A behavioural nursing intervention for reduced fluid overload in haemodialysis patients. Initial results of acceptability, feasibility and efficacy
Article first published online: 12 MAY 2011
© 2011 Blackwell Publishing Ltd
Journal of Nursing and Healthcare of Chronic Illness
Volume 3, Issue 2, pages 87–98, June 2011
How to Cite
Lindberg, M., Wikström, B. and Lindberg, P. (2011), A behavioural nursing intervention for reduced fluid overload in haemodialysis patients. Initial results of acceptability, feasibility and efficacy. Journal of Nursing and Healthcare of Chronic Illness, 3: 87–98. doi: 10.1111/j.1752-9824.2011.01093.x
- Issue published online: 12 MAY 2011
- Article first published online: 12 MAY 2011
- Submitted for publication: 25 July 2010 Accepted for publication: 27 January 2011
- behavioural nursing strategies;
- fluid overload;
- single-case design
lindberg m, wikström b & lindberg p (2011) Journal of Nursing and Healthcare of Chronic Illness3, 87–98 A behavioural nursing intervention for reduced fluid overload in haemodialysis patients. Initial results of acceptability, feasibility and efficacy
Aim. To describe and perform a tailored treatment programme based on a behavioural medicine approach to enhance haemodialysis patients’ self-management of fluid restriction.
Background. Haemodialysis patients are required to manage dietary restrictions within a framework of adequate nutrition. Adherence to limited fluid allotment is important but difficult to accomplish. Pragmatic and effective ways of helping patients with fluid management are lacking.
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. Data were collected from September 2009–March 2010.
Findings. Acceptability and feasibility of the intervention was satisfactory. A clear reduction of fluid overload was shown. Some problems related to treatment fidelity were identified.
Conclusions. The behavioural medicine approach resulted in a clear reduction of fluid overload in each of the four cases included.
Relevance to clinical practice. 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.