The Matrix of Complexity Associated With the Process of Social Intervention With Chronic Kidney Disease Patients

2019 ◽  
pp. 85-114
Author(s):  
Marta Freitas Olim ◽  
Sónia Guadalupe ◽  
Fernanda da Conceição Bento Daniel ◽  
Joana Pimenta ◽  
Luís Carrasco ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Internal Consistency ◽  
Social Intervention ◽  
Youden Index ◽  
Metric Properties ◽  
Intervention Process ◽  
The Social ◽  
Cutoff Points ◽  
The Matrix

This chapter discusses the standardization of instruments and typologies in social work assessment and introduces, from a multidimensional perspective, a new standardized instrument evaluating the level of complexity associated with the social intervention process in a sample of chronic kidney disease (CKD) patients. The authors evaluated the matrix's metric properties by internal consistency and defined a rating index through the best cutoff points, using receiver operator curve and Youden Index. Matrix construction and validation used focus groups of experts in blinded classification of 100 CKD patients and indicator weighting. The matrix shows good internal consistency and reliability (Cronbach's alpha = .742). Cutoff points indicate three levels of complexity classification. The matrix is a good instrument to identify the complexity associated with the social intervention process in the area of Nephrology, and is a relevant contribution to the social information management of social workers, the health teams and the administration of health units.

Does Vitamin K Intake Influence High Phosphate Induced Vascular Pseudo-ossification: An Underappreciated Therapeutic Prospect in General Population?

2019 ◽  
Vol 20 (4) ◽  
pp. 421-430
Author(s):  
Zar Chi Thent ◽  
Gabriele R.A. Froemming ◽  
Suhaila Abd Muid
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Vascular Calcification ◽  
Vitamin K ◽  
Prolonged Exposure ◽  
Vascular Complication ◽  
Key Factors ◽  
The Matrix ◽  
Underlying Mechanisms ◽  
High Phosphate

Increasing interest in vascular pseudo-ossification has alarmed the modern atherosclerotic society. High phosphate is one of the key factors in vascular pseudo ossification, also known as vascular calcification. The active process of deposition of the phosphate crystals in vascular tissues results in arterial stiffness. High phosphate condition is mainly observed in chronic kidney disease patients. However, prolonged exposure with high phosphate enriched foods such as canned drinks, dietary foods, etc. can be considered as modifiable risk factors for vascular complication in a population regardless of chronic kidney disease. High intake of vitamin K regulates the vascular calcification by exerting its anti-calcification effect. The changes in serum phosphate and vitamin K levels in a normal individual with high phosphate intake are not well investigated. This review summarised the underlying mechanisms of high phosphate induced vascular pseudo ossification such as vascular transdifferentiation, vascular apoptosis and phosphate uptake by sodium-dependent co-transporters. Pubmed, Science Direct, Scopus, ISI Web of Knowledge and Google Scholar were searched using the terms ‘vitamin K’, ‘vascular calcification, ‘phosphate’, ‘transdifferentiation’ and ‘vascular pseudoossification’. Vitamin K certainly activates the matrix GIA protein and inhibits vascular transition and apoptosis in vascular pseudo-ossification. The present view highlighted the possible therapeutic linkage between vitamin K and the disease. Understanding the role of vitamin K will be considered as potent prophylaxis agent against the vascular disease in near future.

scholarly journals Reliability and validity of the Persian version of 5-D itching scale among patients with chronic kidney disease

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Amin Kordi Yoosefinejad ◽  
Fatemeh Karjalian ◽  
Marzieh Momennasab ◽  
Shahrokh Ezzatzadegan Jahromi
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Reliability And Validity ◽  
Hemodialysis Patients ◽  
Life Questionnaire ◽  
Retest Reliability ◽  
Persian Version ◽  
Test Retest Reliability

Abstract Background Hemodialysis is considered a major therapeutic method for patients with chronic kidney disease. Pruritus is a common complaint of hemodialysis patients. The 5-D pruritus scale is amongst the most common tools to evaluate several dimensions of itch. Psychometric properties of the 5-D scale have not been evaluated in Persian speaking population with hemodialysis; hence, the objective of this study was to assess reliability and validity of the Persian version of the scale. Methods Ninety hemodialysis patients (men: 50, women: 40, mean age: 54.4 years) participated in this cross-sectional study. The final Persian version of 5-D scale was given to the participants. Tests Compared: One-third of the participants completed the scale twice within 3–7 days apart to evaluate test- retest reliability. Other psychometric properties including internal consistency, absolute reliability, convergent, discriminative and construct validity, floor/ceiling effects were also evaluated. Results The Persian 5-D scale has strong test-retest reliability (ICC= 0.98) and internal consistency (Cronbach’s alpha= 0.99). Standard error of measurement and minimal detectable change were 0.33 and 0.91, respectively. Regarding convergent validity, the scale had moderate correlation with numeric rating scale (r =0.67) and quality of life questionnaire related to itch (r = 0.59). Exploratory factor analysis revealed two factors within the scale. No floor or ceiling effect was found for the scale. Conclusion The Persian version of 5-D the itching scale is a brief instrument with acceptable reliability and validity. Therefore, the scale could be used by experts, nurses, and other health service providers to evaluate pruritus among Persian speaking hemodialysis patients.

