Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

@article{185713,
        author = {Nilesh Mhaske and Dr. Heera Jayasheela and Sonali Kashid},
        title = {Effectiveness of Nursing Interventions on Physiological Parameters Among Chronic Kidney Disease (CKD) Clients Undergoing Hemodialysis},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {5},
        pages = {2576-2579},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=185713},
        abstract = {Background:chronic kidney disease (CKD) clients undergoing hemodialysis often experience alterations in physiological parameters such as blood pressure, heart rate, respiratory rate, and weight due to fluid shifts, comorbidities, and dialysis effects. Nursing interventions such as pre- and post-dialysis care, guided breathing exercises, fluid intake monitoring, and patient education can play a vital role in stabilizing these parameters.
Objectives:
1.	To assess the existing physiological parameters among CKD clients undergoing hemodialysis.
2.	To determine the effectiveness of nursing intervention on physiological parameters.
3.	To find out the association between physiological parameters and selected demographic variables.
Materials and Methods:
A quasi-experimental one-group pre-test post-test design was employed among 30 CKD clients receiving hemodialysis at a tertiary care center using purposive sampling. Nursing interventions including breathing exercises, fluid/diet education, and guided rest were provided over 10 consecutive dialysis sessions. Pre- and post-intervention measurements included blood pressure, heart rate, respiratory rate, and interdialytic weight gain. Data were analyzed using SPSS v25.
Results:
post-intervention data showed improvements in physiological stability. Systolic BP reduced from a mean of 154.2 ± 8.7 mmHg to 141.6 ± 7.9 mmHg; heart rate improved from 92.1 ± 5.5 bpm to 84.8 ± 4.9 bpm; and respiratory rate declined from 22.7 ± 2.3 to 19.8 ± 1.9. Interdialytic weight gain was significantly controlled. The paired t-test indicated statistically significant differences (p < 0.01). Education and duration of dialysis were significantly associated with better post-test physiological parameters.
Conclusion:
The study revealed that structured nursing interventions were effective in improving physiological outcomes among CKD clients undergoing hemodialysis. Incorporating such interventions into standard nursing care is recommended to promote clinical stability.},
        keywords = {Chronic Kidney Disease, Hemodialysis, Nursing Interventions, Blood Pressure, Heart Rate, Physiological Parameters},
        month = {October},
        }