Effects of Individualized Dietary Phosphate Control Program With a Smartphone Application in Hemodialysis Patients in Taiwan

2020 ◽  
pp. 109980042097550
Author(s):  
Yung-Chen Chiang ◽  
Ya-Ping Chang ◽  
Ssu-Chin Lin ◽  
Chin Lin ◽  
Pi-Hsiu Hsu ◽  
...  
Keyword(s):  
Self Care ◽  
Control Program ◽  
Smartphone Application ◽  
Hemodialysis Patients ◽  
Standard Education ◽  
Quasi Experimental ◽  
Dietary Phosphate ◽  
Stage Renal Disease ◽  
Phosphate Control ◽  
Regular Hemodialysis

Background: Hyperphosphatemia in end-stage renal disease patients is prevalent and associated with increasing cardiac mortality. Restricting dietary phosphate intake is a key element in controlling hyperphosphatemia, but most patients fail due to lack of knowledge and sustainability. In this study, we aimed to examine whether incorporating a smartphone application (APP) into a multidisciplinary caring system can decrease the prevalence of hyperphosphatemia in hemodialysis patients. Methods: We designed a quasi-experimental study to enroll patients undergoing regular hemodialysis and assigned them to receive APP-assisted caring program (ACP group, n = 30) or standard education caring program (SCP group, n = 30). Both caring programs targeting dietary phosphate control were administered. Patients’ general characteristics, self-care efficacy scales, knowledge test of phosphate control, and results of monthly blood biochemistry were analyzed. Findings: Knowledge of diet phosphate control and self-care efficacy were significantly higher in the ACP group. Notably, the knowledge improvement was higher in patients aged over 60 years. Compared to the SCP group, the percentage of patients with successful hyperphosphatemia control was significantly higher in the ACP group ( p = 0.0398). Conclusion: The APP-assisted caring program benefits patients with regular hemodialysis to achieve better dietary phosphate control without compromising proper protein intake.

scholarly journals Comparison of the efficacy of using paclitaxel-eluting balloon and plain balloon angioplasty for arteriovenous fistula in hemodialysis patients

2019 ◽  
Vol 6 (5) ◽  
pp. 3151-3155
Author(s):  
Alireza Rai ◽  
Mohammadreza Sobhiyeh
Keyword(s):  
Success Rate ◽  
Balloon Angioplasty ◽  
Doppler Ultrasonography ◽  
Color Doppler ◽  
Hemodialysis Patients ◽  
Group 13 ◽  
Quasi Experimental ◽  
Stage Renal Disease ◽  
End Stage ◽  
To Receive

Introduction: Arteriovanous (AV) access failure is one of the main problems in patients with end stage renal disease (ESRD), who receive hemodialysis. Balloon angioplasty is a favorable method for managing vascular access failure. The purpose of this study was to compare the six-month efficacy of paclitaxel-eluting balloon and plain balloon angioplasty in failed AV access cases among hemodialysis patients. Methods: In this quasi-experimental study (http://en.irct.ir/trial/35333), 50 hemodialysis patients with failure of AV access (stenosis > 50%), who were candidates for angioplasty, were included. They were divided to receive either paclitaxel-eluting balloon (25 patients) or plain balloon (25 patients) angioplasty. Patients were followed up for six months with color Doppler ultrasonography and clinical examination for the hemodynamic success rate of angioplasty. Results: After six months, 19 patients (76%) in paclitaxel-eluting balloon angioplasty group achieved hemodynamic success, which was significantly higher than plain balloon angioplasty group (13 patients, 52%) (P = 0.012). Age, gender, diabetes mellitus, hypertension, and location of AVF (snuff box, forearm, and antecubital fossa) did not associate with hemodynamic success rate in any group. Conclusion: The use of angioplasty with paclitaxel-eluting balloon was superior to plain balloon angioplasty for failed AV access cases in hemodialysis patients. It is recommended to use paclitaxeleluting balloon angioplasty in patients with failure of AV access and requirement for balloon angioplasty.  

scholarly journals Investigating the Effect of a Structured Intervention on the Development of Self-Care Behaviors With Arteriovenous Fistula in Hemodialysis Patients

