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Journal of Renal Care

Stephanie Notaras, Janet Conti
BACKGROUND: Dietary changes recommended for chronic kidney disease (CKD) stages 4-5 and concurrent diabetes are difficult to follow given the multitude of food and fluid restrictions aimed at reducing the rate of CKD progression. Reduced adherence is commonplace and there is limited literature on patients' experiences with dietary changes and potential strategies to overcome this. OBJECTIVES: Examine patients' experiences when adopting dietary changes recommended for CKD Stages 4-5 (pre-dialysis) and diabetes, and their perceptions of dietetic services and how they can be improved to assist them with dietary change...
October 23, 2018: Journal of Renal Care
Peter D Murray, Maximillian H Brodermann, Jane Gralla, Alexander C Wiseman, Paul N Harden
BACKGROUND: Young adults with end-stage kidney disease (ESKD) are at a pivotal stage of life: progressing through education, seeking employment and developing relationships. We set out to explore how ESKD impacts education and employment attainment in a matched UK and USA patient cohort. Moreover, we aimed to determine if there were significant differences in reported perceptions of impact. DESIGN: A mixed methods design combining previously validated quantitative questionnaire surveys and qualitative semi-structured interviews...
October 2, 2018: Journal of Renal Care
Kelly Lambert, Kylie Mansfield, Judy Mullan
BACKGROUND: Dietary modification is an integral part of chronic kidney disease (CKD) management. However, adherence to the renal diet is often suboptimal. METHODS: The aims of this study were to (i) describe the experiences of patients with CKD and their carers in their process of interpreting and implementing renal dietary advice; (ii) to explore strategies they used to make sense of and apply renal diet information and (iii) to develop recommendations for improved clinical practice...
September 27, 2018: Journal of Renal Care
Francesco Burrai, Shokri Othman, Elena Brioni, Marco Silingardi, Valentina Micheluzzi, Marco Luppi, Luigi Apuzzo, Gaetano La Manna
No abstract text is available yet for this article.
December 2018: Journal of Renal Care
Kantaporn Yodchai, Alison M Hutchinson, Areewan Oumtanee
BACKGROUND: Despite sexual dysfunction (SD) being common among, and affecting quality of life in people with end-stage kidney disease (ESKD) receiving dialysis, sexuality is not a subject that patients and nephrology nurses usually discuss. OBJECTIVE: To explore Thai nephrology nurses' perceptions about discussing sexual health issues with patients receiving dialysis. MATERIAL AND METHODS: A phenomenological approach was applied and data were collected using semi-structured individual interviews...
July 31, 2018: Journal of Renal Care
Andrea Dombrowski, Roschelle Heuberger
BACKGROUND: Patients receiving dialysis are thought to have increased energy needs due to stress from the dialysis process or uraemic toxins. However, certain conditions may induce hypometabolic states potentially leading to unwanted weight gains when increased calorie intake is recommended. OBJECTIVES: Since there is conflicting research, this study aims to assess total energy expenditure (TEE) of patients receiving dialysis through analysis of resting energy expenditure (REE) and physical activity levels...
July 16, 2018: Journal of Renal Care
Jeanette Finderup, Annalise Fabricius Kristensen, Rikke Christensen, Bente Jespersen
BACKGROUND: With inspiration from Oxford, UK, a youth clinic outside the hospital for young people with kidney disease was established at a Danish university hospital in Autumn 2014. Four clinics have been held annually. OBJECTIVES: To qualitatively evaluate a new established youth clinic and to gain knowledge of the experiences of young people and their parents with this clinic. METHODS: Three data sets were collected (observation, interviews and focus groups)...
June 13, 2018: Journal of Renal Care
Geraldine McCrory, Declan Patton, Zena Moore, Tom O'Connor, Linda Nugent
BACKGROUND: Management of individuals with chronic kidney disease (CKD) requires a collaborative approach. Nurses have diversified their skills to take on roles which have been traditionally physician-led. The impact of such roles, mainly that of the advanced nurse practitioner (ANP), has not been previously assessed using a systematic approach. OBJECTIVES: The aim of this systematic review (SR) was to determine the impact of the addition of an ANP on patient outcomes in adults with CKD...
June 11, 2018: Journal of Renal Care
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Journal of Renal Care
Magnus Lindberg
No abstract text is available yet for this article.
June 2018: Journal of Renal Care
Ann Bonner, Shirley Chambers, Helen Healy, Wendy Hoy, Geoff Mitchell, Adrian Kark, Sharad Ratanjee, Patsy Yates
BACKGROUND: There is increasing recognition of the clinical need for timely and coordinated supportive and palliative care for those with terminal organ failure. OBJECTIVE: To describe symptoms, quality of life and supportive care needs in the anticipated 12-month period prior to death in adults with chronic kidney disease (CKD) stages 4 or 5. METHOD: An observational, prospective, longitudinal design was used to follow 19 patients. The measures used were the Chronic Kidney Disease-Symptom Burden Index (CKD-SBI), the Australian Karnofsky Performance Scale (AKPS), the Functional Assessment of Chronic illness Therapy Palliative-14 (FACIT PAL-14), the Assessment of Quality of Life 6 Dimensions (AQoL-6D) and the Sheffield Profile for Assessment and Referral for Care (SPARC)...
