Pengaruh Perawat Asuh Hemodialisa (Perahu Hade) Terhadap Interdialytic Weight Gain di Ruang Hemodialisa RSUD R. Syamsudin, SH

Abstract

Interdialytic Weight Gain (IDWG) management is vital for Chronic Kidney Disease (CKD) patients to prevent cardiovascular complications.  To evaluate the impact of the "Perawat Asuh Hemodialisa" (Perahu Hade) innovation on IDWG reduction and patient knowledge at RSUD R. Syamsudin, SH.  A quasi-experimental study (one group pretest-posttest) was conducted on 141 respondents selected via judgmental sampling. The intervention included structured education and WhatsApp-based monitoring. Data were analyzed using statistical tests (alpha = 0.05).  There was a significant decrease in the heavy IDWG category (> 6%) from 64.7% to 41.2% (p-value 0.034). Patient knowledge also improved significantly from 99.27% to 100% (p-value 0.000). Moderate and light IDWG categories showed notable clinical improvement trends. The primary nursing model integrating interpersonal education and communication technology is effective in enhancing patient compliance and optimizing interdialytic fluid management.