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Psychology of dialysis patients

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https://www.readbyqxmd.com/read/28177103/-quality-of-life-anxiety-and-distress-in-patients-suffering-from-chronic-kidney-disease-pre-dialysis-and-start-of-dialytic-treatment
#1
Maria Monica Ratti, Giulia Bruna Delli Zotti, Eleonora Sangiovanni, Benedetta Vai, Aurelio Limido, Silvio Bertoli, Lucio Sarno, Donatella Spotti
The psychological impact of the Chronic Kidney Disease is well known and several factors contribute to a reduction of quality of life, increase of anxiety levels and psychological distress for affected patients. Psychological intervention is becoming ever more consolidating within the Departments of Nephrology. Nevertheless, literature is lacking about the psychological intervention specificity, especially concerning the dialysis and pre-dialysis phase. The purpose of the study is to identify the mainly critical periods for the dialysed patients in terms of anxiety and distress and to examine the impact of medical management in pre-dialysis period on life quality...
January 2017: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/28163506/related-factors-and-predictors-of-cognitive-dysfunction-in-chronic-kidney-disease-on-maintenance-hemodialysis-in-nigeria
#2
Lukman Femi Owolabi, Aliyu Abdu, Aliyu Ibrahim, Desola Shakirah Owolabi, Aisha Nalado, Adamu Bappa, Aminu Abdullahi Taura
BACKGROUND: Previous studies suggest a high frequency of cognitive impairment (CI) in persons with chronic kidney disease (CKD); however, factors associated with CI and predictors of CI in persons with CKD remain largely unclear. The aim of this study was to determine the factors associated with CI and predictors of CI in CKD patients on maintenance hemodialysis. MATERIALS AND METHODS: The first stage of the study included recruitment of 100 apparently healthy participants aimed at determining the reference values...
December 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28149061/effects-of-6-months-yoga-program-on-renal-functions-and-quality-of-life-in-patients-suffering-from-chronic-kidney-disease
#3
Rajendra Kumar Pandey, Tung Vir Singh Arya, Amit Kumar, Ashish Yadav
AIM: To study the effect of 6 months yoga program in patients suffering from chronic kidney disease (CKD). MATERIALS AND METHODS: Fifty-four patients with CKD were studied and divided into two groups (yoga group and control group) to see the effect of yoga in CKD. Patients in the yoga group were offered yoga therapy along with other conventional treatment modalities, while the control group was only on conventional treatment. Subjects in yoga group were trained to perform specific yogic asanas for at least 5 days a week for 40-60 min a day...
January 2017: International Journal of Yoga
https://www.readbyqxmd.com/read/28122152/changes-of-perceived-control-after-kidney-transplantation-a-prospective-study
#4
Torben Schulz, Jan Niesing, Jaap J Homan Van Der Heide, Ralf Westerhuis, Rutger J Ploeg, Adelita V Ranchor
AIMS: To determine if kidney transplantation is associated with increases of perceived control and how changes of perceived control affect the course of psychological distress until one year after transplantation. BACKGROUND: Low levels of perceived control are associated with reduced well-being among dialysis patients. DESIGN: Prospective longitudinal cohort study. METHODS: Perceived control (Mastery Scale) and psychological distress (GHQ-12) were prospectively assessed before (T0; n = 470) and three (T1; n = 197), six (T2; n = 210) and twelve (T3; n = 183) months after transplantation...
January 25, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27957433/nursing-strategies-for-patients-with-chronic-renal-failure-undergoing-maintenance-hemodialysis-treatment-by-arteriovenous-fistula
#5
Hong Yan Qin, Ping Jia, Hui Liu
BACKGROUND: We aimed to analyze the effect of nursing strategies on patients with chronic renal failure (CRF) undergoing maintenance hemodialysis (MHD) treatment by puncturing on arteriovenous fistula (AVF). METHODS: Ninety-two patients with chronic renal failure undergoing maintenance hemodialysis (MHD) between Jan 2014 and Jan 2015 were included in the study (all undergoing AVF, dialysis for 2-3 sessions per week, 4-5 h per session) and randomly divided into control group and observation group...