scholarly journals Intervensi Sosial dalam Manajemen Pendidikan Inklusif Dinas Pendidikan Kebudayaan Kepemudaan dan Olahraga Kabupaten Semarang

2021 ◽  
Vol 2 (1) ◽  
pp. 159-168
Author(s):  
Thea Rahmanindita ◽  
Titik Djumiarti
Keyword(s):  
Elementary School ◽  
Qualitative Methods ◽  
Inclusive Education ◽  
School Level ◽  
Social Intervention ◽  
Recruitment Process ◽  
Intervention Process ◽  
The Social ◽  
Office Culture

The implementation of inclusive education in Semarang is still experiencing various obstacles. The aim of this research is to analyze the social intervention conducted by the Education Office, Culture, Youth and Sports District of Semarang in the implementation of an inclusive education of elementary school level, by looking at the intervention process carried out and the constraints contained therein. This research uses qualitative methods of descriptive. The results showed that the management of inclusive education in Semarang Regency isn’t optimal, because there is still an intervention process that is not seen in the implementation of inclusive education by the Semarang District Education Office. The advice that researchers can provide is the addition of quotas for the ABK to school and the addition of budgets intended for the recruitment process of special escort teachers, special escort teachers ' benefit, procurement of infrastructure and maintenance. Keywords: Social intervention, management, inclusive education

scholarly journals Social Support and Loneliness Among Chinese Caregivers of Children With Chronic Kidney Disease During the COVID-19 Pandemic: A Propensity Score Matching Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Lin Shi ◽  
Hengci Zhang ◽  
Haiping Yang ◽  
Daoqi Wu ◽  
Xiaoqin Li ◽  
...  
Keyword(s):  
Social Support ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Healthy Children ◽  
Propensity Score Matching Analysis ◽  
The Social ◽  
Chinese Caregivers ◽  
Support Score

To evaluate social support and loneliness as well as their association among caregivers of children with chronic kidney disease (CKD) from China during the coronavirus disease 2019 (COVID-19) pandemic. We collected data for caregivers of children with CKD and caregivers of healthy children and matched the two groups using propensity score matching (PSM). We compared the differences in social support and loneliness between the two groups after matching and analyzed the relationship between social support and loneliness in the observation group. Before PSM, we analyzed the data for 247 caregivers of children with CKD and 315 caregivers of healthy children from 13 provinces. After PSM, the two groups each included 202 caregivers. The social support score of caregivers of children with CKD was lower than that of caregivers of healthy children (P < 0.002), while the loneliness score was higher for caregivers of children with CKD than for caregivers of healthy children (P < 0.008). The social support score was negatively correlated with the loneliness score (r = −0.598, P < 0.001). Caregivers of children with CKD experienced less social support and greater loneliness than caregivers of healthy children during the COVID-19 pandemic. Therefore, greater attention should be paid to providing social support for caregivers of CKD children and to improving the ability of these caregivers to cope with loneliness.

scholarly journals Validity and internal consistency of EQ-5D-3L quality of life tool among pre-dialysis patients with chronic kidney disease in Sri Lanka, a lower middle-income country

2019 ◽  
Author(s):  
Sameera Senanayake ◽  
PKB Mahesh ◽  
Nalika Gunawardena ◽  
Nicholas Graves ◽  
Sanjeewa Kularatna
Keyword(s):  
Chronic Kidney Disease ◽  
Psychological Distress ◽  
Sri Lanka ◽  
Kidney Disease ◽  
Internal Consistency ◽  
Short Form ◽  
Economic Evaluations ◽  
Cronbach Alpha ◽  
Sf 36 ◽  
D 20

