scholarly journals Chronic itch associated with systemic origin in patients of a multidisciplinary hospital

2019 ◽  
Vol 1 (2) ◽  
pp. 57-70
Author(s):  
Igor Lamotkin ◽  
Daniil Korabelnikov ◽  
Andrey Lamotkin
Keyword(s):  
Renal Failure ◽  
Mast Cell ◽  
Chronic Renal Failure ◽  
Effective Treatment ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Underlying Disease ◽  
Individual Therapy ◽  
Chronic Itch ◽  
Chronic Skin

Introduction. Chronic itch is a frequent symptom of internal diseases and causes a significant decrease in the patients’ quality of life. Objectives were to study the structure of internal diseases that cause chronic itch in patients in a multidisciplinary hospital, and the features of chronic itch in these diseases; to evaluate the effectiveness of various treatment regimens for chronic itch in these diseases; to evaluate the possibility of widespread use in clinical practice of the Numeric Rating Scale for the measuring the se-verity of chronic itch in the initial diagnosis and in the determination the effectiveness of treatment. Patients and Methods. Chronic skin itching was studied in patients with various diseases undergoing inpatient treatment at the Burdenko Main Military Clinical Hospital. The study included 125 patients: 20 (16%) with chronic renal failure, 17 (13.6%) with liver diseases, 24 (19.2%) with myeloproliferative, 32 (25.6%) with lymphoproliferative and 32 (25.6%) endocrine diseases. In-dividual antipruritic therapy was selected for each patient with different systemic pathology, considering diseases that cause itching. Results. The most effective drugs in the treatment of chronic itching in patients with chronic renal failure were sorbents, gabapentin and capsaicin in the form of an ointment or cream, with cholestasis - cholestyramine, ursodeoxycholic acid, rifampicin and tacrolimus in the form of an ointment, with true polycythemia - antihistamines and mast cell inhibitors, with Hodgkin's lymphoma and mycosis fungoides - mast cell inhibitors, gabapentin and ointments with glucocorticosteroid additives, with diabetes mellitus - antihistamines, mast cell inhibitors and external therapy with calamine, menthol, capsaicin and glucocorticosteroids, with hypothyroidism - emollients. In patients with myeloproliferative and lymphoproliferative diseases and hyperthyroidism chronic itching completely disappeared only after effective treatment of the underlying disease. Conclusion. For each form of itching and for each patient individual therapy should be selected. The most effective treatment for chronic skin itching associated with systemic origin is the successful treatment of the underlying disease. The numerical rating scale is a reliable scale for measuring the severity of itching, however, it cannot consider all the complexity and features of itching.

Depression and Anxiety in Patients with Chronic Renal Failure Undergoing Hemodialysis

2021 ◽  
Author(s):  
Elham Shahraki ◽  
Mansoor Shakiba ◽  
Seyedeh Yasaman Ghasemi-Aliabadi
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Depression And Anxiety ◽  
Mild Depression ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
High Level

Background: Chronic renal failure is a disabling condition with multiple complication such as depression and anxiety; they are common in hemodialysis patients and have negatively effect on quality of life. In this study we investigate the prevalence of depression and anxiety in Zahedan hemodialysis patients. Methods: A total 200 patients undergoing regular hemodialysis for more than six months included in this descriptive cross-sectional study. After consent The Hamilton Rating Scale for Depression and anxiety (HAM-D7) in a version translated into and adapted to Persian, were used. Results: The patients median age was (43.06 ± 16.11) years and 38.5% was male. Mild depression was observed in (15) 7.5%, moderate in (81) 40.5% and sever depression in (104) 52% of patients. In this study 19.5% (39) of patients has moderate anxiety and 80.5% (161) patients with sever anxiety. A significant correlation was found between duration of dialysis, older age and depression. But there wasn’t any relationship between age and duration of dialysis with anxiety. Anxiety and depression found without any significant differences in both males and females. Conclusion: We found high level of depression an anxiety in Zahedan hemodialysis patients.

scholarly journals Perfil Epidemiológico dos portadores de insuficiência renal crônica submetidos à terapia hemodialítica

