Journal of renal care最新文献

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Issue Information: Journal of Renal Care 3/2022 期刊信息:Journal of Renal Care 3/2022
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-08-04 DOI: 10.1111/jorc.12386
{"title":"Issue Information: Journal of Renal Care 3/2022","authors":"","doi":"10.1111/jorc.12386","DOIUrl":"10.1111/jorc.12386","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 3","pages":"139-140"},"PeriodicalIF":1.9,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12386","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75657226","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}
引用次数: 0
Factors associated with readmission in chronic kidney disease: Systematic review and meta-analysis 慢性肾病患者再入院的相关因素:系统回顾和荟萃分析
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-07-09 DOI: 10.1111/jorc.12437
Jac Kee Low BSc (Hons), PhD, Kimberley Crawford BSc (Hons), PhD, Jerry Lai BBehavSc (Hons), PhD, MStat, Elizabeth Manias RN, PhD, Master of Nursing Studies, MPharm
{"title":"Factors associated with readmission in chronic kidney disease: Systematic review and meta-analysis","authors":"Jac Kee Low BSc (Hons), PhD,&nbsp;Kimberley Crawford BSc (Hons), PhD,&nbsp;Jerry Lai BBehavSc (Hons), PhD, MStat,&nbsp;Elizabeth Manias RN, PhD, Master of Nursing Studies, MPharm","doi":"10.1111/jorc.12437","DOIUrl":"10.1111/jorc.12437","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Risk factors associated with all-cause hospital readmission are poorly characterised in patients with chronic kidney disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>A systematic review and meta-analysis were conducted to identify risk factors and protectors of hospital readmission in chronic kidney disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design, Participants &amp; Measurements</h3>\u0000 \u0000 <p>Studies involving adult patients were identified from four databases from inception to 31/03/2020. Random-effects meta-analyses were conducted to determine factors associated with all-cause 30-day hospital readmission in general chronic kidney disease, in dialysis and in kidney transplant recipient groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighty relevant studies (chronic kidney disease, <i>n</i> = 14 studies; dialysis, <i>n</i> = 34 studies; and transplant, <i>n</i> = 32 studies) were identified. Meta-analysis revealed that in both chronic kidney disease and transplant groups, increasing age in years and days spent at the hospital during the initial stay were associated with a higher risk of 30-day readmission. Other risk factors identified included increasing body mass index (kg/m<sup>2</sup>) in the transplant group, and functional impairment and discharge destination in the dialysis group. Within the chronic kidney disease ​​​​group, having an outpatient follow-up appointment with a nephrologist within 14 days of discharge was protective against readmission but this was not protective if provided by a primary care provider or a cardiologist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Risk-reduction interventions that can be implemented include a nephrologist appointment within 14 days of hospital discharge, rehabilitation programme for functional improvement in the dialysis group and meal plans in the transplant group. Future risk analysis should focus on modifiable factors to ensure that strategies can be tested and implemented in those who are more at risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 4","pages":"229-242"},"PeriodicalIF":1.9,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40487408","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}
引用次数: 0
Measurement and mobilisation of localised oedema in haemodialysis 血液透析中局部水肿的测量和动员
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-07-03 DOI: 10.1111/jorc.12438
Ryan Longley, David F. Keane MSc, PhD
{"title":"Measurement and mobilisation of localised oedema in haemodialysis","authors":"Ryan Longley,&nbsp;David F. Keane MSc, PhD","doi":"10.1111/jorc.12438","DOIUrl":"10.1111/jorc.12438","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The presence of localised oedema can make measurement and removal of excess fluid in haemodialysis challenging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate (i) the effectiveness of intermittent pneumatic compression and neuromuscular electrical stimulation at mobilising oedema and (ii) the impact of localised fluid on bioimpedance measured fluid status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A single centre, cross-over study design. Participants were monitored weekly during mid-week dialysis sessions. Four sessions with each of the interventions and no interventions, with washout periods between, were included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Six participants with lower limb oedema and established on haemodialysis for at least 3 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>The effectiveness of mobilising oedema and improving haemodynamic stability was assessed by: reduction in ankle circumference; ultrafiltration volume achieved; blood pressure changes; participant symptoms and achievement of target weight. The impact of localised fluid on bioimpedance measurements was assessed by comparing measurements across affected tissue with measurements avoiding the site of oedema.