Fluid compliance among patients having haemodialysis: can an educational programme make a difference?

Title.  Fluid compliance among patients having haemodialysis: can an educational programme make a difference? Aim.  This paper is a report of a study to examine the effectiveness of a patient education programme on fluid compliance as assessed by interdialytic weight gain, mean predialysis blood pre...

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Bibliographic Details
Published in:Journal of advanced nursing 2008-02, Vol.61 (3), p.300-306
Main Authors: Barnett, Tony, Li Yoong, Tang, Pinikahana, Jaya, Si-Yen, Tan
Format: Article
Language:English
Subjects:
compliance
Drug Administration Routes
Female
fluid restriction
Health Knowledge, Attitudes, Practice
Hemodialysis
Humans
Kidney diseases
Kidney Failure, Chronic - nursing
Malaysia
Male
Middle Aged
Nephrology
Nurse-Patient Relations - ethics
Nursing
Patient Compliance
Patient education
Patient Education as Topic - methods
patient teaching
Program Evaluation
programme
quasi-experimental design
renal dialysis
Renal Dialysis - methods
Renal Dialysis - nursing
Self Efficacy
Studies
Treatment Outcome
Water-Electrolyte Balance
Weight Gain
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Summary:Title.  Fluid compliance among patients having haemodialysis: can an educational programme make a difference? Aim.  This paper is a report of a study to examine the effectiveness of a patient education programme on fluid compliance as assessed by interdialytic weight gain, mean predialysis blood pressure and rate of fluid adherence. Background.  Patients with end stage renal disease who receive haemodialysis are often non‐compliant with their treatment regime, especially adherence to fluid restrictions. Method.  An exploratory study was conducted in 2004–05 using a quasi‐experimental, single group design to examine the effectiveness of patient education on fluid compliance in a dialysis centre located in a major teaching hospital in Kuala Lumpur, Malaysia. Twenty‐six patients with an interdialytic weight gain of greater than 2·5 kg were identified as non‐compliant and recruited to the study. The intervention was carried out over a 2‐month period and included teaching and weekly reinforcement about diet, fluids and control of weight gain. Findings.  Patients’ mean interdialytic weight gain decreased following the educational intervention from 2·64 kg to 2·21 kg (P 
ISSN:0309-2402
1365-2648
DOI:10.1111/j.1365-2648.2007.04528.x