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assessment of quality of life in hemodialysis patients

Sarity Dodson, Tanya Osicka, Louis Huang, Lawrence P McMahon, Matthew A Roberts
Health literacy (HL) refers to a person's ability to engage effectively with health information and services. We aimed to describe the HL of people receiving dialysis and the factors associated with it. A cross-sectional design was used, with demographic and clinical data as predictors. Participants were people receiving dialysis at a metropolitan health service in Melbourne, Australia. Health consumers with conditions not requiring dialysis were included for comparison. The Health Literacy Questionnaire, Kidney Disease Quality of Life-36, and Depression Anxiety Stress Scales-21 were administered...
2016: Journal of Health Communication
Tetsu Tomita, Norio Yasui-Furukori, Masaki Oka, Takaaki Shimizu, Aya Nagashima, Kento Mitsuhashi, Hisao Saito, Kazuhiko Nakamura
BACKGROUND: Many studies have investigated insomnia and the factors associated with this condition in hemodialysis (HD) patients, although the influence of HD duration has not been thoroughly investigated. In the present study, we investigated the factors, especially the duration of HD, associated with insomnia in HD patients. PATIENTS AND METHODS: A total of 138 patients undergoing HD were recruited, and the Japanese version of the Pittsburgh Sleep Quality Index (PSQI) was used to assess the quality of sleep...
2016: Neuropsychiatric Disease and Treatment
Miklos Z Molnar, Vanessa Ravel, Elani Streja, Csaba P Kovesdy, Matthew B Rivara, Rajnish Mehrotra, Kamyar Kalantar-Zadeh
OBJECTIVES: To compare the mortality of elderly adults with end-stage renal disease (ESRD) treated with home hemodialysis (HD) with that of those receiving a kidney transplant (KTx). DESIGN: Prospective cohort. SETTING: Pertinent data for the two groups were obtained from electronic medical records from a large dialysis provider and the U.S. Renal Data System. PARTICIPANTS: Using data from elderly adults (aged ≥65) who started home HD and underwent KTx in the US between 2007 and 2011, a 1:1 propensity score (PS)-matched cohort of 960 elderly adults was created, and the association between treatment modality and all-cause mortality was examined using Cox proportional hazards and competing risk regression survival models using modality failure as a competing event...
September 9, 2016: Journal of the American Geriatrics Society
Álvaro Ríos, Patricia Herrera, Álvaro Morales, Enrique Reynolds, María Belén Fernández, Fernando González
UNLABELLED: The proportion of older people with end stage renal disease is increasing. Their prognosis is characterized by a high mortality and poor quality of life. AIM: To analyze the survival of patients starting chronic hemodialysis (CHD) according to their age. MATERIAL AND METHODS: Patients admitted to CHD in the East Metropolitan Health Service of Santiago in a 2-year period were analyzed. Four age groups were created, separating patients older than 70 years in a special group...
June 2016: Revista Médica de Chile
Signe de Place Knudsen, Inge Eidemak, Stig Molsted
Health related quality of life (HRQOL) has become a recognized outcome in studies of the treatment of patients undergoing hemodialysis (HD). The aim of this study was to assess changes in HRQOL reported by two different samples of patients undergoing HD in the same dialysis center in 2002 and 2015. Two samples of patients from the same Danish dialysis center completed the HRQOL questionnaire Kidney Disease Quality of Life version 1.3 in 2002 (n = 71) and 2015 (n = 81), respectively. The associations between KDQOL summery scores and the time frame were analyzed in multivariable regression analyses...
September 2016: Renal Failure
Muhammad Anees, Muhammad Ibrahim, Marium Imtiaz, Shazia Batool, Irfan Elahi, Muzammil Riaz Malik
OBJECTIVE: To translate, validate and assess the reliability of kidney disease quality of life - short form (KDQOL-SF-36) in Urdu, national language of Pakistan. STUDY DESIGN: Amulticentric descriptive cross-sectional study. PLACE AND DURATION OF STUDY: Department of Nephrology, Mayo Hospital, Lahore, from February to July 2015. METHODOLOGY: Patients of end-stage renal disease (ESRD) on maintenance hemodialysis (MHD) for more than three months, were included in the study...
August 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Yu-Chu Chung, Mei-Ling Yeh, Yueh-Min Liu
AIMS AND OBJECTIVES: To determine the efficacy and safety of intradialytic exercises for hemodialysis (HD) patients, this study conducted a systematic review and meta-analysis of randomized controlled trials (RCTs). BACKGROUND: Patients receiving HD have poor physical function, psychological status and quality of life than the general population. Exercise training may improve these parameters for HD patients. DESIGN: Systemic review and a meta-analysis was conducted...
