Intradialytic hypotension prevalence, influencing factors, and nursing interventions: prospective results of 744 hemodialysis sessions
IRISH JOURNAL OF MEDICAL SCIENCE, vol.189, no.4, pp.1471-1476, 2020 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 189 Issue: 4
- Publication Date: 2020
- Doi Number: 10.1007/s11845-020-02249-9
- Journal Name: IRISH JOURNAL OF MEDICAL SCIENCE
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, EMBASE, MEDLINE
- Page Numbers: pp.1471-1476
- Istanbul University Affiliated: No
Abstract
Introduction The aim of this study was to evaluate intradialytic hypotension (IDH) prevalence, influencing factors, and nursing interventions in hemodialysis (HD) patients. Methods This descriptive and cross-sectional study was conducted at a private dialysis center. The patients were followed-up in terms of IDH development based on the European Best Practice Guidelines criteria during six consecutive HD sessions. The study followed the STROBE checklist. Results A total of 744 hemodialysis sessions of 124 patients were monitored. IDH developed in 51.6% of the patients and the prevalence was 17.60%. The most common nursing interventions were stopping ultrafiltration and isotonic saline solution administration. White blood cell (WBC) (p = 0.017) and creatinine (p = 0.005) values were statistically significantly higher in patients developing IDH. WBC was found to increase IDH development risk 0.796 times (95% CI [0.657-0.996], p = 0.021). Conclusion Nursing staff awareness regarding the frequency of IDH in hemodialysis patients and the related symptoms needs to be increased.