Journal of renal care最新文献

{"title":"Remote Patient Monitoring—Understanding by Nurses Who Support Home Dialysis Patients","authors":"Louise Collingridge,&nbsp;Nadine Tinsley,&nbsp;Rosemary Simmonds,&nbsp;Glenda Rayment,&nbsp;Josephine S. F. Chow","doi":"10.1111/jorc.70031","DOIUrl":"10.1111/jorc.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adherence to home dialysis is the focus of renal nurse support. Remote patient monitoring (RPM) promises improved adherence and clinical tools. Remote monitoring has been available for more than a decade. Limited findings of how nurses use and perceive RPM are available in published literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To understand renal nurses' experience of RPM when supporting patients undergoing ambulatory peritoneal dialysis at home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Approach</h3>\u0000 \u0000 <p>Qualitative description of renal nurses' accounts of their experiences of using RPM across three centres delivering support for home dialysis. Focus group and interview data were audio-recorded, transcribed verbatim and interpreted with the aid of NVivo software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Participants reported that RPM is valued for the programming of machines remotely. Patient health benefits were described as complex with no direct link to reduced hospitalisations. RPM is a tool that helps maintain relationships with patients. Routine checking of remote monitoring reports was only common when first introduced, and in smaller centres. Costs and data privacy can complicate the uptake. Results were similar across three different centres.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Renal nurses supporting home dialysis patients monitor adherence to treatment, using RPM as a tool that is most beneficial for the remote adjust of dialysis machine programs, but which also serves as a tool for building on their relationship with patients which in turn supports adherence, thus justifying overcoming barriers to use such as costs or availability of technology.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Reported Outcome Measures to Determine Sleep Problems in Adults With Chronic Kidney Disease: A Systematic Review","authors":"Wan-Shan Chiang,&nbsp;Louise Purtell,&nbsp;Katina Corones-Watkins,&nbsp;Ann Bonner","doi":"10.1111/jorc.70032","DOIUrl":"https://doi.org/10.1111/jorc.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adults with chronic kidney disease are prone to sleep problems, which can impact sleep quality and harm physical and mental wellbeing. Subjective sleep instruments help assess sleep quality and symptom severity. Evaluating the characteristics and psychometric properties of these instruments aids health practitioners in selecting suitable tools.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify optimal patient-reported outcome measures for assessing sleep quality and/or problems in the chronic kidney disease population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Adults with chronic kidney disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>A comprehensive search was conducted in CINAHL, MEDLINE, Embase, the Cochrane Library, PsycINFO, and JBI for studies published between January 2010 and December 2023. Methodological quality was evaluated using COSMIN-COMIT guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen instruments were identified. The Pittsburgh Sleep Quality Index, assessing both sleep quality and problems, was used in 73.8% of studies and has only been validated in kidney transplant populations. The Athens Insomnia Scale and Epworth Sleepiness Scale, while useful for insomnia and daytime sleepiness, provide narrower coverage, and the STOP-BANG and Berlin Questionnaire target sleep apnoea risk but are less practical for broad sleep assessment. These limitations may explain their less frequent use compared with the Pittsburgh Sleep Quality Index.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Future research should validate sleep instruments in non-transplant chronic kidney disease populations through comprehensive psychometric testing. Clinicians and researchers should carefully select multiple instruments to assess both overall sleep quality and sleep disorder-specific symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Information: Journal of Renal Care 4/2025","authors":"","doi":"10.1111/jorc.12502","DOIUrl":"https://doi.org/10.1111/jorc.12502","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Loss, Grief and Support Needs of Adults on Haemodialysis and Families: A Qualitative Explorative Study","authors":"Jette Marcussen,&nbsp;Rikke Madsen,&nbsp;Ann Bonner,&nbsp;Jette Rude Nielsen,&nbsp;Hanne Agerskov","doi":"10.1111/jorc.70030","DOIUrl":"https://doi.org/10.1111/jorc.70030","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The burdensome life of haemodialysis impacts both patients and their families. It often leads to a stressful life marked by experiences of loss and grief. Nurses report a lack of knowledge and skills in providing grief support, as well as insufficient time for existential conversations with patients and families.