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- Title
Impact of Volume Management on Volume Overload and Rehospitalization in CAPD Patients.
- Authors
Xu, Yi; Wang, Xiao-hua; Wang, Hai-fang; Niu, Mei-e; Yang, Yi-qun; Lu, Guo-yuan; Wang, Fei; Li, Lin; Yang, Shen-Min; Pang, Jian-hong
- Abstract
Heart failure due to volume overload is a major reason for rehospitalization in continuous ambulatory peritoneal dialysis patients. Strict volume control provides better cardiac functions and blood pressure in this population. Volume management, which is a volume control strategy, may decrease volume overload and related complications. Using a quasi-experimental design, 66 continuous ambulatory peritoneal dialysis patients were randomly assigned to the intervention group (n = 34) and control group (n = 32). The patients were followed up for 6 months with scheduled clinic and/or telephone visits; the intervention group adopted volume management strategy, while the control group adopted conventional care. Volume overload and cardiac function were compared between the two groups at the baseline and at 6 months. At Month 6, the intervention group resulted in significant improvement in volume overloaded status, cardiac function, and volume-overload-related rehospitalization. Volume management strategy allows for better control of volume overload and is associated with fewer volume-related readmissions.
- Subjects
CHINA; HEART failure; BODY composition; TREATMENT effectiveness; BLOOD testing; BODY weight; CHI-squared test; CONTINUOUS ambulatory peritoneal dialysis; CYTOSOL; DRINKING (Physiology); EXTRACELLULAR fluid; RESEARCH methodology; PEPTIDE hormones; SALT-free diet; T-test (Statistics); JUDGMENT sampling; PATIENT readmissions; DESCRIPTIVE statistics; MANN Whitney U Test; VENTRICULAR ejection fraction; PREVENTION
- Publication
Western Journal of Nursing Research, 2018, Vol 40, Issue 5, p725
- ISSN
0193-9459
- Publication type
Article
- DOI
10.1177/0193945916683652