FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS TIDUR PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS DI RUMAH SAKIT TARAKAN JAKARTA

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Enggus Subarman Pius ◽  
Santi Herlina
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Sleep Disorders ◽  
Psychological Stress ◽  
Quality Of Sleep ◽  
Quality Sleep ◽  
Average Patient ◽  
Stress Environment ◽  
End Stage

Sleep is an activity that involves the arrangement of the central nervous, endocrine, cardiovascular peripheral nervous, respiratory and Musculoskeletal, sleep disorders often occur in patients with end-stage renal failure. Problems with sleep disorders experienced by about 5080% of patients who undergo the therapy Hemodialisis. The average patient undergoing chronic renal failure Hemodialisis having problems on the quality of sleep. With increasing numbers semakian kejdian renal failure it will be growing patients undergoing therapy Hemodialisis. From the results of a survey conducted by researchers at the hospital tarakan terdapa chronic renal failure patient 90 undergoing Hemodialisis, this number is calculated from December 2013February 2014. Researchers want to know the relationship of companion ailments, psychological stress, environment and kelelahaan with the quality of sleep in patients with chronic renal failure undergoing Hemodialisis in Jakarta Tarakan hospital Hemodialisis. Methods used is descriptive with sample 40 respondents taking with total sampling techniques and observation guided by kuessioner as instruments. A research done in earn comorbidities such 79,3 %, psychological stress 92,3 %, environment 91,7 %, and fatigue 100 %. Disease penuerta, psychological stress, environment and fatigue very influential on quality sleep patient kidney failure chronicle underwent Hemodialisis. The high influence of companion ailments, psychological stress, the environment, and the fatigue of sleep quality chronic renal failure patients undergoing Hemodialisis, hence the need for a serious handling of the health care personnel to be able to minimize the faktor that can affect the quality of sleep is chronic renal failure patients undergoing Hemodialisis at Jakarta Tarakan hospital

Sleep disorders and their influence on the quality of life in haemodialyzed patients with chronic renal failure

2015 ◽  
Vol 357 ◽  
pp. e98
Author(s):  
J.A. Suárez ◽  
G. Orzuza ◽  
B. Galli ◽  
N. Flores ◽  
J. Martinez Fascio ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Sleep Disorders

scholarly journals The Research of Sleep Disorders and Their Effects on Quality of Life in Patients with Chronic Renal Failure and Renal Transplant

2015 ◽  
Vol 2 (1) ◽  
pp. 15-19
Author(s):  
Feride Sert ◽  
Aylin Bican Demir ◽  
İbrahim Bora ◽  
Abdülmecit Yıldız ◽  
Gökhan Ocakoğlu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Renal Transplant ◽  
Sleep Disorders

scholarly journals Chronic Kidney Disease Associated with Pruritus And Nursing Care

2020 ◽  
Author(s):  
Neşe Altınok Ersoy ◽  
İmatullah Akyar
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Nursing Care ◽  
Negative Impact ◽  
Life Assessment ◽  
Pathophysiological Mechanism ◽  
Unpleasant Sensation ◽  
Stage Renal Disease ◽  
End Stage

Pruritus is defined as an unpleasant sensation and there are many diseases in the etiopathogenesis. Among these systemic diseases, chronic renal failure associated with pruritus is seen with a prevalence of 10-70% in end stage renal disease patients. Although there are many hypotheses about the pathophysiological mechanism of chronic renal failure associated pruritus, it is still unclear and adversely affects the patients’ life. Patients have insomnia with itching at night, fatigue, itching scratching with discomfort and social isolation problems. The negative impact of the quality of life of the patients makes assessment of the itch important and the assessment is done by both subjective and objective measurement methods and scales. While pharmacological and non-pharmacological options are included in the treatment, nursing care includes skin care precautions and practices on chronic renal failure associated pruritus. In nursing care, prevention, early detection and assessment with written and verbal scales of pruritus with record of chronic renal failure pruritus. In this review, chronic renal failure associated pruritus and prevalence, classification, pathophysiological hypothesis, impact on patients' life, assessment, treatment and nursing care will be mentioned.ce, classification, pathophysiological hypothesis, impact on patients' life, assessment, treatment and nursing care will be mentioned.

scholarly journals Siwu Granules and Erythropoietin Synergistically Ameliorated Anemia in Adenine-Induced Chronic Renal Failure Rats

