Penerapan Latihan Intradialitik terhadap Adekuasi Hemodialisis: Literature Review

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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Estimating the quality of life of hemodialysis patients and adequate clearance

Health & Research Journal ◽

10.12681/healthresj.19847 ◽

2016 ◽

Vol 2 (4) ◽

pp. 291

Author(s):

Evangelia Prevyzi ◽

Georgios Argyriou ◽

Thomai Kollia ◽

Athanasia Nestor ◽

Anastasia Kotanidou ◽

...

Keyword(s):

Quality Of Life ◽

Volume Of Distribution ◽

Hemodialysis Patients ◽

Statistical Criterion ◽

Test Results ◽

Greek Language ◽

Dialysis Adequacy ◽

Significant Difference ◽

Social Adaptability

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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Literature Review : Gambaran Kualitas Hidup Pasien Yang Menjalani Hemodialisa

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.805 ◽

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.

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RELATIONSHIP OF FAMILY SUPPORT WITH QUALITY OF LIFE OF HEMODIALIZED PATIENTS USING STUDY LITERATURE REVIEW METHOD

Journal of Vocational Nursing ◽

10.20473/jovin.v2i2.30720 ◽

2021 ◽

Vol 2 (2) ◽

pp. 132

Author(s):

Hulu Titusman ◽

Nanang Prasetyo Budi ◽

Rina Puspita Sari

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Family Support ◽

Kidney Failure ◽

Chronic Kidney Failure ◽

Hemodialysis Patients ◽

Original Research ◽

Relationship Of ◽

The Relationship

Background : Hemodialysis is one of the therapies for Chronic Kidney Failure (CKD) patients. This process takes place on an ongoing basis which is closely related to the quality of life. Quality of life is strongly influenced by family support. One form of family support is emotional support which includes forms of affection, trust, attention, assistance during therapy. With this support, it affects patient compliance with therapy programs and medical treatment programs so that it will improve the patient's quality of life. Objective: To determine the relationship between family support and quality of life of hemodialysis patients. Based on journals that have been analyzed by researchers using a literature review research design or literature review study literature review Methods: search for this research article through four databases, namely Google Scholar, ProQuest, EBSCO, and PubMed using keywords and inclusion criteria, namely 21 journal using Indonesian and English, the type of article publication is full-text articles, original research articles, articles that have ISSN and DOI, the theme of the article is the relationship of family support with the quality of life of hemodialysis patients, in the 2016-2021 period with the literature review method. Results: The results of this study showed a significant relationship between family support and quality of life of hemodialysis patients with p-value=0,001 <a=0.05 with a positive correlation direction with low correlation strength. Conclusion: The higher the support from the family, the better the quality of life for chronic kidney failure patients undergoing hemodialysis.

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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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Relationship Between Sleep Quality and Quality of Life in Hemodialysis Patients: A Literature Review

KnE Life Sciences ◽

10.18502/kls.v6i1.8739 ◽

2021 ◽

pp. 650-656

Author(s):

Nyayu Nina Putri Calisanie ◽

Mochamad Gunadi

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Sleep Quality ◽

Survival Rates ◽

Hemodialysis Patients ◽

Poor Sleep ◽

End Stage ◽

Diabetes And Obesity

Poor sleep quality can worsen hypertension, type 2 diabetes and obesity, thereby increasing the incidence of cardiovascular disease, as well as accelerating the progression of end-stage kidney disease and reducing survival rates. In hemodialysis patients, many factors affect the patient’s quality of life start from a psychological, physiological, social, and economic perspective can decreased the patient’s quality of life. To know about the relationship between sleep quality and quality of life in hemodialysis patients, this study uses a literature review method, based on the results of an article published within the last 10 years. From 5 journals that met the criteria, it was found that there was relationship between sleep quality and quality of life. There is a significant relationship between sleep quality and quality of life in hemodialysis patients. Keywords: Hemodialysis, Sleep quality, Quality of life.

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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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Effects of Intradialytic Exercise on Dialytic Parameters, Health-Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18179205 ◽

2021 ◽

Vol 18 (17) ◽

pp. 9205

Author(s):

Chia-Huei Lin ◽

Yu-Juei Hsu ◽

Pi-Hsiu Hsu ◽

Yi-Ling Lee ◽

Chueh-Ho Lin ◽

...

Keyword(s):

Quality Of Life ◽

Controlled Trial ◽

Hemodialysis Patients ◽

Health Related Quality ◽

Randomized Controlled ◽

Depression Status ◽

Related Quality ◽

Health Related ◽

Intradialytic Exercise

Exercise is fundamentally important in managing chronic diseases and improving health-related quality of life (HRQL). However, whether intradialytic exercise is safe through assessment of changes in dialytic parameters and has a positive impact on HRQL and depression status of hemodialysis patients requires further research with diverse racial and cultural populations to identify. This study aimed to evaluate the effects of intradialytic exercise on dialytic parameters, HRQL, and depression status in hemodialysis patients. A randomized controlled trial was conducted at a medical center in Northern Taiwan. Sixty-four hemodialysis patients were recruited using stratified random sampling. Participants were randomized into an experimental group (EG, n = 32) or a control group (CG, n = 32). The EG received a 12-week intradialytic exercise program while the CG maintained their usual lifestyles. Dialytic parameters, HRQL, and depression status were collected at baseline and at 12 weeks. The results indicated no differences in the dialytic parameters from the baseline between both groups. However, the EG had increased HRQL (ß = 22.6, p < 0.001) and reduced depression status (ß = −7.5, p = 0.02) at 12 weeks compared to the CG. Therefore, a 12-week intradialytic exercise regime is safe and effective in improving HRQL and reducing depression status for hemodialysis patients.

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