Journal of renal care最新文献

{"title":"Effect of Benson's Relaxation on Physical, Psychological, and Quality of Life Outcomes in Adults Receiving Hemodialysis: Systematic Review and Meta-Analysis","authors":"Şefika Tuğba Yangöz, Zeynep Karakuş, Zeynep Özer","doi":"10.1111/jorc.70043","DOIUrl":"10.1111/jorc.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adults receiving hemodialysis experience many problems. Benson's relaxation technique has been used to manage these problems, but evidence of its effectiveness is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To assess Benson's relaxation effects on physical, psychological outcomes, and quality of life in adults receiving hemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review and meta-analysis of randomized controlled trials registered in PROSPERO (CRD42022379551).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Adults receiving hemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Eleven databases were searched through January 18, 2024, and updated January 10, 2025. Eligible RCTs involved adults on hemodialysis for at least 3 months, comparing Benson's relaxation with routine care or other interventions. Primary outcomes included physical measures, quality of life, and psychological outcomes; secondary outcomes were narratively reported. Risk of bias was assessed with Cochrane RoB 2.0, and evidence certainty with GRADE. Random-effects meta-analysis and sensitivity analyses used Comprehensive Meta-Analysis v3.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen trials with 1,104 participants provided low-certainty evidence for small effects on serum phosphate (Hedges' <i>g</i> = 0.39, <i>p</i> = 0.010) and large effects on pain (Hedges' <i>g</i> = 1.21, <i>p</i> = 0.010). Very-low-certainty evidence found moderate effects on quality of life (Hedges' <i>g</i> = 0.65, <i>p</i> = 0.010) and large effects on stress (Hedges' <i>g</i> = 1.58, <i>p</i> = 0.017). High-certainty evidence showed small effects on anxiety (Hedges' <i>g</i> = 0.45, <i>p</i> = 0.001). No significant effects were observed for serum calcium or depression symptoms. Sensitivity analyses showed variable robustness. Secondary outcomes were reported narratively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall, current evidence supports cautious clinical interpretation and highlights the need for further rigorous, adequately powered randomized controlled trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Registration</h3>\u0000 \u0000 <p>This study is registered in PROSPERO (Registration Number: CRD42022379551, registered on December 8, 2022).</p>\u0000 </section>\u0000 ","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971075","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":"Issue Information: Journal of Renal Care 1/2026","authors":"","doi":"10.1111/jorc.70042","DOIUrl":"https://doi.org/10.1111/jorc.70042","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145891563","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 Association Between Fear of Falling and Physical Activity in Haemodialysis Patients","authors":"Sevda Tüzün Özdemir,&nbsp;Asiye Akyol,&nbsp;Şengül Özdemir,&nbsp;Ahmet Aykut Sifil","doi":"10.1111/jorc.70041","DOIUrl":"10.1111/jorc.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fear of falling is a common concern among patients undergoing haemodialysis, leading to decreased physical activity, increased dependency, and reduced quality of life. Despite its relevance, the impact of this fear on physical activity in this population remains underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the association between fear of falling and physical activity levels in patients receiving haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive, cross-sectional study was conducted between 20 October and 20 November 2023, at a private dialysis center in Turkey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>The study included 103 haemodialysis patients aged 18 years or older who were literate, fluent in Turkish, and voluntarily agreed to participate. The sample size was calculated using G*Power software, and post hoc analysis showed the study had 94% power.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Data were collected using the Patient Information Form, the Falls Efficacy Scale-International (FES-I), and the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Descriptive and inferential analyses were performed, including Mann–Whitney <i>U</i>, Kruskal–Wallis <i>H</i>, and Spearman's correlation tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of participants was 65.1 ± 13.5 years. A history of falling was reported by 43.7%, and 67% reported fear of falling. A moderate positive correlation was found between fall history and FES-I scores (<i>r</i> = 0.369, <i>p</i> &lt; 0.01), while a moderate negative correlation was observed between FES-I and IPAQ-SF scores (<i>r</i> = −0.491, <i>p</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Fear of falling negatively affects physical activity in haemodialysis patients. Interventions aimed at reducing fall-related fear and enhancing psychological support may promote more active lifestyles and improve overall well-being in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"52 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145856637","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":"Global Prevalence and Risk Factors of Constipation Among Patients Receiving Haemodialysis: A Systematic Review and Meta-Analysis","authors":"Nga Thi Thuy Nguyen,&nbsp;Nuzul Sri Hertanti,&nbsp;Yeu-Hui Chuang","doi":"10.1111/jorc.70040","DOIUrl":"10.1111/jorc.