<![CDATA[Chronic kidney disease requiring hemodialysis demands consistent fluid restriction to minimize interdialytic fluid accumulation and related complications. This study examined the associations between hemodialysis duration and employment status with fluid-restriction adherence among patients with chronic kidney disease at Harapan Anda General Hospital Tegal. An analytical observational study with a cross-sectional design was conducted among 62 patients undergoing maintenance hemodialysis. Hemodialysis duration was categorized as new or long-term, employment status as employed or unemployed, and fluid-restriction adherence was assessed using Interdialytic Weight Gain (IDWG). Associations were analyzed using Fisher’s Exact Test at α = 0.05. Overall, 52 patients (83.9%) were adherent and 10 (16.1%) were non-adherent. Among new hemodialysis patients, 27 (96.4%) were adherent, compared with 25 (73.5%) long-term patients. Hemodialysis duration was significantly associated with fluid-restriction adherence (p = 0.024). Among employed patients, 28 (96.6%) were adherent, compared with 24 (72.7%) unemployed patients, and employment status was significantly associated with adherence (p = 0.015). These findings indicate that hemodialysis duration and employment status are significantly associated with fluid-restriction adherence, supporting individualized assessment and continuous fluid-management education throughout maintenance hemodialysis care to address adherence barriers according to patients’ treatment and occupational circumstances.]]>
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