The Relationship Between Nurses' Knowledge of Ultrafiltration Rate and the Incidence of Intradialytic Hypotension in Chronic Kidney Failure Patients at X General Hospital

Abstract

Background: Intradialytic hypotension is one of the most common complications among patients with chronic kidney disease undergoing hemodialysis, with a prevalence exceeding 50%. One factor influencing this condition is the ultrafiltration rate (UFR). Nurses play a central role in ensuring accurate and safe UFR settings; therefore, adequate knowledge in this area is essential to prevent hypotensive complications. This study aimed to determine the relationship between nurses’ knowledge of ultrafiltration rate and the incidence of intradialytic hypotension in patients with chronic kidney disease at RSUD X. A quantitative cross-sectional design was employed. The sample consisted of 37 hemodialysis unit nurses, selected using a total sampling technique. Data were collected using a knowledge questionnaire and an observation sheet to record hypotension events. Data analysis was performed using univariate and bivariate methods, with the Chi-Square test applied for statistical evaluation. The results showed that the majority of respondents had good knowledge levels (91.9%), yet more than half of the patients experienced intradialytic hypotension (54.1%). Statistical analysis indicated no significant relationship between nurses’ knowledge levels and the incidence of intradialytic hypotension (p > 0.05). In conclusion, although nurses’ knowledge of ultrafiltration rate was generally good, it was not directly associated with the occurrence of intradialytic hypotension. Therefore, ongoing educational programs and comprehensive evaluations of clinical practice are recommended to improve the quality of hemodialysis management and minimize the risk of complications.