scholarly journals Chronic Kidney Disease: Clinical Characteristics and psychosocial aspects

2019 ◽  
pp. 3-12
Author(s):  
Evangelos Fradelos ◽  
Dimitroula Mitsi ◽  
Sofia Zyga
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Chronic Renal Disease ◽  
Symptom Burden ◽  
Public Health Problem ◽  
Poor Quality ◽  
High Morbidity ◽  
Important Public Health Problem

Chronic kidney disease is characterized by persistent renal impairment and/or loss of renal function. This condition is associated with high morbidity and mortality, and despite progress in prevention, diagnosis and treatment, CKD remains an important public health problem. Emotional discomfort, manifested by symptoms of anxiety and depression, is common in chronic illnesses with incidence/prevalence rates and the severity of symptoms being significantly higher among patients with chronic health problems such as heart disease, rheumatoid arthritis or chronic renal disease, compared to the general population. While the estimate accuracy may vary due to methodological differences and differences in measurements between studies, there are indications that chronic disease with coexisting depression is associated with increased symptom burden and functional impairment, poor quality of life, non-observance of treatment and worse clinical outcomes. Psychosocial issues among these patient groups are important not only for maintaining a good quality of life, but also for managing the disease. As mental health is a predictive factor for the outcomes of CKD patients, the management of any issues that arise is of paramount importance. The role of nephrology nurses is particularly important both in the implementation of nursing interventions related to the treatment and management of the disease, as well as in the provision of individualized psychological support to patients undergoing hemodialysis.

scholarly journals Quality of Life and Symptom Burden among Chronic Kidney Disease of Uncertain Etiology (CKDu) Patients in Girandurukotte, Sri Lanka

2020 ◽  
Vol 17 (11) ◽  
pp. 4041 ◽  
Author(s):  
Hansani Madushika Abeywickrama ◽  
Swarna Wimalasiri ◽  
Yu Koyama ◽  
Mieko Uchiyama ◽  
Utako Shimizu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Sri Lanka ◽  
Kidney Disease ◽  
Short Form ◽  
Symptom Burden ◽  
Symptom Index ◽  
The Mean ◽  
Uncertain Etiology

Symptom burden and health-related quality of life (HRQOL) are important predictors of how a disease affects patients’ lives, especially for endemic health problems such as chronic kidney disease of uncertain etiology (CKDu). Our study describes symptom burden, HRQOL, and associated demographic and clinical variables in CKDu patients in the Girandurukotte area, Sri Lanka. A cross-sectional study included 120 CKDu patients attending the renal clinic in the endemic area. The instruments applied were the Kidney Disease Quality of Life—Short Form (KDQOL-SFTM) version 1.3 and CKD Symptom Index—Sri Lanka. Socio-demographic, disease-related, and anthropometric variables were also investigated. The mean age of patients was 61.87 (SD 11.31), while 69.2% were male. The mean glomerular filtration rate was 28.17 (SD 14.03) mL/min/1.73 min2, and 70.8% were anemic. Bone/joint pain was the most experienced symptom while the median number of symptoms reported by patients was 5 (IQR 3–7). The mean symptom burden, physical component summary, mental component summary, and kidney-disease-specific component scores were 12.71 (SD 10.45), 68.63 (SD 19.58), 78.53 (SD 18.78), and 81.57 (SD 5.86), respectively. Age was found to be a significant predictor of HRQOL, while hemoglobin level and being a farmer were significant predictors of symptom burden. Our data indicate that CKDu patients in all stages experience at least one symptom affecting all aspects of HRQOL.

scholarly journals A Review of the Role of Exercise and Factors Affecting its Uptake for People with Chronic Kidney Disease (Ckd) not Requiring Renal Replacement Therapy/ Преглед На Улогата На Вежбањето И Факторите Што Влијаат На Неговата Примена Кај Лица Со Хронична Бубрежна Болест (Хбб) За Кои Не Е Потребна Бубрежна Заменска Терапија

