Effect of Nutritional Nursing on the Quality of Life, Nutritional Status, and Complications in Elderly Uremic Patients Receiving Peritoneal Dialysis

2021 ◽  
Vol 7 (4) ◽  
pp. 546-556
Author(s):  
Heng Yin ◽  
Cui Xia ◽  
Pengfei Xiao ◽  
Huili Ni
Keyword(s):  
Quality Of Life ◽  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Sleep Quality ◽  
Complication Rate ◽  
Biochemical Markers ◽  
Satisfaction Level ◽  
Nursing Satisfaction ◽  
Uremic Patients

Objective: The aim of this study is to explore the role of nutritional nursing in the quality of life, nutritional status, and complications in elderly uremic patients receiving peritoneal dialysis (PD). Methods: We enrolled 205 uremic patients who were treated with PD in our hospital from March 2018 to April 2019 as the research subjects. Then we grouped them according to different nursing methods: 116 cases receiving nutritional nursing were assigned to the research group (RG) while the other 89 cases receiving routine nursing to the control group (CG). Clinical biochemical markers were detected by the biochemistry analyzer, the nutritional status determined by the Modified Quantitative Subjective Global Assessment (MQSGA), the anxiety and depression intensity assessed by Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS), the sleep quality assessed by the Pittsburgh Sleep Quality Index(PSQI), the nursing satisfaction level assessed by the hospital’s self-made nursing satisfaction questionnaire, and the quality of life evaluated by the Quality of Life Questionnaire (QLQ-C30 ). The complication rate in patients was monitored. Results: The improvement of clinical biochemical markers after nursing was better in RG than in CG. The decrease in the MQSGA score, SAS score, SDS score, and PSQI score after nursing was sharper in RG than in CG. Compared with CG, RG had a remarkably lower complication rate, a notably higher nursing satisfaction level, and a remarkably better quality of life. Conclusion: Nursing intervention for elderly uremic patients receiving PD can enhance the quality of life of patients, improve the nutritional status, promote the recovery from the disease, and reduce the complication rate.

Health-related qualıty of lıfe, sleep qualıty, and depressıon in peritoneal dialysis and hemodıalysıs patıents

2011 ◽  
Vol 16 (2) ◽  
pp. 198-206 ◽  
Author(s):  
Kultigin Turkmen ◽  
Raziye Yazici ◽  
Yalcin Solak ◽  
Ibrahim Guney ◽  
Lutfullah Altintepe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peritoneal Dialysis ◽  
Sleep Quality ◽  
Hemodialysis Patients ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Effect of Continuous Nursing Mode on Negative Emotions and Self-Management of Patients With Parkinson’s Disease

2021 ◽  
Vol 7 (5) ◽  
pp. 2678-2686
Author(s):  
Pingli Chen ◽  
Xiulan Liu ◽  
Pengfei Xiao ◽  
Liu Wu
Keyword(s):  
Quality Of Life ◽  
Sleep Quality ◽  
Negative Emotions ◽  
Nursing Intervention ◽  
The Self ◽  
Self Management ◽  
Limb Function ◽  
Nursing Satisfaction ◽  
Perceived Burden

This research aims to explore the influence of continuous nursing mode on negative emotions and self-management of patients with Parkinson’s disease (PD).Seventy-two PD patients admitted to our hospital from February 2017 to March 2019 were collected in this experiment. Among them, those treated by routine nursing were divided into the control group (CG) (35 cases), and those with continuous nursing were included into the research group (RG) (37 cases). Self-perceived burden scale (SPBS) was used as an evaluation standard for patients; The higher the score, the more serious the self-perceived burden is. Before nursing and one month after nursing, the depression scores were evaluated by the Hamilton Depression Scale (HAMD); The higher the score, the more serious the depression is. The sleep quality of patients before and after nursing was assessed by the Pittsburgh Sleep Quality Index (PSQI), 21 scores in total; The higher the score, the lower the sleep quality of patients after delivery is. The function of patients’ activities of daily living (ADL) was measured by the Barthel index (Bl), totally 100 scores; The higher the score, the stronger the ADL is. The limb function of patients was analyzed by the Fugl-Meyer assessment of motor function (FAM), 100 scores in total; The higher the score, the stronger the limb function is. The quality of life of patients was evaluated by the quality of life scale (GQOL-74). There are four dimensions, 100 points for each; The higher the score, the better the quality of life is. The patients’ nursing satisfaction of our hospital were assessed by the self-made Nursing Satisfaction Questionnaire, 5 points for each question. The total score < 70 was dissatisfied, 70-89 was satisfied, and > 90 was very satisfied. Satisfaction = (very satisfied+satisfied)/total cases x100%. There was no difference in SPBS and HAMD scores between both groups before nursing intervention (P > 0.05), but the scores in the RG were lower than those in the CG after nursing intervention (P < 0.05). There was no marked difference in PSQI scores between the two groups before nursing (P > 0.05), but the scores of the RG decreased after nursing compared with the CG (P < 0.05). The FAM and Bl scores of both groups showed no difference before nursing intervention (P > 0.05), but the scores in the RG increased after nursing compared with the CG (P < 0.05). Complications occurred in both groups 6 months after discharge; The total incidence in the RG was 2.70%, dramatically lower that of the CG (22.86%) (P < 0.05).The GQOL-74 scores (physical function, mental function, social function and material life) of patients in the RG were higher than those in the CG (P < 0.05). The nursing satisfaction of patients in the RG was 97.30%, higher than that in the CG (77.14%) (P < 0.05).Continuous nursing can improve the negative emotions and self-management of patients, reduce the occurrence of complications, and perfect their quality of sleep and life.

