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

• Kim Y
• Kim M

• KMID: 2363102
• DOI: http://doi.org/10.4040/jkan.2015.45.5.773

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

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  Figure 1 General structure of fluid management in hemodialysis patients.

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