PRILOZI ◽  
2015 ◽  
Vol 36 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Heather J. MacKinnon ◽  
John Feehally ◽  
Alice C. Smith
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Renal Replacement Therapy ◽  
Kidney Disease ◽  
Replacement Therapy ◽  
Symptom Burden ◽  
Evidence Base ◽  
Factors Affecting ◽  
Exercise Interventions

AbstractChronic Kidney Disease (CKD) is a long-term progressive condition affecting 10-15% of people. The overlap of diabetes, hypertension and CKD in an aging population means that prevalence will only increase. CKD increases the risk of all-cause mortality, secondary to the elevated cardiovascular risk. It also significantly affects the patients’ ability to engage in functional activities and their quality of life.The evidence base suggests that exercise has the capacity to improve symptom burden, functional ability and mental health. The majority of the patient population are pre-dialysis yet previous research has concentrated on dialysing patients. This review will focus on the patient group not requiring renal replacement therapy (non-RRT) as this is an area where further work is urgently needed.A large majority of people with CKD tend to be inactive despite emerging guidelines emphasising the positive effect of exercise for both people with chronic disease and healthy populations. This paper will review the evidence to support exercise to improve outcomes and quality of life and report on common barriers that patients experience and advocate the need for supported exercise interventions to help patients become more active and gain the potential resultant health benefits.

scholarly journals Hubungan Anemia dengan Kualitas Hidup Pasien PGK yang Menjalani Hemodialisis

2020 ◽  
Vol 8 (2) ◽  
pp. 107-116
Author(s):  
Peri Zuliani ◽  
Dita Amita
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Sampling Technique ◽  
Poor Quality ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Relationship

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

scholarly journals KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIS DENGAN TERAPI HEMODIALISA

2021 ◽  
Vol 8 (02) ◽  
pp. 21-32
Author(s):  
Ns Nolla Lisa Lolowang ◽  
Welmin M.E Lumi ◽  
Amelia A. Rattoe
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Poor Quality ◽  
Therapeutic Interventions ◽  
Building Relationships ◽  
Education Support

ABSTRAK Gagal ginjal kronis merupakan penyakit yang berkepanjangan, sangat berbahaya, asimptomatik sejak tahap awalnya. Perlu untuk mengetahui dan mengevaluasi kualitas hidup pasien gagal ginjal kronis yang menjalani terapi hemodialisa sehingga dapat memberikan masukan kepada perawat dalam menetapkan intervensi terapeutik dalam membangun hubungan, memberikan dukungan secara komprehensif kepada pasien dan keluarga. Tujuan penelitian ini adalah memberikan gambaran kualitas hidup pasien gagal ginjal kronis dengan terapi hemodialisa. Desain penelitian adalah deskriptif, dengan metode sampel adalah total sampling, 45 responden. Data dianalisis secara univariat untuk mengetahui frekuensi dan persentase. Hasil penelitian menunjukkan kualitas hidup pasien gagal ginjal kronis dengan terapi hemodialisa bervariasi antara baik dan buruk. 17 orang (37.8%) memiliki kualitas hidup buruk pada domain kesehatan, 6 orang (13.3%) memiliki kualitas hidup buruk pada domain psikologis, 14 orang (31.1%) memiliki kualitas hidup buruk pada domain hubungan sosial dan 6 orang (13.3) memiliki kualitas hidup yang buruk pada domain lingkungan. Peran perawat dalam memberikan edukasi, dukungan dan motivasi sangat diperlukan untuk meningkatkan kualitas hidup pasien gagal ginjal kronis yang menjalani terapi hemodialisa.   Kata-kata kunci: kualitas hidup, hemodialisa, gagal ginjal kronis.   ABSTRACT Chronic renal failure is a prolonged, very dangerous, asymptomatic disease from its early stages. It is necessary to know and explain the quality of life of patients with chronic kidney disease who undergo hemodialysis therapy so that they can give advice to nurses in determining therapeutic interventions in building relationships, providing comprehensive support to patients and their families. The aim of this study was to offer an overview of the quality of life of patients with chronic renal failure with hemodialysis therapy. The research design is descriptive with the sampling method is total sampling, 45 respondents. Data were analyzed to find the frequency and percentage. The results showed that the quality of life of patients with chronic renal failure with hemodialysis therapy varied between good and bad. 17 people (37.8%) had a poor quality of life in the health domain, 6 people (13.3%) had a poor quality of life in the psychological domain, 14 people (31.1%) had a poor quality of life in the social relationship domain and 6 people (13.3) had quality bad life in the environmental domain. The role of nurses in providing education, support, and motivation is needed to improve the quality of life for chronic renal failure patients undergoing hemodialysis therapy.   Keywords: quality of life, hemodialysis, chronic kidney disease.

