Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trial

Objectives: This study was conducted to determine the effect of multidisciplinary nursing intervention (MNI) on interdialytic weight gain (IDWG) and quality of life (QoL) among chronic hemodialysis patients. Materials and Methods: Quantitative research approach with randomized-controlled, single-bli...

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Main Authors: Rashmimala Pradhan, Pravati Tripathy, Debaprasad Kar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Integrative Nursing
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Online Access:https://journals.lww.com/jinm/fulltext/2025/01000/effect_of_multidisciplinary_nursing_intervention.3.aspx
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author Rashmimala Pradhan
Pravati Tripathy
Debaprasad Kar
author_facet Rashmimala Pradhan
Pravati Tripathy
Debaprasad Kar
author_sort Rashmimala Pradhan
collection DOAJ
description Objectives: This study was conducted to determine the effect of multidisciplinary nursing intervention (MNI) on interdialytic weight gain (IDWG) and quality of life (QoL) among chronic hemodialysis patients. Materials and Methods: Quantitative research approach with randomized-controlled, single-blind trial was conducted among 120 chronic hemodialysis patients in Institute of Medical Sciences and SUM Hospital Bhubaneswar, Odisha, India from February 2023 to February 2024. Participants were randomly assigned into the experimental group (n1 = 65) and control group (n2 = 55) by block randomization methods. The experimental group received the intervention phase up to the 6th week, along with the usual treatment, and the control group received only standard treatment up to the end of the study. After that, they received the diet chart plan and fluid distribution timetable. Results: Significant improvements were found in IDWG and QoL for the experimental group. The experimental group exhibited a sharp decline in weight gain within the group (F = 20.05, P < 0.001) between the group (F = 13.02, P < 0.001), interaction effects between the groups across the time point (F = 5.67, P < 0.005). Kidney disease QoL scores (KDQOL™ 36) increased from 49.38 ± 9.56 to 58.63 ± 6.04 in the experimental group, compared to an increase from 50.84 ± 9.25 to 52.04 ± 8.02 in the control group. Conclusion: This trial showed that MNIs significantly reduced IDWG and improved KDQOL™ 36 scores, with the experimental group outperforming the control, highlighting the intervention’s effectiveness.
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spelling doaj-art-dfbf2ab62cbc4657ad168d97144826f12025-08-20T03:14:39ZengWolters Kluwer Medknow PublicationsJournal of Integrative Nursing2666-98542663-44812025-01-0171122010.4103/jin.jin_6_25Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trialRashmimala PradhanPravati TripathyDebaprasad KarObjectives: This study was conducted to determine the effect of multidisciplinary nursing intervention (MNI) on interdialytic weight gain (IDWG) and quality of life (QoL) among chronic hemodialysis patients. Materials and Methods: Quantitative research approach with randomized-controlled, single-blind trial was conducted among 120 chronic hemodialysis patients in Institute of Medical Sciences and SUM Hospital Bhubaneswar, Odisha, India from February 2023 to February 2024. Participants were randomly assigned into the experimental group (n1 = 65) and control group (n2 = 55) by block randomization methods. The experimental group received the intervention phase up to the 6th week, along with the usual treatment, and the control group received only standard treatment up to the end of the study. After that, they received the diet chart plan and fluid distribution timetable. Results: Significant improvements were found in IDWG and QoL for the experimental group. The experimental group exhibited a sharp decline in weight gain within the group (F = 20.05, P < 0.001) between the group (F = 13.02, P < 0.001), interaction effects between the groups across the time point (F = 5.67, P < 0.005). Kidney disease QoL scores (KDQOL™ 36) increased from 49.38 ± 9.56 to 58.63 ± 6.04 in the experimental group, compared to an increase from 50.84 ± 9.25 to 52.04 ± 8.02 in the control group. Conclusion: This trial showed that MNIs significantly reduced IDWG and improved KDQOL™ 36 scores, with the experimental group outperforming the control, highlighting the intervention’s effectiveness.https://journals.lww.com/jinm/fulltext/2025/01000/effect_of_multidisciplinary_nursing_intervention.3.aspxhemodialysis patientsinterdialytic weight gainmultidisciplinary nursing interventionquality of liferandomized controlled trials
spellingShingle Rashmimala Pradhan
Pravati Tripathy
Debaprasad Kar
Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trial
Journal of Integrative Nursing
hemodialysis patients
interdialytic weight gain
multidisciplinary nursing intervention
quality of life
randomized controlled trials
title Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trial
title_full Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trial
title_fullStr Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trial
title_full_unstemmed Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trial
title_short Effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients: A randomized controlled trial
title_sort effect of multidisciplinary nursing intervention on interdialytic weight gain and quality of life among chronic hemodialysis patients a randomized controlled trial
topic hemodialysis patients
interdialytic weight gain
multidisciplinary nursing intervention
quality of life
randomized controlled trials
url https://journals.lww.com/jinm/fulltext/2025/01000/effect_of_multidisciplinary_nursing_intervention.3.aspx
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AT debaprasadkar effectofmultidisciplinarynursinginterventiononinterdialyticweightgainandqualityoflifeamongchronichemodialysispatientsarandomizedcontrolledtrial