The Effect of Animated Video Education on Fluid Management Knowledge in Hemodialysis Patients: A Pre-Experimental Study
DOI:
https://doi.org/10.69606/jps.v4i02.453Keywords:
hemodialysis, fluid management, animated video, patient education, knowledgeAbstract
Background: Chronic kidney disease (CKD) is a progressive condition that often requires hemodialysis as renal replacement therapy. Patients undergoing hemodialysis must adhere to strict fluid intake restrictions to prevent fluid overload. Inadequate fluid management may lead to increased interdialytic weight gain (IDWG), hypertension, and cardiovascular complications. One contributing factor to poor fluid control is limited patient knowledge of fluid management. Aims: This study aimed to analyze the effect of health education on patients’ knowledge regarding fluid intake management among CKD patients undergoing hemodialysis. Methods: This study employed a pre-experimental design with a one-group pretest–posttest approach. The sample comprised 30 CKD patients undergoing routine hemodialysis, selected through total sampling. Knowledge levels were measured using a structured questionnaire before and after the health education intervention. Data analysis was conducted using the Wilcoxon signed-rank test. Results: The mean knowledge score increased from 12.23 ± 1.455 before the intervention to 14.33 ± 0.922 after the intervention. Statistical analysis using the Wilcoxon signed-rank test showed a significant difference between pretest and posttest knowledge scores (Z = -4.941, p < 0.001), with a large effect size (r = 0.902). Conclusion: Health education significantly improved patients’ knowledge regarding fluid intake management among CKD patients undergoing hemodialysis. Educational interventions are recommended as part of routine nursing care to support effective fluid management.
References
Akbar, A., Amaludin, M., Alfikrie, F., Hidayat, U. R., & Hatmlayakin, D. (2025). Video edukasi SADAR sebagai upaya peningkatan pengetahuan tentang risiko gagal ginjal kronis. Jurnal Keperawatan Profesional (KEPO), 6(1), 100–107. https://doi.org/10.36590/kepo.v6i1.1455
Ariyani, H., Hilmawan, R. G., S., B. L., Nurdianti, R., Hidayat, R., & Puspitasari, P. (2019). Gambaran karakteristik pasien gagal ginjal kronis di unit hemodialisa Rumah Sakit Umum Dr. Soekardjo Kota Tasikmalaya. Jurnal Keperawatan & Kebidanan, 3(2), 1–6.
Azzahra, M., & Herlina, S. (2024). Efektivitas pendidikan kesehatan menggunakan video terhadap kepatuhan pembatasan cairan pada pasien hemodialisa di klinik pandaoni medika jakarta. Indonesian Journal of Health Development, 6(1), 44–52. https://doi.org/10.52021/ijhd.v6i1.136
Bånnsgård, M., Nouri, A., Finizia, C., Engström, M., Montaño Moreno, J., Roos, U., & Tubić, N. B. (2022). Communicating Patient Safety Information Through Video and Oral Formats—A Comparison. Journal of Patient Safety, 19, 137–142. https://doi.org/10.1097/PTS.0000000000001086
Bolon, C. M. T. (2021). Pendidikan dan promosi kesehatan (S. Siregar, ed.). UIM Press.
Deshpande, N., Kelly, C. A., Woodrick, N. M., Werner, D. A., Volerman, A., & Press, V. G. (2023). Video-Based Educational Interventions for Patients With Chronic Illnesses: Systematic Review. Journal of Medical Internet Research, 25, e41092. https://doi.org/10.2196/41092
Doheny, B. M., Inglis, J. J., Boll, K. A., Lunos, S., & Surapaneni, V. L. (2023). Short animated video increases knowledge and perceived comfort in clinical counseling on inequitable health impacts of air pollution among interprofessional health learners and clinicians. BMC Medical Education, 23. https://doi.org/10.1186/s12909-023-04785-1
Duman, T. H., & Karadakovan, A. (2024). The effect of video training on symptom burden, comfort level, and quality of life in hemodialysis patients: Clustered randomized controlled trial. Patient education and counseling, 126, 108314. https://doi.org/10.1016/j.pec.2024.108314
Fairuz, N., Wahyuningsih, S., Irmarahayu, A., & Nugrohowati, N. (2024). Determinan penyakit ginjal kronik di tangerang indonesia: Studi cross-sectional. Jurnal Ilmiah Kesehatan Masyarakat, 16(2), 63–70.
