Are Cooling Dialysate and Patient Education Can Decrease Intradialytic Hypotension?

Moustafa Abdallah Elpasiony, Nafisa; Bayrak Kahraman, Burcu; Rady Sobh, Huda

doi:10.21608/ejhc.2022.277813

Are Cooling Dialysate and Patient Education Can Decrease Intradialytic Hypotension?

Document Type : Original Article

Authors

¹ Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt

² Assistant Professor, Department of Nursing, Faculty of Health Sciences, Bilecik Şeyh Edebali University, Turkey

³ Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt

10.21608/ejhc.2022.277813

Abstract

Background: Intradialytic hypotension (IDH) is a common and distressful complication of
hemodialysis. It can cause uncomfortable symptoms for patients, lower dialysis efficiency, and
result in vascular access thrombosis. Therefore, preventing this complication is essential. Aim: To
evaluate the effects of cooling the dialysate and patient education on decreasing intradialytic
hypotension. Design A Quasi-experimental study design was used. Methods A purposive 70
patients undergoing hemodialysis in a hospital in Egypt participated in the study. Tool I (Structured
Interviewing Questionnaires Sheet) and Tool II (Intradialytic hypotension Assessment Sheet) were
used to collect data. Interventions include educate patients some instructions help in decrease IDH.
In addition, lower dialysate temperature. Results A statistically significant difference in the
occurrence of intradialytic hypotension was observed between pre and post intervention during
every hour of hemodialysis (p < 0.01). Also, more than half of the patients reported symptoms of
intradialytic hypotension before intervention, including fatigue, sweating, cramps, and dizziness
with a statistically significant difference from those after intervention (p = 0.001). Conclusion: As
a result of the intervention done, the symptoms observed during dialysis and the prevalence of IDH
decreased. Recommendations: Cooling the dialysate and educating patients instructions regarding
diet and dealing with drugs can be routinely applied to prevent IDH in hemodialysis units.

Keywords