scholarly journals ГІСТОЛОГІЧНА ДІАГНОСТИКА ХРОНІЧНОЇ НИРКОВОЇ НЕДОСТАТНОСТІ В КОТІВ

2016 ◽  
Vol 18 (3(70)) ◽  
pp. 17-21
Author(s):  
B.V. Borysevich ◽  
V. Sviridenko ◽  
V.V. Hunich
Keyword(s):  
Renal Failure ◽  
Kidney Failure ◽  
Clinical Signs ◽  
Chronic Kidney Failure ◽  
Glomerular Sclerosis ◽  
Kidney Cells ◽  
Paraffin Sections ◽  
Blood Capillaries ◽  
Histological Studies ◽  
Laboratory Results

The objective of the study is to set the criteria of histological diagnosis of chronic renal insufficiency in cats. Lifetime diagnosis of chronic renal failure in a complex was set in complex, basing on anamnesis, clinical signs and laboratory results of blood and urine. For histological studies 29 cats corpses of different breeds and ages were used, who died from chronic kidney failure. Paraffin sections of 7 – 10 mm thickness from the different segments of kidney were stained with Carazzi's hematoxylin and eosin.It was established that during the histological studies in the kidney of cats who died from chronic kidney failure the microscopic changes diversity is characteristic. A characteristic feature of chronic kidney failure cats is complex of changes, which includes: 1) expand and overflow of blood capillaries of the glomeruli; 2) sludge–phenomenon in the capillaries of the glomerulus; 3) lack of blood in the capillaries of the glomerulus; 4) an increased amount of leachate in the cavity of Boumen–Shumlyanskiy capsule; 5) thickening (in some casescrescent–like) of parietal layer of Boumen–Shumlyanskiy capsule due to the hypertrophy and hyperplasia of its cells in the part of kidney cells; 6) glomerular sclerosis of the renal corpuscles and total necrosis of the renal corpuscles; 7) microcysts formation, mainly in the cortex. Other microscopic changes in different animals vary. 

scholarly journals Coping Mechanisms and Stress Adaptation in Chronic Kidney Failure Patients Underwent Hemodialysis Therapy in RSUD Waled Kabupaten Cirebon

2020 ◽  
Vol 7 (2) ◽  
pp. 27-31
Author(s):  
Bambang Adi Purnomo ◽  
Yani Kamasturyani ◽  
Cecep Wahyudin
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Coping Mechanisms ◽  
Rank Test ◽  
Stress Adaptation ◽  
P Value ◽  
Cross Sectional ◽  
Spearman Rank

Chronic renal failure is a disease that results in a progressive and gradual decline in renal function that requires hemodialysis therapy. In Indonesia, there were 198,575 patients chronic kidney failure in 2018. The number of undergoing hemodialysis therapy is 132,142 patients. The hemodialysis routine causes tension, anxiety, stress and depression in patient. The purpose of this study was to determine the relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy ant Waled Hospital. The method of this research was descriptive correlational with a cross sectional approach. This research used purposive sampling technique amounted to 79 respondents. The instrument of this research was a questionnaire Jaloweic Coping Scale (JCS) and stress adaptation questionnaire. Data analysis used the spearman rank test. Place of research at Waled Hospital, Cirebon Regency during July 2020.  The result showed that most respondents had an adaptive category as many as 55 adaptation showed the results of most respondents had an adaptive category as many as 55 respondents with a percentage (69.6%). The spearman rank test showed p value <α and r<1, which means that there was a moderate an positive relationship between coping mechanisms and stress adaptation (p value=0,000 < α=0.05 and r=0.593). The is a relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy. The better coping mechanism is carries out, the adaptive stress that arises will be adaptive so that the patient can adjust and be able to cope with the stress he is experiencing.

scholarly journals Proteinuria pada Penderita Gagal Ginjal Kronik di Rumah Sakit Martha Friska Multatuli Medan Tahun 2015-2016

