Design of website-based complementary therapy educational media "interdialysis symptom management" for end-stage renal disease patients

Authors

  • Erika Nurwidiyanti STIKES Guna Bangsa Yogyakarta
  • Maryudella Afrida STIKES Guna Bangsa Yogyakarta

Keywords:

Complementary therapies, end-stage renal disease, hemodialysis, interdialytic, symptom management

Abstract

Background: Interdialytic weight gain (IDWG) is common in patients with end-stage renal disease (ESRD) undergoing hemodialysis. IDWG should not exceed 4.8% of the patient's dry body weight, or approximately 1.5–2.0 kg. Excessive IDWG can increase morbidity and mortality. Website-based complementary therapies can help patients manage their interdialysis symptoms at any time and on their own.
Objective: To design and determine the validity of the website-based complementary therapy education media “Interdialysis Symptom Management” for ESRD patients.
Methods: This research used the ADDIE (Analysis, Design, Development, Implementation, Evaluation) approach. This website-based educational media contains five menus: Home, PGTA, IDWG, Complementary Therapy, and Patient Journal. Data were collected through interviews, questionnaires, and expert validation (material, language, and media experts). The study was also piloted on 15 hemodialysis patients at PKU Muhammadiyah Yogyakarta General Hospital. The data were analysed quantitatively.
Results: Six experts' content validity results indicated that the media was highly feasible, with CVI scores of 0.92-1.00 (≥0.80). Field tests also revealed that the media was feasible for use, with an average score of 77.75%. The developed media was well received by the patients.
Conclusion: Website-based complementary therapy proved to be very feasible and received positive feedback from ESRD patients undergoing hemodialysis.

Author Biographies

Erika Nurwidiyanti, STIKES Guna Bangsa Yogyakarta

Jalan Ring Road Utara, Ngringin, Condongcatur, Kec. Depok, Kabupaten Sleman, Yogyakarta, Indonesia.

Maryudella Afrida, STIKES Guna Bangsa Yogyakarta

Jalan Ring Road Utara, Ngringin, Condongcatur, Kec. Depok, Kabupaten Sleman, Yogyakarta, Indonesia.

References

1. WHO. The top 10 causes of death [Internet]. 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

2. National Institute of Diabetes and Digestive and Kidney Diseases. National Kidney Disease Education Program. [Internet]. 2017. Available from: http://www.nkdep.nih.gov/.

3. Indonesian Renal Registry. 13th Annual Report of Indonesian Renal Registry 2020 [Internet]. 2020. Available from: https://www.indonesianrenalregistry.org/media/laporan IRR 2020.pdf

4. IRR. 11th report Of Indonesian renal registry 2018 [Internet]. 2018. Available from: https://www.indonesianrenalregistry.org/data/IRR 2018.pdf

5. Hinkle, J. L., Cheever, K. H., & Overbaugh KJ. Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. (15th ed.). Philadelphia: Wolters Kluwer Health.; 2022.

6. Baughman DC and HJ. Keperawatan Medikal-Bedah: Buku Saku dari Brunner dan Suddarth. Jakarta: EGC; 2000.

7. Almutary H, Bonner A DC. Symptoms experienced by patients on hemodialysis: A systematic review. J Pain Symptom Manag. 2013;

8. Chauhan K, Wen HH, Gupta N, Nadkarni G, Coca S, Chan L. Higher Symptom Frequency and Severity After the Long Interdialytic Interval in Patients on Maintenance Intermittent Hemodialysis. Kidney Int Reports [Internet]. 2022;7(12):2630–8. Available from: https://doi.org/10.1016/j.ekir.2022.09.032

9. Hidayati, S. and Sitorus R. Efektifitas Konseling Analisis Transaksional Tentang Diet Cairan Terhadap Penurunan Interdialytic Weight Gain (IDWG) Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa Di Rumah Sakit Umum Daerah Kardinah. In: Prosiding Seminar Nasional & Internasional. 2014.

10. Bennett-Jones, D. et al. Haemodialysis Clinical Guidelines In Renal Services. 2020;1–17.

11. Payne, A. dan BH. Advancing Dietetics and clinical Nutrition. United Kingdom: Churchill Livingstone Elsevier; 2010.

12. Daugirdas JT, Blake PG IT. Handbook of Dialysis. 5th Editio. Lippincott Williams & Wilkins; 2015.

13. Kallenbach JZ. Review of Hemodialysis for Nurses and Dialysis Personnel. 10th ed. Elsevier; 2020.

14. Agustin S. Mengenal Terapi Komplementer, Terapi Pendukung Pengobatan Medis. [Internet]. 2022. Available from: https://www.alodokter.com/mengenal-terapi-komplementer-terapi-pendukung-pengobatan-medis

15. Sitoresmi, H., Irwan, A. M. , Sjattar EL. Nursing Intervention for Patients With Chronic Renal Failure Who Undergoing Hemodialysis : A Systemtic Review. J Ilm Keperawatan (Scientific J Nursing). 2020;6(1).

16. Graham-Brown MPM, Smith AC, Greenwood SA. Digital health interventions in chronic kidney disease: levelling the playing field? Clin Kidney J. 2023;16(5):763–7.

17. Rosdiana, I., dan Cahyati Y. Pengaruh edukasi terhadap penambahan berat badan diantara dua waktu dialisis pada pasien hemodialisis di Rumah Sakit Umum Daerah Kota Tasikmalaya. Bul Media Inf. 2015;1.

18. Branch RM. Instructional design: The ADDIE approach. Springer‐Verlag US. 2009;

19. Polit, D. F., & Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 10th ed. Lippincott.; 2017.

20. Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Educ Med Journal. 2019;

21. Haloho FNW. Analisis faktor yang mempengaruhi Interdialytic Weight Gain (IDWG) pasien Hemodialisis dengan pendekatan teori Precede Proceed di RSU Haji Surabaya [Internet]. UNAIR; 2017. Available from: https://repository.unair.ac.id/77545/2/full text.pdf

22. Sugiyono. Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: Penerbit Alfabeta; 2019.

23. Widoyoko EP. Teknik penyusunan instrumen penelitian. Yogyakarta: Pustaka Pelajar; 2019.

24. Riduwan. Skala Pengukuran Variabel-variabel Penelitian. Bandung: Alfabeta.; 2015.

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Published

2025-12-15

How to Cite

1.
Nurwidiyanti E, Afrida M. Design of website-based complementary therapy educational media "interdialysis symptom management" for end-stage renal disease patients. Media ilmu kesehatan [Internet]. 2025 Dec. 15 [cited 2026 Jan. 18];14(3):291-8. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/1841