Developing Model for the Prevention of Volume Overload of End Stage Renal Disease among Hemodialysis Patients in NongBua Lam Phu Hospital

Abstract

An action research aimed to study the developing model for the prevention of volume overload of end stage renal disease among hemodialysis patients in NongBuaLam Phu Hospital. Data collection was done between March to June 2018. Research outcomes showed that more than half of patients were female (59.60%), married 75.60%, highest education was junior secondary school level (48.40%), Civil servant was 35.50% and a median of salary was 15,000 Thai Baht. There were four steps in Model for the Prevention of Volume Overload. First is Self management reflection with behavior evaluation and health education by Hemodialysis nurses and Multidisciplinary team. Second, volume overload control goal. Third, behavior plan such as food consumption control, drinking water control, medicine intake control and weight control. Final is an evaluation step, not only weight will be investigated when patients come back for hemodialysis also volume overload control and struggles will be assessed by patients and their family members, more than that taking note of food consumption and appropriate volume overload management will be supported by profession team. After participate the new model, patients can control their volume overload better than the past around 38.46%. Quality of life was appeared in a moderate level ( X ± S.D. :63.11 ± 13.26). In term of satisfaction dimension, patients and families were at the high level ( X ± S.D. :4.71 ± 0.34) and profession team was at the high level ( X ± S.D. :4.06 ± 0.31) Encouraging and raising ways will be continue for patients and families understand especially an insignificant volume overload control. This successful solution will sustain a normal volume.