Aysun Ünal, Seher Dilan Eşsiz, Üstün Yılmaz, Bilge Bal Özkaptan, Nurten Ozen
{"title":"Feet in Peril: Assessment of Feet in Patients Undergoing Haemodialysis","authors":"Aysun Ünal, Seher Dilan Eşsiz, Üstün Yılmaz, Bilge Bal Özkaptan, Nurten Ozen","doi":"10.1111/jorc.70059","DOIUrl":"10.1111/jorc.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Foot problems are common in haemodialysis patients, making treatment and disease management difficult due to their serious complications and creating a significant financial burden on healthcare expenses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>In this study, we assessed the foot problems in haemodialysis patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A retrospective descriptive and single-centre study was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>The study was conducted with 75 patients undergoing haemodialysis treatment between 1 January and 31 August 2024. The study was granted ethical approval before data were collected.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>An assessment form that included the introductory characteristics of the patients was used to collect data, and the results of the foot assessment performed by the podiatrist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We detected at least one foot problem in 70.6% of the participants. The three most common foot problems were dryness/cracks (45.3%), onychomycosis (28.3%), and calluses (15.2%). Foot problems were significantly more common in individuals who were 51 years old or older (<i>p</i> = .019), as well as in those with diabetes (<i>p</i> < .001) and hypertension (<i>p</i> = 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Different types of foot problems, particularly dryness and cracks, were identified in haemodialysis patients. These findings highlight the importance of routine foot assessments in dialysis units and the need to integrate structured foot care education into clinical practice to prevent potential complications from arising.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609292","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 2/2026","authors":"","doi":"10.1111/jorc.70058","DOIUrl":"10.1111/jorc.70058","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147668034","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":"Health Literacy and Quality of Life of Haemodialyses Patients in Mogadishu, Somalia","authors":"Merve Kolcu, Elif Bülbül, Samira Hassan Mohamed, Leila Ahmed Shuja, Esra Özden","doi":"10.1111/jorc.70057","DOIUrl":"10.1111/jorc.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Health literacy directly influences quality of life through its impact on treatment adherence and self-care management, making it particularly important to investigate this relationship in resource-limited settings such as Mogadishu.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to determine the relationship between health literacy and quality of life among people receiving Haemodialyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive and correlational study was conducted between January and March 2024 with 143 individuals undergoing Haemodialyses in Mogadishu, Somalia. The Short-Form Health Literacy Instrument and the Short Form-12 Health Survey were used for data collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Male, single, high school–educated participants, those who perceived their health as good, and those who had received dialysis-related education had significantly higher health literacy scores (<i>p</i> < 0.05). High school graduates and self-employed participants had higher physical component scores of the Short Form-12 Health Survey (<i>p</i> < 0.05). Participants with an arteriovenous fistula and those who received dialysis-related education had higher mental component scores (<i>p</i> < 0.05). A significant positive correlation was found between health literacy scores and physical component scores, whereas health literacy was negatively correlated with age (<i>p</i> < 0.05). In addition, physical component scores were negatively correlated with Haemodialyses duration (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Higher health literacy was associated with better quality of life. Sociodemographic characteristics influenced both health literacy and quality of life. Longer duration of Haemodialyses was associated with poorer physical quality of life, whereas receiving dialysis-related education was associated with better mental quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147485791","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}
Gaetano Ferrara, Salvatore Angileri, Sara Morales Palomares, Mauro Parozzi, Domenica Gazineo, Silvia Cappelletti, Giovanni Cangelosi, Marco Sguanci, Alberto Paderno, Stefano Mancin, Lea Godino
{"title":"Nursing Management of Arteriovenous Fistula and Artificial Intelligence: A Scoping Review","authors":"Gaetano Ferrara, Salvatore Angileri, Sara Morales Palomares, Mauro Parozzi, Domenica Gazineo, Silvia Cappelletti, Giovanni Cangelosi, Marco Sguanci, Alberto Paderno, Stefano Mancin, Lea Godino","doi":"10.1111/jorc.70056","DOIUrl":"10.1111/jorc.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Chronic kidney disease is a progressive condition that often necessitates kidney replacement therapy, with haemodialyses relying on stable, functional arteriovenous fistulas. While arteriovenous fistulas offer several benefits, they are susceptible to complications that present considerable management challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This review aimed to investigate the potential role of artificial intelligence in the management of arteriovenous fistulas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Scoping review was reported following the PRISMA-Scoping eview guidelines and Joanna Briggs Institute methodology.