2020 ◽  
pp. 105477382097483
Author(s):  
Clemente Neves Sousa ◽  
Ana Rita Cabral Paquete ◽  
Paulo Teles ◽  
Cristina Maria Correia Barroso Pinto ◽  
Vanessa Filipa Ferreira Dias ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Intervention Group ◽  
Self Care ◽  
Signs And Symptoms ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Positive Effects ◽  
Study Results ◽  
Quasi Experimental ◽  
Structured Intervention

This study aimed to assess the effectiveness of a structured intervention on the frequency of self-care behaviors with arteriovenous fistula (AVF) by patients on hemodialysis. This is a quasi-experimental study with pre- and post-measurements. Participants were assigned to an intervention group (IG) ( n = 48) or to a control group (CG) ( n = 41). IG patients were subject to a structured intervention on self-care with AVF (SISC-AVF) consisting of both a theoretical and a practical part. After SISC-AVF application, patients in the IG showed better overall self-care behaviors with AVF than patients in the CG (79.2% and 91.4%, respectively, p < .001) as well as better self-care concerning both the management of signs and symptoms (90.1% and 94.4% respectively, p = .004) and the prevention of complications (72.7% and 89.5%, respectively, p < .001). The study results suggest that the SISC-AVF had positive effects on patients in the IG.

scholarly journals Comparison of Group Discussion and Teach Back Selfcare Education Effects on Knowledge, Attitude, and Performance of Hemodialysis Patients

2020 ◽  
Vol 12 (3) ◽  
Author(s):  
Seyed Reza Borzou ◽  
Mehrdad Rasoli ◽  
Zahra Khalili ◽  
Leili Tapak
Keyword(s):  
Assessment Tool ◽  
Group Discussion ◽  
Self Care ◽  
Hemodialysis Patients ◽  
Training Data ◽  
Teaching Materials ◽  
Quasi Experimental ◽  
Care Training ◽  
And Performance ◽  
Education Effects

Background: Hemodialysis patients require self-care training to manage their problems. To understand the effectiveness of different educational methods, it is necessary to evaluate these methods using knowledge, attitude, and practice assessment tool. Objectives: The current study aimed to compare the effects of group discussion and teach-back self-care education on the knowledge, attitude, and performance of hemodialysis patients. Methods: This quasi-experimental study is conducted on 67 patients who were undergoing hemodialysis via fistula for at least 6 months. Using the convenient sampling method, the patients were randomly allocated into two groups: teach-back training (n = 34), and group discussion (n = 33). Both groups were provided with three sessions of self-care training on nutrition, activity, and fistula care by the researcher. Considering the teaching materials, patients in the teach-back group were taught individually to ensure complete comprehension of the information. On the other hand, subjects in the group discussion were exposed to the teaching materials in the form of group training. Data were collected before and one month after providing the training sessions. Results: In this study, the majority of patients in both groups were married men with an average age of 52 years. Following education, knowledge, attitude, and performance increased in both groups. However, the teach-back method (113.88 ± 4.13) had a higher impact on the attitude of patients than group discussion (110.48 ± 5.68) (P = 0.009). Conclusions: Teach-back education increased the knowledge, performance, and attitude of patients. It is, therefore, recommended to use this method for patients with negative attitudes toward treatment and disease.

Providing counseling through home pharmacy care (HPC) for hemodialysis patients with hypertension in lowering blood pressure

2021 ◽  
Vol 32 (4) ◽  
pp. 459-465
Author(s):  
Rahmiyati Daud ◽  
Bambang Subakti Zulkarnain ◽  
Ivan Virnanda Amu
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Diastolic Blood Pressure ◽  
Hemodialysis Patients ◽  
Patient Medication ◽  
Counseling Group ◽  
Hemodialysis Unit ◽  
Quasi Experimental ◽  
Stage Renal Disease ◽  
End Stage

