A behavioural nursing intervention for reduced fluid overload in haemodialysis patients: Initial results of acceptability, feasibility and efficacy
2011 (English)In: Journal of nursing and healthcare of chronic illness, ISSN 1752-9824, Vol. 3, no 2, 87-98 p.Article in journal (Refereed) Published
Objective: Describe and perform an initial test of a tailored treatment programme based on a behavioural medicine approach to enhance haemodialysis patients’ self-management of fluid restriction.
Methods: Cognitive-behavioural techniques were used in four quasi-experimental case-studies. Central features in the programme were individual analysis of dietetic knowledge and fluid intake, setting goals, self-monitoring and prevention of relapse. Fluid overload was continuously assessed.
Results: Acceptability and feasibility of the intervention were demonstrated. A clear reduction of fluid overload was shown. Some problems related to treatment fidelity were identified.
Conclusion: The behavioural medicine approach resulted in reduction of fluid overload in each of the four cases included.
Practice implications: This approach could be used as a method for tailoring interventions targeted to fluid intake behaviour in a heterogeneous group of HD patients with excessive fluid overload. Such treatment should take account of individual cognitive-behavioural patterns and include self-efficacy to low fluid intake. The efficacy of the tailored approach in regular practice has to be further tested in controlled trials.
Place, publisher, year, edition, pages
Wiley-Blackwell , 2011. Vol. 3, no 2, 87-98 p.
Haemodialysis, self-management, fluid overload, self-efficacy, behavioural nursing strategies, single-case design
Social Sciences Medical and Health Sciences
Research subject Caring Sciences; Medical Science
IdentifiersURN: urn:nbn:se:uu:diva-121982DOI: 10.1111/j.1752-9824.2011.01093.xOAI: oai:DiVA.org:uu-121982DiVA: diva2:308062