P1191PREDICTORS FOR QUALITY OF LIFE IN AUTOMATED AND CONTINOUS AMBULATORY PERITONEAL DIALYSIS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Luisa Pereira ◽  
Luís Leite de Sousa ◽  
Anabela Malho Guedes ◽  
Patricia Matias ◽  
Patricia Branco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Disease ◽  
Peritoneal Dialysis ◽  
Sleep Quality ◽  
Quality Index ◽  
Cardiac Insufficiency ◽  
Categorical Variables ◽  
Pittsburg Sleep Quality Index ◽  
Significant Difference

Abstract Background and Aims Quality of life (QoL) influences the morbidity and mortality in End-Stage Kidney Disease (ESKD) patients on dialysis and is increasingly well recognized as an important measure of treatment outcome. Identification of the factors that influence QoL in patients receiving peritoneal dialysis (PD) can help improving their management. This study was carried out to determine the clinical, biochemical and psychological predictors for QoL scores among ESKD patients on automated (APD) and continuous (CAPD) ambulatory peritoneal dialysis. Methods This was a cross-sectional study which included stable patients from two Peritoneal Dialysis Units. We excluded patients who weren’t able to understand the questionnaires, the language and the ones who had hospitalar admissions in the previous 3 months. Quality of life parameters were assessed by self-administered EuroQol questionnaire (EQ-5D-5L) - higher scores indicate better QoL; Pittsburg Sleep Quality Index (PSQI) was used for assessing sleep quality and evaluation of each patient’s depressive symptoms was made with Patient Health Questionnaire (PHQ-9). In all patients, demographic variables, Charlson Comorbidity Index (CCI), clinical and laboratory parameters were recorded and analyzed. Descriptive statistics was performed. Groups were compared using independent t-test for comparison of continuous variables and Chi square test for categorical variables. In order to evaluate relationship between QoL and the other variables multivariate logistic regression and Pearson bivariate analysis were used. Results The study included 70 patients (male/female 44/26; mean age 55.3±14.6 years; APD/CAPD 25/45; PD duration 28±24.2months). Mean CCI was 4.59±1.86; 31.4% of the patients were diabetic, 12.9% presented cardiac insufficiency and 20% had cardiovascular disease. We found that EuroQoL score was significantly associated with Pittsburg Sleep Quality Index (p=0.001), depression score (PHQ-9) (p&lt;0.001), nPCR (p=0.006), duration of PD (p=0.017) and patients’ perception of their own well-being (P=0.002). Comparing EuroQol Score between genders, males had a significant lower score (p=0.011). We found no association with N-terminal pro-brain natriuretic peptide (NTproBNP), overhydration, residual renal function, weekly KT/V and hospital admissions. There were no significant differences regarding EuroQol score between the two modalities of peritoneal dialysis (APD and CAPD patients) or in patients who were PD first. We also found that the patients with lower EuroQol Score were significantly more depressed (p&lt;0.001) and had poorer sleep quality (p&lt;0.001). Sleep quality wasn’t associated with hypertension or cardiovascular disease. There was no significant difference concerning to age and CCI between the group of patients with worst QoL (EuroQol&lt;0.212) and better QoL (EuroQol Score&gt;0.961). Plus, there were no significant differences in the EuroQol score in patients with cardiovascular disease. In a multivariate analysis (linear regression) there was a significant association between EuroQol and depression (B=-0.346; IC 95% -0.022 to -0.004; p=0.004), nPCR (B=-0.417; IC 95% -0.254 to -0.072; p=0.001) and duration of PD (B=-0.351; IC 95% -0.004 to-0.001; p=0,004). Conclusion Poor sleep quality, presence of depression and lower nPCR are associated with poorer quality of life. In order to improve life quality in PD patients, quality of sleep, depression and nutritional status should be serially evaluated and given appropriate treatment when required.