2019 ◽  
Vol 1 (2) ◽  
pp. 77-80
Author(s):  
Juliana Ruminta Sijabat ◽  
Sartini Sartini ◽  
Abdul Karim
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
General Hospital ◽  
Medical Record ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Urine Samples ◽  
Medical Record Data ◽  
Record Data ◽  
Male Patients

This study aims to determine the presence or absence of protein in urine in patients with chronic renal failure. From the results of the study it was found that patients with chronic kidney failure in Martha Friska Multatuli General Hospital Medan from the 80 most patients in positive +++. Many patients with chronic kidney failure are male patients (62.5%) compared to female patients (37.5%) and the results of the examination based on age increase with age, ie at the age of 45 years and above. This type of research is descriptive analytic. Data is taken by recording medical record data of patients with chronic kidney failure based on age, sex and year. The study was conducted from January 2015 to December 2016. The place for conducting the research was conducted at Martha Friska Multatuli General Hospital (RSU) Medan. The study sample was urine samples from all patients with chronic renal failure. It can be concluded that the picture of protein in urine in patients with chronic kidney failure increases every year.

scholarly journals Ureum Levels Before and After Hemodialization in Renal Failure Patients

2021 ◽  
Vol 2 (2) ◽  
pp. 104-108
Author(s):  
Siti Kustiyah
Keyword(s):  
Renal Failure ◽  
Kidney Failure ◽  
Research Method ◽  
Chronic Kidney Failure ◽  
Laboratory Unit ◽  
Urea Level ◽  
Risk Of Death ◽  
Before And After ◽  
End Stage ◽  
Urea Reduction Ratio

Of chronic kidney failure is a state of decreased kidney function, where the kidneys are no longer able to excrete the rest of the body's metabolism. In end-stage chronic kidney failure hemodialysis is needed to eliminate the rest of the body's metabolism that accumulates in the blood and reduce the risk of death. The effectiveness of hemodialysis can be seen from the decrease in urea levels after hemodialysis. The purpose of this study was to determine the description of urea levels before and after hemodialysis in kidney failure patients. This research method uses descriptive observational data collection with URR (Urea Reduction Ratio) involving 130 patients with kidney failure who undergo hemodialysis. This research was conducted in July and October 2019 in the laboratory unit of the Klaten Islamic Hospital. The results There was a decrease in urea levels before and after hemodialysis. Where ureum levels before hemodialysis averaged 133.19 mg / dl and after hemodialysi s averaged 39.74 mg / dl . Conclusions  Urea levels in patients with renal failure before hemodialysis increase / height can be 2 times or more than normal levels, an average of 133.19 mg / dl. Increased urea level increases influenced by several factors, including sex, age, indications such as supplements, medications and diabetes mellitus. Urea levels after hemodialysis  average  39.74 mg / dl resulting in a decrease in urea levels before and after hemodialysis 70,16%.

CORRELATION OF SELF EFFICACY WITH COMPLIENCE UNDERGOING HEMODIALYSIS ON PATIENTS CHRONIC KIDNEY FAILURE IN GENERAL WALED HOSPITAL CIREBON

2020 ◽  
Vol 7 (2) ◽  
pp. 19-26
Author(s):  
Sri Khoiriyah ◽  
Endah Sari Purbaningsih ◽  
Uni Wahyuni
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Self Efficacy ◽  
District Hospital ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Rank Test ◽  
Electrolyte Balance ◽  
Cross Sectional

