Tintin Sukartini, - and Ferry Efendi, - and NOVITA SURYA PUTRI, - (2022) A phenomenological study to explore patient experience of fluid and dietary restrictions imposed by hemodialysis. Journal of Vascular Nursing, 40 (2). pp. 105-111. ISSN 10620303

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Abstract

Bdc@rollnd: Noncompliance with fluid restrictions and diet is i maior problem among hemodialysis patients. This €an teid to fluid overload in the interdialytic phase .nd the accumul.tion of metabolic waste- This study aims to explore the life experien.e of Ftients undergoing hemodialysis and their compliance with fluid restrictions and diel Metiod: The design of this study was qualitative wlth a phenomenological apProach. It involved l5 patients undergoilg hemodialysis interviewed using semistructured interview guidelines. The data were collected and then traffcribed and analyzed using the Var ManneD lnethod. Thc coding analysis used Nvivo 12 softlvare. Rerular: Patients r.ng€d from 24 to g years old. More than half of the patients were not compliant with the fluid restrictions based on the IDWG score (60X, n=15). Five themes emerged: fluid restrictions and underslanding related to diet (health education, fluid and diet restriction, information provider, aod experience), personal motivation (activity, side effeat5, need, and lack o, motivation), sodal support (family), compliance (motivation and ittitude), and disease menagement (management of fluid and di€t resfric_ tion). Conclusion: Hemodialysis patienls expressed a number of concems that caused them not to comply with diet and fluid r€strictions. Several issues identifed were patient-related and potentially modifiable using the core(t information or health eduaation related to diet and fluid restriction. Nurses should be nrore aware of identifying these problems to addrcss compliance issues. Fufure resee(h should aim to understand nurses' perceptions and practices that may guide interventions to resolve this urgent compliance issu€, @ 2022 Society for Vascular Nursing. Inc. Published by Elsevier Inc. All righls reserved.

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