Content Analysis of the Diagnostic Proposition Risk of Excessive Fluid Volume in Hemodialysis Patients

Abstract

Objective: To analyze the content of the diagnostic proposition risk of excessive fluid volume in patients undergoing hemodialysis. Method: Content validity study, with 48 judges who assessed the content of the diagnostic proposition risk of excessive fluid volume, using an electronic data collection instrument. The judges’ answers were analyzed through the calculation of the Content Validity Index and the T test. Results: The risk of excessive fluid volume was considered adequate, containing 23 risk factors: increased sodium concentration in the dialysate; missing hemodialysis sessions; insufficient water; low self-efficacy for fluid restriction; deficient knowledge; altered body mass index; excessive intake of fluids, proteins and sodium; lower kt/v index; inadequate removal of fluids in hemodialysis; thirst; xerostomia; older people; comorbidities; renal function decline; decreased urinary volume; inflammatory status; hospitalization; low serum level of albumin and lymphocytes, and high level of phosphorus; and use of antihypertensive drugs. Conclusion: The content of the diagnostic proposition risk of excessive fluid volume was considered adequate by the judges.

Construction of haemodialysis nursing‐sensitive quality indicators based on Donabedian theory: A Delphi method study

“…Therefore, increasing the proportion of blood purification specialist nurses plays a crucial role in improving the quality of haemodialysis and is a major factor affecting patient death (Fernandes et al, 2021;Keber et al, 2021). Interdialytic weight gain is an effective objective indicator to evaluate the fluid intake behaviour of haemodialysis patients.…”

“…Water retention is a common clinical problem in haemodialysis patients. Approximately 30% ~ 37% of haemodialysis patients have water retention, and excessive fluid volume is closely related to difficulty correcting haemodialysis‐related complications and is a major factor affecting patient death (Fernandes et al, 2021; Keber et al, 2021). Interdialytic weight gain is an effective objective indicator to evaluate the fluid intake behaviour of haemodialysis patients.…”