Feeley, T. H., Keller, M. M., & Kayler, L. K. (2022). Using Animated Videos to Increase Patient Knowledge: A Meta-Analytic Review. Health Education & Behavior, 50(2), 240–249. https://doi.org/10.1177/10901981221116791
Hansen, S., Jensen, T. S., Schmidt, A. M., Strøm, J., Vistisen, P., & Høybye, M. T. (2024). The Effectiveness of Video Animations as a Tool to Improve Health Information Recall for Patients: Systematic Review. Journal of medical Internet research, 26, e58306. https://doi.org/10.2196/58306
Iswoyo, E., Melati, N., Ikaningtyas, N., & Winandari, F. (2025). Pengaruh edukasi menggunakan video animasi pada kenaikan interdialytic weight gain pasien hemodialisis. Prosiding STIKES Bethesda, 5(1), 150–156.
Jagodage, H., Bonner, A., McGuire, A., & Seib, C. (2025). A Feasibility Cluster Randomised Control Trial of a Person-Centred Fluid Adherence Intervention for Adults Receiving Haemodialysis. Nephron, 149(11), 661–676. https://doi.org/10.1159/000546103
Knapp, P., Benhebil, N., Evans, E., & Moe-Byrne, T. (2022). The effectiveness of video animations in the education of healthcare practitioners and student practitioners: a systematic review of trials. Perspectives on Medical Education, 11(6), 309–315. https://doi.org/10.1007/s40037-022-00736-6
Leong, F. F., Binte Abu Bakar Aloweni, F., Choo, J. C. J., & Lim, S. H. (2023). Patient education interventions for haemodialysis and peritoneal dialysis catheter care: An integrative review. International journal of nursing studies advances, 5, 100156. https://doi.org/10.1016/j.ijnsa.2023.100156
Munigala, S., O’Reilly, E. M., Bakelman, D. E., Holt, J. M., Ko, A. H., Searle, N. A., & Gelrud, A. (2022). Improving understanding of pancreatic cancer among patients using an animated patient’s guide to benefit informed decisions and health outcomes. Journal of Clinical Oncology, 40(16_suppl), e16282. https://doi.org/10.1200/jco.2022.40.16_suppl.e16282
Novandra, A., Gema, A., Sm, N., Arie, W., Kualitas, A., Pasien, H., Ginjal, P., Yang, K., Abdillah, N., Asiani, G., Murni, N. S., Wahyudi, A., Studi, P., Kesehatan, M., Stik, M., & Husada, B. (2025). Analisis kualitas hidup pasien penyakit ginjal kronis yang menjalani hemodialisis. Jurnal ‘Aisyiyah Medika, 10(1), 235–253. https://doi.org/10.36729/jam.v10i1.1316
Putri, A. N., Bayhakki, & Erwin. (2022). Hubungan pengetahuan cara mengurangi rasa haus dengan kenaikan berat badan interdialitik pasien penyakit ginjal kronik yang menjalani hemodialisis. Jurnal Keperawatan Tropis Papua, 5(1), 3–8.
Roy, C. F., Turkdogan, S., Nguyen, L. H. P., McHugh, T., Daniel, S. J., & Yeung, J. C. (2025). Perioperative Caregiver Education Using Animated Videos for Pediatric Tonsillectomy: A Randomized Controlled Study. Otolaryngology-Head and Neck Surgery. https://doi.org/10.1002/ohn.1126
Rosdiana, I., Cahyati, Y., & Hartono, D. (2018). The effect of education oninterdialytic weight gain in patients undergoing hemodialysis. Malaysian Journal of Medical Research, 02(04), 16–21. https://doi.org/10.31674/mjmr.2018.v02i04.002
Turkdogan, S. (2022). Effect of Perioperative Patient Education via Animated Videos in Patients Undergoing Head and Neck Surgery. JAMA Otolaryngology-- Head & Neck Surgery, 148(2), 173. https://doi.org/10.1001/jamaoto.2021.3765
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