Estimating the quality of life of hemodialysis patients and adequate clearance

Introduction: Dialysis affects the quality of life of hemodialysis patients due on idrasis in physical activities, psychological factors, and social adaptability. Predominant indicator for assessing the adequacy of dialysis, considered the Kt / V (clearance time/volume of distribution). According to international guidelines, the price which shows adequate dialysis is > 1.2. Aim: The aim of the present study was the association of quality of life of hemodialysis patients with adequate dialysis. Material and Methods: To evaluate the quality of life of hemodialysis patients used the questionnaire KDQOL-SF weighted in the Greek language and the Greek egkyropoiimeno population. Excluded from the study patients with a speaking disability, those who were comatose, aliens, and those undergoing dialysis 3 hours/ 2 times / week. For data processing, used the statistical package SPSS ver.17. Results: Based on the statistical analysis t-test results showed respect to the route of vascular access that patients with graft (31,6%) had a higher clearance rate adequacy, as well as patients undergoing hemodialysis with high permeability (high-flux) filters (35,8%) and those undergoing dialysis with hemodiafiltration (35,8%).According to the statistical criterion pearson's r and multivariate analysis of linear regression, statistically significant difference was only between Kt / V and forefinger encouraging staff and p = 0,032 and p = 0,015 respectively.Conclusions: The conclusions drawn from this study showed that there was no correlation between quality of life and dialysis adequacy, but only with the index of encouraging staff.

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A Prospective, Randomized Trial Comparing a Transparent Dressing and a Dry Gauze on the Exit Site of Long Term Central Venous Catheters of Hemodialysis Patients

The Journal of Vascular Access ◽

10.1177/112972980300400205 ◽

2003 ◽

Vol 4 (2) ◽

pp. 56-61 ◽

Cited By ~ 22

Author(s):

I. Le Corre ◽

M. Delorme ◽

S. Cournoyer

Keyword(s):

Quality Of Life ◽

Hemodialysis Patients ◽

Exit Site ◽

Skin Preparation ◽

Drying Time ◽

Skin Reactions ◽

Significant Difference ◽

The Cost

The objective of this study was to assess the risk of bacteremia, estimate the cost and evaluate the quality of life by using a transparent dressing (TD) versus (vs) a dry gauze (DG) on the exit site of long term central I.V. catheters (LTCC) of hemodialysis patients. This 6-months preliminary study was conducted on 58 patients (pts) randomized to receive DG replaced 3 times/week (29 pts) or TD replaced every 7 days (29 pts). Data on patients, conditions of the exit site, local infection, bacteremia, quality of life and cost related to each type of dressing were collected. Two pts in the DG group experienced bacteremia related to their LTCC vs 1 pt in the group TD. A total of 7 (DG) vs 13 (TD) pts experienced skin condition changes at the catheter exit site. Some skin reactions, erythema and pruritus, did occur initially in the group TD and was due in part to insufficient drying time of the skin preparation solution. The estimated individual, weekly costs for using the DG was $7.60 vs $4.72 Canadian dollars for the TD. The SF-36™ scores did not show a significant difference between the 2 groups during the study (3.8 (PCS), 6.4 (MCS) at study end). Although this study was statistically underpowered, it suggests that the incidence of bacteremia was not increased with the use of a TD. Moreover, the use of a TD allowed fewer dressing changes, lowered total treatment costs, with no observed unfavorable impact on the quality of life and without significant local complications of the exit site. Based on the positive results observed in this pilot study, further study is warranted to examine the cost effectiveness of long-term use of TD dressings on dialysis catheter exit sites.

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Educational supportive group therapy and the quality of life of hemodialysis patients

BioPsychoSocial Medicine ◽

10.1186/s13030-020-00200-z ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Sajad Mansouri ◽

Amir Jalali ◽

Mahmoud Rahmati ◽

Nader Salari

Keyword(s):

