scholarly journals EXTENT OF HEMODIALYSIS NURSES’ PRESENCE AS PERCEIVED BY PATIENTS

2020 ◽  
Vol 6 (3) ◽  
pp. 67-72
Author(s):  
Ma. Almira Pliego Nebres ◽  
Clarence Bien Ladion Nebres ◽  
Bienvisa Ladion Nebres
Keyword(s):  
Nursing Care ◽  
Chronic Renal Disease ◽  
Hospital Setting ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Spiritual Needs ◽  
Patient Relationship ◽  
Descriptive Research ◽  
Hemodialysis Treatment ◽  
Nursing Presence

Background: Nursing presence is an essential nurse caring behavior of being with the patient. This is particularly true for those with chronic renal disease and who regularly undergo maintenance hemodialysis treatment in the hospital setting. When nursing presence is perceived by patients in a nurse-patient relationship, it is more likely to result in enhanced satisfaction with the quality of nursing care. Thus, it is important for hemodialysis nurses to be aware of the relevance of nurse-patient interactions in planned care considering that these interactions are integral to the extent to which nursing presence is experienced and perceived by patients.Objective: This study aims to determine the hemodialysis nurses’ extent of nursing presence as perceived by patients undergoing hemodialysis treatment in two hospitals in Iligan City, Philippines.Methods: Utilizing the descriptive research design, the study was conducted in two hospitals in Iligan City, Philippines.  A total of 121 hemodialysis patients were purposely selected to determine their perception as to the extent of hemodialysis nurse’s nursing presence utilizing the 25-item Presence of Nursing Scale (PONS) instrument. Descriptive statistics were used for data analysis.Result: The overall rating by the hemodialysis patients in both hospitals was “always" on the hemodialysis nurses’ extent of nursing presence with an average mean score of 4.47 in all 25 items of the PONS. The highest rated item which reflects that the nurse cares for the patient as a person had an average mean score of 4.63 (always) while the lowest rated item indicating that the nurse is meeting the spiritual needs of the patient had an average mean score of 4.23 (always).Conclusion: The nurse-patient relationship is enhanced by the presence of nurses who are more responsive and interactive with the patients, resulting in patients who are more satisfied with nursing care. Thus, it is suggested that nurses in dealing with patients of varying backgrounds should consider their unique needs when giving information, explanations, health education and nursing care.

scholarly journals Hospitalization as a setting for health education for people with diabetes mellitus

2020 ◽  
pp. 37-45
Author(s):  
Cecilia Arruda ◽  
Denise Maria Guerreiro Vieira da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Data Analysis ◽  
Health Education ◽  
Continuing Education ◽  
Nursing Care ◽  
Hospital Setting ◽  
Qualitative Approach ◽  
Nurse Specialist ◽  
Work Demands ◽  
Descriptive Research

Objective: The study’s purpose has been to further understand how nurses implement the nursing care towards diabetes bearing people, by taking into consideration the health education approach in hospital setting. Methods: It is a descriptive research with a qualitative approach. A total of 13 nurses were interviewed in a general hospital, where a conventional data analysis was then carried out. Results: Based on the findings, the following two categories appeared: obstacles in the educational care to the hospitalized person with diabetes, citing: lack of professionals, excessive work demands, structure and inadequate materials, lack of health education routines and failures in continuing education; and the possibilities for developing the educational dimension of nursing care in a hospital, including: education in individual and collective health; diabetes nurse specialist and communication between health services. Conclusion: Hospitalization is a propitious moment to implement the health education to people with diabetes and nurses must be proactive and identify themselves as organizers of educational activities for hospitalized people with diabetes.

scholarly journals A hospitalização como espaço para educação em saúde às pessoas com diabetes mellitus

2020 ◽  
pp. 37-45
Author(s):  
Cecilia Arruda ◽  
Denise Maria Guerreiro Vieira da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Data Analysis ◽  
Health Education ◽  
Continuing Education ◽  
Nursing Care ◽  
Hospital Setting ◽  
Qualitative Approach ◽  
Nurse Specialist ◽  
Work Demands ◽  
Descriptive Research

Objective: The study’s purpose has been to further understand how nurses implement the nursing care towards diabetes bearing people, by taking into consideration the health education approach in hospital setting. Methods: It is a descriptive research with a qualitative approach. A total of 13 nurses were interviewed in a general hospital, where a conventional data analysis was then carried out. Results: Based on the findings, the following two categories appeared: obstacles in the educational care to the hospitalized person with diabetes, citing: lack of professionals, excessive work demands, structure and inadequate materials, lack of health education routines and failures in continuing education; and the possibilities for developing the educational dimension of nursing care in a hospital, including: education in individual and collective health; diabetes nurse specialist and communication between health services. Conclusion: Hospitalization is a propitious moment to implement the health education to people with diabetes and nurses must be proactive and identify themselves as organizers of educational activities for hospitalized people with diabetes.

