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Analysis of the nursing diagnosis of excess fluid volume in individuals undergoing hemodialysis: A cross-sectional study
Análisis del diagnóstico de enfermería de volumen excesivo de líquidos en personas en hemodiálisis: estudio transversal
Análise do diagnóstico de enfermagem “volume de líquido excessivo” em pessoas em hemodiálise: estudo transversal
DOI:
https://doi.org/10.15446/av.enferm.v43n1.117299Keywords:
Nursing, Nursing Diagnosis, Renal Dialysis, Chronic Renal Insufficiency, Nursing Process (en)Enfermería, Diagnóstico de Enfermería, Diálisis Renal, Insuficiencia Renal Crónica, Proceso de Enfermería (es)
Enfemagem, Diagnóstico de Enfermagem, Diálise Renal, Insuficiência Renal Crônica, Processo de Enfermagem (pt)
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Introduction: Monitoring renal patients for fluid overload is essential to prevent complications, ensure appropriate treatment, and maintain overall health.
Objective: To analyze the prevalence and associations of the defining characteristics of the nursing diagnosis excess fluid volume in individuals with chronic kidney disease undergoing hemodialysis.
Materials and Methods: A cross-sectional study was conducted with 92 patients at a dialysis clinic in a city in northeastern Brazil. Patients were assessed through interviews and physical examinations.
Results: The most prevalent defining characteristics were azotemia (100%), altered blood pressure (96.74%), intake exceeding output (91.31%), edema (85.87%), decreased hemoglobin (66.30%), weight gain over a short period of time (54.35%), and oliguria (40.22%).
Conclusion: Early identification of azotemia, altered blood pressure, intake exceeding output, edema, decreased hemoglobin, rapid weight gain, and oliguria supports the diagnosis and proper management of excess fluid volume, and contributes to the effectiveness of the hemodialysis regimen.
Introducción: monitorizar a los pacientes con enfermedad renal para detectar el exceso de líquidos es esencial para prevenir complicaciones, asegurar un tratamiento adecuado y promover el mantenimiento del estado de salud general.
Objetivo: analizar la prevalencia y las asociaciones de las características definitorias del diagnóstico de enfermería “volumen de líquidos excesivo” en personas con enfermedad renal crónica en tratamiento de hemodiálisis.
Materiales y método: estudio transversal realizado con 92 pacientes atendidos en una clínica de hemodiálisis en una ciudad del noreste de Brasil. La recolección de datos se llevó a cabo mediante entrevista clínica y examen físico.
Resultados: las características definitorias más prevalentes fueron azotemia (100 %), alteración de la presión arterial (96,74 %), ingesta que excede la eliminación (91,31 %), edema (85,87 %), disminución de la hemoglobina (66,3 %), aumento de peso en un corto período (54,35 %) y oliguria (40,22 %).
Conclusión: la identificación temprana de signos como azotemia, alteración de la presión arterial, ingesta superior a la eliminación, edema, disminución de hemoglobina, aumento acelerado de peso y oliguria permite el diagnóstico y manejo oportuno del volumen de líquidos excesivo, lo cual contribuye a optimizar la efectividad del
régimen de hemodiálisis y a mejorar los resultados clínicos del paciente.
Introdução: monitorar pacientes com doença renal quanto à sobrecarga de líquidos é essencial para prevenir complicações, garantir um tratamento adequado e manter a saúde geral.
Objetivo: analisar a prevalência e as associações das características definidoras do diagnóstico de enfermagem “volume de líquidos excessivo” em pessoas com doença renal crônica em hemodiálise.
Materiais e Método: estudo transversal foi realizado com 92 pacientes em uma clínica de diálise em uma cidade do Nordeste do Brasil. Os pacientes foram avaliados por meio de entrevistas e exames físicos.
Resultados: as características definidoras mais prevalentes foram azotemia (100%), alteração na pressão arterial (96,74%), ingestão superior à eliminação (91,31%), edema
(85,87%), diminuição da hemoglobina (66,30%), ganho de peso em curto período (54,35%) e oligúria (40,22%).
Conclusão: a identificação precoce de azotemia, alteração na pressão arterial, ingestão que excede a eliminação, edema, diminuição da hemoglobina, ganho rápido de peso e oligúria favorece a identificação e o manejo adequado do volume de líquido excessivo, além de aprimorar a eficácia do regime de hemodiálise.
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Copyright (c) 2025 José Erivelton de Souza Maciel Ferreira, Tahissa Frota Cavalcante, Larissa Katlyn Alves, Caroline Evaristo Lourenço, Josemberg Pereira Amaro, Rafaella Pessoa Moreira
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