Quality Of Life ◽

Group Therapy ◽

Short Form ◽

Hemodialysis Patients ◽

Control Group ◽

Chronic Patients ◽

Significant Difference ◽

Supportive Group ◽

Experimental Group

Abstract Background In addition to physical, mental, and social condition, ESRD and hemodialysis affect the quality of life of patients as well. Psychotherapy and non-pharmaceutical interventions are effective measures to add meaning to life, create a goal and motivation in life, and improve the quality of life in chronic patients. The effect of educational and supportive group therapy on the quality of life (QOL) of hemodialysis patients was examined. Methods The study was carried out as an interventional quasi-experimental study with the participation of 64 patients who were selected through convenience sampling and based on the patient’s hemodialysis days (Saturday, Monday, and Wednesday patients as an experimental group and Sunday, Tuesday, and Thursday patients as a control group). There were 32 patients in each group. The experimental group received eight 50 min sessions including two sessions per week. The control group received the normal interventions. The participants were assessed using a demographics form and Kidney Disease Quality of Life Short Form before, immediately after, and 1 month after the intervention. The collected data was analyzed using SPSS (v.24). Results The mean QOL scores of the experimental group before, immediately after, and 4 weeks after the intervention were 36.99, 43.3, and 44.9 respectively. Those of the control group were 36.39, 37.2, and 37.1 respectively. There was no significant difference between the two groups before the intervention (P > 0.05); however, the difference between the two groups was significant immediately after and 4 weeks after the intervention (P = 0.0001). The trend of score change in the experimental group was also significant (p < 0.05), and Tukey ad-hoc test showed significant differences between the scores before intervention and those immediately after and 4 weeks after the intervention (p < 0.05). Conclusion In general, educational and supportive group therapy can expand the interpersonal relationships of hemodialysis patients and positively affect their quality of life.

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Penerapan Latihan Intradialitik terhadap Adekuasi Hemodialisis: Literature Review

Jurnal Penelitian Kesehatan SUARA FORIKES (Journal of Health Research Forikes Voice) ◽

10.33846/sf12303 ◽

2021 ◽

Vol 12 (3) ◽

pp. 237

Author(s):

Isnah Ariyanti ◽

Riri Maria ◽

Masfuri Masfuri

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Physical Fitness ◽

Full Text ◽

Hemodialysis Patients ◽

Dialysis Adequacy ◽

Online Databases ◽

Type Of Exercise ◽

Intradialytic Exercise

Hemodialysis patients were mostly physically inactive and their functional capacity had been reduced, even though exercise could improve physical fitness, aerobic capacity, quality of life, decrease depressive symptoms and include dialysis adequacy (measured as Kt/V). A lower Kt/V value means that the patient had inadequate HD, can lead to increased hospitalization time and costs, increased morbidity and mortality and should therefore be avoided. This study aims to determine the application of intradialytic exercise to hemodialysis adequacy. The method used in this study was literature review with electronic searches on 4 online databases: Wiley Online, Sciencedirect, clinical key and EBSCOhost (Medline and CINAHL plus). The keywords used were "Intradialytic Exercise", "Intradialytic Training", "Hemodialysis Adequacy", "Urea reduction" and "Kt / V". The criteria for the articles chosen in this paper: full text, published in 2015-2020 and in English. Selected articles were assessed for quality using an evaluation table. From the search results and assessed for quality, there were 7 articles. The results showed that the application of intradialytic exercise improves hemodialysis adequacy, quality of life, physical fitness, lowers blood pressure, and had an effect on the mental of hemodialysis patients. In its application, it needs support from staff and hospital organizations so that it could be carried out optimally without neglecting other important tasks. The type of exercise most widely used was aerobic exercise. This exercise did not require special tools like other types of exercises. Easy to implement and did not cause side effects, so it is recommended as a type of exercise that can be applied. Keywords: intradialytic exercise; hemodialysis adequacy ABSTRAK Pasien hemodialisis sebagian besar tidak aktif secara fisik dan kapasitas fungsionalnya telah berkurang padahal olahraga/latihan dapat meningkatan kebugaran fisik, kapasitas aerobik, kualitas hidup, berkurangnya gejala depresi dan termasuk adekuasi dialisis (diukur sebagai Kt/V). Nilai Kt/V yang lebih rendah berarti HD yang dijalani pasien tidak memadai, dapat menyebabkan peningkatan waktu rawat inap dan biaya, peningkatan morbiditas serta mortalitas dan karena itu harus dihindari. Penelitian ini bertujuan untuk mengetahui penerapan latihan intradialitik terhadap adekuasi hemodialisis. Metode yang dilakukan dalam penelitian ini adalah literatur review dengan pencarian elektronik pada 4 database online yaitu: Wiley Online, Sciencedirect, clinical key dan EBSCOhost (Medline dan CINAHL plus). Kata kunci yang digunakan “Intradialytic Exercise”, “Intradialytic Training”, “Hemodialysis Adequacy”, “Urea reduction” dan “Kt/V”. Kriteria artikel yang dipilih dalam penulisan ini adalah full text, dipublikasi tahun 2015-2020 dan berbahasa Inggris. Artikel terpilih dilakukan penilaian kualitas menggunakan tabel evaluasi. Dari hasil pencarian dan penilaian kualitas didapatkan sebanyak 7 artikel. Didapatkan hasil bahwa penerapan latihan intradialitik meningkatkan adekuasi hemodialisis, kualitas hidup, kebugaran fisik, menurunkan tekanan darah, dan berefek pada mental pasien hemodialisis. Pada penerapannya perlu dukungan dari staf dan organisasi rumah sakit sehingga dapat dilaksanakan secara maksimal tanpa mengabaikan tugas penting lainnya. Jenis latihan yang paling banyak digunakan yaitu latihan aerobik. Latihan ini tidak membutuhkan alat khusus seperti jenis latihan lain. Mudah dilaksanakan dan tidak menimbulkan efek samping, sehingga direkomendasikan sebagai jenis latihan yang dapat diterapkan. Kata kunci: latihan intradialitik; adekuasi hemodialisis

