scholarly journals Analysis of The Influence of Nursing Intervention on the Mental Health of Maintenance Hemodialysis Patients

2015 ◽  
Vol 4 (3) ◽  
pp. 37
Author(s):  
Xingli He
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Behavior Management ◽  
Nursing Intervention ◽  
Hemodialysis Patients ◽  
Psychological Problems ◽  
Psychological Status ◽  
Maintenance Hemodialysis ◽  
Term Survival

<p><strong>Objective</strong>: To explore the effect of nursing intervention on the mental health status of patients through maintenance of hemodialysis patients with psychological counseling, psychological health education, treatment and other aspects while promoting the treatment of the disease. To study the effect of nursing intervention on the self-behavior management and anxiety in the patients. <strong>Methods</strong>: The psychological status of the patients was assessed through questionnaires which conducted by nurses with patients. The nurses asked for cooperation of patients and led them to complete a classified questionnaire. According to different psychological problems, the corresponding nursing measures were taken. <strong>Results</strong>: Most of the patients with maintenance hemodialysis had different levels of depression, fear, paranoia, interpersonal sensitivity and other psychological problems. <strong>Conclusion</strong>: Patients, who had psychological problems, received nursing intervention through nurse-patient relationship in the maintenance of hemodialysis patients. Self-care education could improve patients' self-management, which could reduce the patients' anxiety and depression. Their mental health had significantly improved. The treatment of disease ensured long-term survival, prolonged their life cycle and improved quality of life of patients.<strong></strong></p>

scholarly journals Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study

2019 ◽  
Vol 17 (5) ◽  
pp. 507-514 ◽  
Author(s):  
Rachel D. Zordan ◽  
Melanie L. Bell ◽  
Melanie Price ◽  
Cheryl Remedios ◽  
Elizabeth Lobb ◽  
...  
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Psychological Health ◽  
Linear Regression Analysis ◽  
Population Based ◽  
Anticipatory Grief ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief ◽  
Cancer Caregivers

AbstractContextThe short-term impact of prolonged grief disorder (PGD) following bereavement is well documented. The longer term sequelae of PGD however are poorly understood, possibly unrecognized, and may be incorrectly attributed to other mental health disorders and hence undertreated.ObjectivesThe aims of this study were to prospectively evaluate the prevalence of PGD three years post bereavement and to examine the predictors of long-term PGD in a population-based cohort of bereaved cancer caregivers.MethodsA cohort of primary family caregivers of patients admitted to one of three palliative care services in Melbourne, Australia, participated in the study (n= 301). Sociodemographic, mental health, and bereavement-related data were collected from the caregiver upon the patient's admission to palliative care (T1). Further data addressing circumstances around the death and psychological health were collected at six (T2,n= 167), 13 (T3,n= 143), and 37 months (T4,n= 85) after bereavement.ResultsAt T4, 5% and 14% of bereaved caregivers met criteria for PGD and subthreshold PGD, respectively. Applying the total PGD score at T4, linear regression analysis found preloss anticipatory grief measured at T1 and self-reported coping measured at T2 were highly statistically significant predictors (bothp< 0.0001) of PGD in the longer term.ConclusionFor almost 20% of caregivers, the symptoms of PGD appear to persist at least three years post bereavement. These findings support the importance of screening caregivers upon the patient's admission to palliative care and at six months after bereavement to ascertain their current mental health. Ideally, caregivers at risk of developing PGD can be identified and treated before PGD becomes entrenched.

scholarly journals Individualized Hemodialysis Treatment: A Perspective on Residual Kidney Function and Precision Medicine in Nephrology

2018 ◽  
Vol 9 (2) ◽  
pp. 69-82 ◽  
Author(s):  
Inkyong Hur ◽  
Yong Kyu Lee ◽  
Kamyar Kalantar-Zadeh ◽  
Yoshitsugu Obi
Keyword(s):  
Blood Pressure ◽  
Precision Medicine ◽  
Kidney Function ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Clinical Aspects ◽  
Patient Centeredness ◽  
Mineral And Bone Disorder ◽  
Term Survival ◽  
Residual Kidney Function

Background: Residual kidney function (RKF) is often expected to inevitably and rapidly decline among hemodialysis patients and, hence, has been inadvertently ignored in clinical practice. The importance of RKF has been revisited in some recent studies. Given that patients with end-stage renal disease now tend to initiate maintenance hemodialysis therapy with higher RKF levels, there seem to be important opportunities for incremental hemo­dialysis by individualizing the dose and frequency according to their RKF levels. This approach is realigned with precision medicine and patient-centeredness. Summary: In this article, we first review the available methods to estimate RKF among hemodialysis patients. We then discuss the importance of maintaining and monitoring RKF levels based on a variety of clinical aspects, including volume overload, blood pressure control, mineral and bone metabolism, nutrition, and patient survival. We also review several potential measures to protect RKF: the use of high-flux and biocompatible membranes, the use of ultrapure dialysate, the incorporation of hemodiafiltration, incremental hemodialysis, and a low-protein diet, as well as general care such as avoiding nephrotoxic events, maintaining appropriate blood pressure, and better control of mineral and bone disorder parameters. Key Message: Individualized hemodialysis regimens may maintain RKF, lead to a better quality of life without compromising long-term survival, and ensure precision medicine and patient-centeredness in nephrology practice.

