EFEKTIVITAS MANAJEMEN HAUS PADA NY. M DENGAN CKD ON HD: CASE REPORT
Keywords:
Chronic Kidney Disease, Hemodialisis, Manajemen Haus, Pembatasan CairanAbstract
Chronic Kidney Disease (CKD) patients has a decline in kidney function and require hemodialysis therapy to remove excess fluid, metabolic waste, and electrolytes. Fluid restrictions are necessary for hemodialysis patients to control Interdialytic Weight Gain (IDWG), which can exacerbate feelings of thirst. This study aims to evaluate the effectiveness of thirst management for CKD patients on HD. The study used a case report method with a descriptive design, focusing on Mrs. M, who was selected based on inclusion criteria: receiving hemodialysis therapy at least once a week at Sumedang District Hospital and agreeing to participate in thirst management interventions. Evaluation was performed using the Visual Analogy Scale (VAS) and IDWG. The results of implementing the intervention in stages over 5 weeks indicated that the method of chewing sugar-free xylitol gum effectively reduced the thirst scale from 6 to 3 and decreased IDWG from the severe to the mild category. Thirst management using the chewing sugar-free xylitol gum method, with a maximum consumption of 30-40 pieces per day, can be effective in reducing the thirst scale and managing IDWG in CKD patients on HD by increasing saliva secretion from the parotid gland.
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