Effect of Hemodialysis on the Hemodynamic Status for Patients with Chronic Renal Failure

Objectives: To assess the effect of Hemodialysis on the Hemodynamic (systolic, diastolic of blood pressure, and heart rate before , during and after Hemodialysis ) Methodology: Descriptive study was carried out at the Hemodialysis word in Baghdad teaching hospital during the period from 20 July 2015 to 20 April 2016. A purposive (non-probability) sample of (30) patients with end stage of renal failure who were systematically admitted to the hospitals were selected one by one. A questionnaire was constructed for the purpose of the study, which comprise of four parts that included Part I: Sociodemographic characteristics which included age ,gender, and occupational status. Part II: Clinical characteristics Which included past medical history Part III: Measurement forma of blood pressure, and heart rate before during and after hemodialysis. Part IV: Complication forma of hemodialysis. The data was collected by the application of the questionnaire, the interview technique, observation and the patients' sheets Results: The findings of the study indicated that there is no significant difference between before , during and after hemodialysis related to heart rate , systolic , diastolic blood pressure , and respiratory rate . Conclusion: Reduced heart rate value and a sudden reduction in systolic blood pressure of 20 mmHg or more in the first 2 h of dialysis in during hemodialysis patients. Recommendation: The study recommended that development and implementation of educational program for nurses ( theory and practices ) for care of patients with end stage renal failure during hemodialysis.