Avaliação da Resiliência em Pacientes com Insuficiência Renal Crônica Submetidos à Hemodiálise / Assessment of Resilience in Patients With Chronic Kidney Disease Undergoing Hemodialysis

1970 ◽  
Vol 6 (1) ◽  
pp. 5-13
Author(s):  
Renata Izabel dos Santos ◽  
Otávia Regina Souza Costa
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Health Status ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Renal Insufficiency ◽  
Social Economic ◽  
Descriptive Study ◽  
Psychological Resilience ◽  
Resilience Scale

RESUMOObjetivo: Avaliar o nível de resiliência dos portadores de insuficiência renal crônica em tratamento de hemodiálise. Materiais e Métodos: Estudo prospectivo, quantitativo e de abordagem descritiva. A amostra foi constituída por 61 pacientes em tratamento dialítico. Para obtenção dos resultados, foi utilizada a escala de resiliência, desenvolvida por Wagnild e Young (1993) e adaptada por Pesce et al., (2005). Foi aplicado, também, um questionário para caracterização pessoal, familiar, social, econômica e de saúde do grupo. Resultados: Foi constatado que 61% dos pacientes apresentaram tendência à resiliência. O gênero masculino obteve maior pontuação, sugerindo maior tendência à resiliência, bem como os pacientes que são praticantes de uma religião.  Conclusão: Os resultados assinalam que os pacientes em tratamento dialítico no hospital apresentam capacidade à resiliência, o que sugere melhor adaptação ao tratamento.Palavras-chave: Avaliação, Resiliência psicológica, Insuficiência renal crônica.ABSTRACTObjective: To evaluate de the level of resilience in patients with chronic renal failure undergoing dialysis. Materials and Methods: Prospective, quantitative and descriptive study. The sample consisted of 61 patients on dialysis. To obtain the results we used Resilience Scale developed by Wagnild and Young (1993) and adapted by Pesce et al., (2005). A questionnaire to characterize personal, familiar, social, economic and health status was applied. Results: It was found that 61% of patients showed trend to resilience. Males had higher scores, suggesting more likelihood to resilience, as well as patients who were practitioners of a religion. Conclusion: The results indicate that the majority of patients on dialysis have capability of resilience, which suggests better adaptation to treatment.Keywords: Evaluation, Psychological resilience, Chronic renal insufficiency.

scholarly journals Cuidados paliativos na doença renal crônica: uma revisão integrativa

2013 ◽  
Vol 4 (2) ◽  
pp. 75
Author(s):  
Kely Regina Da Luz ◽  
Pablo Henrique Schmitt ◽  
Mara Ambrosina De Oliveira Vargas ◽  
Jaime Alonso Caravaca Morera ◽  
Julia Valeria De Oliveira Vargas Bitencourt ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Palliative Care ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Renal Insufficiency ◽  
Kidney Failure ◽  
Chronic Renal Insufficiency ◽  
Chronic Kidney Failure ◽  
Palliative Care Team

Resumo: Revisão integrativa com artigos publicados de 2006 a 2012, constituindo-se como objetivo sintetizar a contribuição de pesquisas realizadas sobre os cuidados paliativos voltados para os pacientes com doença renal crônica, com os descritores “falência renal crônica, insuficiência renal crônica e cuidado paliativo”. Emergiram questões relacionadas à interação entre a equipe de cuidados paliativos e a equipe da nefrologia. Sinalizado que mesmo que os cuidados paliativos seja uma temática recente no currículo de Nefrologia, são cuidados que devem ser instituídos precocemente na evolução da doença renal crônica. Reforçado a valorização da autonomia e o desenvolvimento de competências em cuidados paliativos.Palavras-chave: Insuficiência Renal Crônica. Cuidado paliativo. Enfermagem.Palliative Care In Chronic Kidney Disease: An Integrative ReviewAbstrat: An integrative review with articles published from 2006 to 2012, aimed at synthesizing the contribution of research on palliative care focused on patients with chronic kidney disease, with the descriptors “ Chronic Kidney Failure, Chronic Renal Insufficiency, and palliative care.” Emerged issues related to the interaction between the palliative care team and the nephrology team. We highlighted that even though the palliative care is a recent topic in the Nephrology’s curriculum, the care should be instituted earlier in the course of chronic kidney disease. Reinforcing the value of the autonomy and the development of skills in palliative care.Keywords: Chronic Renal Failure. Palliative care. Nursing.Cuidados Paliativos En La Enfermedad Renal Crónica: Una Revisión IntegrativaResumen: Revisión integrativa con artículos publicados de 2006 a 2012, con el objetivo de sintetizar la contribución de investigaciones realizadas sobre los cuidados paliativos dirigidos para los pacientes con enfermedad renal crónica, con los descriptores “fallo renal crónico, insuficiencia renal crónico y cuidado paliativo”. Emergieron cuestiones relacionadas a la interacción entre el equipo de cuidados paliativos y el equipo de nefrología. Señalizando que aunque los cuidados paliativos sean una temática reciente en el currículum de Nefrología, son cuidados que deben ser instituidos precozmente en la evolución de la enfermedad renal crónica, reforzando la valorización de la autonomía y el desarrollo de competencias en cuidados paliativos.Palabras clave: Insuficiencia renal crónica, Cuidado paliativo, Enfermagem.