2014 ◽  
Vol 5 (3/4) ◽  
pp. 65-69
Author(s):  
Ivonizete Pires Ribeiro ◽  
Andira Luana Soares Pinheiro ◽  
Andressa Luana Araújo Soares ◽  
Nayara Franciele Marques Dos Santos
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Data Collection ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Renal Dialysis ◽  
Underlying Disease ◽  
Epidemiological Profile ◽  
The City

Resumo: Objetivou-se traçar o perfil epidemiológico do portador de IRC em tratamento hemodialítico na cidade de Teresina-PI. Tratou-se de um estudoquantitativo descritivo, realizado na unidade de nefrologia conveniada ao Sistema Único de Saúde (SUS), com 64 pacientes. A coleta de dados ocorreude março a maio do ano de 2010. Constatou-se que a maioria dos pacientes é do gênero masculino (67,19%), faixa etária de 40 a 59 anos (40,63%), sendo60,94% casados, residentes em Teresina (64,06%), com baixo nível de escolaridade, renda individual de 1 a 2 salários mínimos e com moradia própria.Em 69% a doença de base foi hipertensão arterial e diabetes; e as principais dificuldades encontradas foram os efeitos causados pelo tratamento eo transporte, influenciando na manutenção da terapia hemodialítica. Tais fatores servem para subsidiar decisões para melhorar a assistência a essespacientes juntamente com o enfermeiro atuando na prevenção das doenças que levam a IRC.Descritores: Insuficiência Renal Crônica, Diálise Renal, Avaliação em enfermagem.Epidemiological profile of renal failure patients submitted to hemodialysisAbstract: The objective was to outline the epidemiological profile of patients with CRF on hemodialysis in the city of Teresina-PI. This is a descriptivequantitative study, conducted in the nephrology unit convening the National Health System (SUS), with 64 patients. Data collection occurred from Marchto May of 2010. It was found that the majority of patients are male (67.19%), aged 40-59 years (40.63%), and 60.94% were married, living in Teresina(64.06%) with fewer years of education, individual income 1-2 minimum wages and proper housing. In 69% the underlying disease was hypertensionand diabetes, and the principal problems were the effects caused by treatment and transport, influencing the maintenance of hemodialysis. Such factorsserve to support decisions to improve care for these patients jointly with nurses working in the prevention of diseases leading to CRF.Descriptors: chronic renal failure, renal dialysis, nursing assessment.Perfil Epidemiológico dos los pacientes con insuficiencia renal crónica sometidos a hemodiálisisResumen: El objetivo fue analizar el perfil epidemiológico de los pacientes con insuficiencia renal crónica en hemodiálisis en la ciudad de Teresina-PI.Este es un estudio cuantitativo descriptivo, realizado en la unidad de nefrología convocatoria del Sistema Nacional de Salud (SUS), con 64 pacientes. Losdatos fueron recolectados entre marzo y mayo de 2010. Se encontró que la mayoría de los pacientes son hombres (67,19%), edad 40-59 años (40,63%), y60,94% estaban casadas, que viven en Teresina (64,06%) con menos años de educación, los ingresos individuales de 1.2 salarios mínimos y una viviendadigna. En un 69% la enfermedad de base fue la hipertensión y la diabetes, y los principales problemas fueron los efectos causados por el tratamientoy el transporte, que influyen en el mantenimiento de la hemodiálisis. Estos factores sirven para apoyar las decisiones para mejorar la atención de estospacientes junto con las enfermeras que trabajan en la prevención de las enfermedades que conducen a la IRC.Descriptores: Insuficiencia renal crónica, La diálisis renal, Evaluación en enfermería.

scholarly journals Darbepoetin, effective treatment of anaemia in paediatric patients with chronic renal failure

2007 ◽  
Vol 22 (5) ◽  
pp. 708-714 ◽  
Author(s):  
Jean-Luc André ◽  
Georges Deschênes ◽  
Bernard Boudailliez ◽  
Françoise Broux ◽  
Michel Fischbach ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Effective Treatment ◽  
Paediatric Patients

Mast cell involvement in the progression of peritoneal fibrosis in rats with chronic renal failure

