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Content Analysis of the Diagnostic Proposition Risk of Excessive Fluid Volume in Hemodialysis Patients
Open accessAbstract
Abstract Objective: To analyze the content of the diagnostic proposition risk of excessive fluid volume in patients undergoing hemodialysis. Method: Content validity study, with 48 judges who assessed the content of the diagnostic proposition risk of excessive fluid volume, using an electronic data collection instrument. The judges’ answers were analyzed through the calculation of the Content Validity Index and the T test. Results: The risk of excessive fluid volume was considered adequate, containing 23 risk factors: increased sodium concentration in the dialysate; missing hemodialysis sessions; insufficient water; low self-efficacy for fluid restriction; deficient knowledge; altered body mass index; excessive intake of fluids, proteins and sodium; lower kt/v index; inadequate removal of fluids in hemodialysis; thirst; xerostomia; older people; comorbidities; renal function decline; decreased urinary volume; inflammatory status; hospitalization; low serum level of albumin and lymphocytes, and high level of phosphorus; and use of antihypertensive drugs. Conclusion: The content of the diagnostic proposition risk of excessive fluid volume was considered adequate by the judges.
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Approximately 30%-37% of haemodialysis patients have water retention, and excessive fluid volume is closely related to difficulty correcting haemodialysis-related complications and is a major factor affecting patient death.
“Approximately 30% ~ 37% of haemodialysis patients have water retention, and excessive fluid volume is closely related to difficulty correcting haemodialysis‐related complications and is a major factor affecting patient death (Fernandes et al., 2021; Keber et al., 2021).”
From Construction of haemodialysis nursing‐sensitive quality indicators based on Donabedian theory: A Delphi method study (2023) · cites this paper as Fernandes et al., 2021
The Introduction says fluid overload in hemodialysis patients is associated with complications and increased mortality, supporting the claim's general link to poor outcomes. It gives no 30%–37% estimate and does not say that fluid overload makes hemodialysis-related complications difficult to correct. (LLM, conf=0.88)
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Research works printed but not linked: 26
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Cited by
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Chen, L., Zhang, Y., Li, C., Li, Q., & He, L. (2023) · Nursing Open · doi:10.1002/nop2.1349 · Cited by 28
“Approximately 30% ~ 37% of haemodialysis patients have water retention, and excessive fluid volume is closely related to difficulty correcting haemodialysis- related complications and is a major factor affecting patient death (Fernandes et al., 2021; Keber et al., 2021).”
Background
Metadata
- Authors
- Fernandes, M. I. D. C. D., Carino, A. C. C., Gomes, C. S. T., Dantas, J. R., Lopes, M. V. D. O., & Lira, A. L. B. D. C.
- Affiliations
- Universidade Federal do Rio Grande do Norte (BR)
- Universidade Federal do Ceará, Brazil
- Universidade Federal do Rio Grande do Norte, Brazil
- ORCID
- Venue
- Revista da Escola de Enfermagem da USP
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2021
- Volume
- 55
- Pages
- e20210158-e20210158
- ISSN
- 0080-6234 (ISSN-L)
- 1980-220X
- OpenAlex
- W3216397257
- Cited by
- 4
- References
- 0
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Revista da Escola de Enfermagem da USP (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, cc-by-nc)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Nursing › Research and Theory › Nursing Diagnosis and Documentation
- Keywords
- hemodialysis, risk factors, content validity, risk assessment tools, fluid restriction, self-efficacy, dialysate sodium concentration, thirst, xerostomia, comorbidities, serum albumin, phosphorus, antihypertensive drugs
- MeSH terms
- Aged, Heart Failure, Renal Dialysis, Humans, Kidney Failure, Chronic, Sodium, Thirst, Water-Electrolyte Imbalance
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