A Quasi-Experimental Study to Evaluate the Effectiveness of Cryotherapy on Pain during Arteriovenous Fistula Puncturing among Hemodialysis Patients in Dialysis Unit of Safdarjung Hospital, New Delhi

2018 ◽  
Vol 05 (02) ◽  
pp. 20-25
Author(s):  
Sumyra Nazir ◽  
Keyword(s):  
Experimental Study ◽  
Arteriovenous Fistula ◽  
Hemodialysis Patients ◽  
New Delhi ◽  
Dialysis Unit ◽  
Quasi Experimental ◽  
Safdarjung Hospital

Relationship between hemodialysis patients’ educational level and arteriovenous fistula patency

Vascular ◽  
2020 ◽  
Vol 28 (5) ◽  
pp. 604-608
Author(s):  
Atıf Yolgösteren
Keyword(s):  
High School ◽  
Arteriovenous Fistula ◽  
Vascular Access ◽  
Educational Level ◽  
Hemodialysis Patients ◽  
Binary Logistic Regression Analysis ◽  
School Graduate ◽  
Dialysis Unit ◽  
Educational Levels ◽  
Significant Difference

Objectives Vascular access is a lifeline for the patients who are in need of long-term hemodialysis. Native arteriovenous fistula is the most intensively preferred vascular access method owing to its longevity and convenience of use. Therefore, in this study, we aimed to determine whether there might be a relationship between hemodialysis patients’ educational levels and arteriovenous fistula patency. Methods A total of 349 patients who were attending in a chronic hemodialysis program between June 2018 and September 2018 at Bursa Uludağ University, Faculty of Medicine Dialysis Unit and in a private dialysis center in İstanbul were included in this study. The patients were grouped into two: those who have had arteriovenous fistula primary failure at least once and those who have never had arteriovenous fistula primary failure. Educational levels of the patients were classified according to Turkish National Education system (illiterate, primary school graduate, secondary school graduate, high school graduate, and university graduate). Mann–Whitney U and Chi-square tests were performed for statistical analyses. Risk factors were determined by applying backward binary logistic regression analysis. Results A total of 349 patients, 161 (46.1%) females and 188 (53.9%) males, were examined retrospectively. The median age of the patients was 64 years (range: 18–90 years). Educational level comparison revealed statistically significant difference in terms of fistula patency ( p = 0.016). In particular, fistula patency was significantly lower in illiterate, primary, secondary, and high school graduates in comparison with university graduates ( p = 0.001, p = 0.015, p = 0.003, and p = 0.018, respectively). When each group of educational level was analyzed separately in terms of fistula patency, it was observed that the higher the educational level was, the lower arteriovenous fistula primary failure rates were. Conclusions In this study, we observed a lower rate of fistula patency in patients with a low level of education. Hence, we are of the opinion that the trainings delivered on arteriovenous fistula care in dialysis centers are required to be shaped in accordance with educational levels of patients.

scholarly journals Investigating the Effect of a Structured Intervention on the Development of Self-Care Behaviors With Arteriovenous Fistula in Hemodialysis Patients

2020 ◽  
pp. 105477382097483
Author(s):  
Clemente Neves Sousa ◽  
Ana Rita Cabral Paquete ◽  
Paulo Teles ◽  
Cristina Maria Correia Barroso Pinto ◽  
Vanessa Filipa Ferreira Dias ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Intervention Group ◽  
Self Care ◽  
Signs And Symptoms ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Positive Effects ◽  
Study Results ◽  
Quasi Experimental ◽  
Structured Intervention

This study aimed to assess the effectiveness of a structured intervention on the frequency of self-care behaviors with arteriovenous fistula (AVF) by patients on hemodialysis. This is a quasi-experimental study with pre- and post-measurements. Participants were assigned to an intervention group (IG) ( n = 48) or to a control group (CG) ( n = 41). IG patients were subject to a structured intervention on self-care with AVF (SISC-AVF) consisting of both a theoretical and a practical part. After SISC-AVF application, patients in the IG showed better overall self-care behaviors with AVF than patients in the CG (79.2% and 91.4%, respectively, p < .001) as well as better self-care concerning both the management of signs and symptoms (90.1% and 94.4% respectively, p = .004) and the prevention of complications (72.7% and 89.5%, respectively, p < .001). The study results suggest that the SISC-AVF had positive effects on patients in the IG.

scholarly journals Reduction of Liver Fibrosis After Treatment with Elbasvir/Grazoprevir in Patients with Hepatitis C Infection in Chronic Kidney Disease on Hemodialysis, a Quasi-Experimental Study

2021 ◽  
Vol 22 (1) ◽  
pp. 21-28
Author(s):  
Bayu Laksono ◽  
Nenny Agustanti ◽  
Rudi Supriyadi ◽  
Muhammad Begawan Bestari ◽  
Siti Aminah Abdurachman
Keyword(s):  
Chronic Kidney Disease ◽  
Experimental Study ◽  
Hepatitis C ◽  
Kidney Disease ◽  
Liver Fibrosis ◽  
Hemodialysis Patients ◽  
Hcv Rna ◽  
Before And After ◽  
Apri Score ◽  
Quasi Experimental

