Abstract
Background
Haemodialysis is a treatment option offered to patients with end-stage kidney disease.
Patients who commence haemodialysis will often have some degree of residual renal
function (RRF) with a continued urine output between treatment schedules. Efforts
to preserve the remaining RRF can offer several health benefits for haemodialysis
patients.
Aim
To explore the views and practices of Australian and New Zealand renal nurses in monitoring
RRF of haemodialysis patients between treatment schedules.
Methods
This study used a cross-sectional research design. Participants were recruited through
distribution of an electronic survey. Quantitative descriptive data were analysed
and presented as frequencies, percentages, medians, and interquartile ranges. Reporting
of this study adhered to the STROBE checklist.
Findings
Fifty-five renal nurses completed the survey. Of these, 10 (18.2%) always, 41 (74.5%)
sometimes, and 3 (5.5%) never discussed urine output with patients before commencing
haemodialysis. Eight (14.5%) participants indicated ultrafiltration goals did not
include calculations based on urine output between treatment schedules.
Discussion
The monitoring of RRF provides several health benefits for patients requiring maintenance
haemodialysis. Practice differences in fluid assessment policies did not always account
for self-reported urine output. The inclusion of an estimated daily urine output between
treatment schedules has the potential to lower ultrafiltration goals minimising the
risk of intradialytic hypotension.
Conclusion
The survival and quality of life for patients requiring maintenance haemodialysis
can be improved by the preservation of RRF. Findings from this study suggest practice
differences occur among renal nurses in the monitoring of urine output.
Keywords
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Article info
Publication history
Published online: May 31, 2022
Accepted:
May 20,
2022
Received in revised form:
May 17,
2022
Received:
March 26,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Nursing Ltd. Published by Elsevier Ltd.