Nephrology ◽  
2015 ◽  
Vol 20 (9) ◽  
pp. 609-616 ◽  
Author(s):  
Itsuro Kazama ◽  
Asuka Baba ◽  
Yasuhiro Endo ◽  
Hiroaki Toyama ◽  
Yutaka Ejima ◽  
...  
Keyword(s):  
Renal Failure ◽  
Mast Cell ◽  
Chronic Renal Failure ◽  
Peritoneal Fibrosis

scholarly journals The analysis of acid-base balance in haemodialyzed patients and the effect of etiology of chronic renal failure on acid-base parameter values

2004 ◽  
Vol 23 (2) ◽  
pp. 175-178
Author(s):  
Emina Colak ◽  
Sanja Stankovic ◽  
Nada Majkic-Singh ◽  
Milan Radovic
Keyword(s):  
Renal Failure ◽  
Metabolic Acidosis ◽  
Chronic Renal Failure ◽  
Underlying Disease ◽  
Tubular Secretion ◽  
Acid Base Balance ◽  
Acid Base ◽  
Significant Difference ◽  
Before And After ◽  
Base Balance

Due to reduced scope of renal function in chronic renal failure (CRF) it is not rare that it comes to marked metabolic acidosis and pathologic catabolism associated with hypoxia. The cause of metabolic acidosis is deminished tubular secretion of ammonia, due to reduced synthesis, stipulated by lower number of renal canaliculi. Acid-base balance was analyzed in 74 patients suffering from CRF who were on haemodialysis program. Heparinised blood was taken from these patients before and after haemodialysis in which the following parameters were measured: pH, pCO2, pO2, HCO-3 ?, TCO2. The aim of this study was the monitoring of patients' acid-base status before and after haemodilalysis in order to evaluate the degree of stabilization of acid-base balance after haemodilalysis and also to define the correlation between the etiology of CRF and the degree of acid-base balance disorder. In relation to underlying disease resulting in CRF, the patients were divided into five groups: I-tubular interstitial nephrosis (TIN), II-polycystic kidney disease (ADPKD), III-glomerulonephritis (GN), IVhypertension and nephroangio-sclerosis (HTA-Nascl) and V-consisting of patients whose underlying disease was not diagnosed (ERSD). The obtained values of pH, HCO2 and TCO2 after haemodialysis (pH = 7.428 ? 0.06; HCO-3 ?= 25.4 ? 3.44 mmol/L; TCO2 = 26.57 ? 3.56 mmol/L), were significantly increased (p<0.001), in relation to values before haemodialysis (pH = 7.350 ? 0.05; HCO-3 ?= 20.88 ? 2.92 mmol/L; TCO2 = 22.03 ? 3.00 mmol/L). There was no statistically significant difference in values of measured parameters (p>0.05) in relation to underlying disease either before or after haemodialysis both in males and females.

Diagnosis and Treatment of Monosymptomatic Hypochondriacal Psychosis in Chronic Renal Failure

1988 ◽  
Vol 33 (8) ◽  
pp. 748-750 ◽  
Author(s):  
Manuel Matas ◽  
Cynthia Robinson
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Effective Treatment ◽  
Somatic Symptom ◽  
Diagnosis And Treatment ◽  
Dopaminergic Receptors ◽  
Uremic Pruritus ◽  
Neuroleptic Agent

The authors describe a case of a patient who presents with a delusional interpretation of a somatic symptom, uremic pruritus. The literature on the diagnosis and treatment of monosymptomatic hypochondriacal psychosis (MHP) is reviewed and discussed. There is an effective treatment available for this disabling condition — a neuroleptic agent called pimozide, which appears to have a selective ability to block central dopaminergic receptors.

scholarly journals Pengaruh Relaksasi Dzikir terhadap Tingkat Kecemasan Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa

1970 ◽  
Vol 3 (1) ◽  
Author(s):  
Iin Patimah ◽  
Suryani S ◽  
Aan Nuraeni
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Rating Scale ◽  
Nursing Intervention ◽  
Anxiety Level ◽  
Pharmacological Intervention ◽  
Purposive Sampling ◽  
Before And After ◽  
The Impact ◽  
Hamilton Anxiety