June 2018: Journal of Renal Care
Kristin H Urstad, Astrid K Wahl, Eivind Engebretsen, Marie H Larsen, Tone K Vidnes, Anne G K Stenwig, Øystein W Simensen, Arve Nordli, Anna V Reisaeter, Marit H Andersen
BACKGROUND: Nurses' strategies regarding patient education should be informed by the best available research evidence. Clinical nurses play an essential role in implementing new patient education programmes for renal transplant recipients. AIM: This study investigated transplant nurse job satisfaction, competence, training and perceptions of quality of care in relation to the implementation of a new, evidence-based, patient education programme. This paper reports the results from the first part of an implementation study...
June 2018: Journal of Renal Care
Van Lan Hoang, Theresa Green, Ann Bonner
BACKGROUND: Living with end stage kidney disease and having dialysis is burdensome, and there is a need for support from informal caregivers (i.e. family members and friends). Renal health professionals readily acknowledge and value the support provided by caregivers although the activities and experiences of caring for a loved-one who is receiving dialysis is less well understood. OBJECTIVES: To review studies about the perspectives and experiences of family members and friends who provide support for adults receiving either haemodialysis or peritoneal dialysis...
June 2018: Journal of Renal Care
Hanne Agerskov, Claus Bistrup, Mette S Ludvigsen, Birthe D Pedersen
BACKGROUND: The shortage of organs from deceased donors has led to more living donation. Furthermore, immunological developments have made it possible to perform kidney transplantation despite preformed antibodies against the donor organ. This has led to a broader recruitment base of living donors. OBJECTIVE: The objective was to investigate experiences and considerations on becoming, and during the process of being, a living kidney donor. MATERIALS AND METHODS: Interviews and participant observation were conducted before, during and after the donation...
June 2018: Journal of Renal Care
Claire Trimingham, Stephen McDonald, Kathryn Dansie, Shilpa Jesudason, Randall Faull, Phil Clayton, Grace Liew, Richard Le Leu, Anthony Meade
BACKGROUND: The bowel health of those with chronic kidney disease (CKD) can be affected by medications, fluid/dietary allowances, reduced activity and pre-existing medical conditions. Patient perceptions of their bowel health can differ from those of health care professionals and the burden of gastrointestinal symptoms could be inaccurately reported. METHODS: Adults with CKD, including those undergoing haemodialysis, peritoneal dialysis and kidney transplant from four South Australian hospitals enrolled in the study...
June 2018: Journal of Renal Care
Karen M Salamon, Kelly Lambert
BACKGROUND: Malnutrition is a significant problem in those undergoing peritoneal dialysis (PD). Factors such as gastrointestinal (GI) symptoms and the need for a fluid reduced diet can limit tolerance and thereby the efficacy of oral nutritional supplements to treat malnutrition. OBJECTIVES: To evaluate the acceptability and impact of two different forms of oral nutrition supplementation for 16 weeks on nutritional markers and quality of life of malnourished patients undergoing PD...
June 2018: Journal of Renal Care
Priscilla Muscat, Joseph Chilcot, John Weinman, Joanna Hudson
BACKGROUND: The prevalence of depression is found to increase from early stages to later stages of chronic kidney disease. Research on illness perceptions in patients undergoing dialysis has confirmed that patients' beliefs are associated with important outcomes; one of the most significant being depression. However, the association between illness perceptions and depression in patients in pre-dialysis care remains unclear. OBJECTIVE: The main objective of this systematic review was to explore the associative relationship between illness perceptions and depression in patients with CKD prior to the commencement of dialysis...
May 27, 2018: Journal of Renal Care
Stephanie A Brown, Freya Tyrer, Amy L Clarke, Laetitia H Lloyd-Davies, Faatihah A Niyi-Odumosu, Ryan Guo Quan Nah, Andrew G Stein, Carolyn Tarrant, Alice C Smith
BACKGROUND: Chronic kidney disease (CKD) is associated with a range of symptoms, even at early stages. The importance of patient symptom experience is increasingly recognised, but validated symptom scores are lacking. OBJECTIVES: This study aimed to refine an existing symptom questionnaire for use with patients not requiring renal replacement therapy (RRT), carry out content validity testing and explore convergent validity by comparing symptom scores with quality of life (QoL)...
May 24, 2018: Journal of Renal Care
Janet S C Li, John Y H Chan, Mandy M Y Tai, So M Wong, S M Pang, Fanny Y F Lam, Carmen H M Chu, Chris S Y Ching, Joseph H S Wong, W L Chak
BACKGROUND: Over-hydration (OH) and malnutrition are prevalent among patients on dialysis therapy. The prevalence of OH and malnutrition as well as the risk factors associated with OH and malnutrition in our patients on home peritoneal dialysis (PD) and home haemodialysis (HD) are examined. DESIGN AND METHODS: This was a cross-sectional study. The hydration and nutritional status of the study groups were assessed by a Body Composition Monitor. Patients who were stable on home dialysis therapy for over one year were invited to participate...
April 17, 2018: Journal of Renal Care
Jeanette Finderup, Jens K D Jensen, Kirsten Lomborg
BACKGROUND: Evidence is inconclusive on how best to guide the patient in decision-making around haemodialysis and peritoneal dialysis choice. International guidelines recommend involvement of the patient in the decision to choose the dialysis modality most suitable for the individual patient. Nevertheless, studies have shown lack of involvement of the patient in decision-making. OBJECTIVES: To develop and pilot test an intervention for shared decision-making targeting the choice of dialysis modality...
April 17, 2018: Journal of Renal Care
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