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Depression hemodialysis

Dhea Natashia, Miaofen Yen, Hsing-Mei Chen, Susan J Fetzer
PURPOSE: The purpose of this study was to understand the influence of demographic and psychological factors on self-management behaviors and interdialytic weight gain (IDWG) as a fluid adherence marker among patients undergoing hemodialysis in Indonesia. DESIGN: A quantitative correlational study. METHOD: A convenience sample of 145 patients undergoing hemodialysis was recruited from the dialysis units in two hospitals in Jakarta from September to December 2015...
February 18, 2019: Journal of Nursing Scholarship
Anoop Sheshadri, Piyawan Kittiskulnam, Kirsten L Johansen
Introduction: Patients on hemodialysis experience a heavy burden of symptoms that may be related to the low levels of physical activity reported in this population. We hypothesized that physical activity would be inversely related to symptom severity and that depression might mediate this association. Methods: We designed a cross-sectional study of 48 patients receiving hemodialysis at 3 San Francisco dialysis clinics. Physical activity was measured using pedometers and recorded within 1 week of symptom assessment...
February 2019: KI Reports
Natalie Plewig, Robert Ofenloch, Thomas Mettang, Elke Weisshaar
BACKGROUND: Chronic itch (CI) is a frequent symptom in hemodialysis (HD) patients. Previous studies demonstrated great impairments of general well-being and health-related quality of life (HRQOL) as well as a higher mortality in those suffering from CI. OBJECTIVE: The German Epidemiological Hemodialysis Itch Study (GEHIS) is a representative cohort of HD patients in Germany. All patients were followed-up 4 years later. The current analyses present data on the course of CI in HD patients, its associated factors including comorbidities, laboratory values and HRQOL...
February 11, 2019: Journal of the European Academy of Dermatology and Venereology: JEADV
Sheena A Gagnier, Barbara A Pieper
End-stage renal disease (ESRD) often is treated with hemodialysis, which carries significant psychological impact along with risks for wound development. Depression is a constant concern. PURPOSE: An integrative review was conducted to examine studies regarding depression in adults receiving hemodialysis for ESRD. METHODS: PubMed and the Cumulative Index for Nursing and Allied Health Literature were searched for English-language publications from 2012 to 2017 regarding ESRD using the search terms epidemiology, hemodialysis, and depression and hemodialysis, depression, nocturnal, and wounds, respectively...
January 2019: Wound management & prevention
Nurten Ozen, Fatma Ilknur Cinar, Dilek Askin, Dilek Mut, Turker Turker
BACKGROUND: Nonadherence to dietary and fluid restrictions, hemodialysis (HD), and medication treatment has been shown to increase the risks of hospitalization and mortality significantly. Sociodemographic and biochemical parameters as well as psychosocial conditions such as depression and anxiety are known to affect nonadherence in HD patients. However, evidence related to the relative importance and actual impact of these factors varies among studies. PURPOSE: The aim of this study was to identify the factors that affect nonadherence to dietary and fluid restrictions, HD, and medication treatment...
January 31, 2019: Journal of Nursing Research: JNR
David Collister, Jennifer C Rodrigues, Andrea Mazzetti, Kelsi Salisbury, Laura Morosin, Christian Rabbat, K Scott Brimble, Michael Walsh
Background: Depression and anxiety are common and underrecognized in end-stage renal disease (ESRD), are associated with poor outcomes and reduced health-related quality of life, and are potentially treatable. Simple, accurate screening tools are needed. Objective: We examined the operating characteristics of single questions for anxiety and depression from the Edmonton Symptom Assessment System (ESAS) in hemodialysis. Design: Cross-sectional study...
2019: Canadian Journal of Kidney Health and Disease
Sarah H Drangsholt, Ulrik W Cappelen, Nanna von der Lippe, Aud Høieggen, Ingrid Os, Fredrik B Brekke
INTRODUCTION: Patients with end-stage renal disease are burdened by a complex medication regimen, but little is known about the belief about medicine among dialysis- and renal transplant (RTX) patients. Patients' beliefs about medicines may influence drug adherence and thereby affect morbidity and mortality. The aim of the present study was to assess the beliefs about medicine in dialysis as well as after RTX. METHODS: In a prospective study, 301 dialysis patients were followed for up to 5...
