Coping Strategies of Patients with End Stage Kidney Disease on Hemodialysis: A Systematic Review

2021 ◽  
Vol 48 (1) ◽  
pp. 31
Author(s):  
Tan Woei Ling ◽  
Lee Khuan ◽  
Anisah Baharom ◽  
Mohd Mursyid Arshad
2020 ◽  
Vol 46 (3) ◽  
pp. 137-150
Author(s):  
Maria Chilvers ◽  
Kylie Johnston ◽  
Katia Ferrar ◽  
Marie T. Williams

Author(s):  
Yu Shi ◽  
Wang Li ◽  
Fangjian Duan ◽  
Shi Pu ◽  
Hongmei Peng ◽  
...  

Abstract Purpose Shared decision-making (SDM) about the type of renal replacement therapy to use is a matter of great importance involving patients, their families, and health treatment teams. This review aims to synthesize the volume of qualitative work explaining the factors influencing SDM regarding renal replacement therapy. Methods A systematic review and qualitative meta-synthesis approach recommended by JBI was used, six databases were searched. Studies were qualitative or mixed research published since 2000, with a primary focus on patient experiences, perceptions and practices regarding which method to choose for renal replacement therapy in End-Stage Kidney Disease (ESKD) patients. All themes were analyzed and compared to the established connectedness. Results A total of 1313 patients were enrolled in 32 studies focusing on factors associated with SDM regarding renal replacement therapy were included. All quality evaluations of the literature were medium to high. Four common themes were identified in our synthesis: (1) patient personal reasons, (2) family-related factors, (3) health care professional-related factors, and (4) social factors influence. Conclusion The model proposes pathways that could be explored further in future qualitative and quantitative studies and suggests that patients’ beliefs, emotions, and awareness should be targeted alongside patients’ decision-making practices to increase the efficacy of interventions. The majority of studies included in this review focus on older patients, and all report patients’ perspectives. Further research is required to understand the family member perspectives on SMD of renal replacement therapy.


2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii347-iii347
Author(s):  
Michelle Wong ◽  
Jonathan Craig ◽  
Adeera Levin ◽  
Giovanni Strippoli ◽  
Vanessa Gray ◽  
...  

2016 ◽  
Vol 67 (6) ◽  
pp. 925-935 ◽  
Author(s):  
Emma O’Lone ◽  
Michael Connors ◽  
Philip Masson ◽  
Sunny Wu ◽  
Patrick J. Kelly ◽  
...  

2014 ◽  
Vol 30 (2) ◽  
pp. 310-320 ◽  
Author(s):  
C. Couchoud ◽  
D. Bolignano ◽  
I. Nistor ◽  
K. J. Jager ◽  
J. Heaf ◽  
...  

Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0003142020
Author(s):  
Pavan Chopra ◽  
Chelsea K. Ayers ◽  
Jennifer R. Antick ◽  
Devan Kansagara ◽  
Karli Kondo

Adults with dialysis-dependent end-stage kidney disease (ESKD) experience higher rates of depression than the general population, yet efficacy of depression treatments in this population is not well understood. We conducted a systematic review of the benefits and harms of depression treatment in adults with ESKD. We searched multiple data sources through June 2020 for English-language controlled trials that compared interventions for depression in adults with ESKD to another intervention, placebo, or usual care, and reported depression treatment-related outcomes. Observational studies were included for harms. Two investigators independently screened all studies using pre-specified criteria. One reviewer abstracted data on study design, interventions, implementation characteristics, and outcomes, and a second reviewer confirmed. Two reviewers independently assessed study quality and resolved any discords through discussion or a third reviewer. Strength of evidence (SOE) was assessed and agreed upon by review team consensus. We qualitatively analyzed the data and present syntheses in text and tables. We included 26 RCTs and 3 observational studies. SSRIs were the most studied type of drug and the evidence was largely insufficient. We found moderate SOE that long-term, high-dose Vitamin D3 is ineffective for reducing depression severity. Cognitive behavioral therapy (CBT) is more effective than (undefined) psychotherapy and placebo for depression improvement and quality of life (low SOE), and acupressure is more effective than usual care or sham acupressure to reduce depression severity (low SOE). There is limited research evaluating treatment for depression in adults with ESKD, and existing studies may not be generalizable to adults in the US. Studies suffer from limitations related to methodological quality or reporting. More research replicating studies of promising interventions in U.S. populations with larger samples is needed.


2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Seki A. Balogun ◽  
Natalie B. May ◽  
Meagan Briley ◽  
Allison Bosch ◽  
Isabelle Duerr ◽  
...  

BackgroundLittle is known about the perceptions of older adults with end-stage kidney disease (ESKD) on chronic hemodialysis (HD) even though this could potentially influence how treatment is received. This study explores the perceptions of older adults with ESKD on HD, specifically their decision to initiate HD, preconceptions and expectations of HD, perceived difficulties with HD, and coping strategies.Design: Cross–sectionalSetting: Outpatient chronic dialysis units Participants: Older adults with ESKD on HD Intervention: Open-ended interviews were conducted with 15 participants. Inclusion criteria were age 60 years and older, HD duration of at least three months, and ability to consent and participate in the interview process.Results: We report on four identified domains: decision to initiate HD; preconceptions and expectations of HD; drawback of HD; and coping strategies. All participants were reluctant to initiate HD, but made the decision on advice from their physicians for varying reasons. Trust in physicians’ opinions also played a role for some. Some participants had positive preconceptions of HD, while a few had negative preconceptions or unrealistic expectations. Even though the majority of participants identified several difficulties with being on HD, they also had positive coping strategies, and the majority indicated that they would make the same decision to initiate HD.Conclusion: As clinicians are turning more to patient-centered medicine, understanding patients’ perceptions of HD is of crucial importance. Our study highlights the importance of improving pre-hemodialysis education to ensure that patients’ expectations are realistic, as well as identifying individualized coping strategies by patients. 


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