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Nursing diagnoses identified in hospitalized patients during hemodialysis

OBJECTIVE: To establish NANDA International nursing diagnoses (NDs) in hospitalized patients with chronic renal failure (CRF), undergoing hemodialysis, using risk factors and signs and symptoms described in nursing developments. METHODS: This was a retrospective cohort study, with a sample of 98 hospitalized adult patients with CRF who were having hemodialysis. Data were collected retrospectively from medical records, and analyzed statistically. RESULTS: We identified three actual and four risk NDs: excess fluid volume, nausea, acute pain, risk for infection, risk for unstable blood glucose, risk for electrolyte imbalance, and risk for imbalanced fluid volume. CONCLUSION: These NDs enabled improved knowledge of the patients during the hemodialysis session, and therefore may be useful for nursing care.

Nursing diagnosis; Renal dialysis; Renal insufficiency, chronic; Inpatients


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