Intradialytic hypotension prevalence, influencing factors, and nursing interventions: prospective results of 744 hemodialysis sessions

Abstract

Introduction: the aim of this study was to evaluate intradialytic hypotension (IDH) prevalence, influencing factors, and nursing interventions in hemodialysis (HD) patients. Methods: This descriptive and cross-sectional study was conducted at a private dialysis center. the patients were followed-up in terms of IDH development based on the European Best Practice Guidelines criteria during six consecutive HD sessions. the study followed the STROBE checklist. Results: A total of 744 hemodialysis sessions of 124 patients were monitored. IDH developed in 51.6% of the patients and the prevalence was 17.60%. the most common nursing interventions were stopping ultrafiltration and isotonic saline solution administration. White blood cell (WBC) (p = 0.017) and creatinine (p = 0.005) values were statistically significantly higher in patients developing IDH. WBC was found to increase IDH development risk 0.796 times (95% CI [0.657–0.996], p = 0.021). Conclusion: Nursing staff awareness regarding the frequency of IDH in hemodialysis patients and the related symptoms needs to be increased. © 2020, Royal Academy of Medicine in Ireland.