501. The efficacy of managing fluid overload in chronic peritoneal dialysis patients by a structured nurse-led intervention protocol
- Author
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Man Ching Law, Bonnie Ching-Ha Kwan, Janny Suk-Fun Fung, Kai Ming Chow, Jack K.C. Ng, Wing-Fai Pang, Phyllis Mei-Shan Cheng, Chi Bon Leung, Philip Kam-Tao Li, and Cheuk Chun Szeto
- Subjects
Peritoneal dialysis ,Bio-impedance spectroscopy ,Chronic kidney disease ,Cardiovascular disease ,Hypertension ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Abstract Background Extracellular volume overload is a common problem in peritoneal dialysis (PD) patients and is associated with excessive mortality. We determine the effectiveness of treating PD patients with extracellular volume overload by a structured nurse-led intervention program. Methods The hydration status of PD patients was screened by bioimpedance spectroscopy (BIS). Fluid overload was defined as overhydration volume ≥ 2 L. Patients were classified into Symptomatic and Asymptomatic Groups and were managed by a structured nurse-led intervention protocol that focused on education and motivation. Hypertonic cycles were given for short term symptom relief for the Symptomatic group. Patients were followed for 12 weeks for the change in volume status, blood pressure, knowledge and adherence as determined by standard questionnaires. Results We recruited 103 patients (53 Symptomatic, 50 Asymptomatic Group. There was a significant reduction in overhydration volume 4 weeks after intervention, which was sustained by week 12; the overall reduction in overhydration volume was 0.96 ± 1.43 L at 4 weeks, and 1.06 ± 1.70 L at 12 weeks (p
- Published
- 2019
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