Dialysis staff encouragement and fluid control adherence in patients on hemodialysis.

Yoko Yokoyama, Yoshimi Suzukamo, Osamu Hotta, Shin Yamazaki, Takehiko Kawaguchi, Takeshi Hasegawa, Shigemi Chiba, Toshiko Moriya, Emi Abe, Satoshi Sasaki, Megumi Haga, Shunichi Fukuhara

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)

Abstract

BACKGROUND: Fluid control in patients on dialysis is an important predictor of outcome but is a difficult restriction to achieve. The authors examined the association between dialysis staff encouragement and fluid control adherence in patients on hemodialysis. METHODS: This cross-sectional study used the dialysis staff encouragement subscale (DSE). The outcome measure was intradialytic weight loss (IWL) of dry weight (DW), with nonadherence defined as IWL/DW greater than 5.7%. Predictors of nonadherence were identified using logistic regression. Odds ratio (OR) was for the occurrence of nonadherence as it correlated with a one standard deviation (SD) decrease in scale score. RESULTS: Seventy-two patients on hemodialysis participated, 45 men (62.5%) and 27 women. The crude OR in DSE score was 1.75 (95% confidence interval [CI]: 1.02 to 3.0) and adjusted odds ratio was 2.51 (95% CI: 0.99 to 6.34). CONCLUSION: Dialysis staff encouragement is important in improving fluid control adherence.

Original languageEnglish
Pages (from-to)289-297
Number of pages9
JournalNephrology nursing journal : journal of the American Nephrology Nurses' Association
Volume36
Issue number3
Publication statusPublished - 2009 May

ASJC Scopus subject areas

  • Medicine(all)

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