scholarly journals Chronic kidney disease, spirituality and religiosity: a systematic overview with the list of eligible studies

2013 ◽  
Vol 1 (2) ◽  
pp. 26 ◽  
Author(s):  
Nicola Luigi Bragazzi ◽  
Giovanni Del Puente

Chronic Kidney Disease (CKD) has a tremendous psychological burden, which sometimes is overlooked or underestimated in the daily clinical routine practice, since in the health care process physicians prefer to focus on the objective aspects of the pathology. In this contribution, we make a systematic overview of the relationship between spirituality/religiosity and CKD, an emerging theme which only recently has raised interest from the scientific community despite its importance. We investigate different variables, axis and categories (from the quality of life to customer’s satisfaction, treatment adherence and therapeutic alliance, clinical parameters, as well as overall survival, and coping strategies adopted by the patient). Moreover, we underpin the principal clinically relevant implications (like the possibility of psycho-therapeutic interventions based on the spiritual and religious attitudes of the patient) and we discuss the main gaps, methodological barriers and difficulties in the field, fostering and advocating further research and clinical studies. This last aspect, together with the quality assessment of the studies, will be further explored in the second part of the study.

2020 ◽  
Vol 8 (2) ◽  
pp. 107-116
Author(s):  
Peri Zuliani ◽  
Dita Amita

Chronic Kidney Disease (CKD) is a progressive and irreversible disorder of renal function, in which the body's ability to fail to maintain metabolism and balance of fluids and electrolytes, causing uremia. The purpose of this study in general was to determine the relationship between hemoglobin levels and quality of life in chronic kidney disease patients undergoing hemodialysis at dr. M. Yunus Bengkulu. This type of research is descriptive analytic with cross sectional approach. The study sample was 64 patients with CKD who underwent hemodialysis at the hemodialysis installation with accidental sampling technique. The results showed that most patients with chronic kidney disease who underwent haemodialysis (71.9%) had severe anemia and most (56.3%) had a poor quality of life. Chi square test results obtained ρ value 0,000 (α = 0.05). Conclusion, There is a statistically significant correlation between anemia and quality of life in CKD patients undergoing hemodialysis in the RDUD Dr. Hemodialysis room. M. Yunus. Suggested to Dr. Hospital M. Yunus Bengkulu to control the incidence and symptoms of anemia experienced by CKD patients. Keywords: Anemia, Hemodialysis, quality of life, CKD


2018 ◽  
Vol 10 (1) ◽  
pp. 15-19
Author(s):  
Fajar Adhie Sulistyo

Background : Chronic kidney disease is a pathophysiological process with diverse etiology, resulting in a progressive decline in renal function, and the patients generally end up with kidney failure. Family support is a support given by families who have blood relations in favor of the health of patients with kidney failure. Quality of life is an individual perception of patients with kidney failure toward his position in life. The aim of this study was to determine the relationship of family support with the quality of life of patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. The method of this research uses uses descriptively analytic type with cross sectional approach. The sample of this researchconsists of 129 respondents. The sampling was taken by accidental sampling technique. The instrument in this study were questionnaires family support and quality of life. The data were analyzed by using univariate and bivariate (using the chi-square test with α = 0.05). Result : Based on the research results through 88 respondents that (68.2%) whose family support is good, then 86 respondents (93%) have a good quality of life, and 2 respondents (5%) have less quality of life. From 8 respondents (6.2%) whose family support is less, 1 respondent (2%) have a good quality of life, and 7 respondents (19%) have a less quality of life. Based on statistical test p = 0.000, it can be concluded that there is significant correlation between both variables. Clonclusion : It is concluded that there is a relationship between family support and the quality of life among patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. Through this research, it is expected to be used as a source reference of information for nurses in hemodialysis room.


2022 ◽  
Author(s):  
Renata De Paula Faria Rocha

Patient safety addresses the risks involved in health care, simplifying or eliminating adverse events, these are defined as incidents that occur during the provision of health care and that result in harm to the patient. Health care is increasingly complex and can increase the potential for incidents, errors or failures to occur. Hemodialysis is a technically complex procedure, with many potential sources of error and which can cause harm to patients. Dialysis is a therapy that in recent years has benefited many patients, but it is a care process that involves important dangers and risks. Hemodialysis is a hospital sector with a great risk potential for the occurrence of adverse events, this occurs for several reasons such as complex procedures, the use of high technology, the characteristic of chronic kidney disease, the high use of medications. Strategies need to be taken to reduce the occurrence of adverse events, thus ensuring the quality of dialysis, consequently the quality of life of patients with chronic kidney disease undergoing dialysis treatment.


