Perspectives on fluid overload management among caregivers of end-stage renal disease patients undergoing hemodialysis

Abstract

Background: Fluid overload is a significant problem often encountered in patients with end-stage renal disease. If not properly managed, it can have multiple adverse effects on a patient's health or may even be life-threatening. Objectives: This qualitative study explored the perspectives of caregivers concerning fluid overload management in end-stage renal disease (ESRD) patients undergoing hemodialysis. Methods: Eighteen caregivers, selected based on direct caregiving responsibilities and willingness to share their experiences were interviewed at Maharaj Nakorn Chiang Mai Hospital, Thailand, from January to April 2022. Data was collected through in-depth interviews. Thematic content analysis revealed varying degrees of knowledge and misconceptions among caregivers about fluid management strategies. Results: Some participants demonstrated a comprehensive understanding of dietary modifications, medication adherence, and lifestyle adjustments, recognizing their importance in maintaining fluid balance. However, gaps and misconceptions were identified with some caregivers lacking knowledge of specific strategies or believing that solely restricting fluid intake was sufficient. Participants underscored the pivotal role of healthcare professionals in guiding and supporting them emphasized the need for clear instructions, educational materials, and continuous communication. Conclusion: The findings highlighted the need to improve caregivers' knowledge and understand the significant role of healthcare providers in equipping caregivers with necessary information and skills. These insights can guide healthcare providers in tailoring education and support strategies to improve fluid overload management in ESRD patients. Further studies should explore the development and evaluation of targeted educational interventions for caregivers.