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277813

Are Cooling Dialysate and Patient Education Can Decrease Intradialytic Hypotension?

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Last updated: 03 Jan 2025

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Abstract

Background: Intradialytic hypotension (IDH) is a common and distressful complication of
hemodialysis. It can cause uncomfortable symptoms for patients, lower dialysis efficiency, and
result in vascular access thrombosis. Therefore, preventing this complication is essential. Aim: To
evaluate the effects of cooling the dialysate and patient education on decreasing intradialytic
hypotension. Design A Quasi-experimental study design was used. Methods A purposive 70
patients undergoing hemodialysis in a hospital in Egypt participated in the study. Tool I (Structured
Interviewing Questionnaires Sheet) and Tool II (Intradialytic hypotension Assessment Sheet) were
used to collect data. Interventions include educate patients some instructions help in decrease IDH.
In addition, lower dialysate temperature. Results A statistically significant difference in the
occurrence of intradialytic hypotension was observed between pre and post intervention during
every hour of hemodialysis (p < 0.01). Also, more than half of the patients reported symptoms of
intradialytic hypotension before intervention, including fatigue, sweating, cramps, and dizziness
with a statistically significant difference from those after intervention (p = 0.001). Conclusion: As
a result of the intervention done, the symptoms observed during dialysis and the prevalence of IDH
decreased. Recommendations: Cooling the dialysate and educating patients instructions regarding
diet and dealing with drugs can be routinely applied to prevent IDH in hemodialysis units.

DOI

10.21608/ejhc.2022.277813

Keywords

cooling dialysate, patient education, Intradialytic hypotension, Nursing

Authors

First Name

Nafisa

Last Name

Moustafa Abdallah Elpasiony

MiddleName

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Affiliation

Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt

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Orcid

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First Name

Burcu

Last Name

Bayrak Kahraman

MiddleName

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Affiliation

Assistant Professor, Department of Nursing, Faculty of Health Sciences, Bilecik Şeyh Edebali University, Turkey

Email

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City

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Orcid

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First Name

Huda

Last Name

Rady Sobh

MiddleName

-

Affiliation

Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt

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Orcid

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Volume

13

Article Issue

1

Related Issue

29792

Issue Date

2022-03-01

Receive Date

2023-01-01

Publish Date

2022-03-01

Page Start

2,069

Page End

2,079

Print ISSN

1687-9546

Link

https://ejhc.journals.ekb.eg/article_277813.html

Detail API

https://ejhc.journals.ekb.eg/service?article_code=277813

Order

277,813

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Are Cooling Dialysate and Patient Education Can Decrease Intradialytic Hypotension?

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Article

Created At

22 Jan 2023