February 4, 2019: Hemodialysis International
Zorica KauricKlein
INTRODUCTION: Patients on chronic hemodialysis suffer from a myriad of problems associated with dialysis including increased cardiovascular disease, deconditioning, fatigue, sleep disturbances, anxiety and depression, and decreased health related quality of life. Yoga has been reported to have positive effects on distress and functional performance in patients with chronic diseases. The effect of yoga in patients on chronic hemodialysis is unknown. For the purpose of this study, papers were reviewed to determine the effect of intradialysis yoga on distress and functional performance in patients undergoing chronic hemodialysis...
February 2019: Complementary Therapies in Clinical Practice
Antonio Silva-Filho, Luana Anaisse Azoubel, Rodrigo França Barroso, Erika Carneiro, Carlos Alberto Alves Dias-Filho, Rachel Melo Ribeiro, Alessandra Magalhães Campos Garcia, Carlos José Dias, Bruno Rodrigues, Cristiano Teixeira Mostarda
We aimed to analyze the effect of an exercise training program in autonomic modulation, and exercise tolerance of hemodialysis and kidney-transplanted patients. 4 groups of exercised and non-exercised patients undergoing hemodialysis and kidney-transplanted subjects had their biochemical tests, and heart rate variability evaluations analyzed. Also, sleep quality, anxiety and depression questionnaires were evaluated. Both exercised groups showed improvements in cardiovascular autonomic modulation, biochemical markers, and exercise tolerance after the exercise training program...
January 31, 2019: International Journal of Sports Medicine
Ertugrul Erken, Orcun Altunoren, Mahmut Egemen Senel, Deniz Tuncel, Tugba Yilmaz, Safa Ersen Ganidagli, Didem Demircioglu, Ozkan Gungor
BACKGROUND: Cognitive impairment is common among hemodialysis (HD) patients and is associated with poor treatment compliance and mortality. The aim of this study is to evaluate relatively young HD patients with less comorbidities using the Montreal Cognitive Assessment (MoCA) and identify clues for earlier detection of cognitive impairment with the help of cognitive subscale scores. MATERIALS AND METHODS: A total of 103 chronic HD patients (mean age 48.3 years) and 37 stage-3 to 5 chronic kidney disease (CKD) patients with similar demographics were included...
January 28, 2019: Clinical Nephrology
Osasuyi Iyasere, Edwina A Brown, Fabiana Gordon, Helen Collinson, Richard Fielding, Richard Fluck, Lina Johansson, Neal Morgan, John Stoves, Anand Vardhan, Graham Woodrow, Andrew Davenport
BACKGROUND: In-center hemodialysis (HD) has been the standard treatment for older dialysis patients, but reports suggest an associated decline in physical and cognitive function. Cross-sectional data suggest that assisted peritoneal dialysis (aPD), an alternative treatment, is associated with quality of life (QoL) outcomes that are comparable to in-center HD. We compared longitudinal changes in QoL between modalities. METHODS: We enrolled 106 aPD patients, matched with 100 HD patients from 20 renal centers in England and Northern Ireland...
January 18, 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Feray Gencer, Hilal Yıldıran, Yasemin Erten
OBJECTIVE: Hemodialysis patients may be at risk for malnutrition due to catabolic effects caused by dialysis, loss of amino acids, inadequate nutrient intake, acidosis, and inflammation. Malnutrition may have negative effects on quality of life, mortality, and disease prognosis. This study was conducted to determine the relationship between anthropometric parameters, depression, and quality of life with Malnutrition Inflammation Score (MIS) on 55 patients aged between 18 and 65 years (36 males and 19 females) who have dialysis treatment for 3 days per week for at least 3 months due to end-stage renal disease...
December 27, 2018: Journal of the American College of Nutrition
Y Wang, T Bu, P Yan, H Yao
AIM: To investigate depressive symptoms in recipients of renal transplantation (RTx) compared with patients undergoing hemodialysis (HD) in China. METHODS: Forty-two Chinese recipients of transplant and 42 Chinese patients on hemodialysis were randomly selected from 2011 to 2012. These 2 groups were assessed with the validated Chinese versions of Hospital Anxiety Depression Scales and Structured Clinical Interview for the Diagnostic and Statistical Manual, fourth edition-after matching by sex, age, marital status, educational background, and somatic comorbidities-for investigation of the relationships of depressive symptoms with sex and family income...
December 2018: Transplantation Proceedings
Debela Gela, Daniel Mengistu
Introduction: Patients with end-stage renal disease (ESRD) face multifaceted problems arising from complications of the disease and dialysis that require consistent and, effective self-management from the patients' side, on top of the management offered by health care professionals. However, little is known about the level of self-management and influencing factors among patients with ESRD undergoing hemodialysis in the study area. Therefore, the aim of this study was to assess self-management and associated factors of patients with ESRD undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia...
