The Effect of Glucose Added to the Dialysis Fluid on Blood Pressure, Blood Glucose, and Quality of Life in Hemodialysis Patients: A Placebo-Controlled Crossover Study

Background: Depression impairs the quality of life (QOL), increases risk of hospitalization and death in hemodialysis patients. Antidepressant medications can lead to more severe side effects. Dhamma practice by Chanting and Anapanasati meditation may relieve depressive symptoms in hemodialysis patients. Objective: To evaluate the effect of Dhamma practice on depression outcome and QOL in hemodialysis patients. Materials and Methods: The authors conducted a quasi-experimental research, a time series design. Patients who were hemodialyzed three times a week at Bhumirajanagarindra Kidney Institute Hospital were enrolled. Participants were trained to practice the Chanting with Anapanasati meditation for 35 minutes every hemodialysis session for six months. Comparison of depression scores, severity of depression, QOL, vital signs, laboratory data, and biomarkers (F2-isoprostanes) was made between the beginning and the end of the study. Results: Forty patients were eligible for participation in the present study. The average age was 63.7±13.1 years. Median dialysis vintage was 29.5 months. After Dhamma practice for six months, diastolic blood pressure was decreased significantly (p=0.015). Median depression score decreased from 9.5 to 4 (p<0.001). The proportion of depressive patients were decreased from 17.5% to 2.5%. The severity of depression trended to decrease, but without statistical significance. F2-isoprostanes was decreased significantly (p<0.001). Both physical aspects (role physical, bodily pain, and physical component scale) and mental aspects (vitality, role emotional, mental health, and mental component scale) of QOL were significantly improved. Conclusion: Dhamma practice by Chanting and Anapanassati meditation significantly decreased blood pressure, and depression, and improved QOL both physically and mentally, in hemodialysis patients. Keywords: Depression, Quality of life, Hemodialysis, Meditation, Buddhist chanting, Dhamma.

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Intervensi Diet Rendah Garam Pada Pada Pasien Yang Menjalani Hemodialisis: Review Literatur

Jurnal Keperawatan Muhammadiyah ◽

10.30651/jkm.v4i2.3097 ◽

2019 ◽

Vol 4 (2) ◽

Author(s):

Siti Yartin ◽

Syahrul Syahrul ◽

Elly L Sjattar

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Heart Disease ◽

Hemodialysis Patients ◽

Health Complaints ◽

Scientific Publications ◽

Salt Reduction ◽

Salt Diet ◽

Low Salt

Background: Application of low salt diet interventions to reduce health complaints and the risk of heart disease in hemodialysis patients. Method: Search related articles through scientific publications by entering keywords in the PubMed, ScienceDirect, and Google Scholar databases Results: From the 6 articles reviewed, the low salt diet intervention gave changes to systolic and diastolic blood pressure, provided a change in the level of sodium excretion, changes in quality of life and had self efficacy against salt reduction. Conclusion: It is important for nurses, especially hemodialysis nurses, to optimize education regarding the importance of a low-salt diet of less than 2 grams per day through food and beverages consumed, or in the process of preparing and cooking food.

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Quality of life in type 2 diabetic patients is affected by complications but not by intensive policies to improve blood glucose or blood pressure control (UKPDS 37). U.K. Prospective Diabetes Study Group

Diabetes Care ◽

10.2337/diacare.22.7.1125 ◽

1999 ◽

Vol 22 (7) ◽

pp. 1125-1136 ◽

Cited By ~ 324

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Blood Glucose ◽

Pressure Control ◽

Diabetic Patients ◽

Study Group ◽

Type 2 Diabetic Patients ◽

Type 2 Diabetic

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A randomized double blind study of a green and black tea agent, AssuriTEA®, in healthy male subjects

Functional Foods in Health and Disease ◽

10.31989/ffhd.v5i10.227 ◽

2015 ◽

Vol 5 (10) ◽

pp. 350

Author(s):

Jillian Capodice ◽

Kelli Herrlinger ◽

Michael Ceddia ◽

Diana Chirouzes ◽

Aaron Katz

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Blood Glucose ◽

Systolic Blood Pressure ◽

Antioxidant Status ◽

Group Versus ◽

Black Tea ◽

Double Blind ◽

Green And Black Tea

Background: Green and black teas have known anti-oxidant and anti-inflammatory properties. The current study was a prospective randomized, double-blind, placebo controlled study of 3 doses of a water-extracted green and black tea agent (AssuriTEA® [AT]). Methods: Subjects who met inclusion criteria were randomized to one of four groups: 1000, 500, or 250 mg AT or placebo for 28 days. At baseline (BL) and day 28, serum antioxidant capacity, quality of life and safety were assessed. Results: Of the 55 subjects screened, 43 were considered evaluable. Age was 56.77 ± 2.83 years (mean ± SEM). Evaluable subjects demonstrated improved antioxidant status, as measured by ferric iron reducing antioxidant power at all doses over the placebo (p < 0.05). There was significant improvement in cellular antioxidant protection in the 1000 mg AT group versus the placebo (p=0.032). Glucose levels were higher in the placebo group versus the 250 mg AT group (p=0.023) and there was a significant improvement in systolic blood pressure in the 250 mg AT group at day 28 versus BL (p=0.048). In the 1000 mg AT group, there was a significant decrease in systolic blood pressure at day 28 versus BL (p=0.017). There was a significant improvement in the vitality category in the 1000 mg AT group (p=0.029). Overall, AT was safe and well tolerated with no differences in adverse events or serum chemistries between groups. Conclusions: Results demonstrate that the administration of AT resulted in improvement of serum antioxidant status, vitality level, blood glucose, and systolic blood pressure in test subjects. Key Words: Green tea, black tea, Camellia sinensis, antioxidant status, blood glucose, systolic blood pressure, and quality of life