scholarly journals CONDITION AFTER HEMOLYTIC-UREMIC SYNDROME IN A CHILD WITH 3RD STAGE CHRONIC KIDNEY DISEASE (case report)

2017 ◽  
Vol 4 (3) ◽  
pp. 136-138
Author(s):  
M.O. Gonchar ◽  
T.B. Ishenko ◽  
N.V. Orlova ◽  
G.R. Muratov ◽  
T.F. Kolibaeva ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Hemolytic Uremic Syndrome ◽  
Clinical Case ◽  
Disease Case ◽  
Uremic Syndrome ◽  
The Given

Gonchar M.O., Ishchenko T.B., Orlova N.V., Muratov G., Kolibaeva T., Khmara N., Podvalnaya N.Currently, hemolytic-uremic syndrome is one of the frequent causes of acute kidney failure in children, so the timeliness of diagnosis and treatment determines the outcome of the disease. In the given clinical case, a set of certain factors that lead to an unfavorable outcome of the disease and the progression of chronic renal failure are presented. Clinical case of a 14-year-old child K., who was admitted to the nephrology department of the Regional Children's Clinical Hospital with the diagnosis: 3rd stage CKD, subcompensated stage of chronic renal failure and condition after hemolytic-uremic syndrome.KeyWords: hemolytic-uremic syndrome in children, chronic kidney disease. СТАН ПЫСЛЯ ПЕРЕНЕСЕНОГО ГЕМОЛІТИКО-УРЕМІЧНОГО СИНДРОМУ У ДИТИНИ З III СТАДІЄЮ ХРОНІЧНОГО ЗАХВОРЮВАННЯ НИРОК (КЛІНІЧНЕ СПОСТЕРЕЖЕННЯ)Гончарь М.О., Іщенко Т.Б., Орлова Н.В., Муратов Г.Р., Колібаєва Т.Ф., Хмара Н.В., Підвальна Н.А. В даний час гемолітико-уремічний синдром є однією з найчастіших причин гострої ниркової недостатності у дітей, тому своєчасність постановки діагнозу і лікування визначає результат захворювання. На наведеному клінічному випадку, представлено сукупність певних факторів, які привели до несприятливого результату захворювання і прогресування хронічної ниркової недостатності. Клінічний випадок дитини К. 14 років, який знаходився в нефрологічному відділенні Обласної дитячої клінічної лікарні з діагноз: ХХН III ст. Хронічна ниркова недостатність субкомпенсированная стадія. Стан після перенесеного гемолітико-уремічного синдрому.Ключові слова: гемолітико-уремічний синдром, діти, клінічний випадок, хронічне захворювання нирок. СОСТОЯНИЕ ПОСЛЕ ПЕРЕНЕСЕННОГО ГЕМОЛИТИКО-УРЕМИЧЕСКОГО СИНДРОМА У РЕБЕНКА С III СТАДИЕЙ ХРОНИЧЕСКОГО ЗАБОЛЕВАНИЯ ПОЧЕК (КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ)Гончарь М.А., Ищенко Т.Б., Орлова Н.В., Муратов Г.Р., Колибаева Т.Ф., Хмара Н.В., Подвальная Н.А. В настоящее время гемолитико-уремический синдром является одной из частых причин острой почечной недостаточности у детей, поэтому своевременность постановки диагноза и лечения определяет исход заболевания. На приведенном клиническом случае, представлено совокупность определенных факторов, которые привели к неблагоприятному исходу заболевания и прогрессированию хронической почечной недостаточности. Клинический случай ребенка К. 14 лет, который находился в нефрологическом отделении Областной детской клинической больнице с диагноз: ХБП III ст. Хроническая почечная недостаточность субкомпенсированная стадия. Состояние после перенесенного гемолитико-уремического синдрома.Ключевые слова: гемолитико-уремический синдром, дети, клинический случай, хроническое заболевание почек.