Plasma Carnitine Profile during Chronic Renal Anemia Treatment with Recombinant Human Erythropoietin

2003 ◽  
Vol 26 (1) ◽  
pp. 33-38 ◽  
Author(s):  
A. Dębska-Ślizień ◽  
A. Owczarzak ◽  
D. Kunicka ◽  
W. Łysiak-Szydłowska ◽  
B. Rutkowski
Keyword(s):  
Recombinant Human Erythropoietin ◽  
Chronic Renal Disease ◽  
Iron Status ◽  
Hematological Parameters ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Plasma Carnitine ◽  
Human Erythropoietin ◽  
Carnitine Metabolism ◽  
Hb Concentration

Recombinant human erythropoietin (epoetin) is widely used for correction of anaemia in patients with chronic renal disease and its efficacy has been confirmed in numerous studies. Disturbances in carnitine metabolism may also contribute to the development of renal anaemia. Although increases in erythrocyte count (RBC) and changes in RBC metabolism during L-carnitine administration have been observed, supplementation with L-carnitine in anaemic hemodialysis patients is not routine. The aim of our study was to determine the influence of epoetin on hematological parameters and plasma carnitine profile in anaemic hemodialysis patients. 36 hemodialysis patients (22 men, 14 female, aged from 17 to 64 years, mean 43) and 30 healthy volunteers (12 men, 18 female, aged from 25 to 65 years, mean 40) were studied. Epoetin (Eprex, Janssen-Cilag) was administered subcutaneously for twelve months with the starting dose 2000 IU three times per week (range from 75 to 133, mean 102±21 IU/kg/week). The target hemoglobin (Hb) range at the time of the study was between 10–11 g/dL. Laboratory markers of hematological response, carnitine and iron status, were measured before epoetin administration and then controlled every three months. During epoetin treatment a significant increase in Hb concentration was observed (100% of patients responded to epoetin). In the third and six month of epoetin treatment, along with a significant increase in mean reticulocyte count and the highest increment of RBC count and Hb levels, probably due to increased erythropoiesis, a significant, transient decrease of mean total and free plasma carnitine levels was observed. This may suggest the utilisation of carnitine by a new RBC population. It also indicates that there is a need for L-carnitine in carnitine deficient maintenance hemodialysis patients particularily during erythropoiesis induced by epoetin treatment.

scholarly journals Hospitalization as a setting for health education for people with diabetes mellitus

2020 ◽  
pp. 37-45
Author(s):  
Cecilia Arruda ◽  
Denise Maria Guerreiro Vieira da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Data Analysis ◽  
Health Education ◽  
Continuing Education ◽  
Nursing Care ◽  
Hospital Setting ◽  
Qualitative Approach ◽  
Nurse Specialist ◽  
Work Demands ◽  
Descriptive Research

Objective: The study’s purpose has been to further understand how nurses implement the nursing care towards diabetes bearing people, by taking into consideration the health education approach in hospital setting. Methods: It is a descriptive research with a qualitative approach. A total of 13 nurses were interviewed in a general hospital, where a conventional data analysis was then carried out. Results: Based on the findings, the following two categories appeared: obstacles in the educational care to the hospitalized person with diabetes, citing: lack of professionals, excessive work demands, structure and inadequate materials, lack of health education routines and failures in continuing education; and the possibilities for developing the educational dimension of nursing care in a hospital, including: education in individual and collective health; diabetes nurse specialist and communication between health services. Conclusion: Hospitalization is a propitious moment to implement the health education to people with diabetes and nurses must be proactive and identify themselves as organizers of educational activities for hospitalized people with diabetes.

scholarly journals Nursing presence from the perspective of cancer patients: A cross-sectional study

2021 ◽  
Author(s):  
Mahshid Mahdavi ◽  
Mansour Ghafourifard ◽  
Azad Rahmani
Keyword(s):  
Cancer Patients ◽  
Nursing Care ◽  
Pearson Correlation ◽  
Essential Element ◽  
Cross Sectional Study ◽  
Spiritual Needs ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nursing Presence ◽  
The Mean

Background & Aim: Nursing presence is an essential element of nursing care. Since the perception of nursing presence is influenced by different factors depending on the culture within which patients receive nursing care, this study aimed to investigate Iranian patients' nursing presence with cancer. Methods & Materials: In this cross-sectional study, 130 cancer patients were selected by random sampling from an oncology teaching hospital. Data was collected by the Presence of Nursing Scale and analyzed by SPSS software. Results: The results showed that the mean score of nursing presence (in a range of 0 to 125) was 101.91±16.19. According to the results, the highest and lowest scores belonged to the items "I trusted in these nurses" and "These nurses met my spiritual needs" with a mean score of 4.38±0.81 and 3.68±1.16, respectively. Data analysis by Pearson correlation coefficient showed no significant correlation between the mean score of nursing presence and quantitative variables such as patients' age, length of stay in the hospital, and the number of hospitalization (p>0.05). Conclusion: Although the total score of nursing presence was high, improvements in some items such as fulfilling the spiritual needs of cancer patients seem necessary. Evaluation of nursing presence by valid measures, encouraging nurses to spend more time and interacting with their patients, and providing special courses on nursing presence could help nurses improve and implement oncology nursing.  

