Fluid Overload and Self-Efficacy in Hemodialysis: Implications for Patient Care

Angga Wilandika; Santy Sanusi; Rika Rahmawati

doi:10.56741/IISTR.jphs.00977

Authors

Angga Wilandika
wiland.angga@unisa-bandung.ac.id
Universitas 'Aisyiyah Bandung https://orcid.org/0000-0003-4163-5152
Santy Sanusi Universitas 'Aisyiyah Bandung https://orcid.org/0000-0002-3190-9140
Rika Rahmawati Al Islam Hospital Bandung

Keywords:

Chronic Kidney Disease, Fluid Overload, Fluid Restriction, Hemodialysis, Self-Efficacy

Abstract

This study aimed to investigate the relationship between self-efficacy and fluid overload in patients undergoing hemodialysis. The study included 96 adult patients receiving regular hemodialysis at a private hospital in Bandung, Indonesia. Self-efficacy in fluid restriction was assessed using a validated 20-item questionnaire based on Bandura’s model. Overhydration was measured using the Interdialytic Weight Gain (IDWG) index. Descriptive and inferential analyses were performed, including Kendall’s Tau-b correlation test. The study revealed that 60.4% of participants had low self-efficacy, while 66.7% were classified as overhydrated. A statistically significant inverse relationship was found between self-efficacy and fluid overload (p = 0.002), suggesting that patients with lower self-efficacy were more likely to experience overhydration. Self-efficacy plays a critical role in fluid management among patients receiving hemodialysis. Strengthening self-efficacy through nurse-led behavioral interventions, standardized patient education, and digital health monitoring may enhance fluid adherence.

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Author Biographies

Angga Wilandika, Universitas 'Aisyiyah Bandung

Angga Wilandika is an Associate Professor and a Doctor in nursing science at the Faculty of Health Sciences, Universitas Aisyiyah Bandung, Indonesia, where he has been a faculty member since 2011. His expertise includes nursing sciences, psychosocial nursing, and public health problems. His research interests lie in nursing and public health, from theory to design to implementation. Other research interests include HIV/AIDS, health literacy, stigmatization, and psychometric study. He has collaborated actively with researchers in several different disciplines (email: wiland.angga@unisa-bandung.ac.id)

Santy Sanusi, Universitas 'Aisyiyah Bandung

Santy Sanusi is a Senior Lecturer at Faculty of Health Sciences, Universitas Aisyiyah Bandung, Indonesia. She has expertise in emergency and critical nursing, adult nursing, and allied health. She has published many articles and reports and has participated in numerous conferences and workshops, both nationally and internationally. She can be contacted at email: santy.sanusi@unisa-bandung.ac.id

Rika Rahmawati, Al Islam Hospital Bandung

Rika Rahmawati is a healthcare professional working in the Hemodialysis Care Unit at Al Islam Hospital, Bandung, Indonesia. She has experience and expertise in renal nursing, particularly in the care and management of patients undergoing hemodialysis. She has actively participated in various training programs and seminars related to nephrology nursing and patient-centered care. She can be contacted at email: rika.rahmawati70.rr@gmail.com

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