scholarly journals A Study Protocol on: Evaluate the Awareness Program on Selected Vaccinations among Chronic Kidney Disease Patients

Author(s):  
Deepali Ghungrud ◽  
Ranjana Sharma

Background: “Chronic Kidney Disease” also known as a chronic renal failure, is one of the major health problems today. And infection is the second leading cause of morbidity and mortality in patients with chronic kidney disease, contributing around 30–36% of deaths among patients on dialysis. Overall, this condition is a threat to the life of the patients, hence to improve in the patient’s condition on dialysis and renal replacement therapy is a must. Here, early vaccination becomes must as primary treatment modalities to prevent the patients from communicable diseases like Hepatitis-B, Influenza, Pneumococcal diseases. Aim: To evaluate the effectiveness of the awareness program on selected vaccinations among chronic kidney disease patients. Methodology: Quasi experimental one group pre-test post-test research design will be used in this study and samples will be chronic kidney disease patients. Non probability purposive sampling technique will be used to select the samples. This research study included 100 chronic kidney disease patients of selected hospitals in Vidarbha region. Samples must select according to requirements for inclusion and exclusion criteria. For this study, Age between 18 to 65 years above, both male and female, Chronic kidney disease patients attending Nephrology and Medicine OPD/IPD and admitted patients in selected hospitals in Vidarbha region, able to read and write Marathi or Hindi, Willing to participate in study, available during data collection. Expected Results:  1. To access this information for educating and change the attitude of patients regarding selected vaccination among chronic kidney disease patients. And understand the importance of vaccination before the onset of dialysis and renal transplantation. Conclusion: Conclusion will be drawn from the statistical analysis.

Author(s):  
Swapna Morey ◽  
Ranjana Sharma

Background: The prevalence rate of chronic kidney disease (CKD) ranges from 1 < percent to 13% and recently international society of nephrology reported In India, the prevalence rate of chronic kidney disease was 17 % in 2015. Objective: 1. To assess the existing level of knowledge regarding hemodialysis care among professional staffs. 2. To assess the existing Practice regarding hemodialysis care among professional staffs. 3.To assess the effectiveness of nursing protocol on knowledge and practice regarding hemodialysis care among professional staffs. 4.To find out the correlation between knowledge and practice regarding hemodialysis care among professional staffs. 6.To associate the level of knowledge and practice regarding hemodialysis with selected demographic variable. Methodology: It is Quasi experimental one group pre-posttest research design will be used in this research study conducted on the professional staff in the selected hospital of Wardha. Non-probability purposive sampling technique will be used to select samples for analysis. This research study included 60 professional staff of selected hospital of Wardha district. Expected Results: Outcome includes To evaluate the nursing care for hemodialysis patients. Through, improve and evaluate the knowledge and performance of hemodialysis care among professional staff before and after the education and training interventions. To assess the existing practice of hemodialysis care and the generation of new evidence. Conclusion:  Conclusion will be drawn from the statistical analysis.


Author(s):  
Rizki Muliani ◽  
Vina Vitniawati ◽  
Denden Ardiyana Rakhman

Hemodialysis is an action taken to treat various problems caused by Chronic Kidney Disease (CKD). Pruritus is a complication that often occurs due to hemodialysis, can cause injury to the skin, and interfere with patient comfort. Emollients are recommended to treat pruritus, where Virgin Coconut Oil (VCO) and Olive Oil (OO) are effective emollients to treat pruritus because they are easy to obtain, natural, and without side effects. The purpose of this study was to assess differences in the effectiveness of reducing pruritus grade scores in hemodialysis patients using VCO and OO. This study used a quasi-experiment with two groups pre-post test design. Samples were taken using the purposive sampling technique involving 72 patients undergoing hemodialysis which were divided into two groups (VCO and OO). The instrument used the score of the degree of pruritus and the data were analyzed by the Mann-Whitney test. The results of the study obtained a p-value of 0.008 (<0.05) which means that there is a difference in the effectiveness of giving VCO with OO on the score of the degree of pruritus in patients, VCO is more effective in reducing the score of the degree of pruritus in patients. So that the use of VCO can be used as an alternative nurse intervention in the treatment of pruritus in hemodialysis patients. KEYWORDS: Chronic Kidney Disease, Hemodialysis, Olive Oil, Pruritus, Virgin Coconut Oil


