Effects of a self-management program on Interdialytic weight in patients undergoing HD in Indonesia


  • Aprelia Afidatul Hanafi Faculty of Nursing Khonkaen University Thaiand
  • Nonglak Methakanjanasak KhonKaen University Thailand
  • Virgianti Nur Faridah Univesritas Airlangga Indonesia, Universitas Muhammadiyah Lamongan


fluid overload, hemodialysis, interdialytic weight gain, self-management


 The aims of this quasi-experimental study were to examine the effects of a self-management program on interdialytic weight gain (IDWG) among patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) at Muhammadiyah Lamongan hospital, Indonesia. A total of 40 patients were enrolled in this study according to the inclusion criteria. Participants were randomly assigned to either the intervention (n=20) or control group (n=20). The intervention group received the 5-week program in addition to usual care, while the control group received only usual care. Self-management program was developed based on self-management concept by Kanfer, promote self-management behavior among patients with ESRD undergoing HD on fluid management. The research  instrument was examined by five experts for validating the contents as well as seeking suggestions and opinion in the study. The content validity index (CVI) was 0.96. IDWG were collected through measurement of the weight of the patients before and after HD, at the first week and the fifth week of the program. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.

Results revealed that after program completion at week 5, IDWGs of intervention group were significantly lower than those of the control group (p=.002). The findings indicated that self-management program provided an effective practical model for improving patient fluid management and decreasing IDWG. Therefore, self-management program should be incorporated into nursing practice for individuals with ESRD undergoing HD.


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How to Cite

Hanafi AA, Methakanjanasak N, Faridah VN. Effects of a self-management program on Interdialytic weight in patients undergoing HD in Indonesia. JNSH [Internet]. 2022 Jun. 27 [cited 2022 Aug. 16];45(2):111-23. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/253024



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