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Effects of long-term aerobic training and detraining on functional capacity and quality of life in hemodialysis patients: A pilot study

The International Journal of Artificial Organs ◽

10.1177/0391398819890622 ◽

2019 ◽

Vol 43 (6) ◽

pp. 411-415 ◽

Cited By ~ 1

Author(s):

Emanuele Poliana Lawall Gravina ◽

Bruno Valle Pinheiro ◽

Luciana Angélica da Silva Jesus ◽

Lilian Pinto da Silva ◽

Rodolfo Nazareth da Silva ◽

...

Keyword(s):

Quality Of Life ◽

Functional Capacity ◽

Aerobic Training ◽

Training Group ◽

Hemodialysis Patients ◽

Significant Difference ◽

Test Distance ◽

Training And Detraining

Although previous studies have shown the benefits of exercise training in hemodialysis patients, little is known about the effects of long-term of exercise program on these patients. We investigated the effects and the safety of long-term aerobic training and the effects of detraining on functional capacity and quality of life in hemodialysis patients. Ten patients were allocated to two groups: training and detraining. The training group completed at least 30 months of aerobic training, and the detraining group completed at least 20 months and then discontinued the training for at least 10 months. The outcomes were analyzed at baseline, after 3 months of aerobic training and at the 30-month follow-up. The training and detraining groups performed 37 (5.5) and 24 (3.0) months of aerobic training, respectively. The detraining group discontinued the training for 11.0 (2.0) months. After 3 months of aerobic training, six-minute walking test distance increased significantly in both groups (training group = 569 (287.8) vs 635.5 (277.0) m, p = 0.04; detraining group = 454.5 (72.3) vs 515.0 (91.8) m, p = 0.04). There was no significant difference in the six-minute walking test distance in the training group (576.5 (182.5), p > 0.05) and a significant decrease (436.2 (89.6) m, p = 0.04) in the detraining group at the follow-up compared to the third month of aerobic training. No significant difference was observed in quality of life during the study. No complications were found during the protocol of the exercise. These results suggest that long-term aerobic training is safe and can maintain functional capacity in hemodialysis patients. In contrast, detraining can result in loss of functional capacity in these patients.

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Comparison the effect of high flux and low flux dialyzer on quality of life in hemodialysis patients; a clinical trial

Journal of Renal Injury Prevention ◽

10.15171/jrip.2019.19 ◽

2018 ◽

Vol 8 (2) ◽

pp. 98-105 ◽

Cited By ~ 1

Author(s):

Khodayar Oshvandi ◽

Mehri Safari ◽

Mahmood Gholyaf ◽

Abbas Moghim-Beygi ◽

Farshid Shamsaei ◽

...

Keyword(s):

Quality Of Life ◽

Clinical Trial ◽

Life Quality ◽

Public Health Problem ◽

Hemodialysis Patients ◽

Life Questionnaire ◽

High Flux ◽

Dialysis Adequacy ◽

Mortality And Morbidity

Introduction: End-stage renal disease (ESRD) is a worldwide public health problem. ESRD reduces health-related quality of life. Quality of life is an important determinant in the mortality and morbidity of hemodialysis patients. However, several studies have suggested that high flux dialyzers increase dialysis adequacy and reduce mortality and morbidity in these patients. Objectives: This study aimed to investigate the effects of high flux and low flux dialyzers on the quality of life in hemodialysis patients. Patients and Methods: In this clinical trial, 93 patients who met the inclusion criteria were randomly assigned to two groups of high flux and low flux dialyzers. Before intervention, both groups filled demographic and quality of life questionnaires. They were undergone dialysis with two dialyzers (one group by high flux and another by low flux) three times a week for 6 weeks. Then quality of life questionnaire was filled by both groups once again. Results: The overall quality of life score was not significantly different in both groups before intervention (P=0.121). After intervention, however, high flux group attained a significantly higher mean score (54 ± 10.4) than low flux group (43.89 ± 11.64) (P<0.001). Conclusion: According to the results of this study, the use of high flux dialyzers can be a useful method to increase the quality of life in hemodialysis patients.

