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Applying Self-Management Strategies to the Control of Interdialytic Weight Gain in Hemodialysis Patients

Hu li za zhi, 2021-10, Vol.68 (5), p.83-91 [Peer Reviewed Journal]

Copyright Taiwan Nurses Association Oct 2021 ;ISSN: 0047-262X ;DOI: 10.6224/JN.202110_68(5).11 ;PMID: 34549411

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  • Title:
    Applying Self-Management Strategies to the Control of Interdialytic Weight Gain in Hemodialysis Patients
  • Author: Yeh, Shu-Min ; Lin, Yu-Ju ; Hsu, Tzu-Chuan ; Chang, Yu-Ting
  • Subjects: Audits ; Disease management ; Hemodialysis ; Humans ; Hydration ; Kidney diseases ; Nursing ; Nursing care ; Nursing education ; Patient education ; Quality of care ; Renal Dialysis ; Self-Management ; Weight control ; Weight Gain
  • Is Part Of: Hu li za zhi, 2021-10, Vol.68 (5), p.83-91
  • Description: The control of interdialytic weight gain (IDWG) in hemodialysis patients is crucial for maintaining dialysis quality. The results of a survey in our department revealed patients to be unmotivated, have poor self-control, not regularly manage their fluid intake or measure their body weight, and discount the importance of controlling IDWG. The nursing instruction adherence for IDWG control among nurses was only 61.6%. Moreover, the leaflet used for nursing instruction used highly repetitive messaging and lacked pictorial aids. Consequently, up to 48.6% of the patients in our department had an IDWG dry weight percentage of ≥ 5%. To reduce the proportion of hemodialysis patients with an IDWG dry weight percentage of ≥ 5% from the current 48.6% to 29.2%. From August 1, 2019 to May 31, 2020, the improvement program developed in this project included: (1) the addition of an IDWG calculation and reminder function in the information system; (2) development of nursing instruction tools for IDWG control; (3) utilization
  • Publisher: China (Republic : 1949- ): Taiwan Nurses Association
  • Language: Chinese
  • Identifier: ISSN: 0047-262X
    DOI: 10.6224/JN.202110_68(5).11
    PMID: 34549411
  • Source: MEDLINE
    ProQuest Central
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