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore the experiences of loss, grief and support needs of both adults on haemodialysis with no option of a kidney transplant and their family members.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A qualitative explorative study, using a phenomenological-hermeneutical approach and semi-structured interviews. Ricoeur's interpretation theory was used to analyze data involving three steps: Naïve reading, structural analysis and critical interpretation and discussion.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nine adults on haemodialysis and eight family members.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Haemodialysis treatment alters everyday life for families resulting in experiences of anticipatory grief. Both adults on haemodialysis and their family members experienced challenges with identities and changes in social relationships over the course of the illness with psychological consequences for the family. A holistic family-focused grief support was identified as an important need for the participants and ought to include time and room for private existential conversations with nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study offers unique insights into the impact of loss and anticipatory grief in everyday life for those on haemodialysis and their families. Greater existential support and holistic family-focused grief support is proposed to guide family nursing in kidney care. Healthcare policies and health education in grief ought to reflect the care needs of both patients and family members.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Baggrund&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;En tilværelse med hæmodialyse påvirker både patienter og deres familier og fører ofte til en stressende hverdag med oplevelser af tab og sorg. Utilstrækkelig psykosocial støtte og manglende familieinvolvering øger yderligere risikoen for patientindlæggelse. Sygeplejersker opleve","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Physical Activity Among Spanish Kidney Transplant Recipients: A 12-Month Longitudinal Study","authors":"Emilia Ferrer-López,&nbsp;Víctor Cantín-Lahoz,&nbsp;Francisco Javier Rubio-Castañeda,&nbsp;Isabel Blázquez-Ornat,&nbsp;Isabel Antón-Solanas,&nbsp;Fernando Urcola-Pardo","doi":"10.1111/jorc.70029","DOIUrl":"https://doi.org/10.1111/jorc.70029","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Physical activity is crucial for improving cardiovascular risk and overall health in kidney transplant recipients. However, changes in physical activity before and after transplantation remain underexplored.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To assess energy expenditure and physical activity before and after kidney transplantation over 1 year, analysing their relationship with cardiovascular risk factors.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Descriptive, longitudinal, prospective study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 112 individuals who had received a kidney transplant (aged ≥ 18 years) at a single transplant centre.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Measurements&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Sociodemographic and clinical data were extracted from medical records. The International Physical Activity Questionnaire was administered at baseline and at 3, 6 and 12 months after transplantation to evaluate physical activity (as metabolic equivalent minutes per week). Laboratory parameters were also collected.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Analysis&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Descriptive statistics summarised participant characteristics. Inferential analyses (chi-square, &lt;i&gt;t&lt;/i&gt;-tests, ANOVA, Mann–Whitney &lt;i&gt;U&lt;/i&gt;, Kruskal–Wallis) examined associations between physical activity and clinical variables (significance &lt;i&gt;p&lt;/i&gt; &lt; 0.05).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Participants had a median age of 58 years; 70.5% were men. Overall physical activity declined at 3 months, rebounded at 6, and decreased again at 12 months, remaining below the levels observed before transplantation. Men, participants not requiring dialysis before transplantation, individuals with overweight, and individuals with a history of cerebrovascular disease exhibited higher physical activity throughout follow-up. Physical activity correlated with certain laboratory parameters, suggesting that better clinical status may foster greater physical activity engagement.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Tailored physical activity targeting comorbidities and nutritional status are recommended to improve long-term outc","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Interventions to Reduce Arteriovenous Fistula Cannulation-Related Pain in Patients Undergoing Haemodialysis: A Systematic Review and Meta-Analysis","authors":"Nurten Ozen,&nbsp;Nese ALTINOK. Ersoy,&nbsp;Gulsah Kesik","doi":"10.1111/jorc.70028","DOIUrl":"https://doi.org/10.1111/jorc.