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MO888QUALITY OF LIFE AND QUALITY OF SLEEP IN MAINTENANCE HEMODIALYSIS PATIENTS: REPORTS FROM TWO HEMODIALYSIS CENTERS IN IRAN

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab100.0013 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Samaneh Hashemi ◽

Roya Rezaee ◽

AmirHossein Saeedi ◽

Hazhir Hojati ◽

Reza Yahyavi Sahzabi ◽

...

Keyword(s):

Quality Of Life ◽

Kidney Disease ◽

Sleep Quality ◽

Hemodialysis Patients ◽

Maintenance Hemodialysis ◽

Quality Of Sleep ◽

Dialysis Adequacy ◽

The Mean ◽

Phosphorus Levels

Abstract Background and Aims Patients with End Stage Kidney Disease (ESKD) usually tend to have lower Quality of Life (QoL) compared to the general population. The purpose of this study was to determine the QoL and quality of sleep in patients on maintenance hemodialysis (MHD) and its relation with medical factors. Method This descriptive-analytical study was performed on 145 patients on MHD in two hospitals affiliated to Abadan University of Medical Sciences. Patients' QoL was assessed via KDQOL-SF questionnaire. For sleep quality, Pittsburgh Sleep Quality Questionnaire (PSQI) was used. Demographic information of patients, type of vascular access, history of dialysis, and frequency and duration of each dialysis session were collected. The average results of related laboratory tests in the last six months, were also recorded for each patient. Results Of 145 MHD patients, 81 (55%) were men and 64 were women. Most patients (53%) were between 30 and 60 years old. Illiteracy was present in 48 (33%) patients. Unemployed patients accounted for 70% of patients (99) and most of the participants (83.44%) lived in the city. Of 145 patients, 102 (70.34%) were married, 20 (13.79%) were single, and the rest were widows. The mean dialysis adequacy of patients was 1.14, and 53% had dialysis adequacy less than 1.2. The average quality of life score was 66.00 ±13, suggesting a high QoL in this group of patients. literacy was significantly associated with QoL score (P<0.001). Likewise, there was significant association between QoL score and income level (p <.001), the effect of Kidney disease on life (p <.001), working status (p <.009), social functioning (p <.046), and marital status (p <.001). The quality of social interactions was significantly associated with residence location (p <.001). On the other hand, the presence of Kidney disease burden, sexual dysfunction, unemployment, role emotional and role physical, was associated with low QoL scores. We found a significant relationship between hemoglobin level and cognitive function (p <.001, r= .075). In addition, significant relationships between phosphorus levels and physical function (p=.021) and role emotional (P:0.04) were observed. Seemingly, phosphorus levels were inversely related with sexual function in our patients (p <0.001, r= - .013). Our data also suggested that serum calcium levels may have an impact on the patients’ social function (p=.038). The mean score of sleep quality was 7.00±4.00. Most of the patients (61%) had a PSQI>5, indicating a poor sleep quality. High sleep quality (PSQI<5) is significantly associated with low age and high-income level. There was also a significant relationship between the average sleep quality and general health (p <0.001, r= -0.206), social function (p= 0.018, r=-0.208), and energy fatigue (p <0.001, r= -0.309). Conclusion Our study showed that a wide range of determinants, including demographic, socioeconomic and disease-related factors can significantly influence the QoL and sleep quality in ESKD patients undergoing hemodialysis. Among them, modifiable factors including laboratory test results, socioeconomic determinants and psychosocial status should be addressed and accordingly treated and solved. Hence, an improvement in both the QoL and sleep quality of maintenance hemodialysis patients will be expected. Keywords Hemodialysis, Quality of life, Sleep quality, Sociodemographic characteristics.

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Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions

Media Keperawatan Indonesia ◽

10.26714/mki.4.3.2021.208-217 ◽

2021 ◽

Vol 4 (3) ◽

pp. 208

Author(s):

Yunie Armiyati ◽

Suharyo Hadisaputro ◽

Shofa Chasani ◽

Untung Sujianto

Keyword(s):

