Monitoring for intradialytic hypotension: An audit of nursing practice

McIntyre, H. David; Bonner, Ann

doi:10.1111/jorc.12343

Cited by 7 publications

(6 citation statements)

References 32 publications

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“…As previously discussed, the internet technology helped automate the entire patient care workflow to facilitate real-time services and accurate strategies [30, 31]. The internet-based system assisted medical personnel to rapidly diagnose blood pressure trends and take preemptive intervention which was important for avoiding IDH or muscle cramps occurrence during hemodialysis [32].…”

Section: Discussionmentioning

confidence: 99%

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

Jin

Cheng

et al. 2021

Blood Purif

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Background: The purpose of this study was to observe the impact of an internet-based management system on the incidence of intradialytic hypotension (IDH) and muscle cramps in hemodialysis patients. Methods: The patients, who underwent maintenance hemodialysis in the center from January 2018 to June 2020, were recruited and divided into the pre-intervention group (before operation of the internet-based hemodialysis management system, from January 2018 to December 2018) and intervention group (after operation of the system, from June 2019 to June 2020). The clinical outcomes were compared between groups. Results: The compound endpoint of >1 IDH or muscle cramps happened in 182 patients (61.7%) in the pre-intervention group and 99 participants (30.8%) in the intervention group (relative risk [RR] = 0.50 [95% confidence interval [CI], 0.42; 0.60]). IDH occurred in 122 patients (1–5 episodes in 47 patients, 6–10 episodes in 25 patients, and >10 episodes in 50 patients) and 33 patients (30 patients had 1–5 episodes and 3 patients had 6–10 episodes) before and after execution of the internet-based management system, respectively (RR = 0.25 [95% CI, 0.18; 0.35]). The incidence of muscle cramps was significantly decreased (RR = 0.57 [95% CI, 0.45; 0.73]) after the implementation of the system, and the number of patients with 6–10 episodes dropped from 10 to 1. Multivariate analyses also showed significantly lower RRs in the intervention group: 0.29 ([95% CI, 0.20; 0.41]) for IDH and 0.58 ([95% CI, 0.45; 0.74]) for muscle cramps. Compared with the pre-intervention, participants in the intervention group had a large improvement in self-management (p < 0.001) and self-efficacy (p < 0.001). Conclusion: The study found that the internet-based hemodialysis management system was effective in reducing the IDH and muscle cramp events and improving self-management. It provided a significant implication for the development and application of internet-based programs in hemodialysis management.

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Section: Discussionmentioning

confidence: 99%

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

Jin

Cheng

et al. 2021

Blood Purif

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“…Uncontrollable high blood pressure and edema are the main risk factor developing heart disease (7) . The prevalence of hypertension during dialysis is 15% to 50% of patients receiving hemodialysis treatment (8) .…”

Section: Introducationmentioning

confidence: 99%

Effect of Guidelines Based Practice on Dialysis Complications in Patients on Permanent Hemodialysis

Ali¹,

Yaqoob²,

Aziz³

2023

PJMHS

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Background: Hemodialysis patients experienced a number of issues that led to early session termination, decreased waste removal, and ultimately decreased dialysis effectiveness. The dialysis unit's nursing staff struggles to care for these patients. An updated practice guideline is needed to provide the proper interventions to lower complications and improve patient outcomes. Long-term maintenance hemodialysis has also changed the way that patients with end-stage renal failure are treated, reducing the risk of death. Objective: To assess the effect of guidelines based practice on dialysis complications in patients on permanent hemodialysis. Methodology: A single group quasi experimental conducted in Sheikh Zayed Hospital Lahore Punjab Pakistan from 1 June to 15 August 2022, data was collected Through the use of a self-structured tool from 30 people receiving hemodialysis for at least six months. The validity and reliability of the tool were initially assessed. A systematic instruction workshop was offered to care providers following the pre data, and the previously described criteria were reassess. Result: According to this study, there were 60% men and 40% female, had age between 30 to 39 (43.3%) and mostly 70% belong to urban area. The McNemar test evaluated the reduction between the pre- and post-dialysis fatigue, headache, vomiting, nausea, breathlessness and cramps with statistical significance (P<0.05). Practical implication: Patients receiving hemodialysis must need a complete nursing care in order to reduce dialysis induced complications. Conclusion: The significant reduction of dialysis complication after conducted dialysis on guideline base; it is recommended that dialysis be performed in accordance with the most recent clinical guidelines to improve hemodialysis procedures and boost hemodialysis efficacy. Keywords: Hemodialysis, Guidelines based practice and Dialysis Complications