October 2016: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/27951548/selecting-patients-for-home-haemodialysis-modality
#6
Andrew Davenport
Home haemodialysis offers many advantages in that patients take active control of their own health care and have the ability to determine when and how they dialyse. However, in order to develop and maintain a viable home haemodialysis program there has to be a balance between overenthusiastic evangelism and being too conservative in offering patients home haemodialysis. Ideally, preparation for home haemodialysis takes place prior to the need to start dialysis, with educational sessions, discussion with current home haemodialysis patients, and creation of an established vascular access...
2017: Contributions to Nephrology
https://www.readbyqxmd.com/read/27902586/neurological-psychological-and-cognitive-disorders-in-patients-with-chronic-kidney-disease-on-conservative-and-replacement-therapy
#7
Silvia Lai, Oriano Mecarelli, Patrizia Pulitano, Roberto Romanello, Leonardo Davi, Alessia Zarabla, Amalia Mariotti, Maria Carta, Giorgia Tasso, Luca Poli, Anna Paola Mitterhofer, Massimo Testorio, Nicla Frassetti, Paola Aceto, Alessandro Galani, Carlo Lai
Chronic kidney disease (CKD) is a highly prevalent condition in the world. Neurological, psychological, and cognitive disorders, related to CKD, could contribute to the morbidity, mortality, and poor quality of life of these patients. The aim of this study was to assess the neurological, psychological, and cognitive imbalance in patients with CKD on conservative and replacement therapy.Seventy-four clinically stable patients affected by CKD on conservative therapy, replacement therapy (hemodialysis (HD), peritoneal dialysis (PD)), or with kidney transplantation (KT) and 25 healthy controls (HC), matched for age and sex were enrolled...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27886156/conformity-scores-differentiate-older-hemodialyzed-patients-and-patients-with-continuous-peritoneal-dialysis
#8
Zbigniew Nowak, Krzysztof Laudanski
BACKGROUND Conformity is a psychological variable related to the propensity of an individual to match his or her behavior and opinion to the perceived social and cultural norm, even if these do not represent the true beliefs of the person. The aim of the present study was to investigate whether the psychological variable of conformity is different in two distinct modes of renal replacement therapy (RRT) in end-stage renal disease (ESRD). MATERIAL AND METHODS A total of 56 hemodialyzed patients (HD group), 45 continuous ambulatory peritoneal dialysis patients (CAPD group) and 62 healthy volunteers (CONTR group) were enrolled in the study...
November 25, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27859921/prevalence-and-impact-of-anxiety-and-depression-in-chinese-peritoneal-dialysis-patients-a-single-center-study
#9
Koon Ming Chan, Chi Yuen Cheung, Yiu Han Chan, Hoi Wong Chan, Wai Leung Chak, Ka Foon Chau
BACKGROUND: Anxiety and depression are prevalent among patients with end stage renal failure. However, data concerning their role in the subsequent peritonitis and hospitalization was scarce. The aim of this study is to examine the prevalence of psychological problems in our Chinese peritoneal dialysis (PD) patients and its association with subsequent clinical outcome. PATIENTS AND METHODS: This was a single-center prospective cohort study. All patients newly started on PD between 1st Sep 2012 and 31st Dec 2014 were recruited...
November 17, 2016: Nephrology
https://www.readbyqxmd.com/read/27846784/emotional-management-and-biological-markers-of-dietetic-regimen-in-chronic-kidney-disease-patients
#10
Carlo Lai, Paola Aceto, Massimiliano Luciani, Erika Fazzari, Valerio Cesari, Stella Luciano, Antonio Fortini, Desiderata Berloco, Francesco Canulla, Vincenzo Bruzzese, Silvia Lai
The aim of the study was to investigate the association between psychological characteristics and biological markers of adherence in chronic kidney disease patients receiving conservative therapy, hemodialysis, peritoneal dialysis (PD), or kidney transplantation. Seventy-nine adult patients were asked to complete the following questionnaires: Toronto Alexithymia scale, Snaith-Hamilton Pleasure Scale, and Short Form Health Survey. Biological markers of adherence to treatment were measured. Peritoneal dialysis patients showed a lower capacity to feel pleasure from sensorial experience (p = ...
