Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Experience of Fluid Management in Hemodialysis Patients

혈액투석 환자의 수액관리 경험

  • Kim, Yoonsoo (Division of Nursing Science, Ewha Womans University) ;
  • Kim, Miyoung (Division of Nursing Science, Ewha Womans University)
  • 김윤수 (이화여자대학교 간호학부) ;
  • 김미영 (이화여자대학교 간호학부)
  • Received : 2015.03.18
  • Accepted : 2015.07.11
  • Published : 2015.10.31
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Abstract

Purpose: The purpose of this study was to explore the experience of fluid management in hemodialysis patients by describing how they manage fluid intake and what affects fluid management. Methods: Purposive sampling yielded 11 patients who have received hemodialysis for one year or longer in one general hospital. Data were collected through in-depth interviews and analysed using Giorgi's phenomenological method. Data collection and analysis were performed concurrently. Results: The findings regarding how hemodialysis patients manage fluid intake were classified into four constituents: 'recognizing the need for fluid control', 'observing the status of fluid accumulation', 'controlling fluid intake and output', 'getting used to fluid management'. The factors that affect fluid management of hemodialysis patients were revealed as 'willpower', 'change in the mindset', 'support system', and 'emotional state'. Conclusion: The study results show that hemodialysis patients manage fluid intake through food and exercise as well as interpersonal relationships. These findings suggest that strategies in the development of nursing interventions for hemodialysis patients should be directed at assisting them in familiarization with fluid management based on an understanding of their sociocultural contexts.