August 17, 2016: Journal of Clinical Nursing
Lobna Zouari, Sana Omri, Sahar Turki, Manel Maâlej, Nada Charfi, Jihène Ben Thabet, Hichem Mahfoudh, Jamil Hachicha, Mohamed Maâlej
BACKGROUND: The chronic hemodialysis imposes various limitations on patients that may affect their quality of life. However, Tunisian studies on this matter remain scarce. AIMS: To assess the quality of life among hemodialysis patients and to identify the factors influencing their quality of life. METHODS: We performed a cross-sectional study which included 71 outpatients, during the month of January 2013, in the department of Nephrology at Hedi Chaker Sfax university hospital in Tunisia...
January 2016: La Tunisie Médicale
Geovana Martin-Alemañy, Rafael Valdez-Ortiz, Guadalupe Olvera-Soto, Irma Gomez-Guerrero, Guillermo Aguire-Esquivel, Guillermo Cantu-Quintanilla, Juan Carlos Lopez-Alvarenga, Paola Miranda-Alatriste, Angeles Espinosa-Cuevas
BACKGROUND: Protein-energy wasting (PEW) is common in patients undergoing hemodialysis (HD). Studies have assessed the positive effect of oral nutritional supplementation (ONS) or resistance exercise (RE) on nutritional status (NS) markers in patients undergoing HD. METHODS: The aim of this study was to assess the effect of ONS and RE on NS and the quality of life (QOL) of 36 patients undergoing HD. In a randomized clinical trial, patients were divided into the following two groups: a control group (ONS) that received a can of ONS during their HD sessions and an intervention group (ONS + RE) that received a can of ONS and underwent a 40-min session of RE during their HD sessions...
October 2016: Nephrology, Dialysis, Transplantation
Anna Mudoni, Francesco Caccetta, Maurizio Caroppo, Fernando Musio, Antonella Accogli, Maria Dolores Zacheo, Maria Domenica Burzo, Maurizio Gallieni, Vitale Nuzzo
A functioning vascular access is a critical requirement to improve the quality of life in hemodialysis patients, so monitoring and surveillance of vascular access play key roles in identifying all dysfunctions and reducing the huge economic cost as well as adequacy of dialysis.In our five-year experience, a study protocol has been used and improved with the help of ultrasonography.Doppler ultrasound is an excellent and sensitive modality for hemodialysis access evaluation, one of techniques employed for arteriovenous fistulae (AVF) study, not only as a preoperative tool, but also in post-operative monitoring of AVF maturation...
July 27, 2016: Journal of Vascular Access
Ester Pereira, Janaína Chemin, Claudia L Menegatti, Miguel Carlos Riella
INTRODUCTION: Among the dialysis modalities, there is a prevalence of hemodialysis (HD). OBJECTIVES: To verify who chooses the dialysis modality and which variables reflect the perception of patients and health care team about treatment. METHODS: The study was conducted at three clinics of HD and peritoneal dialysis (PD). Two hundred and twenty patients participated in the study, of whom 69.5% were on HD and 30.5% on PD. Included voluntary patients on treatment from 90 days to 2 years, with...
June 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Nazanin Foroutan, Abbas Etminan, Naemeh Nikvarz, Mohadese Shojai Shahrokh Abadi
Introduction Pruritus is one of the frustrating skin manifestations of advanced renal failure. Many options have been used for the management of uremic pruritus (UP) such as pregabalin. There are some studies that reported beneficial effects of pregabalin in reducing UP; however, most of them did not have a comparator arm. Therefore, we designed this study to compare antipruritic effects of pregabalin with doxepin in the management of pruritus in hemodialysis patients. Methods Seventy-two patients suffering from UP were randomly assigned to receive pregabalin (50 mg every other day) or doxepin (10 mg per day) for 4 weeks...
July 11, 2016: Hemodialysis International
Silvio Borrelli, Roberto Minutolo, Luca De Nicola, Walter De Simone, Emanuele De Simone, Bruno Zito, Biagio Raffaele Di Iorio, Lucia Di Micco, Luigi Leone, Antonio Bassi, Angelo Romano, Maria Carla Porcu, Riziero Fini, Edward Vezza, Caterina Saviano, Ludovica D'Apice, Roberto Simonelli, Vincenzo Bellizzi, Giuseppe Palladino, Olga Credendino, Raffaele Genualdo, Maria Capuano, Pasquale Guastaferro, Filippo Nigro, Vittorio Stranges, Giuseppe Iuianiello, Francesco Saverio Russo, Maria Rita Auricchio, Antonio Treglia, Patrizia Palombo, Nunzio Rifici, Remo Nacca, Alberto Caliendo, Stefania Brancaccio, Giuseppe Conte
INTRODUCTION: in hemodialysis (HD) patients, poor health-related quality of life (HR-QoL) is prevalent and associated with adverse outcomes. HR-QoL is strictly linked to nutritional status of HD patients. Hemodiafiltration with endogenous reinfusion (HFR) is an alternative dialysis technique that combines diffusion, convection and absorption. It reduces burden of inflammation and malnutrition and this effect may cause beneficial effect on HR-QoL. However no data on HR-QoL in HFR is currently available...
