Revista da Escola de Enfermagem da USP (Jun 2014)

Prevalence of nursing diagnosis of fluid volume excess in patients undergoing hemodialysis

  • Maria Isabel da Conceição Dias Fernandes,
  • Ana Beatriz de Almeida Medeiros,
  • Beatriz Medeiros de Macedo,
  • Ana Beatriz Ferreira Vitorino,
  • Marcos Venícios de Oliveira Lopes,
  • Ana Luisa Brandão de Carvalho Lira

DOI
https://doi.org/10.1590/S0080-623420140000300009
Journal volume & issue
Vol. 48, no. 3
pp. 446 – 453

Abstract

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Objective: To identify the prevalence of nursing diagnosis of fluid volume excess and their defining characteristics in hemodialysis patients and the association between them. Method: Cross-sectional study conducted in two steps. We interviewed 100 patients between the months of December 2012 and April 2013 in a teaching hospital and one hemodialysis clinic. The inference was performed by diagnostician nurses between July and September 2013. Results: The diagnostic studied was identified in 82% of patients. The characteristics that were statistically associated: bounding pulses, pulmonary congestion, jugular vein distention, edema, change in electrolytes, weight gain, intake greater than output and abnormal breath sounds. Among these, edema and weight gain had the highest chances for the development of this diagnostic. Conclusion: The analyzed diagnostic is prevalent in this population and eight characteristics presented significant association.

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