Thirst Management Using Ice Cubes in Hemodialysis Patients: A Pre-Experimental Study
DOI:
https://doi.org/10.35568/healthcare.v8i1.7465Keywords:
Chronic kidney disease, Fluid Restriction, Ice-cube therapy, Hemodialysis , Thirst managementAbstract
Introduction: Chronic kidney disease causes problems with fluid regulation, requiring hemodialysis patients to adhere to strict fluid intake restrictions. However, excessive thirst is often the main complaint that contributes to non-adherence to fluid restriction and increases interdialytic weight gain. Therefore, effective, safe, and easily applicable non-pharmacological interventions are needed to help reduce thirst. This study aimed to determine the effect of administering ice cubes on thirst levels in chronic kidney disease patients undergoing hemodialysis. Methods: The study employed a quasi-experimental design with one group pretest–posttest, involving 60 respondents selected through consecutive sampling. Thirst levels were measured using the Visual Analog Scale (VAS) before and after the intervention of sucking 10 ml of ice cubes for one hour. Data were analyzed using the Paired T-Test. Results: The findings showed a significant decrease in thirst levels, from a mean of 4.45 (moderate–high category) to 1.01 (very low category) after the intervention, with a p-value of 0.00 (p < 0.05). These results indicate that ice cubes are effective in reducing thirst both clinically and statistically. Conclusion: Ice-cube therapy is an effective non-pharmacological intervention to reduce thirst levels in hemodialysis patients. Recommendation: Health professionals are encouraged to apply this intervention as part of fluid management and patient comfort strategies, and to develop standardized SOPs to ensure safe and effective implementation.
Downloads
References
Al Barbandi, M., DeFreitas, M. J., Katsaufis, C. P., & Santoz, L. B. (2025). Reducing Excessive Interdialytic Weight Gain in Young Hemodialysis Patients: A Quality Improvement Initiative. Kidney Medicine, 7(11). https://doi.org/https://doi.org/10.1016/j.xkme.2025.101109
Armiyati, Y., Khoiriyah, K., & Mustofa, A. (2019). Optimization of Thirst Management on CKD Patients Undergoing Hemodialysis by Sipping Ice Cube. Media Keperawatan, 2(1).
Astuti, E. T., Ardani, L., & Elizabeth, B. (2025). The Effect of Sucking Ice Cubes on Reducing Thirst in CKD Patients at Sentra Medika Cisalak Hospital. International Journal of Health Science (IJHS), 5(3), 254–260. https://doi.org/https://doi.org/10.55606/ijhs.v5i3.6187
Bossola, M., Pepe, G., Antocicco, M., & Severino, A. (2022). Interdialytic weight gain and educational/cognitive, counseling/ behavioral and psychological/affective interventions in patients on chronic hemodialysis: a systematic review and meta‑analysis. Journal of Nephrology, 35, 1973–1983. https://doi.org/https://doi.org/10.1007/s40620-022-01450-6
Center for Disease Control and Prevention (CDC). (2021). General information and national estimates on chronic kidney disease in the United States. https://www.cdc.gov/kidneydisease/pdf/Chronic-Kidney-Disease-in-the-US-2021-h.pdf
CIN, A., DEMIRAG, H., DASTAN, B., & HINTISTAN, S. (2025). The Relationship Between Thirst Distress and Severity and Compliance with Fluid Control and Interdialytic Weight Gain in Hemodialysis Patients. Bezmialem Science, 13(2), 129–138. https://doi.org/DOI: 10.14235/bas.galenos.2024.04764
Flythe, J. E., Chang, T. I., Gallagher, M. P., & Lindley, E. (2020). Blood pressure and volume management in dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney International, 97, 861–876.
Rasyid, H. (2017). Ginjalku Ginjalmu Mengenal Lebih Jauh Penyakit Ginjal Kronik dan Pengaturan Gizinya (Bakri (ed.)).
Indonesia Renal Registry. (2023). 13th Annual Report of Indonesia Renal Registry 2020. https://www.indonesianrenalregistry.org/data/IRR 2020.pdf
Kooman, J. P., van der Sande, F. M., & Leunissen, K. M. (2019). The basics of hemodialysis: Principles, equipment, and clinical practice. Clinical Journal of the American Society of Nephrology, 14(2), 184–194. https://doi.org/https://doi.org/10.2215/CJN.08520718
Lemone, P., Burke, M. K., & Bauldof, G. (2016). Buku Ajar Keperawatan Medikal Bedah Gangguan Endokrin (Edisi 5). EGC.
Levy, J., Brown, E., & Lawrence, A. (2016). Oxford Handbook of Dialysis. Oxford University Press.
Nurhayati, E. L., Siregar, D. N., Gani, A., Sunarti, S., Kaban, K. B., & Siregar, P. S. (2022). The Effectiveness of Chewing Gum and Sucking Ice Cubes in Reducing Thirst in Chronic Kidney Failure Patients Undergoing Hemodialysis. International Journal of Medical Science and Clinical Research Studies, 2(7). https://doi.org/https://doi.org/10.47191/ijmscrs/v2-i7-12
Prasetyo, R. D. P., & Wasilah, H. . (2022). Thirst Management among Patients with Hemodialysis by Sucking Ice Cubes: A Literature Review. Jurnal Ilmiah Keperawatan Orthopedi, 6(2). https://doi.org/10.46749/jiko.v6i2.93
Saranga, J. L., Sandi, S., Wirmando, W., Tola’ba, Y., & Wulandari, S. (2023). The Effectiveness of Slimber Ice Against Thirst Intensity In Hemodialysis Patients With Chronic Kidney Disease. Media Keperawatan, 6(1).
Sherwood, L. (2019). Fisiologi Manusia dari Sel ke Sistem (8th ed.). EGC.
Siregar, C. (2020). Buku Ajar Manajemen Komplikasi Pasien Hemodiaisa (R. Ariga (ed.)). Penerbit Deepublish.
Smeltzer, S. C., & Bare, B. G. (2015). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. EGC.
Thomas, N. (2019). Renal Nursing: Care and Management of People with Kidney Disease (5th ed.). Wiley-Blackwel.
Wayunah, W., Asariana, A., & Dasela, A. (2022). Manajemen Haus pada Penderita Gagal Ginjal Kronik yang Menjalani Hemodialisa: A Literatur REview. Medical-Surgical Journal of Nursing Research, 1(1), 1–13. https://doi.org/https://doi.org/10.70331/jpkmb.v1i1.3
World Health Organization (WHO). (2024). The top 10 causes of death. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
Yenny, Wayunah, Anita, D. C., Mesya, Lubis, S. H., & Yemina, L. (2025). Buku Referensi: Peningkatan Kualitas Hidup pada Pasien Gagal Ginjal Kronik (1st ed.). Optimal Untuk Negeri.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 The Author(s)

This work is licensed under a Creative Commons Attribution 4.0 International License.