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Constipation significantly affects the quality of life and health outcomes of patients undergoing haemodialysis. Despite its common occurrence in this population, there is a lack of systematic reviews and meta-analyses on the prevalence of constipation among patients receiving haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To determine the global prevalence and risk factors of constipation among patients receiving haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review and meta-analysis following PRISMA guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Adult patients undergoing haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search strategy was conducted across PubMed, Embase, CINAHL, Web of Science, and Medline to identify relevant articles. A random-effects model was used with 95% confidence intervals. Heterogeneity, meta-regression, moderators, and publication bias were also analysed. The methodological quality was assessed according to Hoy's guidelines and the Risk of Bias tool 2.0. Risk factors were determined based on odds ratios, along with 95% confidence intervals or <i>p</i>-values.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-two studies involving 4963 patients receiving haemodialysis were included. The pooled prevalence of constipation among patients with haemodialysis was 42.2%. The Asian region reported a significantly higher proportion of constipation than other regions. No publication bias was identified using Egger's test. The Rome criteria were mostly used among the included studies. Significant risk factors for constipation were diabetes and low levels of physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Constipation is prevalent among patients with haemodialysis, affecting nearly half of this population, particularly in Asia. The Rome criteria were the predominant method used for diagnosing constipation. Diabetes and limited physical activity were significant risk factors for constipation. The findings emphasise the importance of healthcare professionals conducting regular screening and designing tailored interventions to effectively manage constipation in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145804731","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":"Lifestyle Interventions, Markers of Metabolic Syndrome and Quality of Life in Kidney Transplant Recipients: A Systematic Review and Meta-Analysis","authors":"Ashley Darvell,&nbsp;Annaliese Pretty,&nbsp;Kelly Lambert,&nbsp;Elizabeth P. Neale","doi":"10.1111/jorc.70038","DOIUrl":"10.1111/jorc.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Kidney transplantation reduces mortality in patients with kidney failure; however, recipients often experience post-transplant complications, such as weight gain, hypertension, dyslipidaemia and new-onset diabetes mellitus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine the impact of lifestyle interventions (diet, exercise and behavioural) on markers of metabolic syndrome and quality of life (QoL) in kidney transplant recipients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eligible studies were randomised controlled trials assessing the effect of lifestyle interventions on metabolic outcomes (body weight, lipid levels, HbA1c, fasting glucose, blood pressure, albuminuria, proteinuria and C-reactive protein), and QoL in kidney transplant recipients. A systematic search until 27 June 2025 was conducted. Data were synthesised using random-effects meta-analyses, and QoL data were synthesised using a narrative synthesis approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 35 studies were included: 13 (37%) of which were exercise interventions, 11 (31%) diet, 2 (6%) behavioural and 9 (26%) were multi-component interventions. Lifestyle intervention resulted in significant reductions in body fat (weighted mean difference: −1.190 kg [95% CI: −2.088 to −0.291]) and significant increases in high-density lipoprotein cholesterol (0.094 mmol/L [95% CI: 0.013, 0.175]), with no other significant changes found. Narrative synthesis found improvements in QoL following lifestyle intervention. Certainty of the body of evidence (assessed using GRADE) ranged from moderate to very low.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Lifestyle intervention was found to lead to improvements in body fat (kg), HDL cholesterol and QoL. While these findings suggest some potential benefits of lifestyle intervention, additional research is needed across a range of lifestyle interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145768526","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":"Vaccination Uptake and Patient Perceptions Among Haemodialysis Patients: Insights From a Cross-Sectional Study","authors":"Eirini Potamianou,&nbsp;Ioanna Dimitriadou,&nbsp;Maria Saridi,&nbsp;Aikaterini Toska,&nbsp;Evangelos C. Fradelos,&nbsp;Paraskevi Theofilou,&nbsp;Dimitrios Papagiannis","doi":"10.1111/jorc.70039","DOIUrl":"10.1111/jorc.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Haemodialysis patients face an elevated risk of infectious diseases due to immunosuppression and frequent exposure to healthcare settings. Vaccination is a critical preventive strategy for this population; however, coverage remains inconsistent across different vaccines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate vaccine coverage and perceptions among patients undergoing haemodialysis in Greece and identify factors influencing uptake.