Salah satu permasalahan psikologis yang paling sering ditemukan pada pasien gagal ginjal kronis (GGK) yang menjalani hemodialisis yaitu cemas. Kecemasan yang tidak diatasi dapat mengakibatkan dampak negatif untuk pasien. Salah satu intervensi nonfarmakologis untuk mengurangi kecemasan, yaitu dengan teknik relaksasi. Teknik relaksasi yang digunakan dalam penelitian ini adalah relaksasi dzikir, yaitu suatu metode yang memadukan antara relaksasi dan dzikir dengan fokus latihan pada relaksasi dan kata yang terkandung di dalam dzikir yang dapat memunculkan respon relaksasi. Tujuan penelitian ini adalah untuk melihat pengaruh relaksasi dzikir terhadap kecemasan pada pasien GGK yang menjalani hemodialisis di RSUD dr. Slamet Garut. Metode penelitian menggunakan pre experimental one group pre and post test design dengan jumlah sampel 17 responden yang diambil berdasarkan teknik purposive sampling. Penelitian ini mengukur skor kecemasan menggunakan instrument HAM-A (Hamilton Anxiety) sebelum dan sesudah intervensi relaksasi dzikir. Relaksasi dzikir dilaksanakan dua kali dalam sehari selama 2 hari, selanjutnya data dianalisa menggunakan uji t. Hasil penelitian menunjukan terdapat perbedaan yang bermakna antara tingkat kecemasan sebelum dan sesudah intervensi (p<0.005). Relaksasi dzikir berdampak positif dalam menurunkan tingkat kecemasan pasien GGK yang menjalani hemodialisis. Penggunaan relaksasi dzikir dapat dipertimbangkan sebagai salah satu intervensi keperawatan untuk mengatasi kecemasan pada pasien GGK yang menjalani hemodialisis di RSUD dr. Slamet Garut. Kata kunci: Dzikir, gagal ginjal kronis, hemodialisis, kecemasan, relaksasi. The Impact of Dzikir to The Level of Anxiety of Chronic Renal Failure Patient Undergoing Hemodialysis AbstractAnxiety disorder can be adversely impacting to the chronic renal failure (CRF) patients undergoing hemodialysis. Untreated anxiety could affect negatively both physiological and psychological and exacerbate the disorder. Dzikr relaxation is a methode that combines relaxation and repetitious of prayer (dzikr) which focused on relaxation technique and the words contained in the dzikr can be a non-pharmacological intervention to reduce anxiety with leading relaxation respons. Thus, the purpose of this study was to examine the effect of dzikr relaxation intervention to the anxiety level of CRF patients undergoing hemodialysis in dr. Slamet Garut Hospital. Method and Design this research involving 17 participants, taken through purposive sampling, completed dzikr relaxation twice a day for two days period. Hamilton Anxiety Rating Scale (HAM-A) was used to assess anxiety level both before and after treatment. Current study used One-group pretest-posttest design and T-test was used for the analysis by the time all data have been completely gathered. The result showed there was a significant contrast of anxiety level for all participants before and after dzikr intervention (P<0.005). The average of participant anxiety scores is 18 (mild to moderate anxiety) before treatment whereas found 13 point (mild) in average for anxiety score post treatment. The anxiety scores decreased 3 to 6 points from initial scoring subsequent to participants completed dzikr relaxation. Dzikr relaxation can be considered as one of nursing intervention in mitigating anxiety disorder for CRF patients during hemodialysis treatment in dr. Slamet Garut Hospital.Key words: Anxiety, Chronic Renal Failure, dzikr, hemodialysis, relaxation.

scholarly journals Effective Treatment of a Case of Chronic Renal Failure Complicated by Nephrotic Syndrome with Hochu-Ekki-To and Keishi-Bukuryo-Gan-Ka-KokaDaio.

1996 ◽  
Vol 47 (1) ◽  
pp. 43-48
Author(s):  
Toshiaki KOGURE ◽  
Hiroaki HIKIAMI ◽  
Yutaka SHIMADA ◽  
Takashi ITOH ◽  
Katsutoshi TERASAWA
Keyword(s):  
Renal Failure ◽  
Nephrotic Syndrome ◽  
Chronic Renal Failure ◽  
Effective Treatment
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