Automatic Reminder for Fluids Management on Confidence and Compliance with Fluid Restrictions in Hemodialysis Patients

Abstract

Discharge planning has not been able to increase confidence and fluid restriction adherence in endstage renal failure patients undergoing hemodialysis. This study aimed to develop an application of discharge planning with automatic reminder of fluid management to improve fluid restriction adherence in hemodialysis patients. Research and development with the first stage was developing an application prototype by evaluating hemodialysis patients’ issues through interviews and questionnaires of 115 respondents. Focus group discussions with health professionals and expert discussions were conducted after data collecting. Second stage was a quasi-experimental study with 30 respondents in each group using simple random sampling. Research analysis used MANOVA test. The development of a prototype consisted of pooling intake, pooling output, fluid control log, education, setting and automatic fluid monitoring reminder. The results of interviews with the target users showed that the app was feasible. The effect of interventions on beliefs (perceived threat, perceived benefit, perceived barrier, and self-efficacy) with p = 0.001, fluid restriction compliance and IDWG p = 0.001 after the intervention using the development of discharge planning with automatic reminder app. Development of discharge planning with automatic reminder of fluid management consists of several menus and the main feature was an automatic fluid monitoring reminder. This app can increase self-confidence in fluid restriction and adherence in patients undergoing hemodialysis.