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According to Suharyanto and Madjid (2009), the purpose of hemodialysis is to remove the toxic nitrogen substances from the blood and remove excess water from the body. A common complication in patients undergoing hemo dialysis is weight gain between two-time hemodialysis known as Inter Dialytic Weight Gain (IDWG). The increased IDWG can lead to client problems such as hypertension, Interdialytic hypotension, peripheral edema, ascites, pleural effusion, heart failure and decreased the quality of life (Pace, 2007). Also, Levey et al. (2003) explain that IDWG increases are caused by various internal factors such as age, sex, education level, thirst, stress, self-efficacy, and external factors such as family and social support and the amount of fluid intake.

Orem's Nurse Coaching Approach on Interdialytic Weight Gain Changes and Phlebitis in Chronic Kidney Disease Client with Hemodialysis