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Radom, Poland

Gerogianni S.K.,Dialysis Unit | Babatsikou F.P.,Technological Educational Institute of Athens
Health Science Journal | Year: 2014

Background: Chronic Renal Failure (CRF) is a public health problem that tends to take dimensions of epidemic and has serious impact on quality of patient's life. Aim: The aim of the present study was to review the literature and to explore the psychological impact of dialysis on the quality of life of people with chronic renal failure. Material - Method: Literature review based on studies and reviews derived from international (Medline, PubMed, Cinahl, Scopus) and Greek (Iatrotek) data bases concerning psychological problems of people with renal failure. The collection of data conducted from March to December 2012. Also, were used keywords such as haemodialysis, psychological factors, social status, economic status, renal failure, quality of life, as well as articles by the National Documentation Centre, which provided valid and documented data from global research and epidemiology. Results: According to the literature, Chronic Renal Failure is associated with long-term psychological effects on patients undergoing haemodialysis. A chronic illness, such as kidney failure, is a continuous process since these patients try to accept their new image and to adapt their lifestyle to dialysis treatment. Patients with kidney disease undergoing regular dialysis face difficulties in maintaining their employment, their social life, their financial flexibility and their limitation of liquids and foods. Conclusion: Complexity and chronic nature of the disease affect the quality of life of patients with CRF and their health and reduce their life expectancy. So, the role of the Nephrology Nurse is highly important for the implementation of effective nursing interventions and psychological support during their treatment.

Chayu T.,Dialysis Unit
Nephrology nursing journal : journal of the American Nephrology Nurses' Association | Year: 2011

The purpose of this study was to examine burnout in nephrology nurses working in Israel and explore its correlates in demographic characteristics, job aspects, and extra-professional activities. Total participants included 132 nurses of both genders working in different wards and clinics. They were administered a background information questionnaire and two burnout questionnaires (Maslach and Shirom-Melamed). The findings showed burnout was related to gender, religion, religious observance, number of children, major working place, role as nurse, domain of nephrology, size of unit, and seniority. It was reduced by engaging in sport and hobbies. Recommendations for reducing burnout include attention to special groups with high burnout and engaging in sports and hobbies.

Vartia A.,Dialysis Unit
Nephrology Dialysis Transplantation | Year: 2012

Background. Many haemodialysis patients have residual renal function (RRF), which as such is insufficient to maintain satisfactory quality of life but reduces the demands of treatment and improves outcomes. In incremental dialysis, the dose is adjusted according to RRF, but how should it be done? Methods. Urea generation rate (G) and distribution volume (V) were determined by the double-pool urea kinetic model in 225 haemodialysis sessions of 30 patients. The effect of different degrees of RRF on equivalent renal urea clearance (EKR), standard urea clearance (stdK) and urea concentrations and required treatment times to achieve the HEMO study standard dose equivalent EKR and stdK targets were studied by computer simulations. Results. Ignoring RRF leads to underestimation of EKR, stdK, urea generation rate and protein equivalent of nitrogen appearance. Both EKR and stdK increase linearly with renal urea clearance (Kr). The HEMO standard dose equivalent EKRc is 13.8 mL/min/40 L and stdK/V 2.29/wk (9.1 mL/min/40 L). The required treatment time to achieve the HEMO-equivalent targets has an almost linear inverse relationship to Kr. If the HEMO standard dose equivalent EKR or stdK is used as the target, RRF may replace several hours of weekly dialysis treatment time. stdK appreciates RRF more than EKR.Conclusions.RRF is included in the original EKR and stdK concepts. EKR and stdK-determined by kinetic modelling-are promising measures of adequacy in incremental dialysis. © 2011 The Author.

Vartia A.J.,Dialysis Unit
Blood Purification | Year: 2014

Background: Patients dialyzed with equal eKt/V may have huge variations in their urea concentrations. Methods: Urea generation rate, distribution volume and renal clearance were determined in 205 hemodialysis sessions of 33 patients with double pool urea kinetic modeling using dialyzer clearance from online monitoring. From these data, optimized prescriptions were computed. Results: In simulated dialysis sessions, the HEMO standard-dose equivalent clearance was not sufficient to keep time-averaged concentration (TAC) and average predialysis concentration (PAC) of urea below the defined upper limits (20 and 30 mmol/l), if normalized protein catabolic rate (nPCR) was greater than 1.3 g/kg/day. Protein catabolic rate was taken into account in the optimized prescription by cutting high urea concentrations. Conclusions: If patients having high urea concentrations with conventional clearance will benefit from higher dialysis dose - an unconfirmed hypothesis - this approach helps in identifying those who need more than three sessions per week. © 2014 S. Karger AG, Basel.

Rai M.,Maulana Azad Medical College | Rustagi T.,Maulana Azad Medical College | Rustagi S.,Maulana Azad Medical College | Kohli R.,Dialysis Unit
Indian Journal of Nephrology | Year: 2011

Depression and sleep disorders are more frequent in patients on maintenance hemodialysis (HD) than the general population, and are associated with reduced quality of life and increased mortality risk. The purpose of this study was to assess the prevalence of depression, sleep apnea, insomnia in patients on HD as well as depression in their primary caregiver and to correlate these with the demographic profile. A cross-sectional study was conducted among 69 patients on maintenance HD for more than 3 months. There was high p revalence of depression (47.8%), insomnia (60.9%), increased risk of sleep apnea (24.6%) and depression in caregiver (31.9%). Depression was significantly more in patients with low monthly income (P=0.03), those on dialysis for more than 1 year (P=0.001) and the unemployed (P=0.009). High-risk patients for sleep apnea tended to be males with low monthly income (P=0.02). Insomnia was significantly higher in patients who were on dialysis for more than 1 year (P=0.003).

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