scholarly journals Faktor yang berhubungan dengan tingkat depresi pada pasien gagal ginjal kronis yang menjalani tindakan hemodialisa

2020 ◽  
Vol 14 (1) ◽  
pp. 101-109
Author(s):  
Indra Maulana ◽  
Iwan Shalahuddin ◽  
Taty Hernawaty
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Psychosocial Factors ◽  
Health Workers ◽  
Depression Score ◽  
Cross Sectional ◽  
Depression Level ◽  
The Impact

Psychosocial factors: The depression level  in patients with chronic kidney disease maintained on dialysisBackground: Chronic renal failure undergoing hemodialysis therapy in the world is almost 1.5 million people, and in Indonesia there are approximately 0.2 people with chronic renal failure undergoing hemodialysis therapy. The impact of hemodialysis on the physical that will occur in patients become weak tired in living their daily lives, against the psychological impact that will occur on sleep problems, impurity and depression, the impact on social and economic conditions that will occur to patients on social relationships, and on the environment the client will also have an impact on the social environment in which he lives. Therefore hemodialysis therapy will have an impact on the quality of life of patients.Purpose: To determine Psychosocial factors: the depression level  in patients with chronic kidney disease maintained on dialysisMethod: A descriptive correlational study by a cross sectional design approach. The sample used was 40 respondents, data collection techniques using questionnaires and direct observation with results calculated based on the total answers to questions given by respondents with criteria: score <17 = no sign of depression, score 18-24 = mild depression, score 25-34 = moderate depression and a score of 35-51 = severe depression, while the bivariate test used chi-squareResults: There was a relationship among factors such as: age, educational, sex, duration of maintaine of hemodialysis therapy and sleep patterns with the depression level in patients with chronic kidney disease under maintained on dialysis at Garut dr. Slamet Hospital.Conclusion: Health workers (nurses) to provide motivational and therapeutic informing in implementing hemodialysis therapy so that patients are more excited and better understand the importance of hemodialysis and to reduce the level of depression.Keywords: Depression level; Patients; Chronic kidney disease; DialysisPendahuluan: Penyakit gagal ginjal kronik yang menjalani terapi hemodialisis di dunia hampir sekitar 1,5 juta orang, dan di indonesi hampitr sekitar 0,2 jiwa penderita gagal ginjal kronik yang menjalani terapi hemodialisis. Dampak hemodialisis terhadap fisik yang akan terjadi pada pasien menjadi lemah lelah dalam menjalani kehidupan sehari-hari, terhadap psikologis dampak yang akan terjadi pada masalah tidur, kecemasaan dan depresi, dampak terhadap sosial dan ekonomi yang akan terjadi pada pasien pada hubungan sosialnya, dan pada lingkungan klien juga akan berdampak pada sosial lingkungan dimana dia tinggal. Maka dari itu terapi hemodialisis akan berdampak pada kualitas hidup pasien.Tujuan: Mengetahui faktor-faktor yang berhubungan dengan tingkat depresi pada pasien gagal ginjal kronis yang menjalani tindakan HemodialisaMetode: Menggunakan rancangan deskriptif korelasional dengan pendekatan desain cross sectional dengan sampel sebanyak 40 responden, teknik pengambilan data menggunakan kuesioner dan observasi langsung dengan hasil dihitung berdasarkan  total jawaban dari pertanyaan yang diberikan responden dengan kriteri skor <  17 = tidak ada depresi,  skor 18-24 = depresi ringan,  skor 25-34= depresi sedang dan skor 35-51= depresi berat                        sedangkan uji bivariat menggunakan chi-square.Hasil: Menunjukan adanya hubungan antara faktor : usia, pendidikan, jenis kelamin, lamanya periode menjalani terapi hemodialisa dan pola tidur. Semua faktor tersebut sangat  berhubungan dengan tingkat depresi pada pasien gagal ginjal kronik yang menjalani tindakan hemodialisa di Ruang Hemodialisa RSUD dr. Slamet Garut.Simpulan: Petugas kesehatan (perawat) agar memberikan motivasi dan terapeutik informing dalam pelaksanaan terapi hemodialisa agar pasien lebih bersemangat dan lebih memahami pentingnya hemodialisa serta untuk mengurangi tingkat depresi.