A long-term survival case of Erdheim–Chester disease on maintenance hemodialysis

2022 ◽  
Author(s):  
Ryo Konishi ◽  
Takuya Morinishi ◽  
Koji Takaori ◽  
Yuta Iwamoto ◽  
Makiko Kondo ◽  
...  
Keyword(s):  
Maintenance Hemodialysis ◽  
Term Survival ◽  
Long Term Survival ◽  
Erdheim Chester Disease ◽  
Erdheim Chester ◽  
Chester Disease ◽  
Survival Case

Can We Change the Culture to Promote Psychological Health?

Mood Prep 101 ◽  
2020 ◽  
pp. 255-266
Author(s):  
Carol Landau
Keyword(s):  
Mental Health ◽  
United States ◽  
Young People ◽  
Psychological Health ◽  
The United States ◽  
Psychological Problems ◽  
College Application ◽  
Individual Achievement ◽  
The Way

All of the issues in this book take place in the context of a competitive, overly individualistic environment. Many educators and journalists have suggested that this is stressful to students. A study of stress in in the United States confirms that students view college application stress as detrimental to their mental health. This chapter suggests that it is incumbent upon parents and educators to lead the way in reducing the pressure, to focus more on collaboration and less on competition and individual achievement. At the same time, we need to reduce the stigma of psychological problems in order to be more humane and to encourage young people to get help when they need it.

Impact of body mass index on short-term and long-term survival in prevalent hemodialysis patients

2019 ◽  
Vol 23 (3) ◽  
pp. 375-383
Author(s):  
Muhittin Ertilav ◽  
W. Nathan Levin ◽  
Aygul Celtik ◽  
Fatih Kircelli ◽  
Stefano Stuard ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Hemodialysis Patients ◽  
Short Term ◽  
Term Survival ◽  
Long Term Survival

scholarly journals P1493CORRELATION BETWEEN END-DIALYSIS OVER-WEIGHT IN INITIAL STAGE OF HEMODIALYSIS AND PROGNOSIS IN INCIDENT HEMODIALYSIS PATIENTS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Ping Zhang ◽  
Ying Wang ◽  
Xi Yao ◽  
Shaohua Chen ◽  
Chunping Xu ◽  
...  
Keyword(s):  
Risk Factor ◽  
Cardiovascular Mortality ◽  
Multivariate Regression ◽  
Independent Risk Factor ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Interdialytic Weight Gain ◽  
The Relationship

Abstract Background and Aims The volume factor of maintenance hemodialysis patients is closely related to the prognosis. We hypothesized that the excess weight after dialysis (end-dialysis over-weight, edOW) is an important factor of volume impact survival in hemodialysis (HD) patients. The purpose of this study was to analyze the relationship between edOW and long-term prognosis of patients with maintenance hemodialysis. Method This retrospective study observed incident hemodialysis patients who treated in Kidney Disease Center, the First Affiliated Hospital, College of Medicine, Zhejiang University from January 1, 2008 to April 30, 2017, three times a week for at least one year. The end point of follow-up was death, abdominal dialysis, kidney transplantation, transfer or until April 30, 2018. The general data of the patients included age, gender, BMI, primary renal disease, CVD, first hemodialysis access, albumin(Alb), Haemoglobin(Hb), blood pressure, heart rate, ultrafiltration rate(UFR), interdialytic weight gain IDWG, end -dialysis overweight (edOW). Cox multivariate regression was used to analyze the relationship between edow and all-cause mortality and cardiovascular mortality. Results Totally 469 patients male, 64% were enrolled, with an average age of 56.9 ± 17.1 years. During the follow-up period, 102 patients died. The main cause of death was cardiovascular and cerebrovascular events, accounting for 44.7%. The mean value of edow was 0.28 ± 0.02 kg. Kaplan-Meier(Log-rank test) survival analysis showed that the long-term survival rate of the group with edow ≤ 0.28kg was better than that of the group with edow &gt; 0.28kg (P = 0.042), and the cardiovascular mortality of the group with edow &gt; 0.28kg was significantly higher than that of the group with edow ≤ 0.28kg (P = 0.001). Cox multivariate regression analysis showed that edow was an independent risk factor for all-cause death in hemodialysis patients (P = 0.025, AhR = 1.541, 95% CI 1.057-2.249), and also an independent risk factor for CVD death in hemodialysis patients (P = 0.007, AhR = 1.929, 95% CI 1.198-3.107). Conclusion EdOW is an independent risk factor of long-term all-cause and cardiovascular death in hemodialysis patients.

Long-Term Survival for Hemodialysis Patients Differ in Japan Versus Europe and the USA. What Might the Reasons Be?

2018 ◽  
Vol 42 (12) ◽  
pp. 1112-1118 ◽  
Author(s):  
Kenichi Matsuda ◽  
Rachel Fissell ◽  
Stephen Ash ◽  
Bernd Stegmayr
Keyword(s):  
Hemodialysis Patients ◽  
Term Survival ◽  
Long Term Survival ◽  
The Usa
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