Turkiye Klinikleri Journal of Internal Medicine

.: ORIGINAL RESEARCH
The Effects of Fluid Management Training Given to Hemodialysis Patients on Their Fluid Control Skills, Pre- and Post-Dialysis DryWeights and Quality of Life
Hemodiyaliz Hastalarına Verilen Sıvı Yönetimi Eğitiminin Sıvı Kontrolü, Diyaliz Giriş Çıkış Kuru Ağırlıkları ve Yaşam Kalitesi Üzerine Etkileri
Tuba KARABEYa, Şerife KARAGÖZOĞLUb
aDepartment of Fundamentals of Nursing, Tokat Gaziosmanpaşa University Faculty of Health Sciences, Tokat, TURKEY
bDepartment of Fundamentals of Nursing, Sivas Cumhuriyet University Faculty of Health Sciences, Sivas, TURKEY
Turkiye Klinikleri J Intern Med. 2019;4(1):1-12
doi: 10.5336/intermed.2018-63843
Article Language: EN
Full Text
ABSTRACT
 Objective: The study was conducted to assess the effect of fluid management training given to hemodialysis patients on their fluid control skills, pre-and post-dialysis dry weights and quality of life. Material and Methods: This experimental and cross-sectional study was conducted to assess the effect of fluid management training given to hemodialysis patients on their fluid control skills, preand post-dialysis dry weights and quality of life. The study involved 80 patients who underwent dialysis in the Hemodialysis Unit in 2016. Of them, 40 were assigned to the intervention group and 40 were assigned to the control group using the simple random sampling method. The Patient Information Form, the Fluid Control and the Short Form-36 Quality of Life Scale were used. The data collected were analyzed using the SPSS 22.0 package program. For the statistical analysis, the Chi-Square, Friedman's test and Mann-Whitney U test were used. Results: Our result showed that the fluid intakes of the patients in the intervention group in the last two consecutive follow-ups decreased statistically significantly compared to their pre-observation fluid intakes, that there was a decrease in their pre-and postdialysis dry weights and that their quality of life increased as their fluid control improved. Conclusion: Fluid management training given to the hemodialysis patients positively affected their fluid control skills, pre-and post-dialysis dry weights and quality of life.

Keywords: Fluid balance; hemodialysis; patient education; quality of life
ÖZET
 Amaç: Bu çalışma hemodiyaliz hastalarına verilen sıvı yönetimi eğitiminin, sıvı kontrolü, diyaliz giriş çıkış kuru ağırlıkları ve yaşam kalitesi üzerine etkilerinin değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Deneysel ve kesitsel olarak yapılan çalışmaya 2016 yılında Hemodiyaliz Ünitesinde diyalize giren 80 hasta alınmış ve basit rastgele örnekleme yöntemi ile bu hastaların 40'ı müdahale grubuna, 40'ı kontrol grubuna atanmıştır. Çalışma verilerinin toplanmasında Hasta Bilgi Formu, Sıvı Kontrol Ölçeği ve Short Form-36 Yaşam Kalitesi Ölçeği kullanılmıştır. Veriler SPSS 22,0 paket programına yüklenmiş ve istatistiksel analizde Ki-Kare, Friedman F, Mann-Whitney U testleri kullanılmıştır. Bulgular: Çalışmamızda müdahale grubundaki hastaların izlem öncesine göre özellikle ardışık son iki izlemde istatistiksel olarak önemli düzeyde sıvı alımlarının azaldığı, diyalize giriş-çıkış kuru ağırlıklarında düşüş olduğu ve sıvı kontrolü attıkça yaşam kalitelerinin yükseldiği saptanmıştır. Sonuç: Elde edilen bulgular doğrultusunda, hemodiyaliz hastalarına verilen sistematik sıvı yönetimi eğitiminin hastaların sıvı kontrolü, diyaliz giriş çıkış kuru ağırlıkları ve yaşam kalitesini pozitif yönde etkilediği söylenebilir. Bu bağlamda hemodiyaliz sürecinin niteliğini artırmada planlı ve sistematik eğitimin önemli olduğu ve hemşirelere de bu alanda büyük sorumlulukların düştüğü ifade edilebilir.

Anahtar Kelimeler: Sıvı dengesi; hemodiyaliz; hasta eğitimi; yaşam kalitesi
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