Patient perspectives on fluid management in chronic hemodialysis.

Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation
Kimberly SmithKerri L Cavanaugh

Abstract

We sought to describe the perspectives and experiences of chronic hemodialysis (CHD) patients regarding self-care and adherence to fluid restrictions. Semistructured focus groups. Two outpatient hemodialysis centers. Nineteen patients on chronic hemodialysis. Patients were asked a series of open-ended questions to encourage discussion about the management of fluid restriction within the broad categories of general knowledge, knowledge sources or barriers, beliefs and attitudes, self-efficacy, emotion, and self-care skills. We analyzed session transcripts using the theoretical framework of content analysis to identify themes generated by the patients. Patients discussed both facilitators and barriers to fluid restriction, which we categorized into six themes: knowledge, self-assessment, psychological factors, social, physical, and environmental. Psychological factors were the most common barriers to fluid restriction adherence, predominantly involving lack of motivation. Knowledge was the most discussed facilitator with accurate self-assessment, positive psychological factors, and supportive social contacts also playing a role. Dialysis providers were most commonly described as the source of dialysis information (54%), but learn...Continue Reading

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Jun 19, 2010·Seminars in Dialysis·Julie A Wright, Kerri L Cavanaugh
Oct 4, 2011·Néphrologie & thérapeutique·Laëtitia IdierPhilippe Chauveau
Nov 22, 2011·Hemodialysis International·Magnus Lindberg
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Jun 7, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Jennifer E FlytheGary C Curhan
Oct 19, 2019·BMC Nephrology·Damien AshbyMartin Wilkie
Oct 18, 2019·Journal of Renal Care·Guillermo Pedreira Robles, Mariela Patricia Aguayo-González
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