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was a cross-sectional study employing a structured, interviewer-administered questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>The study included 201 adult patients undergoing maintenance haemodialysis at selected dialysis centres in Greece.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Data collected included demographic characteristics, comorbidities, and self-reported vaccination status for influenza, pneumococcal, meningococcal B, and Haemophilus influenzae type b (Hib) vaccines. Attitudes toward vaccination were assessed using Likert scale items. Statistical analyses involved linear regression, ANOVA, and Pearson's correlation tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Vaccination rates were highest for influenza (88.6%) and pneumococcal vaccines (85.1%), while coverage for meningococcal B (25.4%) and Hib (16.9%) was low. Key barriers to vaccination included a perceived low risk of infection, lack of physician recommendations, and inadequate awareness. Age and higher educational attainment were significantly associated with greater vaccine uptake (<i>p</i> &lt; 0.05). A weak but statistically significant correlation (<i>r</i> = .163–0.341) was observed between positive perceptions of vaccines and actual vaccination behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although the uptake of some vaccines was high, the coverage of others remained suboptimal. Addressing knowledge gaps and increasing physician-driven recommendations may improve vaccine acceptance among the haemodialysis population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12710131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145768437","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":"Investigating Perceptions of Quality Nephrology Nurse Training","authors":"Kathy Hill,&nbsp;Anne Britton,&nbsp;Dana Cotton","doi":"10.1111/jorc.70037","DOIUrl":"10.1111/jorc.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nephrology nursing shortages are becoming a critical problem in South Australian renal units due to increasing caseloads and high levels of attrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>We sought to explore this issue from the perspective of renal unit nurse managers, nephrology nurse educators, and nursing staff working within haemodialysis units, home therapies and a renal ward.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative approach was taken through individual interviews and several focus groups to allow an open exploration of the current workforce challenges and the aspects of nephrology nurse training that needed to be improved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Thirty-three nephrology nurses drawn from four health services participated in a face-to-face interview or a focus group with several others.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Staff shortages are described as chronic, and the problem starts with the undergraduate training programme and limited clinical exposure. This is compounded by employment of nurses with no post graduate qualification and limited desire to study for one. Nephrology nursing is now a buyers’ market with staff attracted to units with no night shift and the simplicity of haemodialysis therapies. This is creating technicians not knowledgeable renal nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To address staff shortages renal units need to consider the reintroduction of clinical rotations and incentives to complete post graduate training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145724066","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":"Digital Self-Monitoring of Intake and Output Among Individuals With Kidney Failure: Awareness, Usability, Acceptance, Attitudes and Key Engagement Factors","authors":"Felice Fangie Leong,&nbsp;Fazila Aloweni,&nbsp;Raden Nurheryany Binte Sunari,&nbsp;Shu Hui Lim,&nbsp;Andrea Chau Lin Choh,&nbsp;Shin Yuh Ang","doi":"10.1111/jorc.70036","DOIUrl":"https://doi.org/10.1111/jorc.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Manual intake and output (I&amp;O) recording is often delayed and inaccurate, highlighting the need for patient-involved digital solutions. Evidence on kidney failure individuals’ acceptance, usability and willingness to self-monitor remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess the awareness, acceptance and usability of the Food IN&amp;OUT application among hospitalised adults with kidney failure, and to identify factors influencing their willingness to continue self-monitoring after discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-centre cross-sectional study was conducted from February to July 2024 in a Singapore teaching hospital. Adults with kidney failure used the application and completed a questionnaire including demographics, the system usability scale and the theoretical framework of acceptability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 93 participants took part in the study. The application had a mean usability score of 66.2 (SD = 14.4), with 59 participants (63.4%) willing and 34 (36.6%) unwilling to continue self-monitoring I&amp;O post-hospitalisation. Willing participants rated I&amp;O monitoring as more important (<i>p</i> = 0.03), were nearly three times more likely to report confidence in using the app (OR = 2.68, <i>p</i> &lt; 