Abstract
Hemodialysis is a routine medical intervention for a patient with chronic kidney disease. The duration of hemodialysis treatment makes the patient's behavior change to be not adherence to the recommended diet, including restrictions on fluid intake. The objective of this research is to determine the Relationship duration of hemodialysis treatment with Adherence to fluid restriction of Chronic Kidney Disease Patients. This cross-sectional study involving 44 respondents, taken by consecutive sampling techniques. Research has been conducted in the hemodialysis room at the Reksodiwiryo hospital in Padang from May-June 2019. Data collection was carried out by looking at medical records and questionnaires regarding fluid intake compliance in patients with chronic kidney disease. The data obtained were analyzed univariate with frequency distribution and bivariate with the Kendall Tau test. The results showed that there were 26 (59.1%) non-adherence patients, and 18 (40.9%) patients were adherence to limiting fluid intake. Old patients were 17 people (38.6%) and new patients were 27 (61.4%). The Kendall Tau bivariate test showed that the length of hemodialysis has a significant correlation with adherence fluid restriction (p = 0.014), with a negative correlation (r -0.375), it's meaning that the longer the hemodialysis, the lower the fluid restriction compliance. It is expected that hemodialysis nurses regularly evaluate the compliance of hemodialysis patients and routinely carry out educational and motivational programs as well as fluid diet counseling at each hemodialysis session. Keywords: compliance, fluid, hemodialysis, restriction
Highlights
Chronic kidney disease and end-stage renal disease are emerging health problems in developing countries that require long term care that is often costly to the patients [1]
Hemodialysis patients can be categorized as patients with unique conditions because they must spend a considerable amount of time in the hospital, that is, two to three sessions each week to wash their blood, where each session requires four to five hours
Fluid intake limitation is very important to note in patients undergoing hemodialysis because it can result in rapid weight gain, edema, rhonchi, swollen eyelids, and shortness of breath caused by excessive fluid volume and uremic symptoms [3]
Summary
Chronic kidney disease and end-stage renal disease are emerging health problems in developing countries that require long term care that is often costly to the patients [1]. The hemodialysis process can be conducted two or three times every week and requires three to five hours for each session. For patients with chronic kidney disease, hemodialysis will not change the course of kidney disease and reinstate kidney function. Hemodialysis patients can be categorized as patients with unique conditions because they must spend a considerable amount of time in the hospital, that is, two to three sessions each week to wash their blood, where each session requires four to five hours. This routine must be continued for the remainder of their lives and requires
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