scholarly journals Intervensi Diet Rendah Garam Pada Pada Pasien Yang Menjalani Hemodialisis: Review Literatur

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Siti Yartin ◽  
Syahrul Syahrul ◽  
Elly L Sjattar
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Heart Disease ◽  
Hemodialysis Patients ◽  
Health Complaints ◽  
Scientific Publications ◽  
Salt Reduction ◽  
Salt Diet ◽  
Low Salt

Background: Application of low salt diet interventions to reduce health complaints and the risk of heart disease in hemodialysis patients.                                    Method: Search related articles through scientific publications by entering keywords in the PubMed, ScienceDirect, and Google Scholar databases        Results: From the 6 articles reviewed, the low salt diet intervention gave changes to systolic and diastolic blood pressure, provided a change in the level of sodium excretion, changes in quality of life and had self efficacy against salt reduction.   Conclusion: It is important for nurses, especially hemodialysis nurses, to optimize education regarding the importance of a low-salt diet of less than 2 grams per day through food and beverages consumed, or in the process of preparing and cooking food.

The Effect of Dhamma Practice on Depression Outcomes in Hemodialysis Patients

2021 ◽  
Vol 104 (1) ◽  
pp. 44-51
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Statistical Significance ◽  
Bodily Pain ◽  
Laboratory Data ◽  
Hemodialysis Patients ◽  
Study Results ◽  
Dialysis Vintage ◽  
Severity Of Depression

Background: Depression impairs the quality of life (QOL), increases risk of hospitalization and death in hemodialysis patients. Antidepressant medications can lead to more severe side effects. Dhamma practice by Chanting and Anapanasati meditation may relieve depressive symptoms in hemodialysis patients. Objective: To evaluate the effect of Dhamma practice on depression outcome and QOL in hemodialysis patients. Materials and Methods: The authors conducted a quasi-experimental research, a time series design. Patients who were hemodialyzed three times a week at Bhumirajanagarindra Kidney Institute Hospital were enrolled. Participants were trained to practice the Chanting with Anapanasati meditation for 35 minutes every hemodialysis session for six months. Comparison of depression scores, severity of depression, QOL, vital signs, laboratory data, and biomarkers (F2-isoprostanes) was made between the beginning and the end of the study. Results: Forty patients were eligible for participation in the present study. The average age was 63.7±13.1 years. Median dialysis vintage was 29.5 months. After Dhamma practice for six months, diastolic blood pressure was decreased significantly (p=0.015). Median depression score decreased from 9.5 to 4 (p<0.001). The proportion of depressive patients were decreased from 17.5% to 2.5%. The severity of depression trended to decrease, but without statistical significance. F2-isoprostanes was decreased significantly (p<0.001). Both physical aspects (role physical, bodily pain, and physical component scale) and mental aspects (vitality, role emotional, mental health, and mental component scale) of QOL were significantly improved. Conclusion: Dhamma practice by Chanting and Anapanassati meditation significantly decreased blood pressure, and depression, and improved QOL both physically and mentally, in hemodialysis patients. Keywords: Depression, Quality of life, Hemodialysis, Meditation, Buddhist chanting, Dhamma.

scholarly journals Effect of a low-salt diet on chronic kidney disease outcomes: a systematic review and meta-analysis

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e050843
Author(s):  
Honghong Shi ◽  
Xiaole Su ◽  
Chunfang Li ◽  
Wenjuan Guo ◽  
Lihua Wang
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Meta Analysis ◽  
Composite Outcome ◽  
Salt Diet ◽  
Low Salt ◽  
All Cause Mortality ◽  
Egfr Decline

ObjectiveThe benefits of a low-salt diet for patients with chronic kidney disease (CKD) are controversial. We conducted a systematic review and meta-analysis of the effect of a low-salt diet on major clinical outcomes.DesignSystematic review and meta-analysis.Data sourcesMEDLINE by Ovid, EMBASE and the Cochrane Library databases.Eligibility criteria for selecting studiesWe included randomised controlled trials (RCTs) and cohort studies that assessed the effect of a low-salt diet on the renal composite outcomes (more than 50% decline in estimated glomerular filtration rate (eGFR) during follow-up, doubling of serum creatinine or end-stage renal disease), rate of eGFR decline, change in proteinuria, all-cause mortality events, cardiovascular (CV) events, and changes in systolic blood pressure and diastolic blood pressure.Data extraction and synthesisTwo independent researchers extracted data and evaluated their quality. Relative risks (RRs) with 95% CIs were used for dichotomous data. Differences in means (MDs) or standardised mean differences (SMDs) with 95% CIs were used to pool continuous data. We used the Cochrane Collaboration risk-of-bias tool to evaluate the quality of RCTs, and Newcastle–Ottawa Scale to evaluate the quality of cohort studies.ResultsWe found 9948 potential research records. After removing duplicates, we reviewed the titles and abstracts, and screened the full text of 230 publications. Thirty-three studies with 101 077 participants were included. A low-salt diet produced a 28% reduction in renal composite outcome events (RR: 0.72; 95% CI: 0.58 to 0.89). No significant effects were found in terms of changes in proteinuria (SMD: −0.71; 95% CI: −1.66 to 0.24), rate of eGFR (decline MD: 1.16; 95% CI: −2.02 to 4.33), risk of all-cause mortality (RR: 0.92; 95% CI: 0.58 to 1.46) and CV events (RR: 1.01; 95% CI: 0.46 to 2.22).ConclusionA low-salt diet seems to reduce the risk for renal composite outcome events in patients with CKD. However, no compelling evidence indicated that such a diet would reduce the eGFR decline rate, proteinuria, incidence of all-cause mortality and CV events. Further, more definitive studies are needed.PROSPERO registration numberCRD42017072395.