Self efficacy is a belief held by patients with chronic kidney failure undergoing hemodialation. Compliance with hemodialysis is the behavior of patients in the form of adherence to undergo hemodialysis. Chronic kidney failure is a progressive and irreversible disruption of renal function in which the body's ability to fail to maintain metabolism and fluid and electrolyte balance, causes uremia (retention of urea and other nitrogenous wastes in the blood). This study aims to determine the relationship of self efficacy with adherence to undergo hemodialysis in patients with chronic kidney failure who undergo hemodialysis in Waled District Hospital Cirebon, 2020.  This research method uses descriptive correlational with cross sectional approach. The population was patients with chronic renal failure who underwent hemodialysis at Waled District Hospital Cirebon as many as 128 patients and the sampling technique using purposive sampling technique obtained 57 respondents. The instrument used in the form of a questionnaire sheet, and data analysis using the Spearman rank test, the significance value α = 0.05.  The results showed that self efficacy with a low category was (61.4%) and compliance underwent hemodialysis with an adherent category of (54.5%). There is a relationship between self-efficacy and compliance with hemodialysis in chronic renal failure patients undergoing hemodialysis at Waled Hospital, Cirebon Regency. Respondents with high self-efficacy have a high level of compliance with hemodialysis.

scholarly journals Mekanisme Koping pada Pasien Gagal Ginjal Kronik yang menjalani Hemodialisis di Unit Hemodialisa RSUD Bandung

2020 ◽  
Vol 7 (1) ◽  
pp. 18
Author(s):  
Angga Satria Pratama ◽  
Andria Pragholapati ◽  
Ikhwan Nurrohman
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Public Hospital ◽  
Chronic Kidney Failure ◽  
Coping Mechanisms ◽  
Coping Mechanism ◽  
Adaptive Coping ◽  
Renal Disorder ◽  
Quantitative Descriptive

Gagal ginjal kronik merupakan gangguan renal yang progresif dan irreversible dimana kemampuan tubuh gagal mempertahankan metabolisme dan keseimbangan dan elektrolit, pasien gagal ginjal kronik harus menjalani terapi hemodialisis secara terus menerus seumur hidup dan akan menimbulkan masalah fisik dan psikologis yaitu depresi, pasien harus memiliki upaya dalam menyelesaikan masalah yang dihadapinnya yang dikenal dengan mekanisme koping. Tujuan penelitian untuk mengetahui mekanisme koping pada pasien gagal ginjal kronik yang menjalani terapi hemodialisis di unit hemodialisa Rumah Sakit Umum Daerah Kota Bandung.Metode penelitian menggunakan deskriptif kuantitatif. Sampel dalam penelitian ini menggunakan total sampling yaitu sebanyak 51 responden pasien gagal ginjal kronik yang menjalani terapi hemodialisis.Hasil penelitian mekanisme koping lebih dari setengahnya adalah mekanisme koping adaptif sebanyak 38 orang (74.5%). Berdasarkan hasil penelitian Perawat di ruang hemodialisa diharapkan dapat meningkatkan asuhan keperawatan secara menyeluruh yang bukan hanya biologisnya saja tapi pada psikologis pasien gagal ginjal kronik juga, seperti memberikan konseling sehingga pasien mampu menggunakan mekanisme koping yang adaptif.Kata Kunci: gagal ginjal; hemodialisis; mekanisme koping MECHANISM OF COPING IN CHRONIC KIDNEY FAILURE IN HEMODIALYSIS PATIENTS AT REGIONAL PUBLIC HOSPITAL OF BANDUNG ABSTRACT Chronic renal failure is a progressive and irreversible renal disorder in which the body's ability to fail to maintain metabolism and balance and electrolytes, patients with chronic renal failure must undergo continuous hemodialysis therapy for life and it will cause physical and psychological problems namely depression, patients must have the effort to resolve the problem that is facing by knowing the coping mechanism. The purpose of this study was to determine the coping mechanism in chronic kidney failure patients undergoing hemodialysis therapy in the hemodialysis unit of Regional Public Hospital of Bandung City.The research method used quantitative descriptive. The sample in this study used a total sampling of 51 respondents from chronic kidney failure patients undergoing hemodialysis therapy.The results of research on coping mechanisms more than half are adaptive coping mechanisms as many as 38 people (74.5%). Based on the results of research Nurses in the hemodialysis room are expected to improve overall nursing care that is not only biologically but also psychologically in patients with chronic kidney failure, such as providing counseling so that patients are able to use adaptive coping mechanisms. Keywords: kidney failure; hemodialysis; coping mechanism

scholarly journals Differences in Arteriovenous Fistula Maturation between Diabetes Mellitus and Non-Diabetes Mellitus in Chronic Renal Failure Patients in Padang

