Dialysis staff encouragement and fluid control adherence in patients on hemodialysis.
BACKGROUND
Fluid control in patients on dialysis is an important predictor of outcome but is a difficult restriction to achieve. The authors examined the association between dialysis staff encouragement and fluid control adherence in patients on hemodialysis.


METHODS
This cross-sectional study used the dialysis staff encouragement subscale (DSE). The outcome measure was intradialytic weight loss (IWL) of dry weight (DW), with nonadherence defined as IWL/DW greater than 5.7%. Predictors of nonadherence were identified using logistic regression. Odds ratio (OR) was for the occurrence of nonadherence as it correlated with a one standard deviation (SD) decrease in scale score.


RESULTS
Seventy-two patients on hemodialysis participated, 45 men (62.5%) and 27 women. The crude OR in DSE score was 1.75 (95% confidence interval [CI]: 1.02 to 3.0) and adjusted odds ratio was 2.51 (95% CI: 0.99 to 6.34).


CONCLUSIONS
Dialysis staff encouragement is important in improving fluid control adherence.
Yokoyama
Yoko
Y
Department of Epidemiologyand Healthcare Research, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Suzukamo
Yoshimi
Y
Hotta
Osamu
O
Yamazaki
Shin
S
Kawaguchi
Takehiko
T
Hasegawa
Takeshi
T
Chiba
Shigemi
S
Moriya
Toshiko
T
Abe
Emi
E
Sasaki
Satoshi
S
Haga
Megumi
M
Fukuhara
Shunichi
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D007389:Internal-External Control; D007676:Kidney Failure, Chronic / Q000178:diet therapy / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D006435:Renal Dialysis / Q000523:psychology; D013315:Stress, Psychological; D014882:Water-Electrolyte Balance