scholarly journals Features of zofenopril and enalapril in patients with stable ischemic heart disease in combination with arterial hypertension

2016 ◽  
Vol 7 (2) ◽  
pp. 42-46
Author(s):  
A. G Evdokimova ◽  
A. V Smetanin ◽  
V. V Evdokimov ◽  
E. V Kovalenko ◽  
E. V Kiyakbaeva
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Heart Disease ◽  
Arterial Hypertension ◽  
Clinical Laboratory ◽  
Functional Class ◽  
Daily Monitoring ◽  
Stable Coronary Heart Disease ◽  
Diurnal Profile

Objective. Optimization of drug therapy in patients with stable coronary heart disease and arterial hypertension (AH) in the application of ACE inhibitors: zofenopril compared with enalapril. Material and methods. We studied 80 patients with stable angina II-III functional class (FC) and AG 1-2 degree (Mean age 58.8±8.8 years) who were randomly divided into 2 groups of observation for 40 people in each: 1 - receiving zofenopril, 2 - enalapril - composed of basic therapy consisting of nitrates, .-blocker, statin, aspirin. The duration of follow-up was 6 months. At baseline and in the dynamics of all patients underwent clinical, laboratory and instrumental studies. It evaluated the quality of life through «Seattle questionnaire» for patients with angina. The daily monitoring of blood pressure at the same time with an electrocardiogram, treadmill test according to the modified protocol R.Bruce, echocardiography was conducted. Conclusion. The use of zofenopril, more than enalapril leads to significantly improved quality of life, exercise tolerance, normalizes the diurnal profile of blood pressure, reduces episodes of ischemia.

The Influence of SDM-Based Individualized Management Model on the Health Outcome and Quality of Life of Maintenance Hemodialysis Patients

2021 ◽  
Vol 7 (5) ◽  
pp. 1480-1487
Author(s):  
Haiyan Liu ◽  
He Qin ◽  
Lihui Shao
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Kidney Disease ◽  
Hemodialysis Patients ◽  
Self Management ◽  
Maintenance Hemodialysis ◽  
Control Group ◽  
Observation Group ◽  
Individualized Management

Background Chronic kidney disease is a common clinical problem that endangers human physical and mental health and life safety. It eventually evolves into end-stage renal disease, and the incidence has increased year by year. It has been reported that the incidence of chronic kidney disease in China is about 10 %, and most patients need to carry out dialysis to maintain life. Objective To observe the influence of an individualized management model based on shared decision-making (SDM) between doctors, nurses and patients on the health outcomes and quality of life of maintenance hemodialysis patients. Methods A total of 100 end-stage renal disease patients treated with maintenance hemodialysis intervention in the Department of Nephrology, Changyisha City Fourth Hospital from May 2020 to May2021 were selected. According to the order of admission, they were randomly divided into control groups (n=50)) And the observation group (n=50). The control group received conventional management mode intervention, and the observation group received SDM-based individualized management mode intervention. The blood pressure and fluid control of the two groups were recorded, and the self-management behavior scale for hemodialysis patients (SMSH), the satisfaction survey questionnaire for patient participation in medical decision-making, and the kidney disease-related quality of life scale (KDTA) were used to evaluate the self-management ability of the two groups. Satisfaction and quality of life. Results After the intervention, fluid intake, weight gain between dialysis intervals, and the number of dialysis-related complications in the observation group decreased significantly (P<0.05), while the number of dialysis-related complications in the control group decreased (P<0.05), but fluid The intake and weight gain between dialysis intervals were similar to those before the intervention (P>0.05), and the fluid control in the observation group improved more significantly than the control group after the intervention (P<0.05). After the intervention, the systolic and diastolic blood pressure of the observation group decreased significantly (P<0.05), and the systolic and diastolic blood pressure of the control group were similar to those before the intervention (P>0.05). The blood pressure of the observation group improved more significantly than the control group after the intervention (P<0.05). After the intervention, the two groups of SMSH scale scores (problem solving, self-care, partnership, emotional processing, etc.), satisfaction scores (information, communication and negotiation, decision-making, total satisfaction and confidence, etc.), quality of life scores (symptoms, kidney disease, etc.) The impact of kidney disease, the burden of kidney disease, work status, cognitive function, social quality, sleep, social support, etc.) have been greatly improved (P<0.05), and the SMSH scale score, satisfaction score, quality of life of the observation group after intervention The score improved more significantly than the control group (P<0.05). Conclusion Intervention of maintenance hemodialysis patients based on an individualized management model of SDM can improve the self-management ability and satisfaction of patients, improve the quality of life, and reduce the occurrence of adverse events and complications.

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