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References

  1. ESRD Registry Committee, Korean Society of Nephrology. Current renal replacement therapy in Korea: Insan memorial dialysis registry, 2013 [Internet]. Seoul: Korean Society of Nephrology; 2013 [cited 2014 September 30]. Available from: http://www.ksn.or.kr/journal/2014/index.html.
  2. Kallenbach JZ, Gutch CF, Stoner MH, Corea AL. Review of hemodialysis for nurses and dialysis personnel. 7th ed. St. Louis, MO: Mosby 2005.
  3. Cho MK, Choe MA. Self care behavior of hemodialysis patients. Journal of Korean Biological Nursing Science. 2007;9(2):105-117.
  4. Kugler C, Vlaminck H, Haverich A, Maes B. Nonadherence with diet and fluid restrictions among adults having hemodialysis. Journal of Nursing Scholarship. 2005;37(1):25-29. http://dx.doi.org/10.1111/j.1547-5069.2005.00009.x
  5. Chan YM, Zalilah MS, Hii SZ. Determinants of compliance behaviours among patients undergoing hemodialysis in Malaysia. PLoS One. 2012;7(8):e41362. http://dx.doi.org/10.1371/journal.pone.0041362
  6. Yeom EY, Seo KS. Nurses' experience of managing diet and fluid in hemodialysis patients. The Korean Journal of Rehabilitation Nursing. 2014;17(1):27-37. http://dx.doi.org/10.7587/kjrehn.2014.27
  7. Iacono SA. Medication side effects: Barriers to the management of fluid intake. Dialysis & Transplantation. 2008;37(6):196-201. http://dx.doi.org/10.1002/dat.20231
  8. Wizemann V, Wabel P, Chamney P, Zaluska W, Moissl U, Rode C, et al. The mortality risk of overhydration in haemodialysis patients. Nephrology, Dialysis, Transplantation. 2009;24(5):1574-1579. http://dx.doi.org/10.1093/ndt/gfn707
  9. Denhaerynck K, Manhaeve D, Dobbels F, Garzoni D, Nolte C, De Geest S. Prevalence and consequences of nonadherence to hemodialysis regimens. American Journal of Critical Care. 2007;16(3):222-235.
  10. Welch JL, Perkins SM, Johnson CS, Kraus MA. Patterns of interdialytic weight gain during the first year of hemodialysis. Nephrology Nursing Journal. 2006;33(5):493-499.
  11. Richard CJ. Self-care management in adults undergoing hemodialysis. Nephrology Nursing Journal. 2006;33(4):387-394.
  12. Lindberg M, Wikstrom B, Lindberg P. Subgroups of haemodialysis patients in relation to fluid intake restrictions: A cluster analytical approach. Journal of Clinical Nursing. 2010;19(21-22):2997-3005. http://dx.doi.org/10.1111/j.1365-2702.2010.03372.x
  13. Lee SJ, Park HS, Han JH, Kim HJ, Seo MW, Choi EA, et al. Effects of an individualized educational program on knowledge, compliance and physiologic parameters in non-compliant hemodialysis patients. Journal of Korean Clinical Nursing Research. 2009;15(3):5-16.
  14. Baraz S, Parvardeh S, Mohammadi E, Broumand B. Dietary and fluid compliance: An educational intervention for patients having haemodialysis. Journal of Advanced Nursing. 2010;66(1):60-68. http://dx.doi.org/10.1111/j.1365-2648.2009.05142.x
  15. Sharp J, Wild MR, Gumley AI. A systematic review of psychological interventions for the treatment of nonadherence to fluid-intake restrictions in people receiving hemodialysis. American Journal of Kidney Diseases. 2005;45(1):15-27. http://dx.doi.org/10.1053/j.ajkd.2004.09.010
  16. Tovazzi ME, Mazzoni V. Personal paths of fluid restriction in patients on hemodialysis. Nephrology Nursing Journal. 2012;39(3):207-215.
  17. Sinclair PM, Parker V. Pictures and perspectives: A unique reflection on interdialytic weight gain. Nephrology Nursing Journal. 2009;36(6):589-596.
  18. Al Nazly E, Ahmad M, Musil C, Nabolsi M. Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: A qualitative study. Nephrology Nursing Journal. 2013;40(4):321-327.
  19. Giorgi A. The descriptive phenomenological method in psychology: A modified husserlian approach. Pittsburgh, PA: Duquesne University Press; 2009.
  20. Kitto SC, Chesters J, Grbich C. Quality in qualitative research. The Medical Journal of Australia. 2008;188(4):243-246.
  21. Giorgi A, Giorgi B. Phenomenology. In: Smith JA, editor. Qualitative psychology: A practical guide to research methods. Thousand Oaks, CA: Sage; 2003. p. 26-52.
  22. Smith K, Coston M, Glock K, Elasy TA, Wallston KA, Ikizler TA, et al. Patient perspectives on fluid management in chronic hemodialysis. Journal of Renal Nutrition. 2010;20(5):334-341. http://dx.doi.org/10.1053/j.jrn.2009.09.001
  23. Agarwal R, Weir MR. Dry-weight: A concept revisited in an effort to avoid medication-directed approaches for blood pressure control in hemodialysis patients. Clinical Journal of the American Society of Nephrology. 2010;5(7):1255-1260. http://dx.doi.org/10.2215/cjn.01760210
  24. Heiwe S, Dahlgren MA. Living with chronic renal failure: Coping with physical activities of daily living. Advances in Physiotherapy. 2004;6(4):147-157. http://dx.doi.org/10.1080/14038190410019540
  25. Parsons TL, King-Vanvlack CE. Exercise and end-stage kidney disease: Functional exercise capacity and cardiovascular outcomes. Advances in Chronic Kidney Disease. 2009;16(6):459-481. http://dx.doi.org/10.1053/j.ackd.2009.08.009
  26. Cabezas-Rodriguez I, Carrero JJ, Zoccali C, Qureshi AR, Ketteler M, Floege J, et al. Influence of body mass index on the association of weight changes with mortality in hemodialysis patients. Clinical Journal of the American Society of Nephrology. 2013;8(10):1725-1733. http://dx.doi.org/10.2215/cjn.10951012
  27. Kaba E, Bellou P, Iordanou P, Andrea S, Kyritsi E, Gerogianni G, et al. Problems experienced by haemodialysis patients in Greece. The British Journal of Nursing. 2007;16(14):868-872. http://dx.doi.org/10.12968/bjon.2007.16.14.24325
  28. Park MS, Kim MY. Work experience of patients undergoing hemodialysis. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(2):149-158.
  29. Carrero JJ, Stenvinkel P, Cuppari L, Ikizler TA, Kalantar-Zadeh K, Kaysen G, et al. Etiology of the protein-energy wasting syndrome in chronic kidney disease: A consensus statement from the International Society of Renal Nutrition and Metabolism (ISRNM). Journal of Renal Nutrition. 2013;23(2):77-90. http://dx.doi.org/10.1053/j.jrn.2013.01.001
  30. Bayliss D. Starting and managing an intradialytic exercise program. Nephrology News and Issues. 2006;20(9):47-49.

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