Hemodialysis patient beliefs by stage of fluid adherence

• Published in: Research in nursing & health Vol. 24; no. 2; pp. 105 - 112
• Main Author: Welch, Janet L.
• Format: Journal Article
• Language: English
• Published: New York John Wiley & Sons, Inc 01.04.2001; Wiley
• Subjects: adherence; Adult; Aged; Aged, 80 and over; Analysis of Variance; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Cross-Sectional Studies; Drinking Behavior; Emergency and intensive care: renal failure. Dialysis management; Female; Health Knowledge, Attitudes, Practice; hemodialysis; Humans; Intensive care medicine; Kidney Failure, Chronic - psychology; Kidney Failure, Chronic - therapy; Male; Medical sciences; Middle Aged; Models, Psychological; Motivation; Nursing; Patient Compliance - psychology; Renal Dialysis - psychology; Self Care - psychology; Self Efficacy; Human; Extrarenal dialysis; Evaluation; Clinical stage; Self evaluation; Hemodialysis; Fluid; Self perception; Adhesion; Public health; Interview
• ISSN: 0160-6891; 1098-240X
• DOI: 10.1002/nur.1013

Fluid limitations are difficult for hemodialysis patients to follow, and factors related to fluid adherence are not well known. The primary purpose of this study, which was guided by the health belief model and the transtheoretical model for behavior change, was to determine whether differences exist in perceived benefits, barriers, susceptibility, seriousness, or self‐efficacy among individuals in different stages of fluid adherence. In a cross‐sectional descriptive design, 148 persons (mean age=53.9 years; 52% male) were interviewed using a structured format. Hemodialysis patients in the action/maintenance stage perceived significantly more benefits to fluid adherence than persons in the precontemplation stage. Persons who were in the action/maintenance stage perceived they were significantly more susceptible to pulmonary edema than persons in the contemplation stage. Stage‐appropriate interventions may be needed to target specific beliefsabout fluid adherence. © 2001 John Wiley & Sons, Inc. Res Nurs Health 24: 105–112, 2001