Association between antiinflammatory cytokine, IL ‐10, and sleep quality in patients on maintenance hemodialysis

2013 ◽  
Vol 17 (3) ◽  
pp. 382-390 ◽  
Author(s):  
Mohammad Taraz ◽  
Mohammad‐Reza Khatami ◽  
Maryam Hajiseyedjavadi ◽  
Amir Farrokhian ◽  
Mohsen Amini ◽  
...  
2004 ◽  
Vol 94 (4) ◽  
pp. c99-c103 ◽  
Author(s):  
Massimo Sabbatini ◽  
Anna Crispo ◽  
Antonio Pisani ◽  
Annalisa Ragosta ◽  
Antonio Cesaro ◽  
...  

2017 ◽  
Vol 1 (1) ◽  
pp. 31-36
Author(s):  
Nitik Bathla ◽  
Shahbaj Ahmad ◽  
Ravi Gupta ◽  
Sohaib Ahmad

2017 ◽  
Vol 07 (03) ◽  
pp. 61-68
Author(s):  
Fouda Menye Ebana Hermine Danielle ◽  
Maimouna Mahamat ◽  
Kaze Folefack Francois ◽  
Halle Marie-Patrice ◽  
Ashuntantang Gloria

2021 ◽  
Vol 46 (2) ◽  
pp. 159-170
Author(s):  
Shensen Li ◽  
Qingqing Liu ◽  
Shen Zhang ◽  
Meiling Zhu ◽  
Yun Hu ◽  
...  

BACKGROUND: Restless legs syndrome (RLS) is a common complication in maintenance hemodialysis (MHD) patients. Current study was conducted to analysis the effectiveness and safety of electroacupuncture on 3 acupuncture points from lower limb meridians in the treatment of RLS.<br/> METHODS: A total of 7 MHD patients (5 Male and 2 Female) in our center with severe RLS symptom were enrolled. After one month of pharmacological washout period, patients received 12 sessions of electroacupuncture on three acupoints (Zusanli (ST36), Sanyinjiao (SP6) and Taichong (LR-3)) during HD. Severity of RLS symptoms and the sleep quality were evaluated by IRLSSG and ISI scores for 3 times (before, after and 1 month later of the electroacupuncture treatment).<br/> RESULTS: The average age of enrolled patients was 52.6±8.9 years, with median dialysis duration of 3.0 years. The hemoglobin level was 125.9±22.9 g/l. The IRLSSG score was significantly lower after electroacupuncture treatment (9.4±3.9) than that before treatment (17.3±4.7) (P <0.01). Both overall severity of RLS symptom average daily severity and frequency were significantly improved after electroacupuncture. It is also validated that the electroacupuncture treatment was contributed to sleep improvement in RLS patients after electroacupuncture treatment was discontinued for one month.<br/> CONCLUSION: Electroacupuncture on three lower limbs acupoints during MHD was as a safe and effective treatment for attenuating the symptoms of RLS and improvement of sleep quality in hemodialysis patients, and the therapeutic effect maintain for at least one month.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Samaneh Hashemi ◽  
Roya Rezaee ◽  
AmirHossein Saeedi ◽  
Hazhir Hojati ◽  
Reza Yahyavi Sahzabi ◽  
...  

Abstract Background and Aims Patients with End Stage Kidney Disease (ESKD) usually tend to have lower Quality of Life (QoL) compared to the general population. The purpose of this study was to determine the QoL and quality of sleep in patients on maintenance hemodialysis (MHD) and its relation with medical factors. Method This descriptive-analytical study was performed on 145 patients on MHD in two hospitals affiliated to Abadan University of Medical Sciences. Patients' QoL was assessed via KDQOL-SF questionnaire. For sleep quality, Pittsburgh Sleep Quality Questionnaire (PSQI) was used. Demographic information of patients, type of vascular access, history of dialysis, and frequency and duration of each dialysis session were collected. The average results of related laboratory tests in the last six months, were also recorded for each patient. Results Of 145 MHD patients, 81 (55%) were men and 64 were women. Most patients (53%) were between 30 and 60 years old. Illiteracy was present in 48 (33%) patients. Unemployed patients accounted for 70% of patients (99) and most of the participants (83.44%) lived in the city. Of 145 patients, 102 (70.34%) were married, 20 (13.79%) were single, and the rest were widows. The mean dialysis adequacy of patients was 1.14, and 53% had dialysis adequacy less than 1.2. The average quality of life score was 66.00 ±13, suggesting a high QoL in this group of patients. literacy was significantly associated with QoL score (P&lt;0.001). Likewise, there was significant association between QoL score and income level (p &lt;.001), the effect of Kidney disease on life (p &lt;.001), working status (p &lt;.009), social functioning (p &lt;.046), and marital status (p &lt;.001). The quality of social interactions was significantly associated with residence location (p &lt;.001). On the other hand, the presence of Kidney disease burden, sexual dysfunction, unemployment, role emotional and role physical, was associated with low QoL scores. We found a significant relationship between hemoglobin level and cognitive function (p &lt;.001, r= .075). In addition, significant relationships between phosphorus levels and physical function (p=.021) and role emotional (P:0.04) were observed. Seemingly, phosphorus levels were inversely related with sexual function in our patients (p &lt;0.001, r= - .013). Our data also suggested that serum calcium levels may have an impact on the patients’ social function (p=.038). The mean score of sleep quality was 7.00±4.00. Most of the patients (61%) had a PSQI&gt;5, indicating a poor sleep quality. High sleep quality (PSQI&lt;5) is significantly associated with low age and high-income level. There was also a significant relationship between the average sleep quality and general health (p &lt;0.001, r= -0.206), social function (p= 0.018, r=-0.208), and energy fatigue (p &lt;0.001, r= -0.309). Conclusion Our study showed that a wide range of determinants, including demographic, socioeconomic and disease-related factors can significantly influence the QoL and sleep quality in ESKD patients undergoing hemodialysis. Among them, modifiable factors including laboratory test results, socioeconomic determinants and psychosocial status should be addressed and accordingly treated and solved. Hence, an improvement in both the QoL and sleep quality of maintenance hemodialysis patients will be expected. Keywords Hemodialysis, Quality of life, Sleep quality, Sociodemographic characteristics.


2021 ◽  
pp. 1-2
Author(s):  
Ambili T. R ◽  
Bindu K Nair

Background- Although it is widely accepted that exercise is beneficial in patients with end-stage renal disease as in the general population, it is not easy to incorporate exercise programs into routine clinical practice. objectives: To determine the effect of intradialytic exercises on clinical outcome among patients undergoing maintenance hemodialysis and to find the association of clinical outcome with selected socio personal and clinical variables. Material and Method: One group pretest posttest design carried out among 30 patients who fulfilled the selection criteria were consecutively selected from dialysis unit of a tertiary care unit. The tools used were socio personal and clinical data sheet, Urea reduction ratio sheet, Pittsburgh sleep quality index, fatigue severity rating scale and muscle cramp assessment tool.Results:After intradialytic exercises urea reduction ratio was improved significantly from 64.27 ± 9.10 to 68.47 ±7.33, Pittsburgh sleep quality index score decreased significantly from 10.40 ± 4.17 to 8.43 ± 4.67, fatigue severity score decreased significantly from 43.03 ± 15.14 to 28.93± 16.56 and muscle cramp severity score significantly decreased from 2.13± 1.33 to 1.77±1.35. Intradialytic exercises were found to be effective in improving clinical outcome of patients undergoing maintenance hemodialysis. No statistically significant association was found between clinical outcome of dialysis and selected socio personal and clinical variables.


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