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Journal of Renal Care

Francesca Taylor, Jennifer Hare, Gill Combes
BACKGROUND: Many patients with end-stage kidney disease (ESKD) have significant psychosocial needs as a consequence of their illness and treatment. Unmet needs can impact negatively on their health and well-being. Patients want improved psychosocial support particularly in relation to coping and adjustment. Little is known about the relevance and applicability to patients of intervention approaches to support their psychosocial needs. OBJECTIVES: To explore patients' attitudes to different intervention approaches that could be developed to help them cope with the psychosocial stressors of ESKD, and to assess the potential acceptability of these approaches...
October 18, 2016: Journal of Renal Care
Anne Rebafka
BACKGROUND: Whether or not patients follow the advice given by their healthcare professional is commonly referred to as adherence. In the case of kidney transplantation, transplant recipients need to take immunosuppressive drugs on a regular basis to prevent rejection of their transplant. However, medication adherence can be problematic for many patients. OBJECTIVES: This critical appraisal of evidence aimed to gain insights into factors contributing to adherence and non-adherence in recipients of kidney transplants, and to explore patients' perceptions regarding adherence to immunosuppression...
September 15, 2016: Journal of Renal Care
Christopher J Kirwan, Kelly Wright, Peter Banda, Aylwin Chick, Mwayi Mtekateka, Enos Banda, Zuze Kawale, Rhys Evans, Hamish Dobbie, Gavin Dreyer
BACKGROUND: Acute kidney injury is common and has significant impact on mortality and morbidity. There is a global drive to improve the lack of knowledge and understanding surrounding the recognition, diagnosis and management of patients with AKI in resource poor healthcare systems. OBJECTIVES: We propose a nurse-led education programme to medical and nursing staff of the Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi, will improve the overall care and understanding of patients with AKI that will still be effective 3 months later...
September 5, 2016: Journal of Renal Care
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Journal of Renal Care
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Journal of Renal Care
Nicola Thomas
No abstract text is available yet for this article.
September 2016: Journal of Renal Care
Julia Erlingmark, Mariann Hedström, Magnus Lindberg
BACKGROUND: Current trends in renal anaemia management place greater emphasis, and thus increased workload, on the role of the nurse in haemodialysis settings. However, there is little evidence that demonstrates the relationship between nurse staffing and patient outcomes. OBJECTIVES: To describe nurse staffing in haemodialysis settings, its relationship with target levels of renal anaemia management and to describe target level achievement for different ways of organising anaemia management...
September 2016: Journal of Renal Care
Maharajan Raman, Darren Green, Rachel J Middleton, Philip A Kalra
BACKGROUND: Chronic kidney disease (CKD) is a global problem. With an ageing population the burden on the health services has increased due to the growing number of older people with CKD. This group of individuals is far different to the younger CKD population and their risk of cardiovascular death is far greater than the risk of progressing to end stage kidney disease (ESKD). OBJECTIVE: In this review we explore the role of certain biomarkers and medications in predicting the risk of progression to ESKD and death in old people with CKD...
September 2016: Journal of Renal Care
Ahmad Ali Eslami, Leili Rabiei, Heidar Ali Abedi, Majid Shirani, Reza Masoudi
BACKGROUND: Coping skills enable caregivers to establish and maintain supportive relationships with the haemodialysis patients they care for. These skills are very important in terms of social support, promotion of mental health and social and family relations. The aim of this study is to investigate the coping skills of Iranian family caregivers as they take care of patients undergoing haemodialysis. METHODS: Twenty participants were selected for the study through purposive sampling...
September 2016: Journal of Renal Care
Nicola Lusia Veater, Linda East
BACKGROUND: Despite the benefits of receiving a donor kidney, there is evidence of persistent depression amongst the transplant population. Healthcare professionals should endeavour to put in place strategies for the prevention, identification and management of depression. OBJECTIVES: To critically examine recent research concerning the prevalence, detection and impact of depression amongst kidney transplant recipients, leading to recommendations for practice improvement...
September 2016: Journal of Renal Care
Jeanette Finderup, Laura Peschardt, Mette Rubin Sander, Mette Ulf Nielsen
BACKGROUND: Guidelines for care before, during and after a kidney biopsy vary nationally and internationally. A literature search has shown few studies about the care before, during and after a kidney biopsy and we found one study from the patients' perspective. OBJECTIVES: The aim of the study is to gain knowledge about patients' experiences before, during and after a kidney biopsy. METHODS: A qualitative study with a phenomenological and hermeneutic approach using 'observiews' of seven patients before, during and after a kidney biopsy...
