Affiliation:
1. School of Nursing and Midwifery Griffith University Brisbane Queensland Australia
2. Department of Nursing, Faculty of Allied Health Sciences University of Ruhuna Galle Sri Lanka
3. Kidney Health Service, Metro North Health Herston Queensland Australia
Abstract
AbstractBackgroundSeveral countries are experiencing challenges in maintaining standard haemodialysis services for people with kidney failure.ObjectiveThis study aimed to investigate the health profile of people receiving haemodialysis and to identify factors associated with interdialytic weight gain.DesignA cross‐sectional study.ParticipantsA total of 166 adults with kidney failure and receiving haemodialysis for at least 3 months were included.MeasurementsA structured chart audit form collected, demographic and haemodialysis treatment characteristics, recent biochemical and haematological results, and prescribed treatment regimens from clinical records. Data were analysed descriptively. Odds ratios (OR) were calculated to identify independent risk factors for interdialytic weight gain.ResultsMean age was 52 years (SD = 12.5), over half were male (60.2%, n = 100), and most were receiving 4 h of haemodialysis once per week (87.3%, n = 145). Approximately half (51.8%, n = 86) had an interdialytic weight gain >2%. Being female (OR = 3.39; 95% CI, 1.51–7.61), increased comorbidities (OR = 1.50; 95% CI, 1.22–1.84) and having BMI outside of the normal range (overweight/obese [OR = 8.49; 95% CI, 3.58–20.13] or underweight [OR = 4.61; 95% CI, 1.39–15.31]) were independent risk factors for increased interdialytic weight gain.ConclusionMost patients were receiving 4 h of haemodialysis once per week although only modest alterations in potassium, phosphate, and fluid status were observed. Understanding the patient profile and predictors of interdialytic weight gain will inform the development of self‐management interventions to optimise clinician support.