2018: International Journal of Nephrology and Renovascular Disease
Olufunmilola Adisa, Bernard G Jaar, Tahsin Masud, Abyalew Sahlie, Catherine Obadina, Joshua Ang, Janice P Lea, Laura C Plantinga
BACKGROUND: Evidence regarding the effect of psychosocial factors on hospital readmission in the setting of hemodialysis is limited. We examined whether social worker-assessed factors were associated with 30-day readmission among prevalent hemodialysis patients. METHODS: Data on 14 factors were extracted from the first available psychosocial assessment performed by social workers at three metropolitan Atlanta dialysis centers. Index admissions (first admission preceded by ≥30 days without a previous hospital discharge) were identified in the period 2/1/10-12/31/14, using linked national administrative hospitalization data...
December 17, 2018: BMC Nephrology
Rocío Rodríguez-Rey, Helena García-Llana, María Paz Ruiz-Álvarez, Alicia Gómez-Gómez, Gloria Del Peso, Rafael Selgas
BACKGROUND: The Emotional State Instrument for Dialysis Patients (ES-D) is a brief semistructured questionnaire to assess emotional distress in patients undergoing dialysis. It was designed to be administered by a healthcare provider. A previous study showed preliminary indicators of its content and face validity. OBJECTIVE: The aim of the current multicenter study was to explore the ES-D's psychometric properties. METHODS: A total of 605 patients with kidney disease undergoing dialysis (524 hemodialysis and 81 peritoneal dialysis) in 19 Spanish dialysis centers completed the ES-D, along with anxiety, depression (Hospital Anxiety and Depression Scale), and resilience (Brief Resilience Scale) questionnaires...
January 2019: Nursing Research
Irina Mihaela Abdulan, Mihai Onofriescu, Ramona Stefaniu, Alexandra Mastaleru, Veronica Mocanu, Ioana-Dana Alexa, Adrian Covic
OBJECTIVE: The study aims to objectively and precisely describe, in elderly dialysis patients from a single center, the prevalence of malnutrition and severe cognitive/functional impairment and to establish the prognostic role of malnutrition assessment for patient's severe cognitive/functional status. DESIGN: Cross-sectional study. SETTING: A single dialysis center from north-eastern Romania. SUBJECTS: Eighty-one elderly ambulatory hemodialysis patients...
December 4, 2018: International Urology and Nephrology
Simge Bardak, Serap Demir, Eda Aslan, Kenan Turgutalp, Havva Didem Celikcan, Murside Esra Dolarslan, Cennet Kılıcarslan, Filiz Karasu, Ayse Jini Gunes, Cemal Kurt, Ahmet Kıykım
PURPOSE: Living with end-stage renal disease may be burdensome, not only for patients, but also for caregivers. In this study, we aim to compare caregiver burden, psychological symptoms in caregivers of peritoneal dialysis (PD), hemodialysis (HD), and transplantation (TX), and find out associated factors. METHODS: A total of 43 PD, 42 HD, 42 TX patients and a total of 127 caregivers that were actively involved with the care of their patients' dialysis were enrolled...
December 4, 2018: International Urology and Nephrology
HyunSoo Oh, JinA Mo, Whasook Seo
AIM: To review and identify correlates of cognitive impairment in chronic kidney failure patients on hemodialysis. BACKGROUND: The literature is consistent regarding the high prevalence of cognitive impairment among chronic kidney failure patients on hemodialysis and its dependence on multidimensional risk factors. DESIGN: Systematic review and meta-analysis based on Cochrane Handbook and PRISMA. DATA SOURCES: Electronic searches of the MEDLINE, EMBASE, Cochrane Library databases and major Korean databases were used...
November 8, 2018: Journal of Advanced Nursing
Salam El-Majzoub, Istvan Mucsi, Madeline Li, Ghizlane Moussaoui, Mark L Lipman, Karl J Looper, Marta Novak, Soham Rej
BACKGROUND: End-stage renal disease is associated with significant morbidity, high-symptom burden, and health care use. Studies have not yet assessed psychosocial distress and health care utilization in this population. OBJECTIVE: This study examines psychosocial distress and its association with hospitalization and emergency room (ER) visits in patients on maintenance hemodialysis (HD). METHODS: The Distress Assessment and Response Tool (DART) was administered to 80 adults on HD in a single treatment center...
October 10, 2018: Psychosomatics
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