Journal of renal care最新文献

{"title":"Nursing Practice for Temperature Control During Continuous Kidney Replacement Therapy in Intensive Care: A Cross-Sectional Study","authors":"Tom Brelsford,&nbsp;Monica Schoch,&nbsp;Debra Kerr","doi":"10.1111/jorc.70066","DOIUrl":"10.1111/jorc.70066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hypothermia during continuous kidney replacement therapy is associated with increased mortality and morbidity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The primary aim was to describe nursing practice for assessment and management of temperature control for patients receiving continuous kidney replacement therapy in intensive care. Secondary aims were to compare nurses' level of confidence, and assessment and management practices for temperature control, during continuous kidney replacement therapy by participant characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional comparative study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Intensive care nurses completed an online survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>The newly developed survey included 23 items. Descriptive and inferential statistics for demographic information, temperature assessment and management practices, and confidence levels were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The sample included 155 participants. Only 10% of participants reported managing continuous kidney replacement therapy at least once per week, and half (48%) less than once per month. Temperature assessment within the first hour of therapy was reported by 70% of participants. Hourly temperature assessments were reported by 36%, and 32% reported 4-hourly temperature assessment. Non-invasive temperature assessment (e.g., tympanic) was the most frequently reported mode of temperature assessment (64%). The mean confidence level was 3.94 (standard deviation = 1.08) out of 5. Confidence levels were higher for nurses with more years of experience and those with increased exposure to continuous kidney replacement therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Variation in nursing practice for temperature control in patients receiving continuous kidney replacement therapy was identified. Guidelines and educational strategies are required to inform nursing practice to address variation in practice and confidence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148149545","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":"Interventions to Reduce Burden Among Informal Caregivers of People With Chronic Kidney Disease: Systematic Review and Meta-Analysis.","authors":"Kerri M Gillespie, Louise Purtell, Jeanette Finderup, Nina Schjerning, Ann Bonner","doi":"10.1111/jorc.70063","DOIUrl":"10.1111/jorc.70063","url":null,"abstract":"<p><strong>Background: </strong>Informal caregivers increasingly support people with chronic kidney disease, yet caregiving is often associated with substantial physical, emotional, and financial burden.</p><p><strong>Objectives: </strong>To synthesise the characteristics and effectiveness of interventions designed to reduce burden among informal caregivers of people with chronic kidney disease.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Participants: </strong>Informal caregivers of people with chronic kidney disease.</p><p><strong>Measurements: </strong>A search was conducted of CINAHL, PubMed, Embase, PsycINFO, and Web of Science databases from inception to February 2025, as well as citation chaining and hand searching. Randomised control trials, quasi-and non-randomised controlled trials, and single-group pre-post studies, conducted at any location and published in English were included. Risk of bias was assessed using Joanna Briggs Institute Checklists. GRADE was used to assess certainty of evidence. Random-effects meta-analyses were conducted for caregiver burden outcomes.</p><p><strong>Results: </strong>Thirteen studies were included in the review, investigating education interventions, mindfulness, relaxation, logotherapy, peer mentoring, and behaviour modification. Twelve studies identified a significant reduction in caregiver burden. A meta-analysis of five education and skills training interventions found overall reduction in caregiver burden. Heterogeneity was high, which limited comparability. Certainty of evidence for caregiver burden was low.</p><p><strong>Conclusion: </strong>Brief education-focused programs and selected behaviour-change interventions may reduce the burden for informal caregivers of people with chronic kidney disease. However, additional high-quality studies conducted in a variety of contexts incorporating robust methods are required to identify the benefits and optimal characteristics of interventions to inform kidney care teams.</p><p><strong>Trial registration: </strong>PROSPERO (CRD420250651266).</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":"e70063"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147973350","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":"From Impact to Meaning Reconstruction: A Qualitative Study of the Illness Trajectory in Chronic Kidney Disease Without Kidney Replacement Therapy","authors":"Jiaojiao Hu,&nbsp;Shengcai Zhu,&nbsp;Kunqi Ma,&nbsp;Junze Yan,&nbsp;Xiaoqin Zhong,&nbsp;Shenglang Zhu,&nbsp;Li Wang","doi":"10.1111/jorc.70064","DOIUrl":"10.1111/jorc.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Living with non-dialysis chronic kidney disease is a complex experience that extends beyond clinical markers. While the physical aspects of the disease are well-documented, a deeper understanding of the patient's subjective journey is needed to inform person-centered care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to develop a conceptual understanding of the lived trajectory of patients with non-dialysis chronic kidney disease to identify specific psychological shifts and management challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is an interview-based qualitative study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>A purposive sample of 13 patients with non-dialysis chronic kidney disease was recruited from a tertiary hospital in Shenzhen, China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Approach</h3>\u0000 \u0000 <p>Data were collected using in-depth, semi-structured interviews and were analyzed using content analysis, guided by the Illness Trajectory Framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The analysis generated three central themes that defined the patient's