A Cognitive Behavioral Group Approach to Enhance Adherence to Hemodialysis Fluid Restrictions: A Randomized Controlled Trial

Sharp, John T.; Wild, Matt R.; Gumley, Andrew; Deighan, Christopher J.

doi:10.1053/j.ajkd.2005.02.032

Cited by 106 publications

(145 citation statements)

References 18 publications

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“…Hence, it is common for patients to gain weight due to fluid retention between two consecutive hemodialysis sessions, usually 2–3 days apart. Adherence to fluid restrictions represents one of the most difficult aspects of the hemodialysis treatment regimen [19,20]. Greater IDWG has also been associated with an incrementally higher risk of cardiovascular mortality [1].…”

Section: Discussionmentioning

confidence: 99%

Supplementary Ultrafiltration May Improve Inflammation and Cardiac Dysfunction in Patients with High Interdialytic Weight Gain

Yılmaz

Arıcı²,

Yıldırım³

et al. 2012

Blood Purif

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Background/Aims: We tested the hypothesis that adding an ultrafiltration session per week may improve brain natriuretic peptide (BNP) and C-reactive protein (CRP) levels and left ventricular function in hypervolemic hemodialysis patients. Methods: Twenty-six patients (18 male, 8 female; mean age 57.2 ± 12.7 years) who had high BNP and CRP levels and interdialytic weight gain (IDWG) were recruited for the study. Patients were randomly allocated to one of two groups, namely the supplementary ultrafiltration (sUF) group (n = 13), who had additional ultrafiltrations for 8 weeks, and the regular hemodialysis (rHD) group (n = 13), who continued regular dialysis treatments. Results: There were significant decreases in mean CRP and BNP levels and mean arterial blood pressure and significant improvements in left ventricular function in the sUF group, with no changes in the rHD group. Higher IDWG was observed in the rHD group compared to the sUF group after 8 weeks. Conclusion: sUF may be effective in reducing inflammatory burden and improving cardiac function.

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Section: Discussionmentioning

confidence: 99%

Supplementary Ultrafiltration May Improve Inflammation and Cardiac Dysfunction in Patients with High Interdialytic Weight Gain

Yılmaz

Arıcı²,

Yıldırım³

et al. 2012

Blood Purif

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“…(2) Psychological aspects of IDWG: Since IDWG has been regarded as related to nonadherence, much attention has been paid to psychological aspects of IDWG and ways to help patients modify their behavior [31,34,35,39,40,41,42,43,44,45,46,47,48,49,] reviewed in [50]. …”

Section: Interdialytic Weight Gain: Reported Causes and Consequencesmentioning

confidence: 99%

Significance of Interdialytic Weight Gain versus Chronic Volume Overload: Consensus Opinion

et al. 2013

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Predialysis volume overload is the sum of interdialytic weight gain (IDWG) and residual postdialysis volume overload. It results mostly from failure to achieve an adequate volume status at the end of the dialysis session. Recent developments in bioimpedance spectroscopy and possibly relative plasma volume monitoring permit noninvasive volume status assessment in hemodialysis patients. A large proportion of patients have previously been shown to be chronically volume overloaded predialysis (defined as >15% above ‘normal' extracellular fluid volume, equivalent to >2.5 liters on average), and to exhibit a more than twofold increased mortality risk. By contrast, the magnitude of the mortality risk associated with IDWG is much smaller and only evident with very large weight gains. Here we review the available evidence on volume overload and IDWG, and question the use of IDWG as an indicator of ‘nonadherence' by describing its association with postdialysis volume depletion. We also demonstrate the relationship between IDWG, volume overload and predialysis serum sodium concentration, and comment on salt intake. Discriminating between volume overload and IDWG will likely lead to a more appropriate management of fluid withdrawal during dialysis. Consensually, the present authors agree that this discrimination should be among the primary goals for dialysis caretakers today. In consequence, we recommend objective measures of volume status beyond mere evaluations of IDWG.

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“…Such interventions, including education, training, and behavioral introduction, which help patients gain more knowledge of dialysis and develop healthy life habits, further improve their compliance with this treatment [3, 10-13]. To date, the most commonly reported indicators for the assessment of compliance include serum phosphorus level and interdialytic weight gain (IDWG), whereas in some studies compliance has been directly evaluated and the compliance rate reported [12-14]. Recently, guidelines for compliance have been established by the World Health Organization and the National Kidney Foundation Dialysis Outcome and Quality Initiative (KDOQI) [8, 15-17].…”

Section: Introductionmentioning

confidence: 99%

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

et al. 2017

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Background: Dialysis is imperative for patients with end-stage renal disease (ESRD); however, compliance ensures its efficacy. Nursing intervention has been considered to improve compliance. This meta-analysis is aimed at exploring the effects of nursing intervention on dialysis compliance. Methods: A search was performed in the PubMed, Cochrane, and Embase databases for relevant original research articles. Studies were included or excluded based on the simultaneous consideration of quality as ranked by Jadad score and the compliance with predefined selection criteria. Results: A total of 817 participants were included. The results showed that nursing intervention led to significantly higher compliance with dialysis than in standard care. A pilot analysis evidenced that different intervention strategies, including educational, cognitive, and behavioral approaches, had limited effects on dialysis compliance. Conclusion: Nursing intervention is beneficial for raising dialysis compliance, providing evidence of the need to strengthen nursing care for ESRD patients administered with dialysis in daily clinical practice.

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A Cognitive Behavioral Group Approach to Enhance Adherence to Hemodialysis Fluid Restrictions: A Randomized Controlled Trial

Cited by 106 publications

References 18 publications

Supplementary Ultrafiltration May Improve Inflammation and Cardiac Dysfunction in Patients with High Interdialytic Weight Gain

Supplementary Ultrafiltration May Improve Inflammation and Cardiac Dysfunction in Patients with High Interdialytic Weight Gain

Significance of Interdialytic Weight Gain versus Chronic Volume Overload: Consensus Opinion

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

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