{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T11:04:11Z","timestamp":1784027051197,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To investigate the efficacy of a traffic light diary in volume management for patients undergoing maintenance hemodialysis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A total of 80 patients undergoing maintenance hemodialysis were enrolled and randomly assigned using a random number table to either an intervention group (\n n<\/jats:italic>\n \u2009=\u200940) or a control group (\n n<\/jats:italic>\n \u2009=\u200940) for a 12\u2010week intervention period. The control group received routine hemodialysis treatment and health education on volume management in the hemodialysis unit. The intervention group additionally implemented volume management based on a traffic light diary. Comparisons were made between the two groups regarding before and after the intervention scores on the knowledge, attitude, and practice scales for volume management. The volume management compliance rate, interdialytic weight gain, ultrafiltration rate, and blood pressure levels were statistically analyzed. Acute dialysis complications during the intervention period were recorded and statistically evaluated for both groups.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Before the intervention, there were no statistically significant differences between the two groups in terms of fluid management knowledge, attitude, and practice scores; fluid management compliance rate; or blood pressure levels (all\n p<\/jats:italic>\n \u2009>\u20090.05). After the intervention, the intervention group scored significantly higher than the control group in knowledge (median [IQR]: 9 [8\u201310] vs. 7 [6\u20138]), attitudes (9.2 [8.5\u201310.0] vs. 7.0 [6.1\u20138.2]), and practice (22.9\u2009\u00b1\u20091.62 vs. 18.7\u2009\u00b1\u20091.01) (all\n p<\/jats:italic>\n \u2009<\u20090.05). The fluid management compliance rate was 95% in the intervention group, which was significantly higher than the 75% in the control group (\n p<\/jats:italic>\n \u2009<\u20090.05). Interdialytic weight gain and ultrafiltration rate decreased significantly in the intervention group compared with the control group (\n p<\/jats:italic>\n \u2009<\u20090.05). Blood pressure control was also superior in the intervention group compared to the control group (\n p<\/jats:italic>\n \u2009<\u20090.05). The incidence of acute intradialytic complications, namely hypotension and muscle cramps, was significantly lower in the intervention group than in the control group (\n p<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The implementation of fluid management based on a traffic light diary, which combines self\u2010monitoring feedback with professional health education, is of significant importance for improving patients' knowledge, attitude, and practice regarding fluid management, enhancing fluid management efficacy, stabilizing blood pressure levels, and reducing the incidence of acute intradialytic complications.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hdi.70114","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:10:07Z","timestamp":1784023807000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of a Traffic Light Diary in Volume Management for Patients Undergoing Maintenance Hemodialysis: A Randomized Controlled Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3055-9646","authenticated-orcid":false,"given":"Amin","family":"Li","sequence":"first","affiliation":[{"name":"Department of Nursing The Affiliated Taihe Hospital of Wannan Medical College Fuyang Anhui China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing The Affiliated Taihe Hospital of Wannan Medical College Fuyang Anhui China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liheng","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Nursing The Affiliated Taihe Hospital of Wannan Medical College Fuyang Anhui China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenwen","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Nursing The Affiliated Taihe Hospital of Wannan Medical College Fuyang Anhui China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000349"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2016121341"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12446"},{"issue":"1","key":"e_1_2_9_5_1","first-page":"39","article-title":"Development and Application of a Volume Management Protocol for Patients on Maintenance Hemodialysis","volume":"24","author":"Zhou Z. F.","year":"2024","journal-title":"Nursing Management in China"},{"issue":"1","key":"e_1_2_9_6_1","first-page":"80","article-title":"A Potential Profile Analysis of Volume Management Characteristics in Patients Undergoing Maintenance Hemodialysis","volume":"24","author":"Ye W.","year":"2025","journal-title":"Hemodialysis