Prevalence and Risk Factors of Intradialytic Hypotension among Hemodialysis Patients at a University Hospital-Egypt
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 8, Issue 1
Abstract
Intradialytic hypotension (IDH) remains to be a major and distressful complication of hemodialysis. It may decrease the efficiency of the dialysis procedure and lead to adverse clinical outcomes that are clearly associated with the higher rate of morbidity and mortality among patients in hemodialysis. So, those patients require careful and frequent assessment each session and the nurse as an important health team member should be aware of the patient who is risky for intradialytic hypotension to provide the appropriate intervention. Aim of the study: was to assess the prevalence of intradialytic hypotension and identify the risk factors associated with dialysis induced hypotension among patients in hemodialysis at a University Hospital-Egypt. Research Questions: Q1: What is the prevalence of intradialytic hypotension among patients in hemodialysis? Q2: What are the risk factors associated with dialysis induced hypotension among patients in hemodialysis? Design: Retrospective cohort study design was utilized to achieve the aim of the current study. Setting: The study was conducted in Nephrology and Dialysis Center at Kasr El-Aini affiliated to CairoUniversity Hospital -Egypt. Subjects: A convenient sample of 60 adult male & female patients was recruited in the current study. Tools: I) Personal data consisted of two parts: 1- Demographic data. 2- Medical data pertinent to medical diagnosis, weight, number of sessions, blood pressure, associate chronic diseases…...etc. II) Patient hemodialysis chart. Results: Findings revealed that, the study subject’s mean of age was (Х ± SD =43.1 + 14.8) and 66.7% of them were male. The total number of session's induced intradialytic hypotension was 374 which represented 19.6 % of the total number of sessions with a mean of (6.77+4.3). As well, 90% of the studied subjects experience intradialytic hypotension. Furthermore, there was a statistical significance mean of difference between systolic and diastolic blood pressure before and after dialysis sessions with t-test= 52.15 & 36.4 respectively. Also, there was a significant association between the occurrence of intradialytic hypotension and anemia / administration of antihypertensive drug (Concor5) among the study subject’s with chi square= 8.34. and 12.98respectively. Conclusion: The current study concluded that, the prevalence of intradialytic hypotension during hemodialysis sessions was high. Moreover, anemia and antihypertensive drugs were the main factors lead to intradialytic hypotension among the studied subjects. Recommendation: Replication of the current study on large sample size to determine the prevalence of intradialytic hypotension. Assessment and follow up for all patients before, during and after hemodialysis in order to detect early and manage intradialytic hypotension and subsequently improve nursing quality of care.
Authors and Affiliations
Liliane Iskander Narouz, Zeinab M. El-Sayed
Keywords
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