September 2016: Journal of Renal Care
Anna Lee, Kelly Lambert, Pauline Byrne, Maureen Lonergan
BACKGROUND: For people on peritoneal dialysis (PD), constipation is associated with technique failure. For those on haemodialysis (HD), constipation has been associated with a reduction in quality of life. OBJECTIVES: The objectives of this study were to (i) determine the prevalence of functional constipation; (ii) compare patient perception of constipation with Rome III criteria for functional constipation; (iii) describe the prevalence of constipation and stool form using Bristol Stool Form Scale (BSFS); (iv) determine differences in bowel habit and stool form between those on dialysis compared to pre-dialysis; and (v) determine the diagnostic accuracy of self-perception and the Rome III criteria against the BSFS...
September 2016: Journal of Renal Care
Joanna L Hudson, Rona Moss-Morris, David Game, Amy Carroll, Joseph Chilcot
BACKGROUND: There is significant psychological distress in adults with end-stage kidney disease (ESKD). However, psychological treatments tailored to address the unique challenges of kidney failure are absent. We identified psychological correlates of distress in ESKD to develop a cognitive-behavioural therapy (CBT) treatment protocol that integrates the mental health needs of patients alongside their illness self-management demands. METHODS: Studies which examined relationships between distress and psychological factors that apply in the context of ESKD including: health threats, cognitive illness representations and illness management behaviours were narratively reviewed...
July 26, 2016: Journal of Renal Care
Tai Mooi Ho, Dolors Estrada, Josep Agudo, Piedad Arias, Raúl Capillas, Elvira Gibert, M Mar Isnard, M José Solé, Anna Salvadó
BACKGROUND: It is accepted that patient education can be beneficial in the treatment of chronic diseases. We conducted an educational intervention (EI) in hypertensive patients seen at Primary Care centres (PCC) and specialised Hypertension Units (SHU). OBJECTIVES: To assess patient's knowledge of hypertension and to verify the impact of this educational initiative. METHODS: A multicentre quasi-experimental study with the participation of 120 patients with hypertension...
July 26, 2016: Journal of Renal Care
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Journal of Renal Care
Andrew Morris, Deborah Biggerstaff, Deborah Lycett
No abstract text is available yet for this article.
June 2016: Journal of Renal Care
Valerie Young, Sarah Balaam, Linda Orazio, Annerley Bates, Sunil V Badve, David W Johnson, Katrina L Campbell
BACKGROUND: Sub-optimal nutrition status is common amongst patients receiving peritoneal dialysis (PD) and leads to poor clinical outcome. This population experiences multi-factorial challenges to achieving optimal nutritional status, particularly driven by inadequate intake. OBJECTIVES: The aim of this investigation was to identify factors associated with inadequate protein intake and sub-optimal nutritional status in patients undergoing PD. DESIGN/PARTICIPANTS: This was a cross-sectional study of 67 adult patients receiving PD (mean age 59 ± 14 years; 57% male) within a single centre...
June 2016: Journal of Renal Care
Jonas P Cruz, Donia R Baldacchino, Nahed Alquwez
BACKGROUND: Patients often resort to religious and spiritual activities to cope with physical and mental challenges. The effect of spiritual coping on overall health, adaptation and health-related quality of life among patients undergoing haemodialysis (HD) is well documented. Thus, it is essential to establish a valid and reliable instrument that can assess both the religious and non-religious coping methods in patients undergoing HD. OBJECTIVE: This study aimed to assess the validity and reliability of the Spiritual Coping Strategies Scale Arabic version (SCS-A) in Saudi patients undergoing HD...
June 2016: Journal of Renal Care
Hayfa Almutary, Ann Bonner, Clint Douglas
BACKGROUND: Chronic kidney disease (CKD) leads to a range of symptoms, which are often under-recognised and little is known about the multidimensional symptom experience in advanced CKD. OBJECTIVES: To examine (1) symptom burden at CKD stages 4 and 5, and dialysis modalities, and (2) demographic and renal history correlates of symptom burden. METHODS: Using a cross-sectional design, a convenience sample of 436 people with CKD was recruited from three hospitals...
June 2016: Journal of Renal Care
Dayana Shakya, Takma K C
BACKGROUND: Transplantation is evolving as an efficient treatment modality in Nepal for the rising cases of kidney failure. As living donors are healthy people donating their organ for the benefit of the recipient, it is imperative to ensure their safety. OBJECTIVES: To assess the quality of life (QOL) of kidney donors and to compare it with healthy references. METHODOLOGY: Cross-sectional, comparative design was used to find out the QOL of 59 donors and 59 healthy references...
June 2016: Journal of Renal Care
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