November 15, 2016: Renal Failure
https://www.readbyqxmd.com/read/27835704/preliminary-identification-of-coping-profiles-relevant-to-surrogate-decision-making-in-the-icu
#11
Jorie M Butler, Eliotte L Hirshberg, Ramona O Hopkins, Emily L Wilson, James F Orme, Sarah J Beesley, Kathryn Kuttler, Samuel M Brown
OBJECTIVE: The Intensive Care Unit (ICU) is a stressful environment for families of critically ill patients and these individuals are at risk to develop persistent psychological morbidity. Our study objective was to identify individual differences in coping with stress and information presentation preferences of respondents exposed to a simulated ICU experience. METHODS: Participants were recruited from a university and two community populations. Participants completed questionnaires that measured demographic information and characteristics that may be relevant to an individual's ICU experience...
2016: PloS One
https://www.readbyqxmd.com/read/27806549/the-effectiveness-of-teaching-cognitive-behavioral-techniques-in-enhancing-resilience-in-hemodialysis-patients
#12
Mohammad Mehrtak, Esmaeil Farzaneh, Abdollah Rajaee-Khiavi, Arezo Azari, Aziz Kamran
INTRODUCTION: Despite the positive effects of hemodialysis on end-stage renal disease, patients face many physical and psychological stressors while receiving this treatment. These physical and psycho-social problems lead to serious problems that ultimately affect the patients' quality of life. The present study was conducted to determine the effectiveness of teaching cognitive-behavioral techniques in enhancing resilience in hemodialysis patients. METHODS: The present clinical trial was conducted on 74 hemodialysis patients selected through census sampling from the dialysis department of Valiasr Hospital, Meshkin Shahr, Iran, in 2015...
August 26, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27802084/experiences-and-needs-of-older-people-with-end-stage-renal-disease-bereaved-carers-perspective
#13
Wanicha Pungchompoo, Alison Richardson, Lucy A Brindle
BACKGROUND: There is a growing population of older patients with End Stage Renal Disease (ESRD) managed without dialysis in Thailand, and services have yet to be developed to specifically respond to the needs of this group. As a consequence this population are likely to have unmet needs with respect to health care and suffer from symptoms that could be better managed. OBJECTIVE: This qualitative study explored experiences and health care needs during the last year of life among older people with ESRD, managed without dialysis, from the perspective of bereaved carers...
October 2, 2016: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/27801685/dietary-protein-intake-and-chronic-kidney-disease
#14
Gang Jee Ko, Yoshitsugu Obi, Amanda R Tortorici, Kamyar Kalantar-Zadeh
PURPOSE OF REVIEW: High-protein intake may lead to increased intraglomerular pressure and glomerular hyperfiltration. This can cause damage to glomerular structure leading to or aggravating chronic kidney disease (CKD). Hence, a low-protein diet (LPD) of 0.6-0.8 g/kg/day is often recommended for the management of CKD. We reviewed the effect of protein intake on incidence and progression of CKD and the role of LPD in the CKD management. RECENT FINDINGS: Actual dietary protein consumption in CKD patients remains substantially higher than the recommendations for LPD...