scholarly journals Glucose concentration monitoring using near infrared spectrum of spent dialysis fluid in hemodialysis patients

2020 ◽  
pp. 90-90
Author(s):  
Valentina Matovic ◽  
Jasna Trbojevic-Stankovic ◽  
Branislava Jeftic ◽  
Lidija Matija
Keyword(s):  
Glucose Concentration ◽  
Near Infrared ◽  
Nir Spectroscopy ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Diabetic Patients ◽  
Dialysis Fluid ◽  
Major Health Problem ◽  
Hemodialysis Treatment ◽  
Spent Dialysate

Introduction/Objective. Diabetic nephropathy leading to end-stage renal disease is a major health problem worldwide. Hemodialysis treatment is associated with glycemia variations. Diabetic patients on hemodialysis might benefit from a noninvasive online glycemia monitoring system. The aim of this study was to assess the glucose concentration from the matrix of the spent dialysate fluid using Near infrared (NIR) Spectroscopy. Methods. Blood samples and spent dialysate have been collected in the 15th minute of the hemodialysis treatment from 15 patients. The spent dialysis fluid has been characterized by a NIR spectrometer in the range of 900-1300 nm. In order to apply the artificial neural network (ANN) and train it, the MATLNFTOOL program was used. The testing and training of the ANN were executed using the NIR spectrum of the spent dialysis fluid as input, and the glucose concentration as output. Results. A significant correlation in excess of 93% between the NIR spectrum of the spent dialysate and the blood glucose concentration (3-9 mmol/l) has been found. Conclusions. NIR spectroscopy is a noninvasive and reliable method of glycemia monitoring which can be used in maintenance hemodialysis patients.

Habilidades do Enfermeiro no Diagnóstico e Cuidado ao Portador de Depressão / Nursing Skills in Diagnosis and Care For Patients With Depression

1970 ◽  
Vol 5 (4) ◽  
pp. 13-19
Author(s):  
Cristiane Rosa Guedes ◽  
Bianca Del Ducca Alvarenga ◽  
Isabella Rotella ◽  
Débora Vitória Alexandrina Lisboa Vilella
Keyword(s):  
Data Collection ◽  
Family Involvement ◽  
Nursing Care ◽  
Direct Contact ◽  
Descriptive Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Patient Relationship ◽  
The Subject ◽  
The City

RESUMOObjetivo: Identificar o significado para o enfermeiro em prestar cuidados para pacientes com Depressão.  Materiais e métodos: Estudo exploratório e descritivo com abordagem qualitativa, a amostra foi de 12 enfermeiras, o cenário de estudo foram Unidades Básicas de Saúde e Estratégias de Saúde da Família, urbanas da cidade de Itajubá-MG. A coleta de dados foi por meio do roteiro de entrevista semiestruturada composta por questionário contendo uma pergunta inerente ao assunto. Resultados: Encontramos oito categorias como estigma da depressão, suicídio, dificuldade em lidar, tempo escasso, envolvimento familiar, aceitação da doença, acolhimento e dar medicamento, de acordo com os discursos dos sujeitos coletados na entrevista. Conclusão: Os enfermeiros não estão em contato direto com portadores de depressão no seu trabalho, não entendem que é sua tarefa identificar e encaminha-los para tratamento especializado. Sugerimos que outros estudos sejam desenvolvidos sobre essa temática.Palavras-chave: Depressão. Relação Enfermeiro-Paciente. Assistência de Enfermagem. ABSTRACTObjective: To identify the meaning for nurses when providing care for patients with depression. Materials and Methods: exploratory and descriptive study with qualitative approach, the sample consisted of 12 nurses, the study scenario was the urban Unidades Básicas de Saúde e Estrategia de Saúde da Família, in the city of Itajubá. Data collection was done through semi-structured interview guides consisting of a questionnaire containing a question related to the subject. Results and Discussion: we found eight categories as stigma of depression, suicide, coping difficulties, scarce time, family involvement, acceptance of the disease, host and give medicine, according to the speeches of the subjects collected in the interview. Conclusion: nurses are not in direct contact with individuals with depression in their work, do not understand that it is their job to identify and refer them to specialized treatment. We suggest that other studies be developed on this theme.Keywords: Depression, Nurse-patient Relationship, Nursing care.

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