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Journal : Babali Nursing Research

The Effect of Using Fluid Balance Application on Interdialytic Weight Gain in Stage V Chronic Kidney Disease Patients Undergoing Hemodialysis Danny Putri Sulistyaningrum; Maya Cobalt Angio Septianingtyas; Tia Nurhanifah; Naylul Izza
Babali Nursing Research Vol 4 No 1 (2023): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.41222

Abstract

Chronic Kidney Disease (CKD) grade V is a condition that requires the patient to undergo hemodialysis for the rest of his life. Often hypervolemia occurs between two times of dialysis. Hypervolemia can lead to emergency conditions such as pulmonary edema and cardiac arrest. Interdialytic Weight Gain (IDWG) is an indicator of fluid intake during the interdialytic period. Calculating fluid balance per 24 hours helps patients with CKD grade V in controlling fluid intake. The purpose of this study was to identify the effect of using a fluid balance application on IDWG status in grade V CKD patients undergoing hemodialysis. This study used a quasi experiment, with one group pre and posttest design. 24 respondents were selected by consecutive sampling technique. Statistical analysis using a paired t-test showed that there was an effect of using a fluid balance application on IDWG status in grade V CKD patients undergoing hemodialysis (p value = 0.000). The application of fluid balance can be applied to patients with CKD grade V because it is effective in controlling hypervolemia
The Effect of Buerger Allen Exercise on Muscle Cramps in Preventing Intradialysis Emergency Sulistyaningrum, Danny Putri; Septianingtyas, Maya Cobalt Angio; Sutejo, Mianti Nurrizky
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54388

Abstract

Introduction: Hemodialysis is a kidney replacement therapy for patients with stage V chronic kidney disease. During hemodialysis, patients often complain of muscle cramps. More than ¾ of hemodialysis patients have experienced muscle cramps. This condition causes discomfort and anxiety, which can reduce their quality of life. If the patient shortens the duration of hemodialysis, the process of removing toxins and excess fluid will not be optimal. This study aimed to investigate the effect of Buerger Allen exercises on muscle cramps in intradialysis patients. Methods: This study used a quasi-experimental design with a two-group pretest-posttest control group structure. The sample consisted of 64 hemodialysis patients at Klinik Ginjal dan Hipertensi Lestari, selected using a consecutive sampling technique. The sample was divided into two groups: 32 in the treatment group and 32 in the control group. The inclusion criteria were ages 25 to 70, compos mentis, able to read and write, willing to participate, and undergoing routine hemodialysis twice a week for at least 4 hours. Statistical analysis was performed using the Mann-Whitney test. Results: The results showed that the mean rank in the treatment group was higher than in the control group (44.97 vs. 20.03). Statistical analysis showed a p-value of 0.000 (<0.05). Conclusion: Buerger Allen exercises have a significant effect on reducing muscle cramps in intradialysis patients.