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were no differences in ultrafiltration volumes, achievement of target weight, participant symptoms or reductions in ankle circumference and systolic blood pressure between intermittent pneumatic compression and neuromuscular electrical stimulation sessions compared to control sessions. Measurements of fluid overload with bioimpedance were 1.7 and 1.8 L higher when measuring across oedematous tissue compared to non-oedematous tissue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We were unable to demonstrate improved mobilisation of fluid in the participant's lower limb, though there was a low number of study participants and notable interindividual variation observed. Bioimpedance offers potential for monitoring fluid management in individuals with lower limb oedema but specific protocols are necessary.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 2","pages":"93-100"},"PeriodicalIF":1.9,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9351754","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}
引用次数: 0
Correlations among lean tissue index, physical activity, clinical parameters, diet quality, and nutritional status in patients receiving haemodialyses 血液透析患者瘦组织指数、体力活动、临床参数、饮食质量和营养状况的相关性
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-06-11 DOI: 10.1111/jorc.12425
Ya-Hsin Hsiao MSc, RN, Chia-Hao Chang PhD, Peir-Haur Hung MSc, Tsuey-Yuan Huang PhD, RN
{"title":"Correlations among lean tissue index, physical activity, clinical parameters, diet quality, and nutritional status in patients receiving haemodialyses","authors":"Ya-Hsin Hsiao MSc, RN,&nbsp;Chia-Hao Chang PhD,&nbsp;Peir-Haur Hung MSc,&nbsp;Tsuey-Yuan Huang PhD, RN","doi":"10.1111/jorc.12425","DOIUrl":"10.1111/jorc.12425","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Poor diet quality and malnutrition accelerate protein and energy depletion. This can result in a diminished lean tissue index (LTI) and an inability to perform daily activities, both of which increase the risk of falls and affect the quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigated the correlations among LTI, physical activity (PA), clinical parameters, diet quality, and nutritional status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study design was employed. Participants in stable conditions receiving haemodialyses were enroled. LTI was measured using a body composition monitor. Three-day dietary records and demographic and clinical parameters were collected.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 104 patients receiving haemodialyses were recruited (53.8% men, aged 57.7 ± 11.78 years; dialysis duration, 7.3 ± 6.04 years). LTI was not associated with diet quality; LTI was positively correlated with sex and negatively correlated with age, dialysis duration, and fat tissue index (FTI); and lean tissue index was positively correlated with PA. Among patients with a normal LTI, the odds ratio for low-FTI was 31.04 times higher than that for high-FTI. In total, 80.8% of the participants had poor diet quality, which was mainly attributed to their excessive intake of saturated fatty acids and insufficient fruit intake.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although diet quality was unrelated to the LTI, the results indicated that most patients receiving haemodialyses had poor diet quality. Therefore, this topic merits further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 2","pages":"101-109"},"PeriodicalIF":1.9,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9346137","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}
引用次数: 0
A novel health behaviour intervention to promote adherence in kidney failure 一种新的健康行为干预来促进肾衰竭患者的依从性
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-05-31 DOI: 10.1111/jorc.12435
Christopher M. Celano MD, Juliana Zambrano MD, Lauren Harnedy BA, Daniel Arroyo-Ariza MD, Alba Carrillo PhD, Wei-Jean Chung PhD, Christina N. Massey PhD, Abraham Cohen-Bucay MD, Jeff C. Huffman MD
{"title":"A novel health behaviour intervention to promote adherence in kidney failure","authors":"Christopher M. Celano MD,&nbsp;Juliana Zambrano MD,&nbsp;Lauren Harnedy BA,&nbsp;Daniel Arroyo-Ariza MD,&nbsp;Alba Carrillo PhD,&nbsp;Wei-Jean Chung PhD,&nbsp;Christina N. Massey PhD,&nbsp;Abraham Cohen-Bucay MD,&nbsp;Jeff C. Huffman MD","doi":"10.1111/jorc.12435","DOIUrl":"10.1111/jorc.12435","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Health behaviour adherence is associated with improved survival in kidney failure (KF); however, most patients with KF do not adhere to one or more health behaviours. Existing health behaviour interventions have significant limitations and do not focus on psychological factors that are associated with adherence and health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine the feasibility, acceptability, and preliminary efficacy of a 12-week, phone-delivered, positive psychology-motivational interviewing (MI) intervention to promote psychological well-being and adherence in KF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Single-arm, proof-of-concept trial (<i>N</i> = 10).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Participants were adults with KF undergoing haemodialysis and reporting suboptimal adherence to physical activity, diet, and/or medications. Participants attended weekly phone sessions with a study trainer, completed weekly positive psychology exercises (focused on gratitude, strengths, and meaning), and worked towards physical activity, diet, and/or medication goals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Feasibility was measured by the percentage of sessions completed, while acceptability was assessed through participant ratings of positive psychology and MI session ease and utility (0–10 Likert scales). We explored the intervention's impact on psychological outcomes and health behaviour adherence using validated scales and accelerometers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants completed 78% of sessions and rated the program's components as easy to complete (positive psychology: 8.7 ± 1.5; MI: 8.3 ± 2.0) and subjectively helpful (positive psychology: 8.8 ± 1.2; MI: 8.8 ± 1.6). The intervention led to promising but nonsignificant improvements in psychological and adherence measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This 12-week, phone-delivered program was feasible, well-accepted, and associated with nonsignificant improvements health behaviour adherence, highlighting the need for a larger efficacy trial.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 1","pages":"24-34"},"PeriodicalIF":1.9,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12435","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10759421","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}
引用次数: 0
Patients' perspectives of fluid management: A multicentre comparative study of home and incentre haemodialysis 患者对液体管理的看法:家庭和中心血液透析的多中心比较研究
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-05-30 DOI: 10.1111/jorc.12426
Megan Glyde BSc, Ed Sutherland PhD, Louise Dye PhD, Sandip Mitra MD, FRCP, David Keane PhD
{"title":"Patients' perspectives of fluid management: A multicentre comparative study of home and incentre haemodialysis","authors":"Megan Glyde BSc,&nbsp;Ed Sutherland PhD,&nbsp;Louise Dye PhD,&nbsp;Sandip Mitra MD, FRCP,&nbsp;David Keane PhD","doi":"10.1111/jorc.12426","DOIUrl":"10.1111/jorc.12426","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is increasing worldwide interest in person-centred care in haemodialysis and home haemodialysis (HHD). Intradialytic fluid management is a vital component of haemodialysis, and often a shared decision, yet patients' perspectives and experience of related decisions are largely unexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore the perspectives of patients receiving home or incentre haemodialysis (IHD), in relation to intradialytic fluid management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A multicentre cross-sectional survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Eight hundred and thirty-nine patients receiving IHD and 99 patients receiving HHD, across six English renal units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Self-reported measures of understanding, experiences and control of fluid management, and willingness to achieve target weight. An objective test of patients' ability to relate common signs and symptoms to fluid overload or excessive ultrafiltration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients receiving HHD had greater knowledge than those receiving IHD (66.1% vs. 42.3%, <i>p</i> &lt; 0.001) about causes of common signs and symptoms which remained when controlling for age, education and years since beginning haemodialysis. Patients receiving HHD felt more in control of and had greater self-reported adherence to fluid management (<i>p</i> &lt; 0.01), yet knowledge gaps existed in both cohorts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Greater patient knowledge and its practice in HHD may contribute to improved fluid balance and outcomes. Whilst patient selection may contribute towards these differences, the training patients receive when opting for HHD and subsequent experience are likely to be key contributing factors. Integrating aspects of education on fluid management from HHD training programmes should be considered in IHD, and further targeted, robust education remains an unmet need.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 2","pages":"84-92"},"PeriodicalIF":1.9,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12426","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9353526","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}
引用次数: 0
Psychosocial factors in patients with kidney failure and role for social worker: A secondary data audit 肾功能衰竭患者的社会心理因素和社会工作者的作用:二次数据审计
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-05-08 DOI: 10.1111/jorc.12424
Micaella Sotera Hansen BN, Wubshet Tesfaye BPharm, MSc, PhD, Kamal Sud MBBS, DNB, FRACP, Beena Sewlal BA, Bharati Mehta MSc, Lukas Kairaitis MBBS, PhD, FRACP, Surjit Tarafdar MBBS, FRACP, Katrina Chau MBBS, PhD, FRACP, Syed Tabish Razi Zaidi BPharm, PhD, Ronald Castelino BPharm, MPharm, PhD
{"title":"Psychosocial factors in patients with kidney failure and role for social worker: A secondary data audit","authors":"Micaella Sotera Hansen BN,&nbsp;Wubshet Tesfaye BPharm, MSc, PhD,&nbsp;Kamal Sud MBBS, DNB, FRACP,&nbsp;Beena Sewlal BA,&nbsp;Bharati Mehta MSc,&nbsp;Lukas Kairaitis MBBS, PhD, FRACP,&nbsp;Surjit Tarafdar MBBS, FRACP,&nbsp;Katrina Chau MBBS, PhD, FRACP,&nbsp;Syed Tabish Razi Zaidi BPharm, PhD,&nbsp;Ronald Castelino BPharm, MPharm, PhD","doi":"10.1111/jorc.12424","DOIUrl":"10.1111/jorc.12424","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with kidney failure face a multitude of psychosocial stressors that affect disease trajectory and health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate psychosocial factors affecting people with kidney failure before or at start of kidney replacement therapy (KRT) and kidney supportive and palliative care (KSPC) phases of illness and to explore role of social worker during the illness trajectory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a secondary data audit of patients either before or at start of KRT (Phase 1) and at the KSPC (Phase 2) of illness and had psychosocial assessments between March 2012 and March 2020 in an Australian setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy-nine individuals, aged 70 ± 12 years, had at least two psychosocial assessments, one in each of the two phases of illness. The median time between social worker evaluations in Phase 1 and Phase 2 was 522 (116−943) days. Adjustment to illness and treatment (90%) was the most prevalent psychosocial issue identified in Phase 1, which declined to 39% in Phase 2. Need for aged care assistance (7.6%−63%; <i>p</i> &lt; 0.001) and carer support (7.6%−42%; <i>p</i> &lt; 0.001) increased significantly from Phase 1 to Phase 2. There was a significant increase in psychosocial interventions by the social worker in Phase 2, including supportive counselling (53%−73%; <i>p</i> &lt; 0.05), provision of education and information (43%−65%; <i>p</i> &lt; 0.01), and referrals (28%−62%; <i>p</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Adults nearing or at the start of KRT experience immense psychosocial burden and adaptive demands that recognisably change during the course of illness. The positive role played by the nephrology social worker warrants further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 2","pages":"75-83"},"PeriodicalIF":1.9,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352241","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}
引用次数: 0
Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study 对每日短期血液透析患者实施阻力训练计划:可行性研究
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-05-08 DOI: 10.1111/jorc.12423
Heitor S. Ribeiro MSc, Vinícius A. Cunha MSc, Gustavo Í. Dourado MSc, Marvery P. Duarte MSc, Lucas S. Almeida BSc, Victor M. Baião BSc, Antônio J. Inda-Filho PhD, João L. Viana PhD, Otávio T. Nóbrega PhD, Aparecido P. Ferreira PhD
{"title":"Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study","authors":"Heitor S. Ribeiro MSc,&nbsp;Vinícius A. Cunha MSc,&nbsp;Gustavo Í. Dourado MSc,&nbsp;Marvery P. Duarte MSc,&nbsp;Lucas S. Almeida BSc,&nbsp;Victor M. Baião BSc,&nbsp;Antônio J. Inda-Filho PhD,&nbsp;João L. Viana PhD,&nbsp;Otávio T. Nóbrega PhD,&nbsp;Aparecido P. Ferreira PhD","doi":"10.1111/jorc.12423","DOIUrl":"10.1111/jorc.12423","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Kidney failure patients receiving haemodialysis experience protein-energy wasting, muscle mass loss and physical function impairment. Intradialytic exercise interventions seem to modify these features, but they are often not implemented as a clinical routine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate the feasibility of implementing a supervised intradialytic resistance training programme as a clinical routine for patients receiving short daily haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A prospective longitudinal study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Eighteen patients in a supervised intradialytic resistance training programme for 8 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>It consisted of a warm-up, lower- and upper-limb resistance exercises and a cool-down. Patients performed the resistance training during the first half of haemodialysis, twice a week, supervised by exercise physiologists and physiotherapists. The feasibility was assessed by the total and partial adherences, the reasons for refusing or for not exercising and the intradialytic complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From a total of 953 potential exercise sessions, 759 were performed, with a 79.6% adherence rate. In the first 9 weeks, the adherence rate was 86.6% and the lowest rate was in the 19–27 weeks (73.5%). The main intradialytic complication during exercise sessions was hypotension (<i>n</i> = 31; 4.1%). The highest number of complications was reported during the first 9 weeks (<i>n</i> = 27; 9.1%). The main reasons for refusing or for not performing the intradialytic exercise sessions were clinical complications previous to exercise time (<i>n</i> = 63; 32.5%) and self-reported indisposition (<i>n</i> = 62; 32.0%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The intradialytic resistance training programme, supervised by exercise physiologists and physiotherapists, had very low complications, achieved a high long-term adherence rate and showed to be feasible as a clinical routine for patients receiving short daily haemodialysis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 2","pages":"125-133"},"PeriodicalIF":1.9,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9346129","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}
引用次数: 3
Examining social support, psychological status and health-related quality of life in people receiving haemodialysis 研究接受血液透析患者的社会支持、心理状况和健康相关生活质量
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-05-03 DOI: 10.1111/jorc.12422
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引用次数: 0
The art of improving the haemodialysis experience 改善血液透析体验的艺术
IF 1.9 4区 医学
Journal of renal care Pub Date : 2022-05-03 DOI: 10.1111/jorc.12421
Claire Carswell RMN, PhD
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引用次数: 0
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