scholarly journals Shen Shuai II Recipe Attenuates Renal Interstitial Fibrosis by Improving Hypoxia via the IL-1β/c-Myc Pathway

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Liuyi Yang ◽  
Meng Wang ◽  
Yuan Zhou ◽  
Jing Yang ◽  
Chaoyang Ye ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Renal Function ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Protein Expression ◽  
Interstitial Fibrosis ◽  
Renal Interstitial Fibrosis ◽  
Related Factors

Background. Renal interstitial fibrosis is a pathological manifestation of progression of chronic kidney disease induced by various factors. Shen Shuai II Recipe (SSR) has been used in clinical practice for more than 20 years, and clinical studies have confirmed that SSR significantly improves the renal function of patients with chronic kidney disease. However, the specific mechanisms underlying its efficacy require further research. This study aims to explore the influencing factors of renal interstitial fibrosis in the context of hypoxia via the IL-1β/c-Myc pathway and the potential molecular mechanisms of SSR intervention in vivo and in vitro. Methods. A rat model of chronic renal failure was developed by performing 5/6 (ablation/infarction, A/I) surgery on randomly selected, male Sprague Dawley rats. Thirty-six successfully modeled rats were randomly divided into three groups: 5/6 (A/I), 5/6 (A/I) + SSR, and 5/6 (A/I) + losartan. Another 12 rats were used as the sham group. After 8 weeks of the corresponding intervention, renal function, liver function, and protein expression of renal-fibrosis-related factors, HIF-1α, IL-1β, and c-Myc, were detected. In vitro analysis was performed using hypoxia-induced rat renal tubular epithelial cells (NRK-52E) and IL-1β-stimulated rat renal interstitial fibroblasts (NRK-49F). IL-1β concentration in the culture medium and IL-1β protein expression in hypoxic NRK-52E treated with different concentrations of SSR were investigated. Furthermore, we also studied the changes in protein expression of c-Myc and fibrosis-related factors after c-Myc gene silencing in IL-1β-stimulated NRK-49F treated with SSR. Results. Shen Shuai II Recipe significantly reduced RIF and downregulated the expression of HIF-1α, c-Myc, and IL-1β proteins in 5/6 (A/I) rats with chronic renal failure. It also inhibited IL-1β secretion from NRK-52E induced by hypoxia, which in turn inhibited fibroblast activation mediated by the IL-1β/c-Myc pathway, and finally reduced the overproduction of the extracellular matrix. Conclusion. The renoprotective effects of SSR in rats with chronic renal failure may be related to its inhibition of hypoxia via the IL-1β/c-Myc pathway. Thus, SSR is a potentially effective drug for delaying the progression of renal interstitial fibrosis.

scholarly journals Literature Review : Gambaran Kualitas Hidup Pasien Yang Menjalani Hemodialisa

2021 ◽  
Vol 1 ◽  
pp. 1138-1149
Author(s):  
Asri Nurul Mamluaty ◽  
Rita Dwi Hartanti
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Literature Review ◽  
Chronic Kidney Failure ◽  
Hemodialysis Patients ◽  
Life Score