AbstractObjectiveEQ-5D-3L is a generic QOL tool used mainly in economic evaluations. Burden of Chronic Kidney Disease (CKD) is rising in Sri Lanka. Assessing the validity of generic QOL tools creates new opportunities of their utilization among patients with CKD.MethodsA cross-sectional study was conducted among 1036 CKD patients, selected using the simple random sampling technique. The validity was tested with six a-priori hypotheses. These included construct validity assessments, evaluating convergent validity and performing known group comparisons. EQ-5D-3L, Short Form-36 (SF-36), Center for Epidemiological Studies Depression Scale (CES-D-20) and General Health Questionnaire-12 (GHQ-12) were used to assess QOL, presence of depression and psychological distress respectively. Internal consistency of the whole tool and when each item is removed was assessed by Cronbach alpha.ResultsThe response rate was 99.2%. Majority of participants were males (n=646,62.4%) in the age category of 41-60 (n=530; 51.2%). Most were in either stage 4 or 5 of CKD (n=646,75.1%). The summary measures of SF-36, positively and significantly correlated with the EQ-5D-3L index and VAS scores (p<0.001). EQ-5D-3L QOL scores were significantly different between the group with depression and without as measured by CES-D-20 (p<0.001). Assessed using GHQ-12, similar significance was detected between the group with psychological distress and without (p<0.001). The Cronbach alpha was 0.834 and when each item was removed, ranged from 0.782 to 0.832.ConclusionEQ-5D-3L is a valid generic QOL tool with satisfactory internal consistency to be used among CKD patients in the pre-dialysis stage.

scholarly journals The health/disease transition process in chronic kidney disease patients: Contributions to nursing care

2020 ◽  
Vol 54 ◽  
Author(s):  
Francieli Aparecida de Oliveira ◽  
Ana Raquel Lima Peralva de Almeida ◽  
Thaciane Alves Mota ◽  
Joice Requião Costa ◽  
Magna Santos Andrade ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Transition Process ◽  
Theoretical Framework ◽  
Transition Theory ◽  
Social Dimension ◽  
Structured Interviews ◽  
Conditioning Factors ◽  
Analysis Technique ◽  
The Social

Abstract Objective: To identify the facilitating and hindering conditions of the health/disease transition process in a group of patients with Chronic Kidney Disease undergoing hemodialysis treatment based on the theoretical framework of the Transition Theory. Method: A descriptive study implementing a qualitative approach. Data collection occurred through semi-structured interviews conducted between March and April 2018. The Content Analysis Technique was used for analysis and discussion as a methodological framework and the explanatory model of the Transition Theory as a theoretical framework. Results: Twenty-five (25) patients participated in the study. The conditioning factors of the transition process were identified and organized into three thematic categories: Personal conditioning factors in the transition process; Community conditioning factors in the transition process; and Social conditioning factors in the transition process. Conclusion: A predominance of hindering conditioning factors was evidenced in the personal dimension, while facilitating conditioning factors were shown in relation to the community dimension, and finally the conditioning factors were equal regarding the social dimension.

scholarly journals Senses and Meanings of Conservative Treatment in People with Chronic Kidney Disease

Aquichan ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 1-11
Author(s):  
Brunno Lessa Saldanha Xavier ◽  
Juliana Faco Amaral Hermógenes ◽  
Yonara Cristiane Ribeiro ◽  
Ana Carla Silveira de Sá ◽  
Fernanda Maria Vieira Pereira Ávila ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Content Analysis ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Food Restriction ◽  
Structured Interview ◽  
Social Imaginary ◽  
Dialysis Therapy ◽  
Daily Lives ◽  
The Social

Objective: To unveil the senses and meanings of conservative treatment in people with chronic kidney disease (CKD). Materials and Methods: A descriptive and exploratory study with a qualitative approach. It was developed in 2017, with a sample of individuals with CKD undergoing conservative treatment. A semi-structured interview was used and the data were analyzed using simple descriptive statistics and content analysis. Results: 25 individuals participated in the study, of which 56 % were female; 52 % belonged to the 60-79-year-old age group; 48 % were white-skinned; 48 % did not complete elementary school; and only 12 % worked. Content analysis revealed two categories: food restriction: anguishes and impacts that affect the daily lives of patients with CKD and the social imaginary and fear related to renal replacement therapy. Conclusions: The results revealed that diet and fear about dialysis therapy produce uncertainty, anxiety, and insecurity, in addition to a wide and impacting change in people’s lives.

scholarly journals The Social Cost Of Chronic Kidney Disease In Italy

2014 ◽  
Vol 17 (3) ◽  
pp. A292 ◽  
Author(s):  
S. Bellelli ◽  
G. Turchetti
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Social Cost ◽  
The Social
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