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Experiencing continued pain affects the level of haemodialysis adherence in patients and ultimately decrease quality of life. Therefore, pain control is an important priority in these patients. No systematic review and meta-analyses study about the effect of intervention (invasive and noninvasive intervention) on the arteriovenous fistula cannulation-related pain has yet been carried out.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This systematic review with meta-analysis was conducted to assess the evidence for the effectiveness of intervention to reduce the arteriovenous fistula cannulation-related pain in patients undergoing haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using English databases, including PubMed, Web of Science, Scopus, Science Direct, ProQuest, ProQuest Dissertations &amp; Theses Global, and EBSCOHOST were systematically searched from their inception to April 2025. Two reviewers independently assessed the risk of bias using the JBI RCT checklist. The Comprehensive Meta-Analysis® software version 3.0 (Biostat) was used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-two randomised controlled trials examined the effects of interventions to alleviate the arteriovenous fistula cannulation-related pain including invasive and noninvasive interventions related studies. Invasive interventions buttonhole cannulation, using plastic needle and using indwelling needles. Noninvasive methods include cryotherapy or using a local skin cooling device, aromatherapy, foot reflexology, US-guided cannulation, antistress balls, listening to music or running water, virtual reality distraction, breathing exercise, and acupressure on patients with haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study demonstrated that invasive and noninvasive interventions had beneficial effects on the fistula cannulation-related pain. However, due to the heterogeneity and the lack of follow-up studies, more high-quality studies are needed to confirm the results of our review and to clarify the long-term effects of interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Kidney Disease in the Trans Community","authors":"Marissa Dainton","doi":"10.1111/jorc.70024","DOIUrl":"https://doi.org/10.1111/jorc.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Transgender and nonbinary people experience inequity in terms of treatment and outcomes when interacting with healthcare services. Clinicians should treat Trans people with sensitivity in a context of cultural safety to minimise repeat trauma and ensure the delivery of quality, person-centred care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this paper is to explore the general and specific needs of Transgender and nonbinary people when interacting with renal services and identify practice recommendations and further research needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This paper reviews a selection of literature relating to the care of Trans people both generally within healthcare and with respect to specific issues that arise within renal care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Renal-Specific Findings</h3>\u0000 \u0000 <p>Estimation of renal function relies on eGFR formulae that include a sex-signifier, so there are issues as to which are the appropriate versions of the formulae to use in Trans people. Research indicates that for Trans men (assigned female at birth) 6 months or more into transition-related hormonal therapy, equations used should be based on gender identity rather than sex assigned at birth. For Trans women and people who identify as nonbinary, the research is less clear and alternative means of assessing GFR may be needed.</p>\u0000 \u0000 <p>Complications of urogenital gender-affirming surgery can also have implications for acute and chronic kidney disease progression and for the management of such patients in the clinical environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Trans people within the renal setting should be treated with sensitivity. Specific considerations are required in terms of assessing kidney function and considering the potential implications of urogenital surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and Validation of Post-Dialysis Fatigue Scale Among Vietnamese Patients With Hemodialysis","authors":"Nga Thi Thuy Nguyen,&nbsp;Tsai-Wei Huang,&nbsp;Yeu-Hui Chuang,&nbsp;Dung Huu Nguyen,&nbsp;Tu Tuan Tran","doi":"10.1111/jorc.70025","DOIUrl":"https://doi.org/10.1111/jorc.70025","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Fatigue is a prevalent symptom among patients undergoing hemodialysis, significantly impacting their quality of life. There are several instruments to measure fatigue. However, most of these instruments measure general fatigue, with no specific emphasis on fatigue related to hemodialysis. Recently, a validated scale, the Post-Dialysis Fatigue (PDF) scale, was developed to address this gap by directly measuring post-dialysis fatigue.