Management of Fluid Status in Haemodialysis Patients: The Roles of Technology and Dietary Advice

Lindley, Elizabeth; Aspinall, L; Gardiner, Clare; Garthwaite, Elizabeth

doi:10.5772/25199

Cited by 9 publications

(13 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hastanın rezidüel böbrek fonksiyonu ve kuru ağırlığı da uyumu değerlendirmede dikkate alı-nan önemli parametrelerdir (30,31,32). Alınan sıvıyı dengelemenin en uygun yolu, hedeflenen diyaliz sonrası ağır-lığın ayarlanması ve İDWG'nin sınırlandırılmasıdır (33).…”

unclassified

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Karabulutlu¹,

Yilmaz²

2020

View full text Add to dashboard Cite

ÖZETAmaç: Bu araştırma, hemodiyaliz tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerini değerlendirmek ve sıvı kısıtlamasına uyumu etkileyen faktörleri belirlemek amacıyla yapılmıştır. Results: It was found that individuals receiving hemodialysis had a moderate level of concordance with fluid restriction (51.23±5.88); they had high levels of knowledge regarding fluid restriction (20.22±1.07); and they had a moderate level of concordance in terms of behavioral aspects (22.42±4.23), but low levels of concordance in terms of the attitudes aspect (8.59±2.61). Individuals' concordance with fluid restriction was found to be influenced by gender and marital status; knowledge level was found to be influenced by gender and treatment duration, and behavior was significantly influenced by gender. Women, in comparison to men, were found to have higher concordance levels in terms of knowledge, behavior and total fluid control aspects; single patients' level of concordance with total fluid control was higher compared to married patients, and the level of knowledge about fluid control was lower in patients who had had a treatment duration of 6 months to 2 years, in comparison with other groups. Interdialytic weight gain decreased with increasingly concordant attitudes and total scores for fluid control, and the amount of ultrafiltration needed decreased with the increase in behavior and total scores. Gereç ve Conclusion:It was found that individuals who received hemodialysis were not adequately concordant with fluid restriction. Individualized training and practice is required to increase concordance with fluid restriction.

show abstract

unclassified

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Karabulutlu¹,

Yilmaz²

2020

View full text Add to dashboard Cite

show abstract

“…A core group made up of nurses and physicians conducted a series of meetings to develop the decision aid, which was based on empirical experience and a literature review identifying and appraising physiological parameters routinely measured in haemodialysis care for assessment of fluid status (Wizemann & Schilling ; Kraemer ; Lindley et al . ; Chou & Kalantar‐Zadeh ). For review and evaluation of the content and comprehensiveness, the tool was then circulated to a larger group of interdisciplinary stakeholders, and experts in the use of BIS, including clinical scientists, dieticians, physiotherapists and physicians, and also to patients’ representatives.…”

Section: Methodsmentioning

confidence: 99%

“…Current fluid management in haemodialysis is mainly based on clinical assessment, such as weight gain between dialysis sessions, pre‐ and post‐dialysis blood pressure (BP) and patient‐reported symptoms (Lindley et al . ; Chou & Kalantar‐Zadeh ). However, it is not always straightforward.…”

Section: Introductionmentioning

confidence: 99%

Systematic Fluid Assessment in Haemodialysis: Development and Validation of A Decision Aid

Stenberg

Keane

Lindberg

et al. 2019

Journal of Renal Care

View full text Add to dashboard Cite

SUMMARY Background About a third of patients undergoing haemodialysis have poorly controlled fluid status, which may affect survival. Clinical assessment is subjective and imprecise, which has led to the increasing use of devices based on bioimpedance spectroscopy (BIS). However, BIS cannot provide a simple target applicable to all patients. Our aim was to develop and validate a decision aid combining clinical assessment of fluid status with information from BIS in target weight determination. Methods The decision aid was based on empirical experience and a literature review identifying physiological parameters already used in the clinical assessment of fluid status. Content validity was established by patient representatives, interdisciplinary stakeholders and external experts, who assessed item relevance and comprehensiveness. Reliability was assessed by inter‐rater agreement analysis between nurses assessing typical patient cases. Results The decision aid for Recognition and Correction of Volume Alterations (RECOVA) consists of three parts (1) a scoring system; (2) thresholds and triggers; (3) a decision aid algorithm. Agreement between raters in the assessment of symptoms was almost perfect, with Intraclass Correlation Coefficient > 0.90. Agreement in clinical response was only fair, but increased to moderate, with training and self‐reported confidence. Conclusion RECOVA may enable systematic clinical assessment of fluid status, facilitating early recognition of fluid alterations, and incorporation of bioimpedance into target weight management. However, implementation into clinical practice will require training of staff. Clinical intervention studies are required to evaluate if RECOVA facilitates response to and correction of recognised fluid alterations.

show abstract

“…Crucially this measure of fluid excess or deficiency, defined as the hydration status (HS), gives an easily interpretable value that can be used alongside traditional clinical assessments to optimise fluid management (Lindley et al . ).…”

Section: Introductionmentioning

confidence: 97%

Use of Hand‐to‐hand Measurements for Body Composition Monitoring in Patients With Inaccessible or Amputated Feet

Keane

Lindley

2014

Journal of Renal Care

Self Cite

View full text Add to dashboard Cite

The agreement between H-H and H-F measurements was close enough to encourage us to use H-H measurements in patients with inaccessible or amputated feet. Prior to amputation, height and weight are recorded. Target weight (TW) reductions are made gradually when close to normal hydration. Clinically, changes based on H-H measurements appear to be as appropriate as those using H-F. The desired hydration at TW can be established and then TW adjusted to maintain this hydration as the flesh weight fluctuates.

show abstract

Management of Fluid Status in Haemodialysis Patients: The Roles of Technology and Dietary Advice

Cited by 9 publications

References 29 publications

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Systematic Fluid Assessment in Haemodialysis: Development and Validation of A Decision Aid

Use of Hand‐to‐hand Measurements for Body Composition Monitoring in Patients With Inaccessible or Amputated Feet

Contact Info

Product

Resources

About