January 2017: Current Opinion in Clinical Nutrition and Metabolic Care
https://www.readbyqxmd.com/read/27742342/questionnaire-development-for-the-measurement-of-patients-attitudes-toward-renal-transplantation
#15
A Illés, B Nemes, L Zsom, S Kovács, A Bugán
OBJECTIVE: The aim of this work was the exploration of chronic renal insufficiency patients' attitudes toward treatment, various motifs underlying their acceptance or refusal of kidney therapy, and understanding of their psychologic content. Examinations were carried out of chronic renal insufficiency patients' attitudes toward renal treatments, and a questionnaire suitable for its assessment was developed. METHODS: Suppositions of patients before and after renal transplantation were explored by means of semistructured interviews...
September 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27683959/multifaceted-assessment-of-health-literacy-in-people-receiving-dialysis-associations-with-psychological-stress-and-quality-of-life
#16
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
https://www.readbyqxmd.com/read/27663114/examining-internet-delivered-cognitive-behaviour-therapy-for-patients-with-chronic-kidney-disease-on-haemodialysis-a-feasibility-open-trial
#17
Ramony Chan, Blake F Dear, Nick Titov, Josephine Chow, Michael Suranyi
OBJECTIVE: Treating depression among patients with chronic kidney disease (CKD) is imperative because of its high prevalence and health-related costs. However, many patients with CKD experience significant barriers to effective face-to-face psychological treatments. Internet-delivered cognitive behaviour therapy (iCBT) may help overcome the treatment barriers. The aim of the present study was to explore the acceptability and preliminary efficacy of iCBT for depression and anxiety among patients with CKD on haemodialysis...
October 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27612446/design-and-protocol-for-the-dialysis-optimal-health-program-dohp-randomised-controlled-trial
#18
Simon R Knowles, Chantal F Ski, Robyn Langham, Emmet O'Flaherty, David R Thompson, Susan L Rossell, Gaye Moore, Ya-Seng Arthur Hsueh, David J Castle
BACKGROUND: Chronic kidney disease (CKD) and end-stage kidney disease (ESKD) are serious and growing health problems with enormous impact on psychological and social functioning. Despite high rates of comorbid depression and anxiety in these patient populations, and the adverse impact these have upon treatment adherence, quality of life, social connectedness and healthcare costs there has been little attention focused on the prevention or management of these problems. Thus, our aim was to evaluate the Dialysis Optimal Health Program (DOHP) that adopts a person-centred approach and engages collaborative therapy to educate and support those diagnosed with ESKD who are commencing dialysis...
2016: Trials
https://www.readbyqxmd.com/read/27604248/the-influence-of-different-dialysis-modalities-on-the-quality-of-life-of-patients-with-end-stage-renal-disease-a-systematic-literature-review
#19
Ya-Fang Ho, I-Chuan Li
OBJECTIVES: This study aims to generate evidence regarding the relationships of different dialysis modalities with HR-QOL. DESIGN: A systematic review was conducted to investigate the HR-QOL of patients treated with different dialysis modalities. METHODS: A literature search was conducted for English language articles in the CINAHL, Medline and PubMed databases published from January 1990 through May 2016. Specifically, we sought articles that would compare the HR-QOL of hemodialysis (HD) and peritoneal dialysis (PD) patients in terms of physiological, psychological and social functioning, as well as disease symptoms...
December 2016: Psychology & Health
https://www.readbyqxmd.com/read/27550710/type-d-personality-illness-perception-social-support-and-quality-of-life-in-continuous-ambulatory-peritoneal-dialysis-patients
#20
Jianying Li, Xiaofeng Wu, Jianxiong Lin, Dongmei Zou, Xiao Yang, Shouzhen Cheng, Qunying Guo
The previous studies reported Type D was associated with poor quality of life (QoL), increased psychological distress, and impaired health status in cardiac patients. The aim of this study is to assess the relationships among Type D personality, illness perception, social support, and investigate the impact of Type D personality on QoL in continuous ambulatory peritoneal dialysis (CAPD) patients. Type D personality was assessed by the Chinese 14-item Type D Personality Scale (DS14). Illness perceptions were assessed using the Chinese version of the Brief Illness Perception Questionnaire (B-IPQ)...
February 2017: Psychology, Health & Medicine
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