Management of Thirst in Hemodialysis Patients in Primary Services

https://doi.org/10.22146/rpcpe.70027

Sri Lestari(1*), Iri Kuswadi(2), Heru Prasanto(3)

(1) Universitas Gadjah Mada
(2) Universitas Gadjah Mada
(3) Universitas Gadjah Mada
(*) Corresponding Author

Abstract


The incidence and prevalence of chronic kidney disease (CKD) has increased worldwide and in Indonesia. There were about 53,940 people with stage 5 CKD based on data from the Indonesian Renal Registry (IRR) in 2018. Incidence crude rate is 251 per million population and prevalence crude rate is 499 per million population for the entire population1. The prevalence of CKD has almost doubled in 5 years, from 2‰ in 2013 to 3.8‰ in 2018. Hemodialysis (HD) is a renal replacement therapy modality that is in great demand by the public compared to the other two modalities, namely peritoneal dialysis and kidney grafts. In 2018, there was a consistent increase in the number of new patients and active HD patients. Active patients is the total number of patients (either new or old patients) who are still undergoing routine HD. The number of new patients has doubled compared to 2017. This also resulted in a sharp increase in the number of active patients compared to the previous year.


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References

  1. Indonesia PN. 11th Report of Indonesian renal registry 2018. Jakarta: Perhimpunan Nefrologi Indonesia. 2018.
  2. Mistiaen P. Thirst, interdialytic weight gain, and thirst-interventions in hemodialysis patients: a literature review. Nephrol Nurs J. 2001;28(6):601-4.
  3. Moonaghi HK, Hasanzadeh F, Shamsoddini S, Emamimoghadam Z, Ebrahimzadeh S. A comparison of face to face and video-based education on attitude related to diet and fluids: adherence in hemodialysis patients. Iranian Journal of Nursing and Midwifery Research. 2012;17(5):360–364.
  4. Kimmel PL, Varela MP, Peterson RA, Weihs KL, Simmens SJ, Alleyne S, et al. Interdialytic weight gain and survival in hemodialysis patients: effects of duration of ESRD and diabetes mellitus. Kidney International. 2000;57(3):1141-51.
  5. Kugler C, Vlaminck H, Haverich A, Maes B. Nonadherence with diet and fluid restrictions among adults having hemodialysis. Journal of Nursing Scholarship. 2005;37(1):25-9. doi:10.1111/j.1547-5069.2005.00009.x
  6. Kara B. Determinants of thirst distress in patients on hemodialysis. International Urology and Nephrology. 2016;48(9):1525-32. doi:10.1007/s11255-016-1327-7
  7. Khalil AA, Darawad M, Al Gamal E, Hamdan‐Mansour AM, Abed MA. Predictors of dietary and fluid non‐adherence in Jordanian patients with end‐stage renal disease receiving haemodialysis: a cross‐sectional study. Journal of Clinical Nursing. 2013;22(1-2):127-36. doi:10.1111/j.1365-2702.2012.04117.x
  8. Workgroup KD. K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. American Journal of Kidney Diseases: The Official Journal of the National Kidney Foundation, 2005;45(4 Suppl 3):16–153. doi:10.1053/j.ajkd.2005.01.019
  9. Wong MM, McCullough KP, Bieber BA, Bommer J, Hecking M, Levin NW, et al. Interdialytic weight gain: trends, predictors, and associated outcomes in the International Dialysis Outcomes and Practice Patterns Study (DOPPS). American Journal of Kidney Diseases. 2017;69(3):367-79. doi:10.1053/j.ajkd.2016.08.030
  10. Bossola M, Calvani R, Marzetti E, Picca A, Antocicco E. Thirst in patients on chronic hemodialysis: what do we know so far?. International Urology and Nephrology. 2020;52(4):697-711. doi:10.1007/s11255-020-02401-5
  11. Giovannetti S, Barsotti G, Cupisti A, Morelli E, Agostini B, Posella L, et al. Dipsogenic factors operating in chronic uremics on maintenance hemodialysis. Nephron. 1994;66(4):413-20.
  12. McKinley MJ, Johnson AK. The physiological regulation of thirst and fluid intake. Physiology. 2004;19(1):1-6. doi:10.1152/nips.01470.2003
  13. Bellomo G, Coccetta P, Pasticci F, Rossi D, Selvi A. The effect of psychological intervention on thirst and interdialytic weight gain in patients on chronic hemodialysis: a randomized controlled trial. Journal of Renal Nutrition. 2015;25(5):426-32. doi:10.1053/j.jrn.2015.04.005
  14. Kara B. Validity and reliability of the Turkish version of the thirst distress scale in patients on hemodialysis. Asian Nursing Research. 2013;7(4):212-8. doi:10.1016/j.anr.2013.10.001
  15. Rosenberg M, Kalda R, Kasiulevicius V, Lember M. Management of chronic kidney disease in primary health care: position paper of the European Forum for primary care. Quality in Primary Care. 2008;16(4):279-94.
  16. Coritsidis GN, Linden E, Stern AS. The role of the primary care physician in managing early stages of chronic kidney disease. Postgraduate Medicine. 2011;123(5):177-85. doi:10.3810/pgm.2011.09.2473
  17. Ahrari S, Moshki M, Bahrami M. The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. Journal of Caring Sciences. 2014;3(1):11-19. doi: 10.5681/jcs.2014.002



DOI: https://doi.org/10.22146/rpcpe.70027

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