Effect of the fluid management nursing intervention on improving biochemical test results and dialysis therapy in chronic kidney disease patients: a randomized controlled trial.
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| Title: | Effect of the fluid management nursing intervention on improving biochemical test results and dialysis therapy in chronic kidney disease patients: a randomized controlled trial. |
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| Alternate Title: | Efecto de la intervención de enfermería en el manejo de fluidos para mejorar los resultados de las pruebas bioquímicas y el tratamiento de diálisis en pacientes con enfermedad renal crónica: un ensayo controlado aleatorizado. Efeito da intervenção de enfermagem na gestão de fluidos na melhoria dos resultados dos exames bioquímicos e da terapia de diálise em pacientes com doença renal crónica: um ensaio clínico randomizado controlado. |
| Authors: | Ferreira, José Erivelton de Souza Maciel1 eriveltonsmf@gmail.com, de Sousa, Daniel Freire1 daniel@unilab.edu.br, Moreira, Rafaella Pessoa1 rafaellapessoa@unilab.edu.br, Morais, Huana Carolina Cândido1 huanacarolina@unilab.edu.br, Barros, Lívia Moreira1 livia@unilab.edu.br, Cavalcante, Tahissa Frota1 tahissa@unilab.edu.br |
| Source: | Investigación & Educación en Enfermería. Sep-Dec2025, Vol. 43 Issue 3, p1-18. 18p. |
| Subjects: | TREATMENT of chronic kidney failure, HYPERVOLEMIA, PATIENT education, ANEMIA, STATISTICAL models, WEIGHT loss, SELF-management (Psychology), DATA analysis, CREATININE, PHOSPHORUS, FLUID therapy, STATISTICAL sampling, BLIND experiment, REGULATION of body weight, FISHER exact test, HEMOGLOBINS, POTASSIUM, QUESTIONNAIRES, NURSING interventions, HEMODIALYSIS, TREATMENT effectiveness, NURSING, EVALUATION of medical care, HEMODIALYSIS facilities, RANDOMIZED controlled trials, MANN Whitney U Test, DESCRIPTIVE statistics, DISEASE prevalence, ELECTROLYTES, SERUM, PRE-tests & post-tests, CALCIUM, WATER-electrolyte balance (Physiology), HEMATOCRIT, UREA, COMPARATIVE studies, DATA analysis software, BIOMARKERS, DIET, REGRESSION analysis, DISEASE risk factors |
| Geographic Terms: | BRAZIL |
| Abstract (English): | Objetive. To test the effectiveness of nursing intervention to control fluid volume on improving laboratory test results and dialysis adequacy in patients with Excess fluid volume. Methods. This is a randomized, double-blind, parallel-group controlled trial involving 34 patients with chronic kidney disease and a nursing diagnosis of Excess Fluid Volume undergoing chronic hemodialysis equally randomized into two groups (control n=17 and intervention n=17). Data were collected on sociodemographic and clinical factors, the presence of Excess Fluid Volume, and water balance. Laboratory parameters, including serum electrolytes, urea, creatinine, and dialysis adequacy markers, were assessed before and after the intervention. The intervention consisted of 13 nursing activities, including educational, follow-up, and reminder components, such as fluid balance monitoring, daily weight control, edema assessment, laboratory follow-up, and health education on diet and selfcare. The control group received only the usual care provided at the dialysis clinic. Results. There were significant improvements in laboratory test results and dialysis adequacy. The statistical difference between the groups was significant in the mean values of calcium (p<0.001), post-hemodialysis urea (p=0.002), and creatinine (p=0.006), demonstrating the direct effect of the intervention. In addition, there were improvements in overall dialysis quality and adequacy measures. Conclusion. The nursing intervention significantly improved laboratory test results and dialysis adequacy in patients with chronic renal failure and Excess Fluid Volume, highlighting its potential for enhancing patient management and nursing care. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo. Evaluar la eficacia de la intervención de enfermería para controlar el volumen de líquidos en la mejoría de los resultados de las pruebas de laboratorio y en la adecuación de la diálisis en pacientes con exceso de volumen de líquidos. Métodos. Se trata de un ensayo aleatorio, doble ciego, controlado, de grupos paralelos, en el que participaron 34 pacientes con enfermedad renal crónica y un diagnóstico de enfermería de exceso de volumen de líquidos sometidos a hemodiálisis crónica, aleatorizados por igual en dos grupos (control n=17 e intervención n=17). Se recopilaron datos sobre factores sociodemográficos y clínicos, la presencia de exceso de volumen de líquidos y del equilibrio hídrico. Se evaluaron los parámetros de laboratorio, incluidos los electrolitos séricos, la urea, la creatinina y los marcadores de adecuación de la diálisis, antes y después de la intervención. La intervención consistió en 13 actividades de