Assessment of hemodialysis adequacy and its relationship with individual and personal factors
Background: Hemodialysis is the most common renal replacement therapy in the world, and hemodialysis adequacy is an important and influencial factor in the reduction of various complications experienced by these patients. Multiple factors influence hemodialysis adequacy. This study was conducted to...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Iranian Journal of Nursing and Midwifery Research |
| Subjects: | |
| Online Access: | http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2016;volume=21;issue=6;spage=577;epage=582;aulast=Rezaiee |
| _version_ | 1819200116504920064 |
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| author | Ozra Rezaiee Nahid Shahgholian Shahrzad Shahidi |
| author_facet | Ozra Rezaiee Nahid Shahgholian Shahrzad Shahidi |
| author_sort | Ozra Rezaiee |
| collection | DOAJ |
| description | Background: Hemodialysis is the most common renal replacement therapy in the world, and hemodialysis adequacy is an important and influencial factor in the reduction of various complications experienced by these patients. Multiple factors influence hemodialysis adequacy. This study was conducted to determine hemodialysis adequacy and its relationship with individual and personal factors in patients undergoing hemodialysis in three hemodialysis centers of Isfahan, Iran.
Materials and Methods: This descriptive, cross-sectional study was conducted in partnership with 202 patients undergoing hemodialysis in three hemodialysis centers of Isfahan. The data were collected using a researcher-made questionnaire, and hemodialysis adequacy was measured using the urea reduction ratio (URR). Data analysis was conducted using Spearman's correlation coefficient, Mann–Whitney and Kruskal–Wallis tests, and descriptive statistics (frequency distribution). In this study, the level of significance was considered to be 0.05.
Results: Hemodialysis adequacy in 56.4% of patients was optimal, in 29.7% near optimum, and in 13.9% less than optimal. Statistical tests showed a significant correlation between hemodialysis adequacy and age (P = 0.05), prehemodialysis systolic blood pressure (BP) (P = 0.02) and diastolic BP (P = 0.04), the duration of hemodialysis in months (P = 0.02), and patients' sex (P = 0.01). There was no significant correlation between hemodialysis adequacy and the number of hemodialysis cessations per week (P = 0.20), interdialytic weight gain (P = 0.40), prehemodialysis blood urea nitrogen (P = 0.40), creatinine (P = 0.10), hemoglobin (P = 0.20), hematocrit (P = 0.08), venous access type (P = 0.30), needle distance and direction (P = 0.70), underlying causes of end-stage renal disease (P = 0.50), and personnel's shift (P = 0.90).
Conclusions: The results of the study showed that approximately half of the patients did not have an optimal level of hemodialysis adequacy, and multiple individual and personnel factors affect hemodialysis adequacy directly or conversely. |
| first_indexed | 2024-12-23T03:27:07Z |
| format | Article |
| id | doaj.art-a338f7c80b3f48468c0eebdefa0e8c33 |
| institution | Directory Open Access Journal |
| issn | 1735-9066 |
| language | English |
| last_indexed | 2024-12-23T03:27:07Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Iranian Journal of Nursing and Midwifery Research |
| spelling | doaj.art-a338f7c80b3f48468c0eebdefa0e8c332022-12-21T18:01:49ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662016-01-0121657758210.4103/1735-9066.197673Assessment of hemodialysis adequacy and its relationship with individual and personal factorsOzra RezaieeNahid ShahgholianShahrzad ShahidiBackground: Hemodialysis is the most common renal replacement therapy in the world, and hemodialysis adequacy is an important and influencial factor in the reduction of various complications experienced by these patients. Multiple factors influence hemodialysis adequacy. This study was conducted to determine hemodialysis adequacy and its relationship with individual and personal factors in patients undergoing hemodialysis in three hemodialysis centers of Isfahan, Iran. Materials and Methods: This descriptive, cross-sectional study was conducted in partnership with 202 patients undergoing hemodialysis in three hemodialysis centers of Isfahan. The data were collected using a researcher-made questionnaire, and hemodialysis adequacy was measured using the urea reduction ratio (URR). Data analysis was conducted using Spearman's correlation coefficient, Mann–Whitney and Kruskal–Wallis tests, and descriptive statistics (frequency distribution). In this study, the level of significance was considered to be 0.05. Results: Hemodialysis adequacy in 56.4% of patients was optimal, in 29.7% near optimum, and in 13.9% less than optimal. Statistical tests showed a significant correlation between hemodialysis adequacy and age (P = 0.05), prehemodialysis systolic blood pressure (BP) (P = 0.02) and diastolic BP (P = 0.04), the duration of hemodialysis in months (P = 0.02), and patients' sex (P = 0.01). There was no significant correlation between hemodialysis adequacy and the number of hemodialysis cessations per week (P = 0.20), interdialytic weight gain (P = 0.40), prehemodialysis blood urea nitrogen (P = 0.40), creatinine (P = 0.10), hemoglobin (P = 0.20), hematocrit (P = 0.08), venous access type (P = 0.30), needle distance and direction (P = 0.70), underlying causes of end-stage renal disease (P = 0.50), and personnel's shift (P = 0.90). Conclusions: The results of the study showed that approximately half of the patients did not have an optimal level of hemodialysis adequacy, and multiple individual and personnel factors affect hemodialysis adequacy directly or conversely.http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2016;volume=21;issue=6;spage=577;epage=582;aulast=RezaieeHemodialysishemodialysis adequacyIrannursesnursingurea reduction ratio |
| spellingShingle | Ozra Rezaiee Nahid Shahgholian Shahrzad Shahidi Assessment of hemodialysis adequacy and its relationship with individual and personal factors Iranian Journal of Nursing and Midwifery Research Hemodialysis hemodialysis adequacy Iran nurses nursing urea reduction ratio |
| title | Assessment of hemodialysis adequacy and its relationship with individual and personal factors |
| title_full | Assessment of hemodialysis adequacy and its relationship with individual and personal factors |
| title_fullStr | Assessment of hemodialysis adequacy and its relationship with individual and personal factors |
| title_full_unstemmed | Assessment of hemodialysis adequacy and its relationship with individual and personal factors |
| title_short | Assessment of hemodialysis adequacy and its relationship with individual and personal factors |
| title_sort | assessment of hemodialysis adequacy and its relationship with individual and personal factors |
| topic | Hemodialysis hemodialysis adequacy Iran nurses nursing urea reduction ratio |
| url | http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2016;volume=21;issue=6;spage=577;epage=582;aulast=Rezaiee |
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