Implementation of Educational Leaflets in Improving Fluid Restriction Noncompliance in Hemodialysis Patients: A Case Study
DOI:
https://doi.org/10.31004/joecy.v6i1.7960Keywords:
Educational Media, Leaflets, Understanding, Fluid Restrictions, HemodialysisAbstract
Hemodialysis is a treatment method for patients with end-stage chronic kidney disease. Hemodialysis cannot cure or reverse kidney disease, nor can it compensate for the loss of renal metabolism or endocrine activity, and the impact of kidney failure and its treatment on quality of life. Fluid restriction in patients with chronic kidney disease undergoing hemodialysis is essential to prevent the risk of fluid overload between hemodialysis sessions (Interdialytic Weight Gain/IDWG). Many factors cause patients to be non-compliant with fluid restriction, such as work demands and family support. This is greatly influenced by patients' understanding of the benefits and objectives of fluid restriction and the impact of excessive fluid intake in hemodialysis patients. The purpose of this study was to implement educational leaflets to improve understanding of fluid restrictions in hemodialysis patients. This study used a case study approach with three patients. The intervention was carried out over three days with meetings lasting 20-30 minutes. The population used in the study were CKD patients on HD at the hospital. Data were collected through interviews, direct observation, physical examinations, and through patient medical records. The results of this study showed significant improvement after the educational intervention using leaflets was given to three patients. On average, there was improvement. The study concluded that implementing education using leaflets was effective in helping patients understand fluid restrictions.
References
Fajrianti, E., Kurniasih, D., & Chrisanto, E. Y. (2025). Edukasi Kesehatan Media Leaflet Tentang Ketidakpatuhan Terhadap Pembatasan Nutrisi Dan Cairan Pada Pasien Gagal Ginjal Kronik Di Ruang Hemodialisa. JOURNAL Of Public Health Concerns, 5(7), 408–414.
Feronika, N., Bayhakki, & Hasneli, Y. (2025). Hubungan Lama Hemodialisa Dan Dukungan Keluarga Terhadap Interdialytic Weight Gain (IDWG) Pada Pasien Gagal Ginjal Kronik Di Unit Hemodialisis. MANUJU, 7, 486–502.
Kemenkes RI. (2023). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/328/2020 Tentang Pencegahan Dan Pengendalian. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK, 1(07). Keputusan Menteri Kesehatan Republik Indonesia, 11, 1–189. Https://Www.Kemkes.Go.Id/Id/Pnpk-2023---Tata-Laksana-Penyakit-Ginjal-Kronik
Kusumawardani, S., Agustina, W., & Handian, F. I. (2021). Perbandingan Efektivitas Media Audiovisual Dan Leaflet Terhadap Kepatuhan Pembatasan Cairan Pasien Ggk. Jurnal Ilmiah Media Husada, 10(November).
Larasati, H., Andora, N., & Anita, F. (2025). Faktor-Faktor Yang Berhubungan Dengan Terjadinya Chronic Kidney Disease (CKD) Pada Pasien Dewasa Muda Di RS Urip Sumaharjo Bandar Lampung. Jurnal Ilmu Kedokteran Dan Kesehatan, 12(5), 892–897.
Marni, L., Asmaria, M., Yessu, H., Yuderna, V., Yanti, E., & Diwanto, Y. P. (2020). Edukasi Pembatasan Cairan Pasien Chronic Kidney Disease (CKD) Di Rumah Pada Pasien Dan Keluarga Pasien Di Rumah Sakit Umum Daerah Pariaman. Jurnal Abdimas Saintika.
Nugraha, B. A., & Idramsyah. (2023). Pengembangan Intervensi Manajemen Hemodialisa Untuk Mengatasi Hipervolemia Pada Pasien Chronic Kidney Disease ( CKD ).
Rahman, Z., Fadhilah, U., Atrie, U. Y., & Nilam. (2024). Pengaruh Edukasi Kesehatan Terhadap Kepatuhan Pembatasan Pada Pasien Yang Menjalani Hemodialisa. Jurnal Menara Medika, 7(1), 32–40.
Sekti, B. H., Pratiwi, Y. E., & Widara, R. T. (2023). Hubungan Pengetahuan Pasien Gagal Ginjal Kronik Dengan Kepatuhan Menjalani Terapi Hemodialisis Di Rumah Sakit Dr. Soepraoen Malang. Jurnal Farmasi Dan Kesehatan, 12(2), 144–151.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Lestari Harefaa, Lia Nataliab

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.