enfermería, que incluían componentes educativos, de seguimiento y de recordatorio, como la monitorización del equilibrio hídrico, el control diario del peso, la evaluación del edema, el seguimiento de laboratorio y la educación sanitaria sobre la dieta y el autocuidado. El grupo control solo recibió la atención habitual que se proporciona en la clínica de diálisis. Resultados. Se observaron mejorías significativas en los resultados de las pruebas de laboratorio y en la adecuación de la diálisis. La diferencia estadística entre los grupos fue significativa en los valores medios de calcio (p<0.001), urea post-hemodiálisis (p=0.002) y creatinina (p=0.006), lo que demuestra el efecto directo de la intervención. Además, se observaron mejorías en la calidad general de la diálisis y en las medidas de adecuación. Conclusión. La intervención de enfermería mejoró significativamente los resultados de las pruebas de laboratorio y la adecuación de la diálisis en pacientes con insuficiencia renal crónica y exceso de volumen de líquido, lo que pone de relieve su potencial para mejorar el manejo de los pacientes y la atención de enfermería. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo. Testar a eficácia de uma intervenção de enfermagem para o controle do volume de líquidos na melhora dos exames laboratoriais e da adequação da diálise em pacientes com diagnóstico de Enfermagem de Excesso de volume de líquidos. Métodos. Tratase de um ensaio clínico randomizado, duplo-cego, controlado, em grupos paralelos, envolvendo 34 pacientes com doença renal crônica e com a presença do diagnóstico de Enfermagem Excesso de volume de líquidos, em hemodiálise crônica, igualmente randomizados em dois grupos (controle n=17 e intervenção n=17). Foram coletados dados sociodemográficos e clínicos, a presença de Excesso de volume de líquidos e equilíbrio hídrico. Os parâmetros laboratoriais avaliados antes e após a intervenção incluíram eletrólitos séricos, ureia, creatinina e marcadores de adequação da diálise. A intervenção consistiu em 13 atividades de enfermagem, incluindo componentes educativos, de acompanhamento e de lembrete, tais como monitoramento do balanço hídrico, controle diário de peso, avaliação de edema, acompanhamento laboratorial e educação em saúde sobre dieta e autocuidado. O grupo controle recebeu apenas o cuidado usual prestado na clínica de diálise. Resultados. Houve melhora significativa nos exames laboratoriais e na adequação da diálise. A diferença estatística entre os grupos foi significativa nos valores médios de cálcio (p<0.001), ureia pós-hemodiálise (p=0.002) e creatinina (p=0.006), demonstrando o efeito direto da intervenção. Além disso, observaram-se melhorias na qualidade global e nas medidas de adequação da diálise. Conclusão. A intervenção de enfermagem melhorou significativamente os exames laboratoriais e a adequação da diálise em pacientes com insuficiência renal crônica e Excesso de volume de líquidos, destacando seu potencial para aprimorar o manejo clínico e o cuidado de enfermagem. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objetive. To test the effectiveness of nursing intervention to control fluid volume on improving laboratory test results and dialysis adequacy in patients with Excess fluid volume. Methods. This is a randomized, double-blind, parallel-group controlled trial involving 34 patients with chronic kidney disease and a nursing diagnosis of Excess Fluid Volume undergoing chronic hemodialysis equally randomized into two groups (control n=17 and intervention n=17). Data were collected on sociodemographic and clinical factors, the presence of Excess Fluid Volume, and water balance. Laboratory parameters, including serum electrolytes, urea, creatinine, and dialysis adequacy markers, were assessed before and after the intervention. The intervention consisted of 13 nursing activities, including educational, follow-up, and reminder components, such as fluid balance monitoring, daily weight control, edema assessment, laboratory follow-up, and health education on diet and selfcare. The control group received only the usual care provided at the dialysis clinic. Results. There were significant improvements in laboratory test results and dialysis adequacy. The statistical difference between the groups was significant in the mean values of calcium (p<0.001), post-hemodialysis urea (p=0.002), and creatinine (p=0.006), demonstrating the direct effect of the intervention. In addition, there were improvements in overall dialysis quality and adequacy measures. Conclusion. The nursing intervention significantly improved laboratory test results and dialysis adequacy in patients with chronic renal failure and Excess Fluid Volume, highlighting its potential for enhancing patient management and nursing care. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01205307 |
| DOI: | 10.17533/udea.iee.v43n3e12 |