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The Influence of SDM-Based Individualized Management Model on the Health Outcome and Quality of Life of Maintenance Hemodialysis Patients

Tobacco Regulatory Science ◽

10.18001/trs.7.5.67 ◽

2021 ◽

Vol 7 (5) ◽

pp. 1480-1487

Author(s):

Haiyan Liu ◽

He Qin ◽

Lihui Shao

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Kidney Disease ◽

Hemodialysis Patients ◽

Self Management ◽

Maintenance Hemodialysis ◽

Control Group ◽

Observation Group ◽

Individualized Management

Background Chronic kidney disease is a common clinical problem that endangers human physical and mental health and life safety. It eventually evolves into end-stage renal disease, and the incidence has increased year by year. It has been reported that the incidence of chronic kidney disease in China is about 10 %, and most patients need to carry out dialysis to maintain life. Objective To observe the influence of an individualized management model based on shared decision-making (SDM) between doctors, nurses and patients on the health outcomes and quality of life of maintenance hemodialysis patients. Methods A total of 100 end-stage renal disease patients treated with maintenance hemodialysis intervention in the Department of Nephrology, Changyisha City Fourth Hospital from May 2020 to May2021 were selected. According to the order of admission, they were randomly divided into control groups (n=50)) And the observation group (n=50). The control group received conventional management mode intervention, and the observation group received SDM-based individualized management mode intervention. The blood pressure and fluid control of the two groups were recorded, and the self-management behavior scale for hemodialysis patients (SMSH), the satisfaction survey questionnaire for patient participation in medical decision-making, and the kidney disease-related quality of life scale (KDTA) were used to evaluate the self-management ability of the two groups. Satisfaction and quality of life. Results After the intervention, fluid intake, weight gain between dialysis intervals, and the number of dialysis-related complications in the observation group decreased significantly (P<0.05), while the number of dialysis-related complications in the control group decreased (P<0.05), but fluid The intake and weight gain between dialysis intervals were similar to those before the intervention (P>0.05), and the fluid control in the observation group improved more significantly than the control group after the intervention (P<0.05). After the intervention, the systolic and diastolic blood pressure of the observation group decreased significantly (P<0.05), and the systolic and diastolic blood pressure of the control group were similar to those before the intervention (P>0.05). The blood pressure of the observation group improved more significantly than the control group after the intervention (P<0.05). After the intervention, the two groups of SMSH scale scores (problem solving, self-care, partnership, emotional processing, etc.), satisfaction scores (information, communication and negotiation, decision-making, total satisfaction and confidence, etc.), quality of life scores (symptoms, kidney disease, etc.) The impact of kidney disease, the burden of kidney disease, work status, cognitive function, social quality, sleep, social support, etc.) have been greatly improved (P<0.05), and the SMSH scale score, satisfaction score, quality of life of the observation group after intervention The score improved more significantly than the control group (P<0.05). Conclusion Intervention of maintenance hemodialysis patients based on an individualized management model of SDM can improve the self-management ability and satisfaction of patients, improve the quality of life, and reduce the occurrence of adverse events and complications.

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Audit on the monitoring of metabolic side effects of antipsychotics in acute inpatient psychiatric units at Fieldhead Hospital

BJPsych Open ◽

10.1192/bjo.2021.200 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S58-S59

Author(s):

Stephanie Vel En Tial ◽

Steve Curran ◽

Adebayo Ikuyajesin

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Clinical Practice ◽

Blood Glucose ◽

Side Effects ◽

Health Monitoring ◽

Atypical Antipsychotics ◽

Metabolic Side Effects

AimsThe current audit aims to assess the compliance with Prescribing Observatory for Mental Health (POMH-UK) guidance on monitoring of metabolic side effects of patients prescribed antipsychotics. Compliance was monitored to ensure that all patients prescribed continuing antipsychotics have their body mass index (BMI), blood pressure, blood glucose and lipids checked within the expected time limits of minimum once per year.BackgroundPatients diagnosed with Schizophrenia rank amongst the worst of chronic medical illnesses in terms of quality of life. This may in part be due to the use of long term antipsychotic medications, in particular the use of atypical antipsychotics which have been increasingly associated with metabolic side effects including hypertension, weight gain, glucose intolerance and dyslipidaemia. These side effects are related to the development of both diabetes mellitus and cardiovascular disease and can lead to increased mortality and morbidity, affecting compliance and engagement to healthcare services. Despite the availability of clinical guidelines, monitoring and screening of metabolic side effects in patients prescribed antipsychotics continues to be suboptimal.MethodThe audit involved a review of electronic records relating to physical health monitoring of patients at two acute inpatient units from January-March 2019. Demographic and clinical variables were collected which included ethnicity, diagnostic grouping as well as current medications. Data were collected on evidence of screening for hypertension, BMI, blood glucose and lipids. Descriptive statistics were applied to study the clinical features of the sample and examine whether performance met clinical practice standard.ResultThe audit overall demonstrated partial compliance with POMH-UK guidelines with a total of 31 patients admitted on long term antipsychotics. Of these patients, 86% were prescribed atypical antipsychotics with 14% prescribed typical antipsychotics. Screening only occurred in 68% of patients for lipid profile with only 71% for BMI and 74% for blood glucose. Blood pressure had the highest compliance rate of 87% of patients being screened.ConclusionEarly identification and monitoring of complications from metabolic syndrome may decrease the risk of more serious health outcomes and improve patients’ quality of life. However in clinical practice, standards are not always met in accordance with best practice recommendations. Requirement of a tailored guideline for physical health monitoring with weekly planned interventions as well as adequate training and awareness of healthcare staff is imperative to drive improvement and increase adherence rates.

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