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The aim of this study was to translate the English version of the PDF scale into Vietnamese and to examine its reliability and validity, taking into account potential cultural differences in the experience of fatigue.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A cross-sectional study was applied with participants obtained through convenience sampling at two hospitals.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Three hundred and twenty-eight participants undergoing hemodialysis treatment were recruited.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Measurements&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The validity of the 13-item Vietnamese version of Post-Dialysis Fatigue scale was evaluated by examining the content validity, concurrent validity, and construct validity. Both exploratory and confirmatory factor analyses were employed to factorize the underlying structure of the scale and confirm whether the data fit a hypothesized measurement model. The reliability was examined by using Cronbach's alpha and test-retest reliability.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The scale had an excellent content validity index (CVI: 0.86–1.00), good internal consistency (Cronbach's alpha of 0.90), and acceptable test-retest reliability (interclass correlation coefficient of 0.84). Exploratory factor analysis constituted two factors (behavioral fatigue and sensory fatigue) accounting for 59.38% of the variance. The confirmatory factor analysis showed a good model fit (CFI = 0.952, NFI = 0.912, RMSEA = 0.073). Receiver operating characteristic curve analysis identified an optimal cutoff score of 41 by maximizing the combined sensitivity and specificity for screening significant fatigue, according to Youden's Index.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The post-dialysis fatigue scale is a valid and reliable scale for assessing fatigue in patients undergoing hemodialysis and consists of two factors: behaviora","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Memoriam: Patient Editor Henning Søndergaard (1965–2025)","authors":"Jeanette Finderup","doi":"10.1111/jorc.70027","DOIUrl":"https://doi.org/10.1111/jorc.70027","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptoms of Depression and Associated Variables in Older Patients on Maintenance Hemodialysis","authors":"Maurizio Bossola,&nbsp;Laura Angioletti,&nbsp;Alessia Trotta,&nbsp;Valeria Tommolini,&nbsp;Marta Di Giovanni,&nbsp;Ilaria Mariani,&nbsp;Enrico Di Stasio,&nbsp;Michela Balconi","doi":"10.1111/jorc.70026","DOIUrl":"https://doi.org/10.1111/jorc.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Depression is common in patients with chronic kidney disease on maintenance hemodialysis. However, depression prevalence and associated variables have been less studied in maintenance hemodialysis patients older than 65 years old.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to define the prevalence of depression and the associated variables in older patients on maintenance hemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is a cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Participants included 197 older patients on maintenance hemodialysis (age range 65–80) recruited between September 2023 to September 2024 in Italy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Depression levels were measured with the Beck Depression Inventory II and perceived stress levels with the Perceived Stress Scale. We also collected clinical and laboratory variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 197 patients, 130 patients (66%) had Beck Depression Inventory &lt; 14 and 67 (34%) had Beck Depression Inventory ≥ 14. The two groups differed for age, sex, dialytic age, activity of daily living and instrumental activity of daily living scores, Body Mass Index, post-dialysis fatigue, dialysis recovery time, Perceived Stress Scale score, and serum creatinine. At the logistic regression analysis, the Beck Depression Inventory score was independently associated with female sex, post-dialysis fatigue, low IADL, and Perceived Stress Scale score. Post-dialysis fatigue intensity, duration, and frequency and the post-dialysis fatigue sum were significantly higher in patients with Beck Depression Inventory ≥ 14 than in those with Beck Depression Inventory &lt; 14. The correlation between Beck Depression Inventory and Perceived Stress Scale was statistically significant. Then, we stratified patients according to the score of the Cohen's Perceived Stress Scale into three groups: low stress (0–13), moderate stress (14–26), and severe stress (27–40). Patients with Beck Depression Inventory≥ 14 had a higher frequency of severe perceived stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Beck Depression Inventory score was independently associated with female sex, instrumental activity of daily living and Perceived Stress Scale score in older patients on maintenance hemodialysis.</p>\u0000 </section","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}