2021 ◽  
Vol 6 (1) ◽  
pp. 1287-1291
Author(s):  
Richard Santosa ◽  
Raflis Rustam ◽  
Vendry Rivaldy
Keyword(s):  
Diabetes Mellitus ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Arteriovenous Fistula ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Fistula Surgery ◽  
Arteriovenous Fistulas ◽  
Significant Difference ◽  
Patients With Diabetes

Background: Arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis (HD). Several factors can affect AVF maturity, such as diabetes. This study aims to determine the differences in the maturation of arteriovenous fistulas between diabetes mellitus and non-diabetes mellitus in patients with chronic kidney failure in Padang. Methods: This was a comparative cross-sectional study of patients with chronic kidney failure who underwent arteriovenous fistula surgery in Padang. The sampling technique in this study was consecutive sampling. The analysis was carried out using statistical analysis according to the existing data scale and using SPSS software. Results: This study involved 46 patients with chronic kidney failure who underwent arteriovenous fistula surgery in Padang, of which 23 patients with diabetes mellitus and 23 patients with non-diabetes mellitus. The diameter of the arteriovenous fistula between diabetes mellitus and non-diabetes mellitus in patients with chronic renal failure had a significant difference (p<0.05). There was no significant difference in flow, depth, and maturation of arteriovenous fistulas in patients with diabetes mellitus and non-diabetes mellitus with chronic renal failure. Conclusion: There is no difference in the maturation of arteriovenous fistula between patients with diabetes mellitus and non-diabetes mellitus

scholarly journals GAMBARAN TINGKAT DEPRESI PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Abdul Wakhid ◽  
Kamsidi Kamsidi ◽  
Gipta Galih Widodo
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Mild Depression ◽  
Cross Sectional ◽  
Self Worth ◽  
Depression Level ◽  
Quota Sampling

Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan berisikomengalami depresi.Tujuan penelitian ini untuk mengetahui gambaran tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Kabupaten Semarang. Desain penelitian yaitu deskriptif korelatif dengan pendekatansurvei. Populasi penelitian 85 pasien yang menderita gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota sampling sehingga jumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis. Pengumpulan data menggunakan kuesioner tingkat depresi. Analisis data menggunakananalisisunivariat. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisisdepresi ringan sejumlah 41 orang (48,2%). Saran bagi RSUD Kabupaten Semarang untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis. Kata kunci: Tingkat depresi, gagal ginjal kronik, hemodialisis DESCRIBE DEPRESSION LEVEL OF CHRONIC KIDNEY FAILURE UNDERGOING HEMODIALYSIS ABSTRACTThis research is motivated patients under going hemodialysis are largely dependent on hemodialysis machines resulting in changes such as financial problems, difficulty in keeping jobs, disappearing exualurges, impotence, and patient softenex perience self – conceptual disturbances as well as body image disturb ancesdue to the difficulty of accepting changes that result from failure kidney that  experienced resulting in depressed patients. The research aim is to describe depression level of chronic kidney failure under going hemodialysis ar Semarang Regency hospital. This research used descriptive correlative method with cross sectional approach. Population in this research were 85% of patients with chronic renal failure who under went hemodialysis at RSUD Semarang Regency. Sampling technique used sample quota. Data collection questionnaires used depressi on level sand self concept questionnaires. Analysis univariat was used in this analysis. The results of the study show that most patients with chronic renal failure under going hemodialysis experience mild depression as many as 41 people (48.2%). Suggestions to the hospital toteach patients to always optimistic to try new things, courageous, confident, enthusiastic, feeling self worth, dareto set a goal to live, behave and positively, and can be a reliable leader. Keyword: Depression level, chronic kidney disease, hemodialysis 

