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Dialysis staff encouragement and fluid control adherence in patients on hemodialysis
Yoko Yokoyama1, Yoshimi Suzukamo, Osamu Hotta
1Department of Epidemiologyand Healthcare Research, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Background:
Fluid control in patients on dialysis is an important predictor of outcome but is a difficult restriction to achieve. The authors examined the association between dialysis staff encouragement and fluid control adherence in patients on hemodialysis.
Methods:
This cross-sectional study used the dialysis staff encouragement subscale (DSE). The outcome measure was intradialytic weight loss (IWL) of dry weight (DW), with nonadherence defined as IWL/DW greater than 5.7%. Predictors of nonadherence were identified using logistic regression. Odds ratio (OR) was for the occurrence of nonadherence as it correlated with a one standard deviation (SD) decrease in scale score.
Results:
Seventy-two patients on hemodialysis participated, 45 men (62.5%) and 27 women. The crude OR in DSE score was 1.75 (95% confidence interval [CI]: 1.02 to 3.0) and adjusted odds ratio was 2.51 (95% CI: 0.99 to 6.34).
Conclusion:
Dialysis staff encouragement is important in improving fluid control adherence.
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