EDUCATIONAL PROGRAMS TO IMPROVE FLUID RESTRICTION COMPLIANCE AND INTERDIALYTIC WEIGHT GAIN IN HEMODIALYSIS PATIENTS: A SYSTEMATIC REVIEW

Abstract

Backgrounds; Chronic Kidney Disease (CKD) is a global health problem considered a major cause of the increasing prevalence of non-communicable diseases worldwide. One treatment option is hemodialysis. A significant issue for HD patients is fluid restriction and Intradialytic Weight Gain (IDWG). Educational programs provided to HD patients have a positive impact on fluid restriction compliance. The success of fluid restriction can be assessed by measuring IDWG.. Objectives; A systematic review was conducted to evaluate the use of educational programs to improve fluid restriction compliance and IDWG in CKD patients undergoing hemodialysis. Methods; This study followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, taking into account four stages: identification, selection, eligibility assessment, and inclusion.   Results; A total of 14 studies were included in this systematic review, all of which implemented educational programs using various methods with outcomes aimed at improving fluid restriction compliance and IDWG in CKD patients undergoing hemodialysis. Nine studies were experimental studies, and five were randomized controlled trials.  Conclusions; This review shows significant potential in applying educational programs using various methods to improve fluid restriction compliance and IDWG. Educational program strategies using various methods can be implemented in the care of CKD patients undergoing hemodialysis.