The relationship of volume overload and its control to hypertension in hemodialysis patients

Introduction: N-terminal-pro-brain natriuretic peptide (NT-pro BNP) is secreted by cardiomyocytes in cases of cardiac structure disorder and volume overload. However, the relationship between NT-pro BNP level and body fluid status in dialysis patients with reduced cardiac ejection function (EF) is uncertain. Therefore, we aimed to investigate this relationship.Methods: We enrolled patients who had been receiving hemodialysis for >3 months. Blood sample, transthoracic echocardiographic, and bioimpedance spectroscopy measurements were performed during a midweek non-dialysis day. The predictive value of NT-pro BNP in hemodialysis patients with volume overload was analyzed.Results: A total of 129 hemodialysis patients (74 men and 55 women; mean age: 59.4 ± 13.0 years) were recruited. The average hemodialysis duration was 55.5 (23.9–93.4) months, the NT-pro BNP level was 4992 (2,033–15,807) pg/mL, and the value of overhydration was 2.68 ± 0.19 (−1.9 to 12.2) L. The NT-pro BNP level was independently correlated with overhydration in both the LVEF ≥ 60% (β = 0.236, P = 0.044) and LVEF <60% (β = 0.516, P = 0.032) groups, even after adjustments for potentially confounding variables. In receiver operating characteristic curves of NT-pro BNP for predicting volume overload, the area under the curve was 0.783 [95% CI (0.688–0.879), P < 0.001) and 0.788 [95% CI (0.586–0.989), P < 0.001] in the LVEF ≥ 60% and LVEF < 60% groups, respectively.Conclusions: NT-pro BNP is a predictive factor for volume overload in hemodialysis patients with or without EF declines.

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The Relationship of Self-Efficacy with Adherence in Restricting Fluid Intake in Middle Adult Hemodialysis Patients

Proceedings of the 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020) ◽

10.2991/assehr.k.210304.133 ◽

2021 ◽

Author(s):

N Gartika ◽

A Mustopa ◽

A Fatmawati

Keyword(s):

Self Efficacy ◽

Fluid Intake ◽

Hemodialysis Patients ◽

Relationship Of ◽

The Relationship

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RELATIONSHIP OF FAMILY SUPPORT WITH QUALITY OF LIFE OF HEMODIALIZED PATIENTS USING STUDY LITERATURE REVIEW METHOD

Journal of Vocational Nursing ◽

10.20473/jovin.v2i2.30720 ◽

2021 ◽

Vol 2 (2) ◽

pp. 132

Author(s):

Hulu Titusman ◽

Nanang Prasetyo Budi ◽

Rina Puspita Sari

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Family Support ◽

Kidney Failure ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

Original Research ◽

Relationship Of ◽

The Relationship

Background : Hemodialysis is one of the therapies for Chronic Kidney Failure (CKD) patients. This process takes place on an ongoing basis which is closely related to the quality of life. Quality of life is strongly influenced by family support. One form of family support is emotional support which includes forms of affection, trust, attention, assistance during therapy. With this support, it affects patient compliance with therapy programs and medical treatment programs so that it will improve the patient's quality of life. Objective: To determine the relationship between family support and quality of life of hemodialysis patients. Based on journals that have been analyzed by researchers using a literature review research design or literature review study literature review Methods: search for this research article through four databases, namely Google Scholar, ProQuest, EBSCO, and PubMed using keywords and inclusion criteria, namely 21 journal using Indonesian and English, the type of article publication is full-text articles, original research articles, articles that have ISSN and DOI, the theme of the article is the relationship of family support with the quality of life of hemodialysis patients, in the 2016-2021 period with the literature review method. Results: The results of this study showed a significant relationship between family support and quality of life of hemodialysis patients with p-value=0,001 <a=0.05 with a positive correlation direction with low correlation strength. Conclusion: The higher the support from the family, the better the quality of life for chronic kidney failure patients undergoing hemodialysis.

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Relationship of Hemodialysis Shift With Sleep Quality and Depression in Hemodialysis Patients

Clinical Nursing Research ◽

10.1177/1054773817731852 ◽

2017 ◽

Vol 28 (3) ◽

pp. 356-373 ◽

Cited By ~ 3

Author(s):

Masomeh Norozi Firoz ◽

Vida Shafipour ◽

Hedayat Jafari ◽

Seyed Hamzeh Hosseini ◽

Jamshid Yazdani - Charati

Keyword(s):

Sleep Quality ◽

Rural Areas ◽

Pittsburgh Sleep Quality Index ◽

Female Gender ◽

Hemodialysis Patients ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Relationship Of ◽

The Relationship ◽

Phosphorus Levels

This descriptive correlational study was aimed at determining the relationship of hemodialysis shift with sleep quality and depression in 310 hemodialysis patients. Demographic and Clinical Questionnaires, the Pittsburgh sleep quality index, and Beck’s Depression Inventory were used to ascertain the aforementioned relationship. Among the patients, 59.6% reported poor sleep quality and 44.8% reported experiencing depression. Results show that these conditions were significantly related to many factors. Although dialysis shift was not significantly related to sleep quality and depression, sleep quality was found significantly associated with age, female gender, illiteracy, unemployment, residence in rural areas, diabetes, addiction to sedatives, and phosphorus levels. A significant relationship was also found between depression and phosphorus levels. Logistic regression predicted age, gender, illiteracy, unemployment, residence in rural areas, and addiction to sedatives as factors for poor sleep quality. A body mass index (BMI) above 30, decreased urea, and increased phosphorus were predicted as factors for increased depression.

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HYPERPROLACTINEMIA AND ANEMIA IN HEMODIALYSIS PATIENTS

Actual Problems of Nephrology ◽

10.37321/nefrology.2019.25-05 ◽

2020 ◽

Vol 25 ◽

pp. 32-34

Author(s):

Olena Loboda

Keyword(s):

Cohort Study ◽

Negative Correlation ◽

Prospective Cohort ◽

Cardiovascular Events ◽

Hemodialysis Patients ◽

Albumin Level ◽

Hemoglobin Level ◽

Serum Prolactin ◽

Relationship Of ◽

The Relationship

Aims: To determine the relationship of prolactin (PL) levels with the frequency of anemia and the level of cardiovascular events in patients with CKD VD stage.Material and methods: A prospective cohort study included 55 patients with CKD VD stage with anemia. Serum prolactin levels were determined in all patients.Results and discussion: 24 patients (44%) had normal levels of PL, and 31 (56%) patients had elevated levels of PL. It was determined that PL had a negative correlation with hemoglobin level (r = -0.42; p = 0.01), as well as a negative correlation with albumin level (r = -0.38; p = 0.02). The frequency of cardiovascular events after 12 months. In patients with elevated levels of PL was significantly higher than in patients with normal levels of PL: 17 events (55%) vs 4 events (17%) (χ2 8.4, p = 0.004).Conclusions: The prevalence of hyperprolactinemia in our study was 56%. Elevated levels of PL are associated with lower levels of hemoglobin, lower levels of albumin and an increased frequency of cardiovascular events.

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