Background: Noncompliance with fluid restrictions and diet is a major problem among hemodialysis patients. This can lead to fluid overload in the interdialytic phase and the accumulation of metabolic waste. This study aims to explore the life experience of patients undergoing hemodialysis and their compliance with fluid restrictions and diet.
Method: The design of this study was qualitative with a phenomenological approach. It involved 15 patients undergoing hemodialysis interviewed using semistructured interview guidelines. The data were collected and then transcribed and analyzed using the Van Mannen method. The coding analysis used Nvivo 12 software.
Results: Patients ranged from 24 to 64 years old. More than half of the patients were not compliant with the fluid restrictions based on the IDWG score (60%, n=15). Five themes emerged: fluid restrictions and understanding related to diet (health education, fluid and diet restriction, information provider, and experience), personal motivation (activity, side effects, need, and lack of motivation), social support (family), compliance (motivation and attitude), and disease management (management of fluid and diet restriction).
Conclusion: Hemodialysis patients expressed a number of concerns that caused them not to comply with diet and fluid restrictions. Several issues identified were patient-related and potentially modifiable using the correct information or health education related to diet and fluid restriction. Nurses should be more aware of identifying these problems to address compliance issues. Future research should aim to understand nurses' perceptions and practices that may guide interventions to resolve this urgent compliance issue.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jvn.2022.05.003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Purpose: Fibrosis of muscle spindles (sensory organs) in back muscles induced by intervertebral disc (IVD) degeneration could limit transmission of muscle stretch to the sensory receptor and explain the proprioceptive deficits common in back pain. Exercise reduces back muscles fibrosis. This study investigated whether targeted muscle activation via neurostimulation reverses or resolves muscle spindle fibrosis in a model of IVD injury.
View Article and Find Full Text PDF[Clinical practice guidelines for perioperative fluid therapy in Chinese adult patients (2025 edition)].
Zhonghua Yi Xue Za Zhi
January 2025
Perioperative fluid therapy is a pivotal component of surgical patient management, as appropriate fluid administration can significantly enhance postoperative recovery. To standardize perioperative fluid therapy for adult patients in China, the Geriatric Anesthesia and Perioperative Management Group of the Chinese Society of Anesthesiology has developed the "Clinical Practice Guidelines for Perioperative Fluid Therapy in Chinese Adult Patients". Based on current clinical status in China, this guideline addressed 11 key areas based on clinical evidence, more than 30% of which is from China researchers, including principles for the selection of common fluid types, preoperative fasting and hydration following enhanced recovery after surgery (ERAS) protocols, intraoperative fluid requirements for adult patients, perioperative volume assessment, perioperative evaluation of volume overload/insufficiency, goal-directed fluid therapy, restrictive fluid therapy, perioperative fluid therapy strategies for high-risk patients, fluid resuscitation for massive blood loss, the relationship between perioperative fluid therapy and postoperative complications, and the relationship between perioperative fluid therapy and ERAS.
View Article and Find Full Text PDFThe genus , commonly found in fermented foods, is a significant group of lactic acid bacteria (LAB) with potential probiotic properties. Several strains have been proposed as probiotics due to their biotechnological capabilities. However, a few strains may exhibit opportunistic pathogenic behavior, which restricts the widespread use of all strains in food applications.
View Article and Find Full Text PDFNext-generation pharmaceuticals: the rise of sildenafil citrate ODF for the treatment of men with erectile dysfunction.
Ther Deliv
January 2025
Global Specialty Excellence, Viatris Inc, New York, USA.
Orodispersible film (ODF) is one of the novel formulations that disintegrate rapidly in the mouth without the requisite for water compared to other conventional oral solid dosage formulations. This delivery system serves as a convenient mode of administration, especially in patients who have dysphagia and fluid restriction, being beneficial to pediatric, geriatric, and bedridden patients. A novel sildenafil ODF containing sildenafil citrate is formulated to be used in patients with erectile dysfunction (ED).
View Article and Find Full Text PDFEnhanced Recovery After Surgery for patients undergoing radical cystectomy: Surgeons' perspectives and recommendations ten years after its implementation.
Eur J Surg Oncol
December 2024
Oncologic Minimally Invasive Urology and Andrology Unit, Department of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, Florence, Italy.
Background And Objectives: Enhanced Recovery After Surgery (ERAS) guidelines for Radical Cystectomy (RC) were published over ten years ago. Aim of this systematic review is to update ERAS recommendations for patients undergoing RC and to give an expert opinion on the relevance of each single ERAS item.
Methods: A systematic review was performed to identify the impact of each single ERAS item on RC outcomes.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!