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“…En el tratamiento de la hemodiálisis, una de las complicaciones que se presenta con mayor frecuencia es la hipotensión arterial. 1 Ésta se suscita como una respuesta cardiovascular ante una reducción importante del volumen plasmático, es decir, suele originarse cuando se extrae un gran cantidad de dicho líquido en un corto periodo y la sustancia restante se desplaza del espacio intersticial al espacio intravascular. 1 La organización Kidney Disease Improving Global Outcomes (KDIGO) define esta afección como una disminución mayor de 20 mmHg de la tensión arterial sistólica (TAS) o de más de 10 mmHg de tensión arterial media (TAM) asociada a síntomas.…”

Section: Introductionunclassified

“…1 Ésta se suscita como una respuesta cardiovascular ante una reducción importante del volumen plasmático, es decir, suele originarse cuando se extrae un gran cantidad de dicho líquido en un corto periodo y la sustancia restante se desplaza del espacio intersticial al espacio intravascular. 1 La organización Kidney Disease Improving Global Outcomes (KDIGO) define esta afección como una disminución mayor de 20 mmHg de la tensión arterial sistólica (TAS) o de más de 10 mmHg de tensión arterial media (TAM) asociada a síntomas. 2,3 La hipotensión arterial se considera de especial preocupación debido a que produce malestar en el paciente durante el proceso dialítico extracorpóreo y genera obstáculos para garantizar el éxito del tratamiento.…”

Section: Introductionunclassified

Competencia clínica del personal de enfermería para el manejo de la hipotensión arterial intradialítica en el servicio de hemodiálisis del Centro Médico Naval

Citalán Morales,

Gallardo García,

López Rivera

2023

Rev.Enferm.Neurol

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Introducción: el correcto manejo de la hipotensión arterial durante la hemodiálisis es fundamental en la formación y trabajo del personal de enfermería nefrológica del Centro Médico Naval. El personal debe tener conocimientos suficientes sobre la hipotensión y sus factores asociados que le ayuden a predecirla y actuar de manera preventiva, así como con habilidades instrumentales para llevar a cabo medidas en la práctica. Objetivo: analizar la competencia clínica del personal de enfermería en el servicio de hemodiálisis del Centro Médico Naval con respecto a su formación académica y experiencia profesional en el manejo de la hipotensión arterial intradialítica. Metodología: estudio prospectivo, descriptivo y observacional. Se emplearon dos instrumentos: una adaptación del Cuestionario de conocimientos para el manejo de hemodiálisis de Miller y la Guía de observación de habilidades instrumentales en el personal de enfermería de Murillo. Resultados: se contó con una muestra de doce enfermeros pertenecientes al servicio de hemodiálisis. El 33.3% mostró un nivel regular de competencia clínica y 66.7% un nivel bueno. En promedio, la competencia clínica se ubicó en 78%. Discusión: los resultados obtenidos difieren de los reportados en otras investigaciones, tanto por el año de aplicación como de los sujetos evaluados. Limitaciones: se contó con una muestra baja debido a que el personal del servicio no es numeroso. Conclusiones: es necesario reforzar los conocimientos del personal sobre el tema. Sin embargo, se observó que las habilidades instrumentales fueron excelentes en todos los casos. No se observa relación con el nivel de estudios o la experiencia profesional.

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Monitoring for intradialytic hypotension: An audit of nursing practice

Cited by 7 publications

References 32 publications

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

Effect of Guidelines Based Practice on Dialysis Complications in Patients on Permanent Hemodialysis

Competencia clínica del personal de enfermería para el manejo de la hipotensión arterial intradialítica en el servicio de hemodiálisis del Centro Médico Naval

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