HUBUNGAN EFIKASI DIRI DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2018 ◽  
Vol 5 (2) ◽  
pp. 56-63
Author(s):  
Abdul Wakhid ◽  
Estri Linda Wijayanti ◽  
Liyanovitasari Liyanovitasari
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Healing Process ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Kolmogorov Smirnov

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.

scholarly journals Anemia among Chinese patients with chronic kidney disease and its association with quality of life - results from the Chinese cohort study of chronic kidney disease (C-STRIDE)

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yan Shen ◽  
◽  
Jinwei Wang ◽  
Jing Yuan ◽  
Li Yang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Cohort Study ◽  
Kidney Disease ◽  
Systematic Investigation ◽  
Chinese Patients ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Anemia Treatment

Abstract Background Anemia is one of the common complications in patients with chronic kidney disease (CKD). However, there is no systematic investigation on the prevalence of anemia in CKD patients and its relationship with the quality of life in China. Methods The data for this study comes from baseline data from the Chinese Chronic Kidney Disease Cohort Study (C-STRIDE), which recruited predialysis CKD patients in China. The kidney disease quality of life summary (KDQOL-TM) was used to assess health-related quality of life (HRQoL). Use linear regression model to estimate the relationship between hemoglobin level and quality of life. Results A total of 2921 patients were included in this study. The adjusted prevalence of hemoglobin (Hb) less than 100 g/L was 10.3% (95% confidence interval [CI]: 9.9,11.4%), and showed an increased trend through reduced eGFR levels from 4.0% (95%CI:2.3,5.9%) in the 45-60 ml/min/1.73m2 group to 23.4% (95%CI:20.5,26.2%) in the 15–29 ml/min/1.73m2 group. The prevalence of anti-anemia treatment was 34.0% (95%CI: 28.7,39.3%) and it is shown by reducing eGFR levels from 15.8% (95%CI:0,36.7%) in the 45-60 ml/min/1.73m2 group to 38.2% (95%CI: 30.7,45.2%) in the 15–29 ml/min/1.73m2 group. All five dimensions of the KDQOL scores in patients with CKD decreased as hemoglobin declined. After multivariable adjustments,the degrees of decrease became somewhat blunted. For example, compared with hemoglobin of ≥130 g/L, regression coefficients in the hemoglobin of < 100 g/L were − 0.047(95%CI: − 0.049,-0.045) for Symptoms and Problems(S), − 0.047(95%CI: − 0.049,-0.044) for Effects of the Kidney Disease(E), − 0.207(95%CI: − 0.212,-0.203) for Burden of the Kidney Disease(B), − 0.112(95%CI: − 0.115,-0.109) for SF-12 Physical Functioning (PCS), − 0.295(95%CI: − 0.299, -0.292) for SF-12 Mental Functioning (MCS), respectively. Conclusions In our cross-sectional analysis of patients with CKD in China, prevalence of both anemia and anti-anemia treatment increased with decreased eGFR. In addition, anemia was associated with reduced HRQoL.

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