Effectiveness of Comprehensive Nursing Strategies on CKD Patients Subjected to Hemodialysis

Background of the study: Chronic kidney disease (CKD) patients undergoing hemodialysis often face the challenge of fluid restrictions, which are necessary to prevent complications such as acute pulmonary edema and congestive heart failure. One of the most distressing symptoms for these patients is intense thirst, compounded by dry mouth (xerostomia). Therefore, this study was aimed to assess the effectiveness of comprehensive nursing strategies on reducing the level of thirst distress on CKD patients subjected to hemodialysis at HSK Hospital, Bagalkot. Methodology: This was a randomized controlled trail with pre-test post-test control group design. A Simple Random sample of 36 CKD patients subjected to hemodialysis was selected from HSK Hospital, Bagalkot. Socio demographic information of CKD patients subjected to hemodialysis was gathered using structured socio demographic profile and level of thirst distress were assessed using Standardized Thirst Distress Scale and Visual Analogue Scale respectively. Data were analyzed in terms of objectives of the study. Findings: Findings related to the significance of the difference between pre test and post test scores of the CKD patients shows that, difference between mean pre test [22.72] and mean posttest [11.77] scores, found to be statistically difference at 0.05 level of significant [t= 10.95 (p valve=0.0001) p<0.05]. The mean post test level of thirst distress will be significantly lower than the mean pre test level of thirst distress among CKD patients subjected to hemodialysis. Conclusion: The finding of the study concluded that the CKD patients subjected to hemodialysis had increased level of thirst distress. There was significant difference found between the two groups, therefore study showed that the selected comprehensive nursing strategies is found effective to reduce the level of thirst distress among CKD patients subjected to hemodialysis.