THE ASSOCIATION BETWEEN INTERDIALYTIC WEIGHT GAIN (IDWG) AND THE INCIDENCE OF BREATHLESSNESS IN HAEMODIALYSIS PATIENTS AT MUHAMMAD SANI HOSPITAL 2024

Abstract

Interdialytic Weight Gain (IDWG) is an increase in body weight that occurs between dialysis sessions in patients with chronic kidney disease. Excessive IDWG is often associated with various complications, one of which is shortness of breath. A pre-survey of 10 patients showed that 5 patients had mild, 2 moderate, and 3 severe IDWG. Shortness of breath occurred in 6 patients with varying frequency of visits to the emergency room, while 4 others experienced weakness and dizziness. The purpose of this study was to determine the relationship between IDWG and the incidence of shortness of breath in hemodialysis patients at Muhammad Sani Hospital. This study used an observational analytic research design with a cross sectional approach. The sampling technique used purposive sampling method, the research instrument used was an observation sheet which was carried out to 78 respondents. The results of the analysis showed that more than half of the study respondents had a percentage of Interdialityc Weight Gain (IDWG) in the mild category (56.4%) compared to the percentage of IDWG in the moderate (29.5%) and severe (14.1%) categories, then more than half of the study respondents did not experience shortness of breath (74.4%) compared to respondents who experienced shortness of breath (25.6%). The results of the analysis using chi-square obtained a P value = 0.000 < 0.05, meaning that there is a significant relationship between Interdialityc Weight Gain (IDWG) with the incidence of shortness of breath in patients with chronic renal failure at Muhammad Sani Hospital. It is expected that patients with renal failure can control fluid input and follow dietary guidelines provided by the medical team to help manage body weight and reduce unwanted symptoms.