in China"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000515172"},{"issue":"3","key":"e_1_2_9_8_1","first-page":"162","article-title":"The Relationship Between Post\u2010Dialysis Volume Overload and Long\u2010Term Prognosis in Patients Undergoing Maintenance Hemodialysis","volume":"21","author":"Zhu L.","year":"2022","journal-title":"Hemodialysis in China"},{"issue":"8","key":"e_1_2_9_9_1","first-page":"1091","article-title":"Factors Influencing and Predictive Models for Volume Management Behavior in Patients on Maintenance Hemodialysis","volume":"49","author":"Li Y. Y.","year":"2024","journal-title":"Journal of Bengbu Medical College"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfaa182"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104704"},{"issue":"4","key":"e_1_2_9_12_1","first-page":"378","article-title":"Sample Size Estimation for Quantitative Studies in Nursing Research","volume":"45","author":"Ni P.","year":"2010","journal-title":"Chinese Journal of Nursing"},{"issue":"1","key":"e_1_2_9_13_1","first-page":"71","article-title":"The Effectiveness of Dietary Diary\u2010Based Health Education in Managing Fluid and Sodium Intake in Patients Undergoing Maintenance Hemodialysis","volume":"37","author":"Li Q. X.","year":"2021","journal-title":"Health Education in China"},{"issue":"9","key":"e_1_2_9_14_1","first-page":"702","article-title":"A Survey on the Current Status of Knowledge, Attitudes and Practices Regarding Volume Management in Patients Undergoing Maintenance Hemodialysis","volume":"38","author":"Shi Q.","year":"2022","journal-title":"Chinese Journal of Practical Nursing"},{"issue":"9","key":"e_1_2_9_15_1","first-page":"8","article-title":"Current Practices in Volume Management Among Patients on Maintenance Hemodialysis and Their Determinants","volume":"34","author":"Shi B.","year":"2019","journal-title":"Journal of Nursing"},{"issue":"6","key":"e_1_2_9_16_1","first-page":"511","article-title":"The Effects of Rosuvastatin on Calcium and Phosphorus Metabolism in Patients Undergoing Maintenance Hemodialysis: A Multicentre Cross\u2010Sectional Study","volume":"34","author":"Yang H. B.","year":"2025","journal-title":"Journal of Nephrology, Dialysis and Kidney Transplantation"},{"issue":"2","key":"e_1_2_9_17_1","first-page":"127","article-title":"Recent Advances in the Study of Acute Complications of Hemodialysis","volume":"19","author":"Zhang J. L.","year":"2020","journal-title":"Hemodialysis in China"},{"issue":"6","key":"e_1_2_9_18_1","first-page":"44","article-title":"The Effect of Mind Mapping\u2010Guided Health Education on Fluid Intake in Patients Undergoing Hemodialysis","volume":"16","author":"Yu X.","year":"2017","journal-title":"Modern Clinical Nursing"},{"issue":"1","key":"e_1_2_9_19_1","first-page":"121","article-title":"The Effectiveness of the Knowledge\u2010Belief\u2010Behavior Theory in Improving Volume Management Skills Among Hemodialysis Patients","volume":"33","author":"Zha X. Q.","year":"2022","journal-title":"Dialysis and Artificial Organs"},{"issue":"8","key":"e_1_2_9_20_1","first-page":"1138","article-title":"The Effect of Neuman Nursing Based on the Concept of Structured Health Education on Self\u2010Care Ability, Mental Awareness and Adherence to Fluid and Sodium Intake Control in Patients Undergoing Maintenance Hemodialysis","volume":"39","author":"Wang K. W.","year":"2024","journal-title":"Journal of North Sichuan Medical College"},{"issue":"8","key":"e_1_2_9_21_1","first-page":"901","article-title":"The Use of Board Games in Health Education on Volume Management for Elderly Patients on Maintenance Hemodialysis","volume":"20","author":"Ma C. H.","year":"2023","journal-title":"Chinese Nursing Education"},{"issue":"10","key":"e_1_2_9_22_1","first-page":"1490","article-title":"A Summary of the Best Evidence on the Assessment and Management of Volume Load in Patients on Maintenance Hemodialysis","volume":"56","author":"Guo J. Y.","year":"2021","journal-title":"Chinese Journal of Nursing"},{"issue":"11","key":"e_1_2_9_23_1","first-page":"1993","article-title":"A Study on Factors Influencing Volume Overload in Patients Undergoing Maintenance Hemodialysis","volume":"35","author":"Yang X. L.","year":"2021","journal-title":"Nursing Research"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70114","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.70114","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:10:10Z","timestamp":1784023810000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.70114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,14]]},"references-count":22,"alternative-id":["10.1111\/hdi.70114"],"URL":"https:\/\/doi.org\/10.1111\/hdi.70114","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,14]]},"assertion":[{"value":"2026-03-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hdi.70114"}}