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Kim and Kim: The Experience of Fluid Management in Hemodialysis Patients
Original Article

Journal of Korean Academy of Nursing 2015; 45(5): 773-782.

Published online: 30 October 2015

DOI: https://doi.org/10.4040/jkan.2015.45.5.773

The Experience of Fluid Management in Hemodialysis Patients

Yoonsoo Kim, Miyoung Kim

Division of Nursing Science, Ewha Womans University, Seoul, Korea.

Address reprint requests to: Kim, Miyoung. Division of Nursing Science, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea. Tel: +82-2-3277-6694, Fax: +82-2-3277-2850, mykim0808@ewha.ac.kr

Received 18 March 2015       Revised 1 April 2015       Accepted 11 July 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to explore the experience of fluid management in hemodialysis patients by describing how they manage fluid intake and what affects fluid management.

Methods

Purposive sampling yielded 11 patients who have received hemodialysis for one year or longer in one general hospital. Data were collected through in-depth interviews and analysed using Giorgi's phenomenological method. Data collection and analysis were performed concurrently.

Results

The findings regarding how hemodialysis patients manage fluid intake were classified into four constituents: 'recognizing the need for fluid control', 'observing the status of fluid accumulation', 'controlling fluid intake and output', 'getting used to fluid management'. The factors that affect fluid management of hemodialysis patients were revealed as 'willpower', 'change in the mindset', 'support system', and 'emotional state'.

Conclusion

The study results show that hemodialysis patients manage fluid intake through food and exercise as well as interpersonal relationships. These findings suggest that strategies in the development of nursing interventions for hemodialysis patients should be directed at assisting them in familiarization with fluid management based on an understanding of their sociocultural contexts.

Keywords: Body fluid, Hemodialysis, Interview, Qualitative research

Figures and Tables

Figure 1

General structure of fluid management in hemodialysis patients.

jkan-45-773-g001

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