Abstract Objectives Hypertension is one of the main factors in increasing the risk of cardiovascular disease with 51% reported cause of death in chronic kidney disease (CKD) patients with end-stage renal disease (ESRD). It is a comorbid that needs to be managed properly and gets special attention from various health disciplines including a pharmacist. Methods This was a quasi experimental study with pretest–posttest intervention using home pharmacy care (HPC) counseling both on the counseling and the noncounseling group. Initial data collection and informed consent was done at the Hemodialysis Unit Aloei Saboe and Toto Kabila Hospital, Gorontalo. The parameters in the study were patients’ compliance to their medication using the Medication Adherence Questionnaire (MAQ) and Pill Count Adherence (PCA) questionnaires and the patient’s blood pressure. Results Fifty-eight patients met the inclusion criteria and were divided into two groups (the counseling group and the noncounseling group). Based on MAQ and PCA, the level of patient medication adherence increased significantly in the counseling group compared to the noncounseling group with a significance value of p<0.05. Increasing adherence was correlated with patients’ outcome of lowering blood pressure. More patients in the counseling group showed decrease in systolic and diastolic blood pressure compared to the noncounseling group (86.2 vs. 17.2% for systolic BP and 69 vs. 10.3% for diastolic blood pressure (BP). Following adjusted confounding variables, counseling through HPC provided a chance of decreasing systolic blood pressure 32 times (95% CI: 7.198–144.550) and diastolic blood pressure 42 times (95% CI: 6.204–286.677). Conclusions HPC affects the improvement of patient medication adherence and reduction of blood pressure in hemodialysis patients with hypertension.

Effects of Far Infrared Acupoint Stimulation on Autonomic Activity and Quality of Life in Hemodialysis Patients

2009 ◽  
Vol 37 (02) ◽  
pp. 215-226 ◽  
Author(s):  
Ling-Hwa Su ◽  
Kwan-Dun Wu ◽  
Li-Shan Lee ◽  
Harrison Wang ◽  
Chi-Feng Liu
Keyword(s):  
Quality Of Life ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Far Infrared ◽  
Hemodialysis Patients ◽  
Autonomic Nervous ◽  
Stage Renal Disease ◽  
The Impact ◽  
Regular Hemodialysis

Patients receiving regular hemodialysis sessions have been known to suffer from fatigue and depression. This experiment was designed to determine the effects of far infrared ray (FIR) stimulation on acupoints of patients suffering from renal failure who are receiving regular hemodialysis. Patients receiving long-term and regular hemodialysis who volunteered for this procedure were randomly selected to undergo either FIR or heat pad (HP) therapy to determine the impact of FIR treatment on these patients. Both the activities of the autonomic nervous system and changes in quality of life were measured before and after treatment to determine the effectiveness of the FIR treatment. Results from this study show that FIR therapy decreases both stress and fatigue levels of these patients. It also stimulates autonomic nervous system (ANS) activity in patients who are diagnosed with end-stage renal disease (ESRD) and are receiving regular hemodialysis (HD). Therefore, benefits of FIR stimulation on these patients are clearly demonstrated in this preliminary study.

scholarly journals MICROORGANISM PATTERN ON NASAL CAVITY OF END STAGE RENAL DISEASE PATIENTS WITH REGULAR HEMODIALYSIS AND STAFFS IN HEMODIALYSIS INSTALLATION ADAM MALIK GENERAL HOSPITAL MEDAN

2019 ◽  
Vol 25 (1) ◽  
pp. 73
Author(s):  
Imelda Damayanti ◽  
Ricke Loesnihari ◽  
Syafrizal Nasution
Keyword(s):  
Nasal Cavity ◽  
Bacterial Colonization ◽  
Clinical Pathology ◽  
Hemodialysis Patients ◽  
The Body ◽  
Cross Sectional ◽  
Antimicrobial Sensitivity ◽  
Stage Renal Disease ◽  
End Stage ◽  
Regular Hemodialysis