AbstractIn patients with chronic renal failure, hemodialysis therapy is needed to replace kidney function by removing nitrogenous substances and toxins in the blood and excessive water. Appropriate management of patients with chronic kidney failure in addition to preventing complications is expected to increase the client's life expectancy. In patients with chronic kidney failure, quality of life also reflects the quality of treatment because it involves physical, psychological, and social processes to be achieved. A good quality of life is needed by hemodialysis patients to prevent the disease from getting worse. This literature review aims to describe the quality of life hemodialysis patients. This study accesses an online database with electronic searches on Pubmed, Portal garuda and Proquest. The search was conducted by combining the keywords “quality of life, chronic kidney disease, hemodialysis” and articles published in the period 2012-2021. Instrumen for the literature review using Strobe instrument. The results of the literature review show that the quality of life score on the physical health dimension is low while on the psychological and environmental dimensions the quality of life score is high. . It is hoped that this study can be a reference for nurses in providing holistic nursing care to patients undergoing hemodialysis so that their quality of lifecan improve. This research is then needed as a data base for the development of other researchers.Keywords: Chronic renal failure; hemodialysis; quality of life AbstrakGagal ginjal kronik disebabkan karena disfungsi ginjal yang bersifat menahun, progresif, irreversible yang memerlukan terapi hemodialisa, pengaturan pola makan dan akses cairan yang masuk. Pada pasien gagal ginjal kronik terapi hemodialisa diperlukan untuk mengganti fungsi ginjal mengeluarkan zat-zat nitrogen dan racun dalam darah dan air yang berlebihan. Pasien hemodialisa dihadapkan pada sejumlah permasalahan fisik dan psikososial yang bisa menurunkan kualitas hidup. Kualitas hidup juga mencerminkan kualitas pengobatan karena melibatkan proses fisik, psikologis, dan sosial yang ingin dicapai. Kualitas hidup yang baik sangat dibutuhkan pasien hemodialisa untuk mencegah penyakit bertambah buruk. Literature review ini bertujuan untuk mengetahui gambaran kualitas hidup pasien hemodialisa. Metode penelitian yang digunakan yaitu studi literature review. Data yang dikumpulkan dengan mengakses database online dengan penelusuran elektronik pada Pubmed, Portal garuda dan Proquest. Pencarian dilakukan dengan mengkombinasikan kata kunci bahasa Inggris “quality of life, chronic kidney disease, hemodialysis dan kata kunci dalam bahasa Indonesiagagal ginjal kronik, hemodialisa dan kualitas hidup”. Instrumen untuk literature review menggunakan instrumen Strobe. Hasil literature review menunjukan skor kualitas hidup pada dimensi kesehatan fisik rendah sedangkan pada dimensi psikologis dan lingkungan skor kualitas hidup tinggi. Penilaian kualitas hidup merupakan indikator penting untuk menilai keefektifan tindakan hemodialisis yang diberikan dan menjadi tujuan penting dalam pengobatan penyakit gagal ginjal tahap akhir. Kata kunci: Gagal Ginjal Kronik; hemodialisa; kualitas hidup.

scholarly journals THE INNTERRELATED FACTORS OF ANEMIA LEVEL ON CHRONIC KIDNEY DISEASE PATIENTS POST DIALYSIS IN DIALYSIS UNIT OF BETHESDA HOSPITAL YOGYAKARTA

2017 ◽  
Author(s):  
Vivi Retno Intening
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Logistic Regression ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Measurement Instrument ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Dialysis Unit ◽  
Age Factor

Background of the Research: A Chronic Kidney Disease (CKD) is a kind of disease (or a renal failure) which shows significant number of rising evidence in recent years. A patient of chronic renal failure needs a renal succession therapy such as dialysis in order to make a longer life. When the disease is getting worst, the patient is generally suffering anemia as the effect of the renal damaged. The interrelated factors of the anemia level are: age, sex, the period of dialysis therapy, nutrition status, illness-stadium, and the enclose disease.Significance of the Research: This research is conducted in order to know the interrelated factors of anemia level in chronic renal failure patients post dialysis.Research Methods: This is a non-experiment correlation research with a cross sectional approximation. The research is conducted in the Dialysis Unit of Bethesda HospitalYogyakarta, from February to March 2009. The researcher uses purposive sampling with 30 respondents. The measurement instrument is observation sheets and hemoglobin tests. The data analysis is done through distribution frequency; Kolmogorov-Smirnov test for the bivariate analyses and Logistic Regression for the multivariate analyses.Research findings: The research which was conducted on 30 respondents showed result of 93, 3% easy-anemia patients’ sufferings. The age factor, sex, dialysis period, nutrition status, illness-stadium, and the enclose disease were statistically unrelated to the level of anemia, with p&gt;0, 05. The statistic accounting of logistic regression showed that the illness-stadium was the most probable factor related to the level of anemia, with p=0, 09 ;CI=0, 734 – 73, 248; Exp (B) 7, 333.Conclusion: The age factor, sex, dialysis period, nutrition status, illness-stadium, and the enclose disease were statistically unrelated to the level of anemia, but the most probable factor related to the level of anemia was the illness-stadium.Keywords: Chronic Kidney Disease, Anemia Level, Dialysis

