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Psychological intervention in fluid management.

Linda Fisher1, Hugh S Cairns, Behzad Amir-Ansari

  • 1Academic Department of Psychological Medicine, Section of General Hospital Psychiatry, GKT School of Medicine & Institute of Psychiatry, Weston Education Centre, London, UK. l.fisher@iop.kcl.ac.uk

Palliative & Supportive Care
|December 1, 2006
PubMed
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A psychological intervention helped most hemodialysis patients reduce fluid overload (interdialytic weight gain). This approach was well-received and showed sustained benefits for some, improving care perception.

Area of Science:

  • Nephrology
  • Psychology
  • Behavioral Medicine

Background:

  • Volume overload is a frequent complication for hemodialysis patients with reduced urine output.
  • Interdialytic fluid intake is a primary contributor to volume overload, increasing symptoms and medical risks.
  • Volume overload negatively impacts patient-staff relationships and overall care perception.

Purpose of the Study:

  • To assess the effectiveness and patient experience of a psychological intervention for managing interdialytic weight gain.
  • To evaluate the impact of cognitive behavior therapy and motivational interviewing techniques on fluid management in hemodialysis patients.

Main Methods:

  • A case series involving five hemodialysis patients.
  • Intervention utilized cognitive behavior therapy and motivational interviewing techniques.

Related Experiment Videos

  • Primary outcomes measured were interdialytic weight gain and patient-reported experience.

    • Main Results:

    • Three out of five patients demonstrated reduced interdialytic weight gain.
    • The frequency of significant weight gain (over 3% dry weight) decreased in these patients.
    • The psychological intervention was perceived as acceptable by the patients.

    Conclusions:

    • The intervention successfully reduced the frequency and severity of volume overload in a majority of participants.
    • Two patients maintained reduced volume overload for at least six months post-intervention.
    • The intervention actively engaged patients, suggesting positive implications for treatment adherence and care perception.