scholarly journals Gambaran Tingkat Kecemasan Pada Pasien Yang Menjalani Hemodialisa : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1233-1242
Author(s):  
Adi Gunawan ◽  
Aisyah Dzil Kamalah
Keyword(s):  
Renal Failure ◽  
Secondary Education ◽  
Chronic Renal Failure ◽  
Literature Review ◽  
Nursing Care ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Education Level ◽  
Exclusion Criteria ◽  
Bahasa Indonesia

AbstractPatients with chronic renal failure undergo hemodialysis for survival. Commonly, the hemodialysis process causes anxiety, which is related to machines and equipment, blood-flowing tubes and the process that takes 2 to 3 hours. This study aimed to describe the level of anxiety in patients undergoing hemodialysis. This study applied literature review. Articles were searched from PubMed, Garba Referral Digital (GARUDA), and ResearchGate according to inclusion and exclusion criteria. There are 5 articles met the criteria. More than half (65,8%) was male, 281 respondents (40,9%) have secondary education level, and majority (78%) of the respondents were not working 489. Around 58,7% of the respondents experienced of hemodialysis for 1 year. 358 respondents (52,1%) were categorized in mild anxiety. The majority of patients undergoing hemodialysis experienced mild anxiety. Accordingly, hospitals or health facilities can improve nursing care to treat anxiety in chronic kidney failure patients undergoing hemodialysis.Keywords: Anxiety, Chronic Kidney Failure, Hemodialysis. AbstrakPasien gagal ginjal kronik menjalani hemodialisa demi kelangsungan hidupnya. Proses hemodialisa seringkali menimbulkan perasaan cemas dikarenakan mesin dan peralatan yang serba asing, selang-selang yang dialiri darah serta prosesnya yang membutuhkan waktu 2 sampai 3 jam. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan pada pasien yang menjalani hemodialisa berdasarkan literature review. Penelitian ini merupakan penelitian deskriptif, metode yang digunakan dalam penelitian ini adalah literatur review dengan penelusuran online dari PubMed, Garba Rujukan Digital (GARUDA) dan ResearchGate sesuai kriteria inklusi yaitu artikel tahun 2011 sampai 2021 serta artikel yang ditulis dalam bahasa Indonesia dan bahasa Inggris. Hasil penelusuran didapatkan 5 artikel tahun 2014 sampai 2020. Karakteristik jenis kelamin pada literature review ini laki – laki 432 responden (65,8%) dari 657 responden, tingkat pendidikan menengah 281 responden (40,9%) dari 687 responden, jenis pekerjaan tidak bekerja 489 responden (78%) dari 627 responden, dan lama hemodialisa ≤1Tahun 88 responden (58,7%) dari 150 responden. Tingkat kecemasan terbanyak adalah kecemasan ringan dengan jumlah 358 responden (52,1%) dari 687 responden. Pasien yang menjalani hemodialisa mayoritas mengalami kecemasan ringan, jadi bagi rumah sakit atau sarana kesehatan agar dapat melakukan penatalaksanaan untuk menurunkan tingkat kecemasan dengan teknik distraksi maupun relaksasi.Kata Kunci: Gagal Ginjal Kronik, Hemodialisa, Kecemasan.

