Effect of programmed nursing care in prevention of hemodialysis complications

2009 
Aims. This study was performed with the aim of assessing the effect of programmed nursing care on prevention of hemodialysis complications in under treatment patients in Shahid Beheshti University affiliated hospitals. Methods. This research is a quasi-experimental one-group before and after study. 30 under hemodialysis patients were selected by non-random method. These 30 patients once were considered as control group and once as case group. Data collecting instrument consisted of two checklisst and demographic data questionnaire. The nursing care protocol was supplied based on valid references and professional acceptance. Nursing care protocol contained preparing of hemodialysis machine, preparing of patient and machine connecting to patient, caring during hemodialysis (blood pressure control every hour and checking complications and their removal) and caring immediately after hemodialysis such as controling and chartitng patent’s weight, blood pressure and hemorrhage after disconnecting patient from machine. Data was analyzed by Fisher exact test. Results. There were significant differences at frequency of hypotention, hypertention, nausea and vomiting and muscles cramp after and before care performing stages. Conclusion. The nurses decrease hemodialysis complications in patients by performing programmed nursing care.
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