scholarly journals hyperkeratotic uremic stomatitis revealing decompensation of chronic kidney disease

2021 ◽  
Author(s):  
eya moussaoui ◽  
wahbi ben salha ◽  
Baderedine Sriha ◽  
lamia oualha ◽  
nabiha douki
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Renal Replacement Therapy ◽  
Kidney Disease ◽  
Replacement Therapy ◽  
Rare Manifestation

Uremic stomatitis is a rare manifestation associated with longstanding uremia in chronic renal failure patients. Its evolution is favorable with earlier institution of renal replacement therapy. We report a case of hyperkeratotic uremic stomatitis that revealed decompensation of chronic kidney disease.

scholarly journals GRANTING OF EDUCATION STRUCTURED NUTRITION AND ELECTROLYTE (ESNE) ON CHANGING INTERDIALYTIC WEIGHT GAIN IN CHRONIC CALCULATION FAILURE PATIENTS

2019 ◽  
Vol 3 (2) ◽  
pp. 89-99
Author(s):  
Lutfi Wahyuni ◽  
Ika Ainur Rofiah ◽  
Mochammad Achwandi
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Weight Gain ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Kidney Function ◽  
The Body ◽  
Artificial Kidney ◽  
Fluid Restriction ◽  
Interdialytic Weight Gain

ABSTRACT   GRANTING OF EDUCATION STRUCTURED NUTRITION AND ELECTROLYTE (ESNE) ON CHANGING INTERDIALYTIC WEIGHT GAIN IN CHRONIC CALCULATION FAILURE PATIENTS By Lutfi Wahyuni, Ika Ainur rofiah, Mochammad Achwandi Chronic kidney disease is a condition when kidney function begins to decline gradually. The condition of the decline in kidney function occurs due to many factors, one of which is because the kidney damage that has occurred intensely for many years. Patients with chronic renal failure need a management or hemodialysis therapy, which is the cleansing process of blood from waste substances, through a screening process outside the body using an artificial kidney in the form of a dialysis machine. Hemodialysis therapy is needed in the management of patients with chronic renal failure who cannot be treated again (terminal). The success of hemodialysis is based on various elements, one of which is compliance with fluid restrictions. Limitation of fluid intake in patients with chronic renal failure is very important. The provision of structured education can be given to patients with chronic kidney failure who are undergoing hemodialysis therapy. Education structured nutrition and electrolyte (ESNE) is a structured health education on nutrition and electrolyte management for chronic renal failure patients undergoing hemodialysis. ESNE is done to improve patients' understanding of diet and electrolyte compliance to prevent an increase in IDWG and to improve patient compliance with fluid restrictions. The stages of service activities that have been carried out are to explain fluid requirements and fluid restriction in patients with chronic renal failure using the Education structured nutrition and electrolyte (ESNE) method, the next recourse is an evaluation after continuous or ESNE administration of respondents given treatment and respondents who were not treated. Keywords: Diet, Chronic Kidney Disease, Hemodialysis 

scholarly journals Demographics and Pattern of Ocular Diseases in Patients with Chronic Kidney Disease at the University of Port Harcourt Teaching Hospital

2019 ◽  
pp. 1-9
Author(s):  
Rachael O. Aliu ◽  
Elizabeth A. Awoyesuku ◽  
Chinyere N. Pedro-Egbe
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Teaching Hospital ◽  
Adult Patients ◽  
Fundus Photography ◽  
Ocular Diseases ◽  
Port Harcourt ◽  
The University