</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>Relevant studies on artificial intelligence applications in arteriovenous fistulas management were identified through comprehensive searches in PubMed, Embase, Cochrane Library, and CINAHL, supplemented by grey literature. Data extraction and synthesis employed standardised methods to categorise artificial intelligence techniques and their clinical applications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-three studies were included, exploring artificial intelligence applications in arteriovenous fistulas management, including prevention, failure management, and early stenosis detection in haemodialyses patients. In this context, artificial intelligence refers to computer systems that learn from clinical data to identify patterns and assist clinicians in recognising complications earlier. Convolutional Neural Networks effectively detected arteriovenous fistulas stenosis through non-invasive acoustic analysis, while combining Convolutional Neural Networks with Bi-directional Long Short-Term Memory networks improved stenosis severity classification. The Extreme Gradient Boosting and machine learning techniques, such as decision trees and Support Vector Machines, demonstrated strong predictive capabilities for arteriovenous fistulas failure and maturation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Artificial intelligence has significant potential to revolutionise arteriovenous fistulas management, enabling proactive monitoring, reducing complications, and enhancing personalised care. These findings also suggest relevant implications for nursing practice, particularly ","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147443838","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":"The Heavy Toll of Lifeline: An Analysis of the Multidimensional Experience and Interaction Mechanisms of Establishing Arteriovenous Fistula in Patients Receiving Haemodialysis","authors":"Longfei Wang, Lijuan Zhao, Chen Zhang, Wenwen Lu, Yin Zheng, Bihong Huang","doi":"10.1111/jorc.70052","DOIUrl":"10.1111/jorc.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The arteriovenous fistula, while serving as a vital ‘lifeline’ for haemodialysis, poses significant clinical challenges; it can extend beyond local dysfunction to adversely affect patients’ physiological, psychological and social well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study explored the multidimensional experiences of patients receiving haemodialysis regarding the creation and maintenance of an arteriovenous fistula, based on the biopsychosocial model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study employed the biopsychosocial model as a theoretical framework and an interpretive phenomenological qualitative analysis methodology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Participants (<i>N</i> = 23) were recruited from two haemodialysis centres and a nephrology department.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Approach</h3>\u0000 \u0000 <p>Data were collected through semi-structured interviews and analysed using interpretive phenomenological analysis. NVivo 11 was used to manage the qualitative data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The arteriovenous fistula experience was interconnected across biological, psychological and social domains. Physically, patients reported frequent somatic symptoms and arteriovenous fistula-related complications. Psychologically, they underwent a process of cognitive restructuring while contending with persistent negative emotions. Socially, the arteriovenous fistula impaired daily functioning and challenged trust in healthcare, yet also highlighted the crucial role of social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>For patients receiving haemodialysis, the arteriovenous fistula represents both a lifeline and a source of ongoing distress. A multidimensional understanding of this experience is essential for guiding more patient-centred, targeted and humane clinical management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147372580","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}
Laura E. Lunardi, Lisa A. Matricciani, Richard K. Le Leu, Richard Bastin, David Myers, Merrilyn Bradbrook, David Bradbrook, Rhanee Lester, Effie Johns, Anne Britton, Shilpanjali Jesudason, Shyamsundar Muthuramalingam, Dorothea Dumuid, Paul N. Bennett
{"title":"“Understanding Chronic Kidney Disease Self-Management Barriers and Facilitators: A Consumer-Led Qualitative Study”","authors":"Laura E. Lunardi, Lisa A. Matricciani, Richard K. Le Leu, Richard Bastin, David Myers, Merrilyn Bradbrook, David Bradbrook, Rhanee Lester, Effie Johns, Anne Britton, Shilpanjali Jesudason, Shyamsundar Muthuramalingam, Dorothea Dumuid, Paul N. Bennett","doi":"10.1111/jorc.70055","DOIUrl":"10.1111/jorc.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although self-management is essential for slowing the progression of chronic kidney disease and improving quality of life, patients continue to face substantial and varied challenges in managing their condition. Existing research has identified barriers to self-management but less is known about the barriers and facilitators experienced by patients with advanced chronic kidney disease not yet receiving kidney replacement therapy (dialysis and transplantation). Furthermore, few studies have been consumer-led or have integrated clinician and patient perspectives in a shared discussion environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the barriers to, and facilitators of, chronic kidney disease self-management from the perspectives of key stakeholders, using a consumer-led qualitative approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients with chronic kidney disease and clinicians were purposively sampled from a large renal service in South Australia to participate in a focus group interview, co-facilitated by a person living with chronic kidney disease. Three, 2-h focus group interviews involving 11 renal consumers and six renal clinicians were undertaken following a semi-structured interview guide that was co-developed with renal consumers and transcribed verbatim. Transcripts were coded and analysed using inductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six themes emerged: patient individuality, information and education resources, disease and treatment burden, healthcare team services, patient-clinician relationships, and teaching and learning strategies. Identified barriers included patient passivity, limited chronic kidney disease awareness, fragmented care, impersonal clinical approaches, and physical/emotional distress. Facilitators included positive attitudes, goal setting, trust and satisfaction with clinicians, effective communication, shared decision-making, person-centred care and caregiver support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study identified that chronic kidney disease self-management is influenced by interacting personal factors, relational factors and systemic factors. These qualitative insights demonstrate that patients' ability to self-manage is shaped not only by knowledge, but by emotional burden, confidence, and the quality of relationships within the healthcare system. Consumer-led approaches that reflect these l","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147355420","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":"Reviewer Summary for Journal of Renal Care","authors":"","doi":"10.1111/jorc.70053","DOIUrl":"10.1111/jorc.70053","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344614","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}