia. Complications that may occur during hemodialysis include interdialytic weight gain (IDWG) and intradialytic fatigue. The effectiveness of hemodialysis therapy can be evaluated through the calculation of dialysis adequacy Kt/V, which is the ratio of urea clearance to urea distribution volume. This study aims to analyze the relationship between IDWG and fatigue levels on dialysis adequacy in chronic kidney failure patients undergoing hemodialysis at Pertamina Central Hospital. This quantitative research used purposive sampling with a sample size of 90 respondents. IDWG and Kt/V data were collected through observation sheets, while fatigue levels were assessed using the Piper Fatigue Scale (PFS) questionnaire. The statistical analyses used were Spearman correlation, Pearson correlation, and one-way ANOVA. The results showed a relationship between IDWG and dialysis adequacy (p-value 0.008) with a Pearson coefficient (r=0.278), indicating a moderate and positive correlation. However, no significant relationship was found between fatigue levels and dialysis adequacy (p-value 0.151). Additionally, relationships were found with confounding factors such as dialysis duration, blood flow rate, and ultrafiltration on dialysis adequacy (p-value 0.001; 0.003; 0.006). It is recommended that hemodialysis patients manage their weight gain to prevent complications that can affect the adequacy of the hemodialysis process.

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Published

2025-12-31

Issue

Vol. 9 No. 3 (2025): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA (JKWGI)

Section

Articles

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Copyright (c) 2025 Santi Herlina, Meisya Tri Utami

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