0.02), and gave higher ratings for ease of use and consistency (all <i>p</i> &lt; 0.05). Acceptability scores exceeded 3.0 overall, with significant differences in self-efficacy, perceived effectiveness and opportunity costs between willing and unwilling groups (all <i>p</i> &lt; 0.05). Key motivators for continued use included health benefits, adherence to professional advice and confidence in accurate self-monitoring. Barriers included time constraints, forgetfulness and perceived difficulty with consistent tracking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The application showed potential to support self-monitoring in kidney failure individuals, but its moderate usability underscores the need for further refinement and patient support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618940","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 Chain of Cannulation: A Qualitative Comparison of the Cannulation Process and European Guidelines","authors":"Karin Staaf,&nbsp;Fredrik Uhlin","doi":"10.1111/jorc.70035","DOIUrl":"https://doi.org/10.1111/jorc.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The cannulation of an arteriovenous fistula can be performed using several different techniques and surrounding routines, which are presently not well-defined. The recently described chain of cannulation includes planning cannulation, pre-cannulation, during cannulation, evaluating cannulation and post-cannulation, and was based on the Swedish context, in which the buttonhole cannulation technique is the most common.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore whether the chain of cannulation is in agreement with nursing guidelines from other dialysis contexts, in terms of cannulation techniques and their preconditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative comparison of guidelines regarding arteriovenous fistula cannulation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Two guidelines regarding the process of arteriovenous cannulation, written in English, were included and compared to a compilation of Swedish local guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements/Approach</h3>\u0000 \u0000 <p>The British and European guidelines were analysed using deductive qualitative content analysis. The utilised categorisation matrix was based on the chain of cannulation and its subcategories. The identified subcategories were compared among guidelines, using qualitative triangulation to find agreement, dissonance or silence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The majority of subcategories showed partial agreement between at least two of the guidelines. Silence and dissonance were identified in the following subcategories: hygiene routines, preventing pain, how to needle, angle during cannulation, needle withdrawal and haemostasis. Two new subcategories were identified in the British guidelines: patient involvement, and screening and control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The chain of cannulation, which originated in the Swedish context, showed agreement with needling guidelines from other nursing contexts regarding arteriovenous cannulation techniques and their preconditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145407420","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":"Indicators of Nutritional Health of Patients on Haemodialysis","authors":"Renata Vogel Raggo,&nbsp;Shannon Morley,&nbsp;Jennifer Utter","doi":"10.1111/jorc.70034","DOIUrl":"10.1111/jorc.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This project describes indicators of health risk of patients requiring haemodialysis and their adherence to current renal-specific nutrient guidelines and indicators of overall healthy eating.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The current study analysed nutritional intakes reported by a single-day 24-h recall by patients undergoing haemodialysis in an outpatient centre. Participants (<i>n</i> = 37) were clients of a 12-chair unit, based in South Brisbane, Australia. Information on patient characteristics and cardiovascular and health risk were collected from patient charts. Nutritional intakes were compared to references provided by the KDOQI Clinical Practice Guideline, Nutrient Reference Values and/or general healthy eating guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Approximately half of the patients had lipid levels indicating cardiovascular risk, 40% had BMIs in the obese category, and 20% were assessed as malnourished. Patients met, on average, 80% of their energy and 106% of protein requirements. When using renal-specific guidelines, this population met recommendations for sodium, but not fibre. Using guidelines for the general population, this population consumed too much energy from saturated fat. Phosphorus, calcium and potassium appeared to be below the nutrient reference values. Most patients reported consuming two or more vegetables per day while few met the recommendations for fruit, fish and legumes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The intakes of this cohort suggested compliance with traditional renal-specific dietary advice, but perhaps at the expense of an overall healthy diet. Dietitians who work with patients requiring haemodialysis may choose to prioritize general healthy eating advice, such as that based on the Mediterranean Diet, to better support this patient population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145377503","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}