Hubungan Aktivitas Fisik Dan Tingkat Stres Dengan Nilai Interdialytic Weight Gain (IDWG) Pada Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa Di RSUD Sultan Imanuddin Pangkalan Bun

Abstract

Background: Lifestyle changes due to modernization have increased the prevalence of chronic kidney disease (CKD), often requiring hemodialysis. This therapy may lead to complications such as elevated Interdialytic Weight Gain (IDWG), stress, and reduced physical activity. Excessive IDWG poses risks of hypertension and cardiac disorders. Adequate physical activity supports fluid balance, while stress may unconsciously increase fluid intake.

Objective: This study aims to determine the relationship between physical activity and stress levels with Interdialytic Weight Gain (IDWG) in patients with chronic kidney disease undergoing hemodialysis at Sultan Imanuddin Regional Hospital, Pangkalan Bun.

Research Metode: This study employed a quantitative approach with a cross-sectional design. The sampling technique used was purposive sampling, involving a total of 63 respondents. Data were collected using the International Physical Activity Questionnaire (IPAQ) and the Perceived Stress Scale-10 (PSS-10) as research instruments.

Results: Nearly half of the participants were classified as having low levels of physical activity (41%), while the vast majority experienced moderate stress levels (97%). Most respondents had Interdialytic Weight Gain (IDWG) within the mild category (42%). The results of the Spearman correlation test indicated no statistically significant association between physical activity and IDWG (p = 0.257). Similarly, no significant relationship was found between stress levels and IDWG (p = 0.151).

Conclusion: There is no significant relationship between physical activity and stress levels with Interdialytic Weight Gain (IDWG) in chronic kidney disease patients undergoing hemodialysis.