Author(s):  
Arif Wicaksono ◽  
Muhammad Sajidin

Hemodialysis therapy of patients with chronic kidney disease can changes the patients physically, psychological, social and economics because they have to deal with it for the rest of their life. This can affect the quality of life of the patients because of the long-term of hemodialysis therapy, this is one of the factors that affect the quality of life of the patients with chronic kidney disease. Quality of life is focused on the assessment of the individual against conditions acceptance. Each individual takes different phases to accept the condition. The purposes of the study were to determine if the relationship between the duration of hemodialysis and quality of life of the patients with chronic kidney disease at Gatoel Hospital Mojokerto. This research used cross-sectional design. The patient's population with chronic kidney disease undergoing hemodialysis is 150 people. The research sample is drawn using sampling techniques with the type of nonprobability purposive sampling with 130 people as a sample. Data obtained from questionnaires KDQoL 36. The result using Spearman rho test using SPSS V.16 shows p < α (0,006 < 0,05). H0 rejected, this means that there is a relationship between the duration of hemodialysis and quality of life with chronic kidney disease at Gatoel Hospital Mojokerto. The quality of life of the patients fluctuated based on the stage adaptation of the hemodialysis and disease. However, most patients with the duration of hemodialysis for more than 12 months had a sufficient quality of life and their therapy are already familiar with the symptoms and complications, but there are other factors that affect the quality of life such as gender, marital status, and education level. Patients are also expected to cooperate in what to do and not to do to improve the quality of life of the patients.


Author(s):  
Arif Wicaksono ◽  
Muhammad Sajidin

Hemodialysis therapy of patients with chronic kidney disease can changes the patients physically, psychological, social and economics because they have to deal with it for the rest of their life. This can affect the quality of life of the patients because of the long-term of hemodialysis therapy, this is one of the factors that affect the quality of life of the patients with chronic kidney disease. Quality of life is focused on the assessment of the individual against conditions acceptance. Each individual takes different phases to accept the condition. The purposes of the study were to determine if the relationship between the duration of hemodialysis and quality of life of the patients with chronic kidney disease at Gatoel Hospital Mojokerto. This research used cross-sectional design. The patient's population with chronic kidney disease undergoing hemodialysis is 150 people. The research sample is drawn using sampling techniques with the type of nonprobability purposive sampling with 130 people as a sample. Data obtained from questionnaires KDQoL 36. The result using Spearman rho test using SPSS V.16 shows p < α (0,006 < 0,05). H0 rejected, this means that there is a relationship between the duration of hemodialysis and quality of life with chronic kidney disease at Gatoel Hospital Mojokerto. The quality of life of the patients fluctuated based on the stage adaptation of the hemodialysis and disease. However, most patients with the duration of hemodialysis for more than 12 months had a sufficient quality of life and their therapy are already familiar with the symptoms and complications, but there are other factors that affect the quality of life such as gender, marital status, and education level. Patients are also expected to cooperate in what to do and not to do to improve the quality of life of the patients.


2016 ◽  
Vol 311 (5) ◽  
pp. F877-F889 ◽  
Author(s):  
Oleh Akchurin ◽  
Angara Sureshbabu ◽  
Steve B. Doty ◽  
Yuan-Shan Zhu ◽  
Edwin Patino ◽  
...  

Growth delay is common in children with chronic kidney disease (CKD), often associated with poor quality of life. The role of anemia in uremic growth delay is poorly understood. Here we describe an induction of uremic growth retardation by a 0.2% adenine diet in wild-type (WT) and hepcidin gene ( Hamp) knockout (KO) mice, compared with their respective littermates fed a regular diet. Experiments were started at weaning (3 wk). After 8 wk, blood was collected and mice were euthanized. Adenine-fed WT mice developed CKD (blood urea nitrogen 82.8 ± 11.6 mg/dl and creatinine 0.57 ± 0.07 mg/dl) and were 2.1 cm shorter compared with WT controls. WT adenine-fed mice were anemic and had low serum iron, elevated Hamp, and elevated IL6 and TNF-α. WT adenine-fed mice had advanced mineral bone disease (serum phosphorus 16.9 ± 3.1 mg/dl and FGF23 204.0 ± 115.0 ng/ml) with loss of cortical and trabecular bone volume seen on microcomputed tomography. Hamp disruption rescued the anemia phenotype resulting in improved growth rate in mice with CKD, thus providing direct experimental evidence of the relationship between Hamp pathway and growth impairment in CKD. Hamp disruption ameliorated CKD-induced growth hormone-insulin-like growth factor 1 axis derangements and growth plate alterations. Disruption of Hamp did not mitigate the development of uremia, inflammation, and mineral and bone disease in this model. Taken together, these results indicate that an adenine diet can be successfully used to study growth in mice with CKD. Hepcidin appears to be related to pathways of growth retardation in CKD suggesting that investigation of hepcidin-lowering therapies in juvenile CKD is warranted.


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