Risk Factors Associated with Hemodynamic Instability during Hemodialysis session

Document Type : Original Article

Authors

1 Teacher at Tema Technical Nursing Secondary School in Sohag Governorate, Egypt.

2 Professor of Critical Care & Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

3 Assistant Professor of Internal Medicine & Nephrology, Faculty of Medicine, Assiut University, Egypt.

Abstract

Background: Hemodynamic instability is a common complication during hemodialysis. It is a life-threatening problem that requires critical management. Aim of the study to assess risk factors associated with hemodynamic instability during hemodialysis session. Research design: A descriptive correlational research design was utilized. Setting: The study was carried out in dialysis unit at Tema central Hospital in Sohag governorate and dialysis unit at Assiut university hospital. Patients: A total sample of 200 adult hemodialytic patients from both gender were participated in this study. Tools: Two tools were used to collect data include Tool I: Patient assessment tool (demographic, clinical data and Laboratory Investigations). Tool II: Patient hemodynamic assessment tool. Result: 51.5% of studied patients experienced hemodynamic instability during dialysis sessions. Variables such as age, ultrafiltration rate and dialysis duration were significantly linked to intradialytic hemodynamic instability. Hemoglobin, Red Blood Cells, sodium, and urea levels were statistically significant predictors of hemodynamic instability. Conclusion: The present study concluded that more than half of patients experienced hemodynamic instability during hemodialysis sessions. Hemoglobin, Red Blood Cells, sodium, and urea levels were statistically significant predictors of hemodynamic instability. Recommendation: Develop a nursing protocol for hemodialysis patients to reduce the incidence of hemodynamic instability among high-risk patients.

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