2019 ◽  
Vol 2019 ◽  
pp. 1-12
Author(s):  
Yansheng Wu ◽  
Qiang Wan ◽  
Liqiang Shi ◽  
Jiaoying Ou ◽  
YingQiao Li ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Renal Failure ◽  
Renal Function ◽  
Chronic Renal Failure ◽  
Combined Treatment ◽  
Inflammatory Factors ◽  
Control Group ◽  
Hemoglobin Content ◽  
End Stage

Objective. Renal anemia in patients with end-stage chronic kidney disease is closely related to the deterioration of cardiac function, renal function, and quality of life. This study involved adenine-induced renal anemic rat models and evaluated the treatment effect of Siwu granules and/or erythropoietin (EPO). Methods. Fifty SD rats were randomly divided into 5 groups: control, model, Siwu, EPO, and Siwu plus EPO groups. The expression levels of NO, MDA, SOD, CAT, IL-6, TNF-α, EPO, EPOR, α-SMA, and TGF-β1 were detected in rats after 8 weeks of treatment with Siwu granules and/or EPO. Results. After modeling, 47 rats entered the stage of treatment. Siwu plus EPO treatment significantly increased the rat hemoglobin content (p<0.05) and reduced blood urea nitrogen (p<0.05) and serum creatinine (p<0.001). Compared with the control group, the expression of EPO and EPOR in the kidney of rats with renal failure was significantly decreased (p<0.05). Moreover, the Siwu plus EPO group improved the level of oxidative stress in rats with chronic renal failure and reduced the expression of inflammatory factors. The expression of α-SMA and TGF-β1 in rats with renal failure was higher, but there was no expression in the control group. Conclusion. Combined treatment of Siwu granules with EPO increased the expression of EPO and EPOR in the renal tissues and inhibited oxidative stress and inflammatory factors, improving the renal function and anemia.

Evidence for an Increased Generation of Prostacyclin in the Microvasculature and an Impairment of the Platelet α-Granule Release in Chronic Renal Failure

1988 ◽  
Vol 60 (02) ◽  
pp. 205-208 ◽  
Author(s):  
Paul A Kyrle ◽  
Felix Stockenhuber ◽  
Brigitte Brenner ◽  
Heinz Gössinger ◽  
Christian Korninger ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Blood Clotting ◽  
Normal Subjects ◽  
Chronic Uraemia ◽  
Wall Interaction ◽  
End Stage ◽  
Granule Release

SummaryThe formation of prostacyclin (PGI2) and thromboxane A2 and the release of beta-thromboglobulin (beta-TG) at the site of platelet-vessel wall interaction, i.e. in blood emerging from a standardized injury of the micro vasculature made to determine bleeding time, was studied in patients with end-stage chronic renal failure undergoing regular haemodialysis and in normal subjects. In the uraemic patients, levels of 6-keto-prostaglandin F1α (6-keto-PGF1α) were 1.3-fold to 6.3-fold higher than the corresponding values in the control subjects indicating an increased PGI2 formation in chronic uraemia. Formation of thromboxane B2 (TxB2) at the site of plug formation in vivo and during whole blood clotting in vitro was similar in the uraemic subjects and in the normals excluding a major defect in platelet prostaglandin metabolism in chronic renal failure. Significantly smaller amounts of beta-TG were found in blood obtained from the site of vascular injury as well as after in vitro blood clotting in patients with chronic renal failure indicating an impairment of the a-granule release in chronic uraemia. We therefore conclude that the haemorrhagic diathesis commonly seen in patients with chronic renal failure is - at least partially - due to an acquired defect of the platelet a-granule release and an increased generation of PGI2 in the micro vasculature.