Colonization is the presence and growth of microorganism on the skin or mucous membrane of the body without any sign of infection. Commonly colonized microorganisms are normal flora within a person's body, but can also be microorganism in the hospital that colonizes within the body a few days after they enter the hospital. The longer a person is hospitalized the more likely to be colonized with the microorganism in the hospital. The objective is to determine microorganism pattern and antimicrobial sensitivity in the nasal cavity of regular hemodialysis patients and staff in Hemodialysis Installation of Adam Malik Hospital Medan. The study was analytic observational with a cross-sectional method, conducted in the Department of Clinical Pathology of Adam Malik Hospital Medan together with Hemodialysis Installation of Adam Malik Hospital Medan from August 2016 - October 2016. The sample was anterior nasal cavity swab which went through identification and sensitivity test. A total number of participants following the study were 46 people where patients and staffs were equal to 23 people. Most bacterial colonization of the nasal cavity of patients and staffs: Staphylococcus epidermidis 9 (39.13%) and 12 (52.17%); Staphylococcus aureus 4 (17.39%) and 3 (13.04%); Staphylococcus saprophyticus 2 (8.70%) and 2 (8.70%). There were 3 MRSA from a total of 23 bacteria (13.04%) in regular hemodialysis patients. MRSA colonization was found in regular hemodialysis patients with 50% sensitivity level of Vancomycin.

Experiences of Nurses Working at Hemodialysis Centers on Education of Self care Diet Therapy for Hemodialysis Patients

2019 ◽  
Vol 31 (1) ◽  
pp. 53-62
Author(s):  
Hyunyoung Song ◽  
Wonsun Hwang ◽  
Won Jeong Kim
Keyword(s):  
Self Care ◽  
Diet Therapy ◽  
Hemodialysis Patients

scholarly journals Cefazolin–gentamicin versus taurolidine–citrate for the prevention of infection in tunneled central catheters in hemodialysis patients: A quasi-experimental trial

2019 ◽  
Vol 85 ◽  
pp. 16-21 ◽  
Author(s):  
Tricya Nunes Vieira Bueloni ◽  
Daniel Marchi ◽  
Camille Caetano ◽  
Ricardo de Souza Cavalcante ◽  
Marcela Lara Mendes Amaral ◽  
...  
Keyword(s):  
Hemodialysis Patients ◽  
Prevention Of Infection ◽  
Experimental Trial ◽  
Quasi Experimental ◽  
Central Catheters

scholarly journals Implementation and effectiveness of an intensive education program on phosphate control among hemodialysis patients: a non-randomized, single-arm, single-center trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jinmei Yin ◽  
Jun Yin ◽  
Rongli Lian ◽  
Peiqiu Li ◽  
Jing Zheng
Keyword(s):  
Education Program ◽  
Hemodialysis Patients ◽  
Serum Phosphorus ◽  
Phosphate Binders ◽  
Maintenance Hemodialysis ◽  
Single Center ◽  
Clinical Trial Registry ◽  
Before And After ◽  
Intensive Education ◽  
Phosphate Control

Abstract Background Hyperphosphatemia is a common complication in patients on maintenance hemodialysis. Patients’ adherence to phosphorus control can be improved by consistent education. However, few studies have focused on the model construction and effects of health education on phosphate control for hemodialysis patients. Objective To develop an intensive education program focusing on phosphate control among hemodialysis patients and to analyze the effectiveness of this program. Design A non-randomized, single-arm, single-center trial lasting for 6 months. Setting This program was conducted in a hemodialysis center in a teaching hospital in Zhuhai, China. Participants Patients on maintenance hemodialysis with hyperphosphatemia. Methods An intensive hyperphosphatemia control education program lasting for 6 months was conducted among 366 hemodialysis patients applying the First Principles of Instruction model, which focused on mastering four stages: (a) activation of prior experience, (b) demonstration of skills, (c) application of skills and (d) integration of these skills into real-world activities. The controlled percentage of serum phosphorus, knowledge of hyperphosphatemia, and adherence to phosphate binders before and after the education program were assessed. Results The proportion of controlled serum phosphorus was significantly increased from 43.5 to 54.9% (P<0.001). The scores on the knowledge of phosphate control were improved significantly from 59.0 ± 18.9 to 80.6 ± 12.4 (P < 0.001). The proportion of high adherence to phosphate binders was increased dramatically from 21.9 to 44.5% (P < 0.001). Conclusion The intensive education program can effectively improve serum phosphorus, knowledge of hyperphosphatemia, and adherence to phosphate binders among hemodialysis patients. Trial registration Chinese Clinical Trial Registry, ChiCTR2100042017. Retrospectively registered January 12th, 2021.

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