May 2016: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
Peter J Fitschen, Annabel Biruete, Jinny Jeong, Kenneth R Wilund
Introduction Maintenance hemodialysis (MHD) patients suffer from a number of co-morbidities including declines in muscle mass and physical function. Beta-hydroxy-beta-methylbutyrate (HMB) is a metabolite of the amino acid leucine that has been shown to improve lean mass and physical function in elderly and clinical populations, but had not been studied in MHD patients. The purpose of this study was to investigate the efficacy of HMB in this population. Methods We performed a double-blind, placebo-controlled, randomized trial to assess the effects of daily HMB supplementation on co-morbidities in MHD patients...
June 14, 2016: Hemodialysis International
Danwin Chan, Simon Green, Maria Fiatarone Singh, Robert Barnard, Birinder S Cheema
Introduction This study assessed the feasibility and efficacy of a novel resistance training device used within an intradialytic progressive resistance training (PRT) intervention. Methods Non-randomized, within-subjects crossover design with outcomes assessed at baseline (week 0), postcontrol (week 13) and post-PRT intervention (week 26). Twenty-two hemodialysis patients (59% men, 71 ± 11 years) performed PRT three sessions per week for 12 weeks. The resistance training device was developed to enable the performance of 2 upper body and 3 lower body exercises, unilaterally and bilaterally, both before and during dialysis, with loads of 2...
June 9, 2016: Hemodialysis International
Camila Maroni Marques Freire de Medeiros, Eder Pinheiro Arantes, Rafael Dib de Paulo Tajra, Hendrio Reginaldo Santiago, André Ferrer Carvalho, Alexandre Braga Libório
Resilience and religiosity have received attention as an important process in the experience and management of chronic comorbidities; however, there is no study evaluating resilience in hemodialysis patients and its association with other psychological dimensions or with treatment adherence. This observational prospective study assessed resilience (25 item Wagnild and Young Resilience Scale), religiosity under three dimensions (organizational, non-organizational and intrinsic) using DUREL scale, depressive symptoms (Patient Health Questionnaire-9) and health-related quality of life (Short Form-36 questionnaire)...
June 1, 2016: Psychology, Health & Medicine
Nazan Kılıç Akça, Sultan Taşcı
Context • Uremic pruritus, a frequent and compromising symptom for patients with advanced or end-stage renal disease (ESRD), strongly reduces the patient's quality of life. Pruritus may be extremely difficult to control because therapeutic options are limited. Topical products are frequently used for easing pruritus, but their effects are generally temporary and marginal. Although acupressure and electrical-stimulation methods for the application of acupressure have been evaluated separately in terms of pruritus efficiency in different studies, the existence of any difference between the efficacies of the 2 methods has not been assessed yet...
March 2016: Alternative Therapies in Health and Medicine
Dora Zalai, Miqdad Bohra
Chronic fatigue--an overwhelming subjective feeling of mental or physical exhaustion--impacts patients' everyday functioning and quality of life, delays recovery after hemodialysis, and increases mortality. There are a number of factors that may perpetuate clinically significant fatigue among individuals with chronic kidney disease, including sleep disorders, depression, sedentary lifestyle, anemia, and chronic inflammation. Some of these factors (i.e., anemia and inflammation) are in the forefront of clinical attention, whereas the other contributing factors often remain unrecognized...
January 2016: CANNT Journal, Journal ACITN
Nathaniel Berman, M Carrington Reid, Jeanne Teresi, Joseph P Eimicke, Ronald Adelman
BACKGROUND: An increasing proportion of hemodialysis patients are ineligible for transplant. Often these patients are elderly, with multiple comorbidities and decreased functional status. Such patients may benefit from modified treatment goals to reduce symptom burden. OBJECTIVE: To demonstrate the feasibility of a trial of reduced-intensity treatment in nontransplantable patients with end-stage renal disease (ESRD). STUDY DESIGN: A 6-week study randomized patients to a reduced-intensity intervention versus usual care...
May 2016: Journal of Palliative Medicine
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