Background: Approximately 5-60% of hemodialysis patients have comorbid of hepatitis C virus (HCV) infection. The survival rate of hemodialysis patients HCV is lower than those without HCV due to the risk of liver fibrosis and cardiovascular disease. The combination of Elbasvir and Grazoprevir is the drug of choice for these patients with HCV genotype 1 and 4 which mainly inherited in populations in Indonesia. However, a high cost is required for this genome testing.  Eradication of HCV might reduce liver fibrosis. One of the methods to evaluate liver fibrosis is by using APRI score. The aim of this study is to assess liver fibrosis using APRI score after  Elbasvir/Grazoprevir therapy completion.Method: This was a quasi-experimental study without a control group which conducted during April-November 2019 in Dr. Hasan Sadikin Hospital, Bandung. Patients with reactive anti HCV, detected HCV RNA without genotype test, and sustained virological response (SVR) 12 achieved were included. APRI score and HCV RNA tests were performed before and after 12 weeks end of therapy (SVR12). The data were analyzed using paired T-test at a 95% confidence level.Results: Approximately 30% of hemodialysis patients had HCV infection. A total of 37 HCV patients in the hemodialysis unit were given Elbasvir/Grazoprevir for 12 weeks. The APRI score before and after 12 weeks after therapy were 0.336 and 0.270 (p = 0.002) respectively.Conclusion: The combination of Elbasvir/Grazoprevir might reduce the degree of liver fibrosis based on APRI score from 0.336 to 0.270  in HCV patients with chronic kidney disease on hemodialysis

A Quasi Experimental Study to Assess the Effectiveness of Rectal Analgesic Suppository versus Oral Analgesia in the Management of Post Episiotomy Pain among Primipara Women in a Selected Hospital of New Delhi

2017 ◽  
Vol 6 (4) ◽  
Author(s):  
Sandhya Saji Varghese ◽  
Seema Rani ◽  
Jahanara Rahman ◽  
Mikki Khan
Keyword(s):  
Experimental Study ◽  
Sampling Technique ◽  
Control Group ◽  
New Delhi ◽  
Rectal Suppository ◽  
Post Test ◽  
Quasi Experimental ◽  
Level Of Significance ◽  
Experimental Group ◽  
Oral Analgesia

Objectives: Of the study were to assess the effectiveness of rectal analgesic suppository and oral analgesia in management of post episiotomy pain among primipara women, and to compare the efficacy of rectal suppository versus oral analgesia. Methodology: A quise experimental study with control group pre-test post –test design was used for the study. The study was conducted in Swami Dayanand Hospital New Delhi Purposive sampling technique was used for selecting 60 primipara women with episiotomy, out of 30 were in experimental group and 30 were in the control group. Post episiotomy pain was assessed using Numeric Pain Intensity Scale.(NPIS) Results: The mean post-test pain score in experimental group was (3.90) with SD(Standard deviation) =1.12 less than mean post test score in control group as measured by (NPIS), (7.16)with SD= 0.83 of at 12 hrs. With mean difference 3.26 which is evident from‘t’ value (12.8) for df 58 at 0.05 level of significance which was significant at 0.05 level. Therefore, this indicates that rectal analgesic suppository was more effective than the oral analgesia in reducing post episiotomy pain in experimental group at 12 hrs. Conclusion: The findings of the present study suggest that rectal analgesic suppository was effective for longer time than oral analgesia.

scholarly journals Effectiveness of Allen Exercise in reduction of Muscle cramps among Hemodialysis Patients in Dialysis Unit

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 105-109
Author(s):  
Tejpal Singh ◽  
Ruban David P ◽  
Kala Barathi S
Keyword(s):  
Sampling Technique ◽  
Dry Weight ◽  
Structured Interview ◽  
Blood Stream ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Dialysis Unit ◽  
Muscle Cramps ◽  
Post Test ◽  
Quasi Experimental

A muscle spasm can be clarified as an automatically and persuasively contracted muscle that doesn't relax. Muscle squeezing of the feet, and legs is genuinely basic on hemodialysis. The reason for muscle squeezing is not known. Nonetheless, three conditions that appear to increment squeezing are hypotension, the patient being underneath dry weight and utilization of low sodium dialysate arrangement. Allen practices for the confined muscle is the best treatment, May help in on the other hand crushing and delivering the confined muscle. This mechanical plying reestablishes blood stream and for the most part assists with loosening up the fit and snugness. Hence the study aimed to assess the effectiveness of Allen exercise in reduction of muscle cramps among hemodialysis patients. Quasi Experimental research design was employed with 80 samples which matched the inclusion criteria were selected by convenience sampling technique. Demographic variables data were collected by using a structured interview questionnaire followed by assessing the muscle cramps by using the Ashworth muscle cramps scale. The findings of the study clearly infers that the Allen Exercise administered to hemodialysis patients was found to be effective in reducing the level of muscle cramps among hemodialysis patients in the post test of experimental group than the hemodialysis patients in the control group.

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