Effect of a Behavioral Self-Regulation Intervention on Patient Adherence to Fluid-Intake Restrictions in Hemodialysis: a Randomized Controlled Trial

Howren, M. Bryant; Kellerman, Quinn D.; Hillis, Stephen L.; Cvengros, Jamie A.; Lawton, William J.; Christensen, Alan J.

doi:10.1007/s12160-015-9741-0

Cited by 40 publications

(64 citation statements)

References 50 publications

(48 reference statements)

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“…Twenty-four potentially relevant studies were identified for full-text analysis, but 2 were excluded for low quality, 13 were excluded because of a lack of key data for analysis. Finally, 9 RCT studies were selected, 6 published in English [10, 12-14, 23-24] and 3 in Chinese [25-27]. …”

Section: Resultsmentioning

confidence: 99%

“…Such interventions, including education, training, and behavioral introduction, which help patients gain more knowledge of dialysis and develop healthy life habits, further improve their compliance with this treatment [3, 10-13]. To date, the most commonly reported indicators for the assessment of compliance include serum phosphorus level and interdialytic weight gain (IDWG), whereas in some studies compliance has been directly evaluated and the compliance rate reported [12-14]. Recently, guidelines for compliance have been established by the World Health Organization and the National Kidney Foundation Dialysis Outcome and Quality Initiative (KDOQI) [8, 15-17].…”

Section: Introductionmentioning

confidence: 99%

“…In general, inconsistency in compliance measurements remains [12-14]. For example, some studies report biomarker changes after the intervention, which are not completely consistent with clinical outcomes [12-14].…”

Section: Introductionmentioning

confidence: 99%

“…For example, some studies report biomarker changes after the intervention, which are not completely consistent with clinical outcomes [12-14]. In this meta-analysis, we searched the literature to elucidate the effects of nursing intervention on dialysis compliance and to combine compliance/noncompliance with qualitative indicators and clinic significance.…”

Section: Introductionmentioning

confidence: 99%

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Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

et al. 2017

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Background: Dialysis is imperative for patients with end-stage renal disease (ESRD); however, compliance ensures its efficacy. Nursing intervention has been considered to improve compliance. This meta-analysis is aimed at exploring the effects of nursing intervention on dialysis compliance. Methods: A search was performed in the PubMed, Cochrane, and Embase databases for relevant original research articles. Studies were included or excluded based on the simultaneous consideration of quality as ranked by Jadad score and the compliance with predefined selection criteria. Results: A total of 817 participants were included. The results showed that nursing intervention led to significantly higher compliance with dialysis than in standard care. A pilot analysis evidenced that different intervention strategies, including educational, cognitive, and behavioral approaches, had limited effects on dialysis compliance. Conclusion: Nursing intervention is beneficial for raising dialysis compliance, providing evidence of the need to strengthen nursing care for ESRD patients administered with dialysis in daily clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

et al. 2017

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“…HD'de en fazla stres yaratan ve tedaviye uyumda zorlanılan alan sıvı kısıtlamasıdır (4,19,21,22,23,24,25). Hastalık ilerledikçe HD hastaları idrar oluşturma yeteneklerini kaybeder.…”

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Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Karabulutlu¹,

Yilmaz²

2020

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ÖZETAmaç: Bu araştırma, hemodiyaliz tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerini değerlendirmek ve sıvı kısıtlamasına uyumu etkileyen faktörleri belirlemek amacıyla yapılmıştır. Results: It was found that individuals receiving hemodialysis had a moderate level of concordance with fluid restriction (51.23±5.88); they had high levels of knowledge regarding fluid restriction (20.22±1.07); and they had a moderate level of concordance in terms of behavioral aspects (22.42±4.23), but low levels of concordance in terms of the attitudes aspect (8.59±2.61). Individuals' concordance with fluid restriction was found to be influenced by gender and marital status; knowledge level was found to be influenced by gender and treatment duration, and behavior was significantly influenced by gender. Women, in comparison to men, were found to have higher concordance levels in terms of knowledge, behavior and total fluid control aspects; single patients' level of concordance with total fluid control was higher compared to married patients, and the level of knowledge about fluid control was lower in patients who had had a treatment duration of 6 months to 2 years, in comparison with other groups. Interdialytic weight gain decreased with increasingly concordant attitudes and total scores for fluid control, and the amount of ultrafiltration needed decreased with the increase in behavior and total scores. Gereç ve Conclusion:It was found that individuals who received hemodialysis were not adequately concordant with fluid restriction. Individualized training and practice is required to increase concordance with fluid restriction.

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Interdialytic weight gain and educational/cognitive, counseling/behavioral and psychological/affective interventions in patients on chronic hemodialysis: a systematic review and meta-analysis

Bossola

Pepe

Antocicco³

et al. 2022

J Nephrol

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Background This work aimed to shed light on the notorious debate over the role of an educational/cognitive/behavioral or psychological approach in the reduction of interdialytic weight gain (IDWG) in patients on chronic hemodialysis. Methods Searches were run from 1975 to January 2022 on Medline, PubMed, Web of Science, and the Cochrane Library. The search terms included “hemodialysis/haemodialysis” AND “adherence” AND (“fluid intake” OR “water intake”) AND (“weight gain” OR “interdialytic weight gain” OR “IDWG”) AND “patient-level interventions. Randomized controlled studies were eligible if they were in English, published in a peer-reviewed journal and regarded adults patients with on chronic hemodialysis for at least 6 months; compared educational/cognitive and/or counseling/behavioral or psychological interventions to no intervention on interdialytic weight gain. Outcome of interest was interdialytic weight gain. The review was registered on the International Prospective Register of Systematic Reviews in Health and Social Care (PROSPERO, ID number CRD42022332401). Results Eighteen studies (1759 patients) were included in the analysis. Compared to the untreated group, educational/cognitive and/or counseling/behavioral interventions significantly reduced interdialytic weight gain with a pooled mean difference of − 0.15 kg (95% CI − 0.26, 30–0.05; P = 0.004). On the other hand, psychological/affective interventions reduced interdialytic weight gain with a pooled mean difference of − 0.26 kg (95% CI − 0.48, − 0.04; P = 0.020). Conclusions Educational/cognitive, counseling/behavioral or psychological/affective interventions significantly reduced the interdialytic weight gain in patients on chronic hemodialysis, although such reduction did not appear to be clinically relevant on hard outcomes. Graphical abstract

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Effect of a Behavioral Self-Regulation Intervention on Patient Adherence to Fluid-Intake Restrictions in Hemodialysis: a Randomized Controlled Trial

Cited by 40 publications

References 50 publications

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease: A Meta-Analysis

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Interdialytic weight gain and educational/cognitive, counseling/behavioral and psychological/affective interventions in patients on chronic hemodialysis: a systematic review and meta-analysis

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