- Title
- Pictures and perspectives: a unique reflection on interdialytic weight gain
- Creator
- Sinclair, Peter; Parker, Vicki
- Relation
- HNE Handover for Nurses and Midwives Vol. 1, Issue 2, p. 10-15
- Relation
- http://www.newcastle.edu.au/school/nursing-midwifery
- Publisher
- University of Newcastle, Hunter New England NSW Health, University of New England
- Resource Type
- journal article
- Date
- 2008
- Description
- Background: People undergoing haemodialysis are required to follow a complex treatment regime that includes dietary and fluid restrictions. Of these restrictions, interdialytic weight gain is often used as a marker for measuring adherence. Historically, research into interdialytic weight gain has focussed on interventions devised by clinicians and utilised quantitative methodologies with little consideration being given to how these people deal with fluid restrictions. Aim: The purpose of this study is to examine perspectives of managing interdialytic weight gain and describe the meaning of fluid restriction for people on haemodialysis. Method: This research used a qualitative study that involved in-depth interviews to elicit patients’ stories. Participants were invited to use images to support their story telling. Data were analysed using an iterative theming process. Results: Themes that arose from preliminary data analysis include magnitude of loss, constant struggle and transition to acceptance. Transition to acceptance is not a linear progression to understanding and compliance but a multifaceted, tortuous struggle unique to individuals and largely dependant upon support, belief in a life worth living and willingness to engage in surveillance and maintenance behaviour. Conclusion: Appreciating the impact and meaning of fluid restriction for people on haemodialysis will assist health professionals to identify support strategies that facilitate healthy fluid gain behaviours.
- Subject
- haemodialysis; interdialytic weight gain; fluid restrictions; loss
- Identifier
- uon:4989
- Identifier
- http://hdl.handle.net/1959.13/42843
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