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IRCT20180429039463N5 IRCT 2023-01-07 Torbate-Heidaria University of Medical Sciences Effect of dialysis machine profile on blood pressure The effect of ascending-descending profile of ultrafiltration along with sodium profile on systolic and diastolic blood pressure during the dialysis process in patients undergoing hemodialysis treatment. 2022-12-29 anticipated 20 Complete https://irct.ir/trial/67695 interventional Randomization: N/A, Blinding: Single blinded, Placebo: Used, Assignment: Crossover, Purpose: Health service research, Blinding description: In this study, patients will be informed that they will participate in a study, but they will not know that they are in the control group or in the intervention group. N/A Chronic renal failure. Intervention 1: intervention group: In the ascending-descending ultrafiltration profile mode, the duration of dialysis is routinely considered to be 4 hours. Ultrafiltration in this hemodialysis program is divided into three phases (ascending, intermediate and venular). In the ascending phase, 25.5% of the patient's total weight is taken with a low UF rate. In the middle phase, there is an aggressive phase that takes 51.2% of the patient's weight, which is the maximum UF rate in this phase. In the descending phase, 23.6% of the total weight of the patient is taken, and the UF rate of this phase is also low. Intervention 2: Control group: In routine mode without ultrafiltration profile, the patient's weight is divided every hour, weighing is taken to balance. For example, in a patient who has 4 liters of excess weight during 4 hours of hemodialysis, the ultrafiltration rate is 1000 ml per hour. Yes - There is a plan to make this available What will be shared: Information about the main consequence after being unidentified will be shared When: Start the access period 6 months after Publish results To whom: Everyone Conditions: The results obtained in this study can be used without restriction by researchers. Where to obtain: Referring to Torbat Heidarieh Nursing and Midwifery Faculty How to obtain: After sending the email to the person responsible for the response process begins. Comments:
public Mohammad Namazinia
Torbat Heydariyeh University of Medical Sciences Building., Razi St., Ferdawsi St
Torbat Heydariyeh Iran (Islamic Republic of) 95169-33787 +98 51 5222 6013 mnamazi99@gmail.com Torbate-Heidaria University of Medical Sciences scientific Mohammad Namazinia
Torbat Heydariyeh University of Medical Sciences Building., Razi St., Ferdawsi St
Torbat Heydariyeh Iran (Islamic Republic of) 95169-33787 +98 51 5222 6013 mnamazi99@gmail.com Torbate-Heidaria University of Medical Sciences Iran (Islamic Republic of) Patients aged 18-75 suffering from end-stage renal disease (GFR less than 10% in non-diabetics and non-elderly and GFR less than 15% in diabetics and the elderly) Being on hemodialysis for more than six months Dialysis three times a week with sodium bicarbonate buffer solution Not having specific cardiovascular problems such as heart attack, atrial fibrillation or using a pacemaker Not having severe anemia 18 years 75 years Both Unwillingness to participate in the study Try to get a vein or needle more than twice in each vascular pathway Fistula failure N18 Chronic kidney disease (CKD) N/A N/A intervention group: In the ascending-descending ultrafiltration profile mode, the duration of dialysis is routinely considered to be 4 hours. Ultrafiltration in this hemodialysis program is divided into three phases (ascending, intermediate and venular). In the ascending phase, 25.5% of the patient's total weight is taken with a low UF rate. In the middle phase, there is an aggressive phase that takes 51.2% of the patient's weight, which is the maximum UF rate in this phase. In the descending phase, 23.6% of the total weight of the patient is taken, and the UF rate of this phase is also low. Control group: In routine mode without ultrafiltration profile, the patient's weight is divided every hour, weighing is taken to balance. For example, in a patient who has 4 liters of excess weight during 4 hours of hemodialysis, the ultrafiltration rate is 1000 ml per hour. Blood pressure. Timepoint: In this study, blood pressure is measured before dialysis, the first hour, the second hour, the third hour, the fourth hour, and after each dialysis session. Method of measurement: Each of the samples rested in the supine position after baring the hand with the hand of the sphygmomanometer while the cuff of the device was closed at least 2.5 to 3 cm above the elbow and was measured and recorded. Torbate-Heidaria University of Medical Sciences Approved 2022-12-26 Research Ethics Committee of Torbat Heydariyeh University of Medical Sciences Torbat Heydariyeh University of Medical Sciences, Razi St. Torbat Heydariyeh Razavi Khorasan Iran (Islamic Republic of)