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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Theory-Based Interventions to Promote Fluid Intake Adherence Among Dialysis Patients: A Systematic Review.

Zhuangjie Xing1,2, Yonghong Wang3, Huanhuan Li1

  • 1Basic Nursing Department, School of Nursing, Jilin University, Changchun, China.

Research and Theory for Nursing Practice
|November 1, 2019
PubMed
Summary

Theory-based interventions can improve fluid intake adherence in dialysis patients, but optimal application of theory is needed. Combining health education with theory shows promise for better patient outcomes and renal nursing care.

Keywords:
fluid adherencesystematic reviewtheory coding schemetheory-based

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Area of Science:

  • Nephrology
  • Health Psychology
  • Nursing Science

Background:

  • Dialysis patients face complex therapeutic regimens, with fluid management being particularly challenging.
  • Adherence to treatment is crucial for patient outcomes, quality of life, and survival.
  • Fluid intake compliance is a significant barrier for individuals undergoing dialysis.

Purpose of the Study:

  • To evaluate the effectiveness of theory-based interventions for improving fluid intake adherence in dialysis patients.
  • To assess the extent to which theory is integrated into interventions aimed at enhancing fluid adherence.

Main Methods:

  • A comprehensive literature review was conducted across major scientific databases (PubMed, PsycINFO, Embase, Web of Science, Cochrane Library).
  • Data extraction was performed by two independent researchers.
  • The application of theory was assessed using a standardized theory coding scheme (TCS).

Main Results:

  • Eight studies met the inclusion criteria, referencing five distinct theories (Health Belief Model, Social Cognitive Theory, Self-Regulation Model, Transtheoretical Model).
  • The analysis indicated suboptimal adherence outcomes and limited utilization of theoretical frameworks in the reviewed interventions.
  • The extent of theory application within interventions was found to be not optimal.

Conclusions:

  • Integrating theoretical frameworks with patient health education may enhance fluid intake adherence among dialysis patients.
  • The developed framework and TCS can guide the effective use of theory in nursing education.
  • Improved theoretical application in nursing interventions can elevate the quality of renal care.