Aims: To determine the demographics and pattern of ocular diseases in patients with Chronic Kidney Disease at the University of Port Harcourt Teaching Hospital. Study Design: This was a hospital-based cross-sectional study. Place and Duration of Study: This study was carried out at the Dialysis clinic of the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria from February 2013 to February 2014. Methodology: The Sample size was estimated to be 85 adult patients and cconsecutive adult patients with chronic renal failure who are having haemodialysis were enrolled into the study. The patients who met the inclusion criteria were randomly booked at the Dialysis Clinic and had no prior knowledge of the study; hence there was no bias in case selection. Ethical approval was obtained from the institutions ethical committee. Each participant had a comprehensive ocular examination including fundus photography. Subjects needing further evaluation and treatment were referred to the Eye Clinic of the Ophthalmology Department of the University of Port Harcourt Teaching Hospital, Port Harcourt. Results: A total of 170 eyes of 85 persons were examined in this study (100% coverage). A total of 30 (35.4%) females and 55 (64.6%) males were examined giving a male to female ratio of 1.8:1. Approximately half of the study subjects (54.1%) had no previous eye problem prior to developing chronic renal failure while about a quarter (n= 20, 23.5%) had refractive error and difficulty in reading near prints .After diagnosis of chronic kidney disease however a total of 40 (47%) of study subjects had visual impairment while 2(2.4%) were blind and 43(50.6%) of the study population however had normal vision. Conclusion: Chronic Kidney disease is an important cause of ocular morbidity in our environment with majority of those affected being males in the third to fifth decades of life. Posterior segment disorders were the commonest disorders seen.

scholarly journals Pengalaman Spiritualitas pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis

1970 ◽  
Vol 3 (1) ◽  
Author(s):  
Fitri Mailani ◽  
Setiawan S ◽  
Cholina T. S
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Chronic Renal Failure Patient ◽  
Renal Unit ◽  
Renal Failure Patient ◽  
The People ◽  
Dialysis Nurses ◽  
Depth Interviews

Spiritualitas merupakan aspek yang sangat penting bagi pasien yang menderita penyakit ginjal kronik yang menjalani hemodialisis. Tujuan penelitian ini adalah untuk mengeksplorasi spiritualitas pasien penyakit ginjal kronik yang menjalani hemodialisis. Penelitian ini merupakan studi fenomenologi deskriptif. Metode pengumpulan data dilakukan dengan wawancara mendalam. Partisipan dalam penelitian ini berjumlah 10 orang yang berasal dari unit hemodialisis RSUP H.Adam Malik dan RSU dr. Pirngadi Medan dengan kriteria partisipan berusia lebih dari 18 tahun, menjalani hemodialisis lebih dari 3 bulan, kesadaran compos mentis dan reguler menjalani hemodialisa 2 kali seminggu. Data yang diperoleh dianalisis dengan pendekatan Colaizzi. Dari hasil analisis penelitian di temukan 4 tema yang mencerminkan fenomena yang diteliti. Tema-tema tersebut antara lain adalah mendekatkan diri kepada Tuhan, dukungan dari orang terdekat, mempunyai harapan besar untuk sembuh, dan menerima dengan ikhlas penyakit yang diderita. Dengan demikian disarankan kepada perawat dialisis untuk membuat program yang mendukung kegiatan spiritualitas secara berkelompok sesuai dengan kepercayaan masing-masing pasien.Kata kunci: Hemodialisis, penyakit ginjal kronik, spiritualitas.Spiritual Experience of Chronic Renal Failure Patient Undergoing HemodialysisAbstractSpirituality is a very important issue in patients with chronic renal failure undergoing hemodialysis. The purpose of this qualitative study was to explore the spirituality experience of patients with chronic renal failure undergoing hemodialysis. The design of this study is phenomenology. Data were collected through in-depth interviews that conducted with 10 participants selected from renal unit of RSUP. H. Adam Malik and RSUD dr. Pirngadi Medan hospital based on criteria including age more than 18 years old, undergoing hemodialysis more than 3 months, composmentis and reguler hemodialysis 2 times a week. The collected data were analyzed using Colaizzi apporach to analysis. The results of this study showed four including being closer to God, the support of the people nearby, had great hopes for recovery, and willingly accept the illness. This study suggested the dialysis nurses to create program to support spiritual activity.Key words: Chronic kidney disease, hemodialysis, spirituality.

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