Hubungan kepatuhan pembatasan cairan dengan tekanan darah intradialitik pada pasien gagal ginjal kronik yang menjalani hemodialisa
DOI: https://doi.org/10.33024/hjk.v20i6.3536
Chronic Kidney Failure Fluid Restriction Adherence Hemodialysis Intradialytic Blood Pressure
Abstract
Background: Chronic Kidney Disease (CKD) is characterized by a progressive decline in kidney function, requiring patients to undergo hemodialysis to maintain their quality of life. A common issue during hemodialysis is intradialytic blood pressure dysregulation, which can be influenced by patient adherence to fluid intake restrictions.
Purpose: To examine the relationship between adherence to fluid intake restrictions and intradialytic blood pressure measurements in individuals with CKD undergoing hemodialysis.
Method: This quantitative study employed a cross-sectional design. The research was conducted from February to April 2026 at Sekarwangi Hospital, Sukabumi Regency. A total sampling technique was used, resulting in 100 respondents who met the established inclusion criteria. Adherence to fluid intake restrictions was assessed using the Fluid Control in Hemodialysis Patients Scale (FCHPS), while blood pressure during hemodialysis was measured by calculating the Mean Arterial Pressure (MAP). Statistical analysis was performed using the Somers' D test, with the significance threshold set at p < 0.05.
Results: The majority of respondents (77.0%) had been undergoing hemodialysis therapy for more than six months. Regarding adherence to fluid intake restrictions, the majority (55.0%) were categorized as having a moderate level of adherence. Blood pressure measurements during dialysis showed that 55.0% of respondents fell within the normal range. The Somers' D statistical test yielded a p-value of 0.000 (< 0.05), indicating a statistically significant relationship, with a correlation coefficient (D) of 0.508.
Conclusion: A significant correlation of moderate strength was found between adherence to fluid restrictions and intradialytic blood pressure parameters in CKD patients undergoing hemodialysis. Optimal adherence to fluid intake restrictions contributes to patient hemodynamic stability and reduces the risk of blood pressure-related complications during hemodialysis sessions.
Suggestion: Future research should employ longitudinal or cohort designs to gain deeper insight into the causal relationship between fluid restriction adherence and changes in intradialytic blood pressure; studies should also involve larger sample sizes and be conducted across multiple hospitals to ensure better representativeness.
Keywords: Chronic Kidney Failure; Fluid Restriction Adherence; Hemodialysis; Intradialytic Blood Pressure.
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