METABOLIC SYNDROME IN DIALYSIS PATIENTS

2016 ◽  
pp. 7-11
Author(s):  
Vinh Phu Hoang ◽  
Tam Vo ◽  
Van Tien Le ◽  
Thi Hoai Huong Vo
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Artificial Kidney ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Average Value ◽  
The Metabolic Syndrome ◽  
End Stage

Objective: To review disorders elements of the metabolic syndrome in patients with end-stage chronic renal failure on dialysis cycle. Materials and methods: A cross sectional descriptive study of 85 patients including end-stage chronic renal failure in dialysis cycle from 5/2015 - 9/2016 at the Department of Artificial Kidney, Hue Central Hospital. Results: The prevalence of metabolic syndrome in dialysis patients was 37.65%. The prevalence of abdominal obesity was 30.6%; The prevalence of hypertension was 72.9%, the average value systolic blood pressure and diastolic blood pressure were 142.24 ± 27.53, 80.35 ± 12.48 mmHg; The prevalence of hyperglycemia was 28%, the average value blood glucose was 4.9 ± 1.19 mmol/l; The prevalence of triglyceride increase was 34.1%, the average value triglyceride was 1.59 ± 0.84 mmol/l. The prevalence of HDL-C increase was 47.1%, the average value HDL-C was 1.24 ± 0.33 mmol/l. Conclusion: The prevalence of metabolic syndrome in dialysis patients is very high, in which hypertension and HDL disturbances are the highest. Key words: chronic renal failure, dialysis, metabolic syndrome

Oral and Maxillofacial Manifestations of Mineral and Bone Disorders Associated with Chronic Renal Failure

2017 ◽  
Vol 68 (6) ◽  
pp. 1325-1328
Author(s):  
Andrada Raluca Doscas ◽  
Mihail Balan ◽  
Mihai Liviu Ciofu ◽  
Doriana Agop Forna ◽  
Marius Cristian Martu ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Renal Function ◽  
Chronic Renal Failure ◽  
Health Concern ◽  
Oral Manifestations ◽  
End Stage Renal Failure ◽  
Brown Tumors ◽  
The Mean ◽  
End Stage

Chronic kidney disease (CKD) is a multifactorial syndrome and a global health concern. As renal function declines, there is a progressive deterioration of mineral homeostasis. Starting from stage 3 of CKD oral manifestations of mineral disorders can occasionally appear and become more frequent and evident in stage 5. We retrospectively analysed 43 patients diagnosed with end stage renal failure undergoing dialysis, hospitalized in our clinic for different oral and maxillofacial pathologies. The mean dialysis period was 5.43 years. Radiographic alterations afecting the jaws were found in all patients. The most common feature was partial or total loss of lamina dura, followed by alterations of the bony trabeculae. 9 patients presented brown tumors which are considered the final stage of secondary hyperparathyroidism associated with renal failure.

scholarly journals 696 Quality of sleep is the only predictor of suicide during Covid-19 lockdown in University students?

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A272-A272
Author(s):  
Alessandra Castelnuovo ◽  
Samantha Mombelli ◽  
Daniela Bottoni ◽  
Antonella Somma ◽  
Andrea Fossati ◽  
...  
Keyword(s):  
Medical Students ◽  
Suicidal Ideation ◽  
Sleep Quality ◽  
Sleep Disorders ◽  
Social Stress ◽  
Depression Symptoms ◽  
Daily Routine ◽  
Quality Of Sleep ◽  
Suicidal Thoughts

Abstract Introduction COVID-19 epidemic led to great psychological and social stress, related to anxiety, depression, sleep disorders, suicidal risk and behavior, and changes in daily routine. The aim of this study was to assess the psychological impact of COVID-19 lockdown in Italian students. We focused on perceived sleep quality, anxiety and depression symptoms, and mostly on risk of suicide. Methods A total of 307 students (mean age 22.84±2.68) completed Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory-II (BDI-II). In our study, we focused on item 9 of BDI-II, that is related to suicide. We divided our sample on presence or absence of suicidal ideation based on this item. Results We found that 30.1% showed depressive, while 38.2% anxious symptoms. Concerning item 9 of BDI-II (suicidal thoughts or wishes), 84.7% answered that they do not have any thoughts of killing themselves, while 15.3% answered that they have some suicidal ideation. Concerning sleep variables, we found that 58% of our sample showed a PSQI total score higher than 5 (poor quality of sleep), and a global worsening in sleep quality and increase of insomnia both in student with and without suicidal ideation. Conclusion Our results on risk of suicide are in line with literature. Recent reviews focused on suicidal ideation in medical students found that depressive symptoms and suicidal ideation are common among medical students, finding a prevalence of suicidal ideation of 11%. Several studies suggest that sleep disorders are a risk factor for suicidal thoughts and behaviours. Our findings show that sleep cannot considered a predictive factor of risk of suicide during health emergency, because the risk is polyfactorial. Support (if any) None

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