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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.
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]
Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: 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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  Data: Efecto de la intervenci&#243;n de enfermer&#237;a en el manejo de fluidos para mejorar los resultados de las pruebas bioqu&#237;micas y el tratamiento de di&#225;lisis en pacientes con enfermedad renal cr&#243;nica: un ensayo controlado aleatorizado.&lt;br /&gt;Efeito da interven&#231;&#227;o de enfermagem na gest&#227;o de fluidos na melhoria dos resultados dos exames bioqu&#237;micos e da terapia de di&#225;lise em pacientes com doen&#231;a renal cr&#243;nica: um ensaio cl&#237;nico randomizado controlado.
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– Name: Abstract
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  Data: 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&lt;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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Evaluar la eficacia de la intervenci&#243;n de enfermer&#237;a para controlar el volumen de l&#237;quidos en la mejor&#237;a de los resultados de las pruebas de laboratorio y en la adecuaci&#243;n de la di&#225;lisis en pacientes con exceso de volumen de l&#237;quidos. M&#233;todos. Se trata de un ensayo aleatorio, doble ciego, controlado, de grupos paralelos, en el que participaron 34 pacientes con enfermedad renal cr&#243;nica y un diagn&#243;stico de enfermer&#237;a de exceso de volumen de l&#237;quidos sometidos a hemodi&#225;lisis cr&#243;nica, aleatorizados por igual en dos grupos (control n=17 e intervenci&#243;n n=17). Se recopilaron datos sobre factores sociodemogr&#225;ficos y cl&#237;nicos, la presencia de exceso de volumen de l&#237;quidos y del equilibrio h&#237;drico. Se evaluaron los par&#225;metros de laboratorio, incluidos los electrolitos s&#233;ricos, la urea, la creatinina y los marcadores de adecuaci&#243;n de la di&#225;lisis, antes y despu&#233;s de la intervenci&#243;n. La intervenci&#243;n consisti&#243; en 13 actividades de enfermer&#237;a, que inclu&#237;an componentes educativos, de seguimiento y de recordatorio, como la monitorizaci&#243;n del equilibrio h&#237;drico, el control diario del peso, la evaluaci&#243;n del edema, el seguimiento de laboratorio y la educaci&#243;n sanitaria sobre la dieta y el autocuidado. El grupo control solo recibi&#243; la atenci&#243;n habitual que se proporciona en la cl&#237;nica de di&#225;lisis. Resultados. Se observaron mejor&#237;as significativas en los resultados de las pruebas de laboratorio y en la adecuaci&#243;n de la di&#225;lisis. La diferencia estad&#237;stica entre los grupos fue significativa en los valores medios de calcio (p&lt;0.001), urea post-hemodi&#225;lisis (p=0.002) y creatinina (p=0.006), lo que demuestra el efecto directo de la intervenci&#243;n. Adem&#225;s, se observaron mejor&#237;as en la calidad general de la di&#225;lisis y en las medidas de adecuaci&#243;n. Conclusi&#243;n. La intervenci&#243;n de enfermer&#237;a mejor&#243; significativamente los resultados de las pruebas de laboratorio y la adecuaci&#243;n de la di&#225;lisis en pacientes con insuficiencia renal cr&#243;nica y exceso de volumen de l&#237;quido, lo que pone de relieve su potencial para mejorar el manejo de los pacientes y la atenci&#243;n de enfermer&#237;a. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. Testar a efic&#225;cia de uma interven&#231;&#227;o de enfermagem para o controle do volume de l&#237;quidos na melhora dos exames laboratoriais e da adequa&#231;&#227;o da di&#225;lise em pacientes com diagn&#243;stico de Enfermagem de Excesso de volume de l&#237;quidos. M&#233;todos. Tratase de um ensaio cl&#237;nico randomizado, duplo-cego, controlado, em grupos paralelos, envolvendo 34 pacientes com doen&#231;a renal cr&#244;nica e com a presen&#231;a do diagn&#243;stico de Enfermagem Excesso de volume de l&#237;quidos, em hemodi&#225;lise cr&#244;nica, igualmente randomizados em dois grupos (controle n=17 e interven&#231;&#227;o n=17). Foram coletados dados sociodemogr&#225;ficos e cl&#237;nicos, a presen&#231;a de Excesso de volume de l&#237;quidos e equil&#237;brio h&#237;drico. Os par&#226;metros laboratoriais avaliados antes e ap&#243;s a interven&#231;&#227;o inclu&#237;ram eletr&#243;litos s&#233;ricos, ureia, creatinina e marcadores de adequa&#231;&#227;o da di&#225;lise. A interven&#231;&#227;o consistiu em 13 atividades de enfermagem, incluindo componentes educativos, de acompanhamento e de lembrete, tais como monitoramento do balan&#231;o h&#237;drico, controle di&#225;rio de peso, avalia&#231;&#227;o de edema, acompanhamento laboratorial e educa&#231;&#227;o em sa&#250;de sobre dieta