Quality Of Life ◽

Intervention Group ◽

Nursing Intervention ◽

Hemodialysis Patients ◽

Control Group ◽

Nursing Interventions ◽

Intervention Package ◽

Hypertensive Patients ◽

Significant Difference

Intradialytic hypertension can reduce the quality of life in hemodialysis patients. Providing appropriate nursing interventions will reduce morbidity, and improve the quality of intradialytic hypertensive patients. Provision of “SEHAT” nursing intervention package in the form of providing support, education and empowering, holistically with attention to therapeutic sensitivity can be applied to overcome patients problems. The purpose of the study was to analyze the "SEHAT" nursing intervention package to improve the quality of life of intradialytic hypertensive patients. The research method was a randomized controlled trial on 40 samples of hemodialysis patients which were divided into 20 group samples and 20 control group samples. The research instrument uses the Indonesian version of the Kidney Disease Quality of Life (KDQOL-36). The intervention was carried out for 4 weeks using the SEHAT nursing intervention package. The results showed an increase in the quality of life scores of respondents in the intervention group after being given SEHAT nursing intervention (p=0.000). There was a significant difference in the quality of life scores between the intervention group and the control group after being given the intervention (p=0.000). The “SEHAT” nursing intervention package is effective for improving the quality of life of intradialytic hypertensive patients.

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The Effect of Motivational Interviewing on Adherence to Treatment and Quality of Life in Chronic Hemodialysis Patients: A Randomized Controlled Trial

Clinical Nursing Research ◽

10.1177/1054773820974158 ◽

2020 ◽

pp. 105477382097415

Author(s):

Elif Ok ◽

Yasemin Kutlu

Keyword(s):

Quality Of Life ◽

Motivational Interviewing ◽

Hemodialysis Patients ◽

Chronic Hemodialysis ◽

Adherence To Treatment ◽

Randomized Controlled ◽

Significant Difference ◽

Experimental Group

The aim of this study was to determine the effect of motivational interviewing (MI) on adherence to treatment and quality of life in chronic hemodialysis patients. This study was conducted with a randomized controlled pretest, posttest, and follow-up design from March to July 2016 in the hemodialysis center. After the intervention ( n = 30) and control groups ( n = 30) completed a pretest, patients in the intervention group received four individual face-to face MI sessions per month. Then both groups participated in a posttest, 3 months after which a follow-up was conducted. A significant increase in adherence to treatment (according to both subjective and objective data) was observed in the experimental group compared to the control group. No significant difference was found between the two groups in their quality of life scores; however, within the experimental group, there was a significant increase in these scores between the posttest and the 3-month follow-up.

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Relationship between Dialysis Adequacy and Quality of Life in Long-Term Peritoneal Dialysis Patients

Peritoneal Dialysis International ◽

10.1177/089686080002000508 ◽

2000 ◽

Vol 20 (5) ◽

pp. 534-540 ◽

Cited By ~ 20

Author(s):

Yin-Cheng Chen ◽

Kuan-Yu Hung ◽

Tze-Wah Kao ◽

Tun-Jun Tsai ◽

Wan-Yu Chen

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Demographic Data ◽

University Teaching ◽

Dialysis Adequacy ◽

Sf 36 ◽

Significant Difference ◽

The Relationship ◽

Solute Clearance

Objective The purpose of this study was to compare quality of life (QOL) between peritoneal dialysis (PD) patients with adequate and inadequate total solute clearance (TSC). We also tried to determine the relationship between QOL and TSC. Design A cross-sectional study design was used in which QOL was evaluated and compared between PD patients with adequate and inadequate TSC. Setting The PD unit of a university teaching hospital. Patients Sixty-seven patients were recruited, 38 on continuous ambulatory PD and 29 on continuous cycler-assisted PD. Methods Patients were divided into adequate and inadequate groups, based on the results of either total urea clearance (Kt/Vurea) or total creatinine clearance (weekly CCr). The demographic data, dialysis variables, and clinical parameters of these patients were all collected. QOL was evaluated using the SF-36 questionnaire, which contains eight domains and is a comprehensive and validated instrument for QOL evaluation. QOL of patients in adequate and inadequate groups was compared. The relationship between QOL and TSC was also examined. Results Among patients grouped by Kt/Vurea, patients in the adequate group had significantly higher scores in two domains of the SF-36, that is, physical and emotional role functioning, than did those in the inadequate group. The total SF-36 scores were positively correlated with Kt/Vurea when all patients were pooled together. However, among patients grouped by weekly CCr, there was no significant difference in any of the eight domains of the SF-36 between patients in the adequate and inadequate groups. No correlation was found between the total SF-36 scores and weekly CCr. Conclusion Our study had two important findings: First, PD patients with adequate total solute clearance, based on Kt/Vurea and not on weekly CCr, had a better QOL. Second, Kt/Vurea is better correlated with QOL than weekly CCr. These findings suggest that Kt/Vurea is a better parameter for the clinical evaluation of total solute clearance from the viewpoint of QOL.

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