Author(s):  
Vedanti Subhashbhai Patel ◽  
Arpita J Vaidya

Introduction: Chronic Kidney Disease (CKD) is a severe clinical problem which has a significant socioeconomic impact worldwide. Diet, exercise, haemodialysis, Kidney Transplantation are some of the treatment modalities used to maintain patient’s health. It is necessary to create awareness regarding the therapeutic interventions that are available among these patients to improve their knowledge. Aim: To assess the effectiveness of Structured Teaching Programme (STP) on knowledge regarding therapeutic intervention among CKD Patient. Materials and Methods: A quantitative study with quasi experimental pre-test and post-test, two-group design was conducted at Muljibhai Patel Urological Hospital. A total of 60 CKD patients were enrolled into the study. A structured questionnaire in Gujarati language was built that contained information regarding CKD, lifestyle modifications such as diet and exercise; knowledge on haemodialysis and kidney transplantation. The structured questionnaire was used to assess the knowledge regarding the interventions. A pilot study was conducted and was found to be feasible. The study duration was of seven days with the pre-test conducted on day one of the study followed by a structured training for three consecutive days, and the perception of the participants were evaluated on day seven using a standard questionnaire. The effect of STP was analysed by student’s t-test and Chi-square test was used to find the association with selected demographic variables. Results: The study included CKD patients. The mean age of study population is above 49 years with 65% males and their data were analysed systematically. The post-test mean knowledge score of patients in the experimental and control group was 27.36±2.63 and 17.73±2.37, respectively. The result implies that there was an inadequate knowledge among patients with CKD. Conclusion: The structured teaching Programme was effective in increasing knowledge regarding therapeutic intervention among CKD patients.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Ni Made Nopita Wati ◽  
Ni Luh Putu Thrisna Dewi ◽  
Ni Luh Gede Desi Meilena ◽  
I Gede Juanamasta ◽  
R Tri Rahyuning Lestari

Introduction: Fatigue is one of the most common symptoms felt by patients who experience Chronic Kidney Disease, the level of fatigue experienced from low to severe. Some management to deal with fatigue has been done a lot, but the results have not been maximized. Emotional Freedom Technique (EFT) is a psychological therapy that can treat many diseases, both physical illness and psychological illness. Aims: This study aims to determine the effect of EFT therapy on fatigue in CKD patients.Methods: This type of research is a quasi-experimental design with a control group pre-post-test Sample divided into 2 groups, consisted of 19 people, selected through purposive sampling.Results: The results showed that the p-value in the treatment group = 0,000 means that there is an effect of therapy EFT on health in CKD patients, whereas, in the control group, there is no difference with the p-value = 1,000. Discussion: The change in CKD patients' fatigue level after EFT therapy is due to a combination of techniques that support the effectiveness of EFT therapy.Conclusion: With this study, it is expected that hospitals can carry out EFT therapy to reduce fatigue in CKD patients to help cure patients.


2020 ◽  
Vol 10 (2) ◽  
pp. 153-157
Author(s):  
Tjung Angela ◽  
Rizaldy Taslim Pinzon

Background: Chronic kidney disease (CKD) is a disease that causes a progressive decrease in kidney function, which can end in kidney failure disease and will have an impact on decreasing quality of life. Previous research has shown that by giving vitamins B1, B6, and B12 can improve quality of life. Aim: To measure changes in quality of life in patients with chronic kidney disease who were given vitamins B1, B6, and B12 parenterally. Material and Methods: This study used quasi experimental (one group pre and post test) in 117 patients who were selected in Bethesda Hospital and Panti Rapih Hospital Yogyakarta hemodialysis unit. Patients were given vitamins B Combination injections twice a week in each hemodialysis for 4 weeks. Quality of life was measured by SF-8 questionnaire on the first day of hemodialysis before given vitamins (pre-test) and on the 30th day, after eight injection of vitamins B1, B6, and B12 (post test). Results: The mean age of observed patients were 51.58 ± 12.51 years. From 117 patients, 73 patients (62,4%) were male and 44 patients (37.6%) were female. The improvement in overall quality of life in patients was not significant (p= 0.055). Quality of life improvement was only significant in the male group (p = 0.016). Conclusion: There was no significant difference after 4-weeks-injections of vitamins B Combination to the overall quality of life in chronic kidney disease patients undergoing hemodialysis. But there was found a significant improvement in quality of life in the male patients with chronic kidney disease who had hemodialysis. Keywords : chronic kidney disease, quality of life, vitamins B1, B6, and B12, SF-8 questionnaire.


2019 ◽  
Vol 1 (1) ◽  
pp. 108-114
Author(s):  
I Made Wirta

The main objective of the present study is to investigate the effect of implementing innovative learning approaches upon English students’ achievement. The study was quasi experimental study using the post-test only control group design involving 35 students altogether selected using census sampling technique. The instrument which is used to gather data in the study was test. There were two tests used to gather intended data. They were linguistic test and student achievement test. The obtained data were analyzed statistically using descriptive and inferential analysis. The analysis of covariance was conducted to test the hypotheses.