e autocuidado. O grupo controle recebeu apenas o cuidado usual prestado na cl&#237;nica de di&#225;lise. Resultados. Houve melhora significativa nos exames laboratoriais e na adequa&#231;&#227;o da di&#225;lise. A diferen&#231;a estat&#237;stica entre os grupos foi significativa nos valores m&#233;dios de c&#225;lcio (p&lt;0.001), ureia p&#243;s-hemodi&#225;lise (p=0.002) e creatinina (p=0.006), demonstrando o efeito direto da interven&#231;&#227;o. Al&#233;m disso, observaram-se melhorias na qualidade global e nas medidas de adequa&#231;&#227;o da di&#225;lise. Conclus&#227;o. A interven&#231;&#227;o de enfermagem melhorou significativamente os exames laboratoriais e a adequa&#231;&#227;o da di&#225;lise em pacientes com insufici&#234;ncia renal cr&#244;nica e Excesso de volume de l&#237;quidos, destacando seu potencial para aprimorar o manejo cl&#237;nico e o cuidado de enfermagem. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of Investigaci&#243;n &amp; Educaci&#243;n en Enfermer&#237;a is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.17533/udea.iee.v43n3e12
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      – Code: eng
        Text: English
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      Pagination:
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        StartPage: 1
    Subjects:
      – SubjectFull: TREATMENT of chronic kidney failure
        Type: general
      – SubjectFull: HYPERVOLEMIA
        Type: general
      – SubjectFull: PATIENT education
        Type: general
      – SubjectFull: ANEMIA
        Type: general
      – SubjectFull: STATISTICAL models
        Type: general
      – SubjectFull: WEIGHT loss
        Type: general
      – SubjectFull: SELF-management (Psychology)
        Type: general
      – SubjectFull: DATA analysis
        Type: general
      – SubjectFull: CREATININE
        Type: general
      – SubjectFull: PHOSPHORUS
        Type: general
      – SubjectFull: FLUID therapy
        Type: general
      – SubjectFull: STATISTICAL sampling
        Type: general
      – SubjectFull: BLIND experiment
        Type: general
      – SubjectFull: REGULATION of body weight
        Type: general
      – SubjectFull: FISHER exact test
        Type: general
      – SubjectFull: HEMOGLOBINS
        Type: general
      – SubjectFull: POTASSIUM
        Type: general
      – SubjectFull: QUESTIONNAIRES
        Type: general
      – SubjectFull: NURSING interventions
        Type: general
      – SubjectFull: HEMODIALYSIS
        Type: general
      – SubjectFull: TREATMENT effectiveness
        Type: general
      – SubjectFull: NURSING
        Type: general
      – SubjectFull: EVALUATION of medical care
        Type: general
      – SubjectFull: HEMODIALYSIS facilities
        Type: general
      – SubjectFull: RANDOMIZED controlled trials
        Type: general
      – SubjectFull: MANN Whitney U Test
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: DISEASE prevalence
        Type: general
      – SubjectFull: ELECTROLYTES
        Type: general
      – SubjectFull: SERUM
        Type: general
      – SubjectFull: PRE-tests & post-tests
        Type: general
      – SubjectFull: CALCIUM
        Type: general
      – SubjectFull: WATER-electrolyte balance (Physiology)
        Type: general
      – SubjectFull: HEMATOCRIT
        Type: general
      – SubjectFull: UREA
        Type: general
      – SubjectFull: COMPARATIVE studies
        Type: general
      – SubjectFull: DATA analysis software
        Type: general
      – SubjectFull: BIOMARKERS
        Type: general
      – SubjectFull: DIET
        Type: general
      – SubjectFull: REGRESSION analysis
        Type: general
      – SubjectFull: DISEASE risk factors
        Type: general
      – SubjectFull: BRAZIL
        Type: general
    Titles:
      – TitleFull: Effect of the fluid management nursing intervention on improving biochemical test results and dialysis therapy in chronic kidney disease patients: a randomized controlled trial.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Ferreira, José Erivelton de Souza Maciel
      – PersonEntity:
          Name:
            NameFull: de Sousa, Daniel Freire
      – PersonEntity:
          Name:
            NameFull: Moreira, Rafaella Pessoa
      – PersonEntity:
          Name:
            NameFull: Morais, Huana Carolina Cândido
      – PersonEntity:
          Name:
            NameFull: Barros, Lívia Moreira
      – PersonEntity:
          Name:
            NameFull: Cavalcante, Tahissa Frota
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep-Dec2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 01205307
          Numbering:
            – Type: volume
              Value: 43
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Investigación & Educación en Enfermería
              Type: main
ResultId 1