scholarly journals QUALITY OF LIFE AND NUTRITIONAL STATUS ASSESSED BY MULTIFREQUENCY BIOIMPEDANCE SPECTROSCOPY IN HEMODIALYSIS VERSUS PERITONEAL DIALYSIS PATIENTS

2012 ◽  
Vol 31 (2) ◽  
pp. A86
Author(s):  
Somchai Yongsiri ◽  
Pakapan Dinchuthai ◽  
Suriya Prongnamjai ◽  
Rachneeporn Cheunsuwan ◽  
Jiranuch Thammakumpee ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Bioimpedance Spectroscopy ◽  
Dialysis Patients ◽  
Multifrequency Bioimpedance

scholarly journals P1153ARE LONG-TERM PERITONEAL DIALYSIS PATIENTS SLEEPING WELL?

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Luisa Pereira ◽  
Anabela Malho Guedes ◽  
Ana Rita Martins ◽  
Patricia Matias ◽  
Patricia Branco
Keyword(s):  
Quality Of Life ◽  
Peritoneal Dialysis ◽  
Sleep Quality ◽  
Life Quality ◽  
Cardiac Insufficiency ◽  
Categorical Variables ◽  
Poor Sleep ◽  
Dialysis Patients ◽  
Poor Sleep Quality

Abstract Background and Aims Sleep quality is an important and determining factor in the quality of life (QoL) during dialysis. The prevalence of sleep disorders in the general population varies between 10 and 40%; this figure increases to 50% in dialysis patients. This study was conducted to determine which factors influence sleep quality in end stage renal disease patients on automated (APD) and continuous (CAPD) ambulatory peritoneal dialysis. Methods This was a cross-sectional study which included stable patients from two Peritoneal Dialysis Units. We excluded patients who weren’t able to understand the questionnaires, the language and the ones who had hospitalar admissions in the previous 3 months. Pittsburg Sleep Quality Index (PSQI) was used for assessing sleep quality (the higher the score, the lower the sleep quality), while quality of life parameters were assessed by self-administered EuroQol questionnaire (EQ-5D-5L). The presence of depressive symptoms was made with Patient Health Questionnaire (PHQ-9). In all patients, demographic variables, Charlson Comorbidity Index (CCI), clinical and laboratory parameters were recorded and analyzed. Descriptive statistics was performed. Two groups were created according to Pittsburg Sleep Quality score: G1 (n=42) - “poor” sleep quality and G2 (n=28) - “good” sleep quality. Groups were compared using independent t-test for comparison of continuous variables and Chi square test for categorical variables. In order to evaluate relationship between sleep quality and the other variables multivariate logistic regression and Pearson bivariate analysis were used. Results The study enrolled 70 patients (male/female 44/26; mean age 55.3±14.6 years; APD/CAPD 25/45; PD duration 28±24.2months). One third (31.4%) of the patients was diabetic, 12.9% presented cardiac insufficiency and 20% had cardiovascular disease. 50% of our population had a sleep disorder, although the majority of the problems were slight to moderate. We found that PD patients who sleep better (G2) had significant better life quality (p&lt;0.001), lower CCI (p&lt;0.001) and were less depressed (p&lt;0.001). 77.3% of the patients with worst sleep quality (G1) were diabetic (p=0.04), regardless glycemic control and hemoglobin A1c. There were no significant differences between the two modalities of peritoneal dialysis (APD and CAPD patients), between genders or in patients who were PD first. We found no significant association between sleep quality and dialysis efficacy (weekly kt/v). Multivariate analysis (linear regression) showed a significant association between sleep quality and EuroQol (ExpB=0.000; IC 95% 0.000 to 0.054; p=0.002) and, depression (ExpB=1.274; IC 95% 1.045 to 1.552; p=0.017) in a model adjusted to age, PD duration and diabetes. Conclusion Our results show that poor sleep quality seems to be linked to life quality, comorbidity burden and depression. A better understanding of risk factors associated with poor sleep quality may help to signalize the patients who may benefit of specific treatment. The PSQI survey is a simple tool offering very complete information on sleep quality. The implementation of actions aimed at improving the hygiene of sleep may be an excellent way to improve the patients’ quality of life in an efficient and effective manner.

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