2018 ◽  
Vol 5 (2) ◽  
pp. 56-63
Author(s):  
Abdul Wakhid ◽  
Estri Linda Wijayanti ◽  
Liyanovitasari Liyanovitasari

Background: Self efficacy can optimize the quality of life of clients who undergo the healing process due to chronic diseases. Individuals with higher self-efficacy move their personal and social resources proactively to maintain and improve the quality and length of their lives so that they experience a better quality of life. Objectives: the purpose of this study was to find the correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency. Metode: This type of research was descriptive correlation with cross sectional approach. The samples in this study more 76 people with total sampling technique. The data collection tool for self efficacy was measured by General Self-Efficacy scale, for quality of life with WHOQoL-BREF. Statistical test used Kolmogorov-smirnov. Result: The result showed that self efficacy in patients with chronic kidney disease was mostly in moderate category (53,9%), quality of life in patients with chronic kidney disease was mostly in good category (68,4%). There was a correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency, the result obtained p-value of 0.000 <α (0,05). Suggestion: Patients with chronic kidney disease can maintain good quality of life by helping to generate positive self-esteem and high self efficacy.


2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Devi Novita Damanik

Background: Anxiety is a condition of psychological and physiological disorders characterized by cognitive, somatic, emotional disturbances and components of behavioral sequences. Purpose: This study aims to describe the anxiety of chronic kidney disease patients undergoing hemodialysis. Methods: This study uses univariate analysis which will describe the anxiety level of chronic kidney disease patients undergoing hemodialysis. The anxiety variable was measured using the HARS (Hamilton Anxiety Rating Scale) anxiety instrument with a validity value of 0.68 dd 0.93 and a reliability value of 0.93. The population in this study were all chronic kidney disease patients who underwent hemodialysis and experienced anxiety. The sampling technique used in this study was purposive sampling technique. The sample in this study were patients with chronic kidney disease who met the requirements of the study patients, namely: Patients who underwent hemodialysis for less than one year, patients undergoing hemodialysis with femoral vein puncture, patients undergoing hemodialysis twice a week. Results: The results showed that the study respondents had a mild anxiety rate of 9 patients (56.25%), moderate anxiety as many as 8 patients (21.875%) and severe anxiety as many as 8 patients (21.875%). Conclusion: conclusions and implications for nursing practice. The results showed a high incidence of anxiety in patients undergoing hemodialysis and distributed evenly on mild, moderate and severe anxiety.


2010 ◽  
Vol 299 (5) ◽  
pp. F1026-F1039 ◽  
Author(s):  
Rusty Kelley ◽  
Eric S. Werdin ◽  
Andrew T. Bruce ◽  
Sumana Choudhury ◽  
Shay M. Wallace ◽  
...  

Established chronic kidney disease (CKD) may be identified by severely impaired renal filtration that ultimately leads to the need for dialysis or kidney transplant. Dialysis addresses only some of the sequelae of CKD, and a significant gap persists between patients needing transplant and available organs, providing impetus for development of new CKD treatment modalities. Some postulate that CKD develops from a progressive imbalance between tissue damage and the kidney's intrinsic repair and regeneration processes. In this study we evaluated the effect of kidney cells, delivered orthotopically by intraparenchymal injection to rodents 4–7 wk after CKD was established by two-step 5/6 renal mass reduction (NX), on the regeneration of kidney function and architecture as assessed by physiological, tissue, and molecular markers. A proof of concept for the model, cell delivery, and systemic effect was demonstrated with a heterogeneous population of renal cells (UNFX) that contained cells from all major compartments of the kidney. Tubular cells are known contributors to kidney regeneration in situ following acute injury. Initially tested as a control, a tubular cell-enriched subpopulation of UNFX (B2) surprisingly outperformed UNFX. Two independent studies (3 and 6 mo in duration) with B2 confirmed that B2 significantly extended survival and improved renal filtration (serum creatinine and blood urea nitrogen). The specificity of B2 effects was verified by direct comparison to cell-free vehicle controls and an equivalent dose of non-B2 cells. Quantitative histological evaluation of kidneys at 6 mo after treatment confirmed that B2 treatment reduced severity of kidney tissue pathology. Treatment-associated reduction of transforming growth factor (TGF)-β1, plasminogen activator inhibitor (PAI)-1, and fibronectin (FN) provided evidence that B2 cells attenuated canonical pathways of profibrotic extracellular matrix production.


2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.


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