A COMPARATIVE STUDY OF THE PREVALENCE RATE OF COMMON COMPLICATIONS IN ROUTINE HEMODIALYSIS, AND LINEAR AND STEPWISE SODIUM- ULTRA FILTRATION PROFILE IN PATIENTS WITH CHRONIC KIDNEY FAILURE UNDER HEMODIALYSIS

Hamidi, M and Hassankhani, H and Sarbakhsh, P and Roshangar, F and Ghafourifard, M (2019) A COMPARATIVE STUDY OF THE PREVALENCE RATE OF COMMON COMPLICATIONS IN ROUTINE HEMODIALYSIS, AND LINEAR AND STEPWISE SODIUM- ULTRA FILTRATION PROFILE IN PATIENTS WITH CHRONIC KIDNEY FAILURE UNDER HEMODIALYSIS. The J Urmia Nurs Midwifery Fac, 17 (6). pp. 453-462.

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Abstract

Hemodialysis is one of the most successful treatments for replacing kidney function worldwide. Given the physiological changes brought about, the undesirable complications of hemodialysis remain a serious problem. Sodium profiles- ultrafiltration has recently been proposed as a method to prevent complications during dialysis. The present research was conducted as a comparative study of such methods on the common complications of hemodialysis. Materials & Methods: In this clinical trial, 32 subjects from two treatment centers of East Azarbaijan Province were included in the study based on the inclusion criteria through convenient sampling. Each patient underwent 3 sessions of routine hemodialysis, 3 sessions of the linear profile, and 3 sessions of stepwise profile method for a total of 9 sessions. The patients were clinically examined for common complications. The data were analyzed, using SPSS 13, and Cochran's inferential-descriptive statistics at the significance level of P<0.05. Results: The results of 288 hemodialysis sessions were analyzed in total. The findings revealed that the incidence of complications and the number of treatment measures in the linear and stepwise sodium- ultrafiltration profile significantly decreased in comparison with those of the routine method(P<0.05). Additionally, the incidence of hypotension complication was significantly more in the routine method as compared with that of linear and stepwise methods. Conclusion: The sodium-ultrafiltration profile is a simple, cost-free method and improves hemodialysis tolerance. Thus, it is recommended that this method be used in most of the patients’ monthly sessions to reduce the complications and improve hemodialysis tolerance.

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