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The Experience of Fluid Management in Hemodialysis Patients
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Yoonsoo Kim, Miyoung Kim
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J Korean Acad Nurs 2015;45(5):773-782. Published online October 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.5.773
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 Abstract
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Purpose
The purpose of this study was to explore the experience of fluid management in hemodialysis patients by describing how they manage fluid intake and what affects fluid management.
Methods
Purposive sampling yielded 11 patients who have received hemodialysis for one year or longer in one general hospital. Data were collected through in-depth interviews and analysed using Giorgi's phenomenological method. Data collection and analysis were performed concurrently.
Results
The findings regarding how hemodialysis patients manage fluid intake were classified into four constituents: 'recognizing the need for fluid control', 'observing the status of fluid accumulation', 'controlling fluid intake and output', 'getting used to fluid management'. The factors that affect fluid management of hemodialysis patients were revealed as 'willpower', 'change in the mindset', 'support system', and 'emotional state'.
Conclusion
The study results show that hemodialysis patients manage fluid intake through food and exercise as well as interpersonal relationships. These findings suggest that strategies in the development of nursing interventions for hemodialysis patients should be directed at assisting them in familiarization with fluid management based on an understanding of their sociocultural contexts.
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Citations
Citations to this article as recorded by  - The Mediating Effects of Symptom Experiences on the Relationship between Body Image and Quality of Life among Hemodialysis Patients in a Single Center
Yaki Yang
Healthcare.2024; 12(17): 1779. CrossRef - Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
Jinhyang Yang, Myung-Ok Cho, Haeok Lee
Applied Nursing Research.2022; 65: 151584. CrossRef - Socioecological Factors Affecting Fluid Restriction Adherence Among Korean Patients Receiving Hemodialysis: A Qualitative Study
Eun Ju Lee, Ae Kyung Chang, Yoon Chung Chung
Journal of Transcultural Nursing.2021; 32(3): 239. CrossRef - Design Criteria for Haemodialysis Patients Based on Self-Weight-Management Behaviour
Bogyeong Kim, Chorong Kim, Ki-Young Nam
Archives of Design Research.2019; 32(1): 31. CrossRef - Family Characteristics, Family Support, Family Function and Compliance of Patient Role Behavior in Long-term Hemodialysis Patients
Sinhye Kang, Inja Kim
The Korean Journal of Rehabilitation Nursing.2019; 22(1): 58. CrossRef - Phenomenology on the Hemodialysis Experience of Patients with End-Stage Renal Disease
Eun Ja Lee, Hyun Sook Jo, Sang Suk Kim
The Korean Journal of Rehabilitation Nursing.2018; 21(1): 22. CrossRef - Validity and Reliability Test of the Korean Version of the Hemodialysis Self-Management Instrument (HDSMI-K)
Jieun Cha, Jiyoung Kang
Journal of Health Informatics and Statistics.2017; 42(2): 153. CrossRef
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