illness trajectory: (1) Cognitive and Emotional Impact, an initial phase characterized by confusion, negative emotions, and identity conflict following diagnosis; (2) Dilemmas in Disease Management, a protracted period of struggle with treatment adherence, conflicting medical advice, and a lack of support; and (3) Adaptation and Meaning Reconstruction, an emergent phase wherein patients began to accept their condition and rebuild a purposeful life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The illness experience in non-dialysis chronic kidney disease is a dynamic trajectory composed of distinct, identifiable phases. The resulting three-phase framework offers a valuable conceptual tool for practitioners to better anticipate and address the evolving psychosocial and practical needs of their patients. Implementing phase-specific support strategies is critical for improving patient adaptation and long-term outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138412","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":"The Necessity of Using Validated and Reliable Measures in Evidence-Based Kidney Care Research.","authors":"Magnus Lindberg","doi":"10.1111/jorc.70061","DOIUrl":"10.1111/jorc.70061","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":"e70061"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774848","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":"Correction to \"Health Literacy and Quality of Life of Haemodialyses Patients in Mogadishu, Somalia\".","authors":"","doi":"10.1111/jorc.70060","DOIUrl":"10.1111/jorc.70060","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":"e70060"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774823","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":"Effect of Cold Application on Pain Associated With Jackson-Pratt Drain Removal in Kidney Transplant Recipients: A Randomised Controlled Trial.","authors":"Ufuk Akkurt, Dilek Çilingir","doi":"10.1111/jorc.70062","DOIUrl":"10.1111/jorc.70062","url":null,"abstract":"<p><strong>Background: </strong>Jackson-Pratt drains are commonly used following kidney transplantation to monitor and drain fluid that collects around the graft. Although the percutaneous removal of the drain is a quick procedure that can be performed at the bedside, it can cause significant pain. Multimodal analgesia is recommended for managing pain in these patients. However, evidence regarding the effectiveness and safety of some analgesic options in this population remains limited. Therefore, non-pharmacological interventions that support pharmacological treatment may be safe and complementary options in clinical practice.</p><p><strong>Objective: </strong>This study aimed to examine the effect of cold application on pain caused by Jackson-Pratt drain removal in kidney transplant recipients.</p><p><strong>Design: </strong>This was a single-centre, open-label, randomised controlled trial.</p><p><strong>Participants: </strong>The study was conducted with adult patients aged ≥18 years, who received a kidney transplant between November 2023 and April 2024.</p><p><strong>Measurements: </strong>A patient information form was used to collect participants' sociodemographic data, and pain intensity was assessed using the Visual Analogue Scale. In both groups, pain intensity was assessed before drain removal, immediately after removal, and 15 min later. In the intervention group, cold application was administered before drain removal. Analgesic requirement was assessed immediately after drain removal by directly asking patients whether they required analgesia.</p><p><strong>Results: </strong>The intervention group had significantly lower pain intensity and lower analgesic requirement than the control group.</p><p><strong>Conclusions: </strong>This study suggests that local cold application may be a feasible and potentially effective non-pharmacological intervention for reducing procedural pain associated with Jackson-Pratt drain removal in kidney transplant recipients. However, given the single-centre, open-label design and the reliance on subjective pain and self-reported analgesic outcomes, the findings should be interpreted with caution. Further multicentre and blinded studies are needed to confirm these results before routine clinical implementation can be recommended.</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":"e70062"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868922","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":"Kidney Health for All: Caring for People, Protecting the Planet","authors":"Raymond Vanholder,&nbsp;Dina Abdellatif,&nbsp;Augusto Cesar Soares Dos Santos Jr.,&nbsp;Ricardo Correa-Rotter,&nbsp;Natarajan Gopalakrishnan,&nbsp;Bill Wang,&nbsp;Stefanos Roumeliotis,&nbsp;Alessandro Balducci,&nbsp;Ágnes Haris,&nbsp;Manjusha Yadla,&nbsp;Li-Li Hsiao","doi":"10.1111/jorc.70065","DOIUrl":"10.1111/jorc.70065","url":null,"abstract":"<div>\u0000 \u0000 <p>The current kidney care model—focused on late-stage disease and in-center hemodialysis—is unsustainable, because of costs, environmental burden, poor outcomes, and reduced quality of life. The 78th World Health Assembly's recognition of kidney disease as a serious health threat presents a critical opportunity to reshape kidney care. Aligned with this, the 2026 World Kidney Day theme, “Kidney Health for All: Caring for People, Protecting the Planet”, calls for a systematic change. A sustainable model must prioritize early detection and prevention, reducing the need for kidney replacement therapy. Transplantation and home dialysis benefit people with kidney failure, environment and society. Dialysis itself must become more eco-friendly without compromising care quality, recognizing that planetary perturbations in turn affect kidney health. Conservative care should also be considered, particularly for elderly and frail patients, if the quality-of-life benefits outweigh the perspectives offered by dialysis. Achieving this shift requires coordinated action across all stakeholders; education and engagement of the public, policy makers and health professionals to raise awareness about the threat of kidney disease; and an urgent move toward patient-centered care.</p></div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148055170","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148087998","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148073104","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148121687","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}