Nurse's Perceptions and Roles in the Management of Chronic Kidney Disease-Associated Pruritus: A Multicentre Survey Across Europe

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2025-05-13 DOI:10.1111/jorc.70018

Anastasia Liossatou, Afra Masià-Plana, Veronica Strini, Davide Sisti, Ilaria de Barbieri, Sofia Zyga

{"title":"Nurse's Perceptions and Roles in the Management of Chronic Kidney Disease-Associated Pruritus: A Multicentre Survey Across Europe","authors":"Anastasia Liossatou, Afra Masià-Plana, Veronica Strini, Davide Sisti, Ilaria de Barbieri, Sofia Zyga","doi":"10.1111/jorc.70018","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Chronic kidney disease-associated pruritus is a debilitating condition affecting people on haemodialysis, and nephrology nurses have the potential to play a crucial role in its early identification and management.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To investigate the nephrology nurses’ perceptions and roles in the identification and management of chronic kidney disease-associated pruritus among people receiving haemodialysis.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A survey-based, cross-sectional study was conducted by the European Dialysis Transplant Nurses Association/European Renal Care Association, using a structured questionnaire designed by the researchers and distributed online.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Nephrology nurses working in the haemodialysis field.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 286 questionnaire submissions were received from 15 European countries. The study sample comprised 48 male and 238 female nurses. The findings reveal that 71.9% of nurses participating in the study widely agreed that the people on haemodialysis under their care tend to withhold reporting symptoms of chronic kidney disease-associated pruritus. Nurses perceived that approximately 25% of their people on haemodialysis did not openly discuss their symptoms of pruritus with their care team. Most nurses (76.4%) reported being involved in recommending or prescribing treatments for chronic kidney disease-associated pruritus, with 71.4% specifically addressing treatments for itching. However, 35.5% of healthcare professionals do not fully recognise the link between pruritus and kidney disease.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The study highlights the complex challenges nephrology nurses face in identifying and managing chronic kidney disease-associated pruritus. It emphasises the significant impact of pruritus on people's quality of life and the crucial role nurses can play in early detection and management.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of renal care","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jorc.70018","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Chronic kidney disease-associated pruritus is a debilitating condition affecting people on haemodialysis, and nephrology nurses have the potential to play a crucial role in its early identification and management.

Objectives

To investigate the nephrology nurses’ perceptions and roles in the identification and management of chronic kidney disease-associated pruritus among people receiving haemodialysis.

Design

A survey-based, cross-sectional study was conducted by the European Dialysis Transplant Nurses Association/European Renal Care Association, using a structured questionnaire designed by the researchers and distributed online.

Participants

Nephrology nurses working in the haemodialysis field.

Results

A total of 286 questionnaire submissions were received from 15 European countries. The study sample comprised 48 male and 238 female nurses. The findings reveal that 71.9% of nurses participating in the study widely agreed that the people on haemodialysis under their care tend to withhold reporting symptoms of chronic kidney disease-associated pruritus. Nurses perceived that approximately 25% of their people on haemodialysis did not openly discuss their symptoms of pruritus with their care team. Most nurses (76.4%) reported being involved in recommending or prescribing treatments for chronic kidney disease-associated pruritus, with 71.4% specifically addressing treatments for itching. However, 35.5% of healthcare professionals do not fully recognise the link between pruritus and kidney disease.

Conclusion

The study highlights the complex challenges nephrology nurses face in identifying and managing chronic kidney disease-associated pruritus. It emphasises the significant impact of pruritus on people's quality of life and the crucial role nurses can play in early detection and management.

查看原文本刊更多论文

护士在慢性肾脏疾病相关瘙痒管理中的认知和作用：一项横跨欧洲的多中心调查

慢性肾脏疾病相关性瘙痒是一种影响血液透析患者的衰弱性疾病，肾脏病护士在其早期识别和管理中发挥着至关重要的作用。目的了解肾科护士对血液透析患者慢性肾病相关性瘙痒的认识及在诊断和处理中的作用。设计一项基于调查的横断面研究由欧洲透析移植护士协会/欧洲肾脏护理协会进行，使用由研究人员设计并在线分发的结构化问卷。参与者：在血液透析领域工作的肾脏科护士。结果共收到来自15个欧洲国家的286份问卷。研究样本包括48名男护士和238名女护士。调查结果显示，参与研究的71.9%的护士普遍认为，在其护理下接受血液透析的患者往往会隐瞒慢性肾脏疾病相关瘙痒的症状。护士认为，大约25%的血液透析患者没有与护理团队公开讨论他们的瘙痒症状。大多数护士（76.4%）报告参与推荐或处方慢性肾脏疾病相关瘙痒的治疗方法，其中71.4%专门针对瘙痒治疗。然而，35.5%的医疗保健专业人员没有充分认识到瘙痒和肾脏疾病之间的联系。结论本研究强调了肾脏病护士在识别和处理慢性肾脏疾病相关瘙痒方面面临的复杂挑战。它强调瘙痒对人们生活质量的重大影响以及护士在早期发现和管理中可以发挥的关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.