Predictors for acute and chronic renal failure and survival in patients supported with veno-arterial extracorporeal membrane oxygenation

Perfusion ◽  
2019 ◽  
Vol 35 (5) ◽  
pp. 402-408
Author(s):  
Dirk Pabst ◽  
Patricio A Sanchez-Cueva ◽  
Behzad Soleimani ◽  
Christoph E Brehm
Keyword(s):  
Renal Failure ◽  
Renal Replacement Therapy ◽  
Extracorporeal Membrane Oxygenation ◽  
Replacement Therapy ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Free Hemoglobin ◽  
Hospital Survival ◽  
Membrane Oxygenation ◽  
Refractory Cardiogenic Shock

Background: Renal failure is a common occurrence in patients with refractory cardiogenic shock including those supported with veno-arterial extracorporeal membrane oxygenation. Prevalence and outcome of acute and chronic kidney failure in extracorporeal membrane oxygenation patients have not been well documented. In this study, we investigated the occurrence of acute and chronic kidney failure in veno-arterial extracorporeal membrane oxygenation patients as well as predictors for survival. Methods: This is a single center retrospective clinical study. We included adult patients with refractory cardiogenic shock who were supported by veno-arterial extracorporeal membrane oxygenation between 2008 and 2015. The primary endpoint of the study was acute kidney injury (KDIGO Stage 3) during extracorporeal membrane oxygenation and chronic kidney failure requiring renal replacement therapy, 30 and 90 days after extracorporeal membrane oxygenation. The secondary endpoint was in-hospital survival and 90-day survival. Results: A total of 196 veno-arterial extracorporeal membrane oxygenation patients were investigated. In total, 41.8% (82/196) patients had acute renal failure requiring continuous renal replacement therapy during extracorporeal membrane oxygenation. The 30- and 90-day survival was 55.1% (108/196) and 48.5% (95/196), respectively; 21.3% (23/108) and 11.6% (11/95) patients needed renal replacement therapy after 30 and 90 days, respectively. Predictors for KDIGO Stage 3 renal failure during extracorporeal membrane oxygenation were lactate (p = 0.026) and the number of blood units transfused during extracorporeal membrane oxygenation support (p = 0.000). A predictor for renal replacement therapy after 30 and 90 days was an elevated plasma-free hemoglobin level. The in-hospital survival was 54.6% (107/196). Serum lactate of less than 4.3 mmol/L, lower age, plasma-free hemoglobin of ⩽62 mg/dL, low number of blood units transfused during extracorporeal membrane oxygenation, and the use of an intra-aortic balloon pump were predictors for in-hospital and 90-day survival.

scholarly journals Self-Acceptance of Chronic Caused Failure Patients That Have a Hemodialysis in Medan

2019 ◽  
Vol 1 (1) ◽  
pp. 18-24
Author(s):  
Cholina Trisa Siregar ◽  
Mia Rhamayani
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Advantages And Disadvantages ◽  
Realistic Assessment ◽  
Study Population ◽  
Self Acceptance ◽  
Improve Patient

Chronic kidney failure patients undergoing hemodialysis undergo physical and psychological changes. Self-acceptance is a person's ability to have a realistic assessment of advantages and disadvantages. This study aims to describe self-acceptance in patients with chronic renal failure undergoing hemodialysis in the RSUD Dr. Pirngadi Medan. The study population was patients with chronic renal failure who underwent hemodialysis at the RSUD Dr. Pirngadi Medan. The sample of this study amounted to 106 people. The sampling technique uses non probability sampling, namely, purposive sampling. The inclusion criteria for the study sample were chronic kidney failure patients who underwent hemodialysis who were in consciousness compos mentis. Data collection was conducted in April-May 2017. Data were analyzed by descriptive statistical analysis. The results of the study obtained data that 12 people were at high self-acceptance (11.3%), 80 people were at moderate self-acceptance (75.5%), and 14 people were at low self-acceptance (13.2%). Based on the results of the study it can be concluded that patients with chronic renal failure undergoing hemodialysis in the RSUD Dr. Pirngadi Medan has a good self-acceptance, ie the patient accepts his condition even though he has to undergo hemodialysis for life. Researchers expect that nurses can provide emotional support and motivation to patients to improve patient self-acceptance.

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