Hemodialysis Clinical Trial
Official title:
Effect of the HafifMod Programme for Fluid and Salt Control Guided by Health Belief Model on Interdialytic Weight Gain in Routine Hemodialysis Patients
Verified date | July 2023 |
Source | Akdeniz University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Haemodialysis (HD) is the most commonly used method among renal replacement therapy options in patients with End Stage Renal Failure. Although one of the most important factors affecting the success of this treatment is compliance with fluid restriction, the rates of non-compliance with fluid control vary between 10-74%. It is understood from the literature that fluid restriction is one of the most difficult areas in compliance with HD treatment. Interdialytic weight gain is the most widely accepted method to assess compliance with fluid control by measuring the amount of fluid accumulated in the body. Thus, studies on this subject have shown that excessive interdialytic weight gain is a common problem in HD patients. It is known that excessive interdialytic weight gain increases the risk of morbidity and mortality in HD patients. The main factors causing interdialytic weight gain are fluid and salt intake between two HD sessions is appears to be. Therefore, it is stated that the easiest solution to control excessive interdialytic weight gain is to reduce fluid and salt intake. However, studies have reported that HD patients have difficulty in adapting to a salt-restricted diet, and in this case, they increase their fluid consumption. Therefore, it is of vital importance that public health nurses carry out interventions to ensure HD patients' compliance with fluid and salt control. In the literature review conducted with this perspective, studies were encountered in which results were obtained that m-health interventions provided a decrease in interdialytic weight gain averages and sodium intake. In this direction, a HafifMod programme based on the use of mobile health technologies was created. The aim of the study is to examine the effect of the LightMod programme for fluid and salt control guided by the Health Belief Model on interdialytic weight gain in routine haemodialysis patients.
Status | Enrolling by invitation |
Enrollment | 34 |
Est. completion date | October 15, 2024 |
Est. primary completion date | January 15, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Those who gained more than 3% of their dry weight in at least one of the interdialytic weight gains covering the four-week period before the start of the study, - Those who have received routine HD treatment for at least three months, - Those whose dry weight has been determined, - Smartphone users, - Those who do not have severe visual and hearing impairment that would constitute an obstacle to the research, - Those who are place, time and person oriented, - Outpatients receiving HD treatment, - Those with a routine HD program of 3 days and 4 hours a week, - Those who do not have a psychiatric disorder that would constitute an obstacle to the research. Exclusion Criteria: - Those receiving home hemodialysis treatment, - Those in the home hemodialysis training process, - Those with plans to make changes to the dialysis center in the next three months from the start of the study, - Patients who do not undergo ultrafiltration because their urine volume is sufficient. |
Country | Name | City | State |
---|---|---|---|
Turkey | Salih Güler | Kepez | Antalya |
Lead Sponsor | Collaborator |
---|---|
Akdeniz University |
Turkey,
Hong LI, Wang W, Chan EY, Mohamed F, Chen HC. Dietary and fluid restriction perceptions of patients undergoing haemodialysis: an exploratory study. J Clin Nurs. 2017 Nov;26(21-22):3664-3676. doi: 10.1111/jocn.13739. Epub 2017 Mar 22. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Interdialytic Weight Gain | H1: Decrease in the mean of interdialytic weight gain- The difference between the weight measured at the entrance to the hemodialysis session and the predetermined dry weight of the patient will be recorded as the interdialytic weight gain value. In addition, a single ramp dialysis scale will be used for weight measurement and the measurements will be recorded in kg. The measurement data obtained during the dialysis sessions within the 3-month research period will be recorded in the 'Session Attendance and Weight Tracking Chart (Chart-1)'. | 0-3 months (Repeated tests at 1, 4, 8 and 12 weeks) | |
Secondary | Fluid Control in Hemodialysis Patients Scale | H1: Increased level of compliance with fluid control- It was developed by Cosar and Pakyuz (2016) to measure the knowledge, behavior and attitudes of hemodialysis patients about fluid restriction. The scale has a total of 24 items and three sub-dimensions.As the score obtained from the scale increases, the compliance of the patients to fluid control also increases. Cronbach alpha internal consistency coefficients of the scale; It is 0.92 for the knowledge sub-dimension, 0.80 for the behavior sub-dimension, and 0.67 for the attitude sub-dimension. | 0-3 months (Repeated tests at 1 and 12 weeks) | |
Secondary | Serum Sodium Level | H1: Decreased serum sodium levels- In order to monitor the blood biochemistry values of all patients who are being treated in the HD unit of Akdeniz University Hospital and to arrange the treatment accordingly, blood samples are taken from the patients on a monthly basis and sent to the Central Laboratory of the Akdeniz University Hospital. In these tests, the serum sodium level is also checked along with other biochemical parameters. Thus, our study will be based on the serum sodium level results obtained from these assays. In our study, the reference range of serum sodium level of Akdeniz University Hospital Central Laboratory, 136-145 mEq/L, will be based on. In addition, serum sodium levels obtained as a result of patient assays will be recorded in the 'Sodium Follow-up Schedule (Schedule-2)'. | 0-3 months (Repeated tests at 1, 4, 8 and 12 weeks) | |
Secondary | Beliefs About Dietary Compliance Scale | H1: Increased levels of perceived benefit for compliance with dietary salt restriction- Beliefs About Dietary Compliance Scale, Bennett et al. (2001) to evaluate the perceptions of benefits and barriers in patients with heart failure in compliance with salt restriction. The Cronbach's alpha coefficients of the developed scale were 0.83 for the benefit sub-dimension and 0.66 for the disability sub-dimension. The first validity and reliability of the Beliefs About Dietary Compliance Scale in Turkey, Oguz et al. (2010), Cronbach alpha coefficients; Benefit sub-dimension was found to be 0.71, while disability sub-dimension was found to be 0.58.Each sub-dimension in the scale is evaluated separately. A high score from the benefit sub-dimension indicates that the perceived benefit in adhering to a salt-restricted diet is high, while a high score from the barrier sub-dimension indicates that the perceived barriers to adherence to a diet are high. | 0-3 months (Repeated tests at 1 and 12 weeks) | |
Secondary | Beliefs About Dietary Compliance Scale | H1: Decreased levels of perceived barrier to compliance with dietary salt restriction- Beliefs About Dietary Compliance Scale, Bennett et al. (2001) to evaluate the perceptions of benefits and barriers in patients with heart failure in compliance with salt restriction. The Cronbach's alpha coefficients of the developed scale were 0.83 for the benefit sub-dimension and 0.66 for the disability sub-dimension. The first validity and reliability of the Beliefs About Dietary Compliance Scale in Turkey, Oguz et al. (2010), Cronbach alpha coefficients; Benefit sub-dimension was found to be 0.71, while disability sub-dimension was found to be 0.58. Each sub-dimension in the scale is evaluated separately. A high score from the benefit sub-dimension indicates that the perceived benefit in adhering to a salt-restricted diet is high, while a high score from the barrier sub-dimension indicates that the perceived barriers to adherence to a diet are high. | 0-3 months (Repeated tests at 1 and 12 weeks) |
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