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The effect of using booklets on patients’ self-efficacy knowledge and interdialytic weight gain

  • Nur Isnaini ,
  • Dwi Agus Styandini ,
  • Dewi Ratnasari ,


Introduction: The inability of patients with chronic renal failure to follow a diet is influenced by low self-efficacy. (Inter Dialytic Weight Gain) IDWG is used as a common measure of patient compliance, as it shows fluid retention that occurs between two hemodialysis sessions. This study aims to analyze the effect of providing education using a booklet on self-efficacy, and level of knowledge, and IDWG in hemodialysis patients.

Methods: The research design was a pre-experimental design, with a group comparison design approach. The use of samples using accidental sampling. A sample of 48 respondents was divided into two groups: 25 and 23 respondents in the intervention and control groups respectively. The intervention group was given education using lecture and booklet methods for 45 minutes. The Control group was given education using the lecture method only.  IDWG was measured by observing weight between hemodialysis sessions. The measurements of self-efficacy and level of knowledge were undertaken by employing a questionnaire. Wilcoxon test was used to determine the difference between the pre and post mean of the intervention group and the control group. Mann Whitney statistical test was used to determine the mean difference in the intervention and control groups on the variables of self-efficacy, level of knowledge, and IDWG.

Results: Intervention group increased self-efficacy (p <0.05), increased knowledge (p <0.05) and decreased IDWG (p <0.05). Control group increase self-efficacy (p <0.05), increase knowledge (p <0.05), but not the value IDWG (p> 0.05).

Conclusion: Education using booklets helps patients in increasing self-confidence, knowledge of CKD patient care including controlling fluid overload.


  1. Neena PJ, Wale GR. Effect of Information Booklet on Level of Knowledge among Patients Undergoing Haemodialysis.
  2. Cho M, Kang Y. Effect of self?care intervention for controlling interdialytic weight gain among patients on haemodialysis: A systematic review and meta?analysis. J Clin Nurs. 2021;
  3. Beerendrakumar N, Ramamoorthy L, Haridasan S. Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients. J Caring Sci. 2018;7(1):17–20.
  4. Moktan S, Leelacharas S, Prapaipanich W. Knowledge, Self-Efficacy, Self-Management Behavior of the Patients With Predialysis Chronic Kidney Disease. Ramathibodi Med J. 2019;42(2):38–48.
  5. Hecking M, Moissl U, Genser B, Rayner H, Dasgupta I, Stuard S, et al. Greater fluid overload and lower interdialytic weight gain are independently associated with mortality in a large international hemodialysis population. Nephrol Dial Transplant. 2018;33(10):1832–42.
  6. Istanti YP. Faktor-Faktor yang Berkontribusi terhadap Interdialytic Weight Gains pada Pasien Chronic Kidney Diseases yang Menjalani Hemodialisis Factors that Contribute to Interdialytic Weight Gains on Chronic Kidney Diseases Patients Undergoing Haemodialysis. Artik Penelit. 2011;11:118–30.
  7. Majer M. Level of knowledge regarding health as well as health education and pro-health behaviours among students of physical education and other teaching specialisations. Balt J Heal Phys Act. 2019;11(1):83–95.
  8. Diane E. Handy, Rita Castro JL. ?????NIH Public Access. Bone. 2011;23(1):1–7.
  9. Dawes MG, Kaczorowski J, Swanson G, Hickey J, Karwalajtys T. The effect of a patient education booklet and BP ‘tracker’on knowledge about hypertension. A randomized controlled trial. Fam Pract. 2010;27(5):472–8.
  10. Wong G. Making theory from knowledge syntheses useful for public health. Springer; 2018.
  11. Anderson ST. Self-Efficacy and Social Support in African Americans Diagnosed with End Stage Renal Disease. ABNF J. 2011;22(1).
  12. Wu SV, Hsieh N, Lin L, Tsai J. Prediction of self?care behaviour on the basis of knowledge about chronic kidney disease using self?efficacy as a mediator. J Clin Nurs. 2016;25(17–18):2609–18.
  13. Rainey H, Hussain S, Thomas N. Innovative education for people with chronic kidney disease: an evaluation study. J Ren Care. 2020;46(4):197–205.
  14. Widayati A. Perilaku Kesehatan (Health Behavior): Aplikasi Teori Perilaku untuk Promosi Kesehatan. Sanata Dharma University Press; 2020.
  15. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191.
  16. Farley H. Promoting self?efficacy in patients with chronic disease beyond traditional education: A literature review. Nurs open. 2020;7(1):30–41.
  17. Isnaini N, Aprilina RSHD. The Influence of Family Support on Self Efficacy of Chronic Kidney Disease. Age (Omaha). 2021;17(25):26–35.

How to Cite

Isnaini, N., Styandini, D. A., & Ratnasari, D. (2021). The effect of using booklets on patients’ self-efficacy knowledge and interdialytic weight gain. Bali Medical Journal, 10(3), 1103–1106.




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