J Korean Acad Nurs.  2015 Oct;45(5):773-782. 10.4040/jkan.2015.45.5.773.

The Experience of Fluid Management in Hemodialysis Patients

Affiliations
  • 1Division of Nursing Science, Ewha Womans University, Seoul, Korea. mykim0808@ewha.ac.kr

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.

Keyword

Body fluid; Hemodialysis; Interview; Qualitative research

MeSH Terms

Adaptation, Psychological
Adult
Aged
*Drinking
Emotions
Female
Humans
Interviews as Topic
Kidney Failure, Chronic/*psychology
Male
Middle Aged
Renal Dialysis
Self Concept
Social Support

Figure

  • Figure 1 General structure of fluid management in hemodialysis patients.


Reference

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. J Korean Biol Nurs Sci. 2007; 9(2):105–117.
4. Kugler C, Vlaminck H, Haverich A, Maes B. Nonadherence with diet and fluid restrictions among adults having hemodialysis. J Nurs Scholarsh. 2005; 37(1):25–29. DOI: 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. DOI: 10.1371/journal.pone.0041362.
6. Yeom EY, Seo KS. Nurses' experience of managing diet and fluid in hemodialysis patients. Korean J Rehabil Nurs. 2014; 17(1):27–37. DOI: 10.7587/kjrehn.2014.27.
7. Iacono SA. Medication side effects: Barriers to the management of fluid intake. Dial Transplant. 2008; 37(6):196–201. DOI: 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. Nephrol Dial Transplant. 2009; 24(5):1574–1579. DOI: 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. Am J Crit 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. Nephrol Nurs J. 2006; 33(5):493–499.
11. Richard CJ. Self-care management in adults undergoing hemodialysis. Nephrol Nurs J. 2006; 33(4):387–394.
12. Lindberg M, Wikström B, Lindberg P. Subgroups of haemodialysis patients in relation to fluid intake restrictions: A cluster analytical approach. J Clin Nurs. 2010; 19(21-22):2997–3005. DOI: 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. J Korean Clin Nurs Res. 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. J Adv Nurs. 2010; 66(1):60–68. DOI: 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. Am J Kidney Dis. 2005; 45(1):15–27.
16. Tovazzi ME, Mazzoni V. Personal paths of fluid restriction in patients on hemodialysis. Nephrol Nurs J. 2012; 39(3):207–215.
17. Sinclair PM, Parker V. Pictures and perspectives: A unique reflection on interdialytic weight gain. Nephrol Nurs J. 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. Nephrol Nurs J. 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. Med J Aust. 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: Sag;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. J Ren Nutr. 2010; 20(5):334–341. DOI: 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. Clin J Am Soc Nephrol. 2010; 5(7):1255–1260. DOI: 10.2215/cjn.01760210.
24. Heiwe S, Dahlgren MA. Living with chronic renal failure: Coping with physical activities of daily living. Adv Chronic Kidney Dis. 2004; 6(4):147–157. DOI: 10.1080/14038190410019540.
25. Parsons TL, King-Vanvlack CE. Exercise and end-stage kidney disease: Functional exercise capacity and cardiovascular outcomes. Adv Chronic Kidney Dis. 2009; 16(6):459–481.
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. Clin J Am Soc Nephrol. 2013; 8(10):1725–1733. DOI: 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. Br J Nurs. 2007; 16(14):868–872. DOI: 10.12968/bjon.2007.16.14.24325.
28. Park M, Kim MY. Work experience of patients undergoing hemodialysis. J Korean Acad Fundam Nurs. 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). J Ren Nutr. 2013; 23(2):77–90. DOI: 10.1053/j.jrn.2013.01.001.
30. Bayliss D. Starting and managing an intradialytic exercise program. Nephrol News Issues. 2006; 20(9):47–49.
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr