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EDTNA/ERCA journal (English ed.)最新文献

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Intraperitoneal hydrostatic pressure and volume in peritoneal dialysis patients. 腹膜透析患者腹膜内静水压力和容积。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01 DOI: 10.1111/j.1755-6686.1999.tb00023.x
V Di Lauro, F Luccio, M Colaluca, F De Francesco, A Pintauro
{"title":"Intraperitoneal hydrostatic pressure and volume in peritoneal dialysis patients.","authors":"V Di Lauro,&nbsp;F Luccio,&nbsp;M Colaluca,&nbsp;F De Francesco,&nbsp;A Pintauro","doi":"10.1111/j.1755-6686.1999.tb00023.x","DOIUrl":"https://doi.org/10.1111/j.1755-6686.1999.tb00023.x","url":null,"abstract":"<p><p>Dialysate Intraperitoneal Volume (IPV) represents one of the major determinants of Peritoneal Dialysis (PD) efficiency, but most adult patients are currently treated with the same standard IPV, regardless of body size. In order to evaluate the tolerability of different IPV, we adapted the current connection in use at our Institution to produce a simple method to directly measure Intraperitoneal Hydrostatic Pressure (IPP). We studied the relationship between IPV and IPP in 30 adult (age 19-77 years) patients (19 males) of various body sizes, on PD between 17 +/- 17 months. Mean end-inspiratory and end-expiratory IPP with different IPV were measured in each patient in the IPV range of clinical interest. A total of 210 individual measurements showed a statistically significant positive relationship between BSA-normalised IPV and IPP (r = 0.355, p < 0.001). Interpatient variability was high, thus suggesting that individualization of IPV according to body size is not accurate, IPP being often higher in larger body size. Direct IPP measurement with different IPV in the single patient is a simple, safe and reproducible procedure, allowing an individually tailored IPV prescription which should optimise PD efficiency while monitoring for IPP related complications.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"16-7"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1755-6686.1999.tb00023.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Do anaemia co-ordinators have to be nurses? 贫血协调员必须是护士吗?
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01
D Sanders, D Hibbert, P Ackrill, S Clinkard, J Cooke, N Cottrell
{"title":"Do anaemia co-ordinators have to be nurses?","authors":"D Sanders,&nbsp;D Hibbert,&nbsp;P Ackrill,&nbsp;S Clinkard,&nbsp;J Cooke,&nbsp;N Cottrell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role of the anaemia co-ordinator has developed subsequent to the introduction of erythropoietin therapy for renal anaemia, and posts have been established at an increasing number of hospitals in the UK. While co-ordinators have previously tended to come from a nursing background, the post at our hospital has been held jointly by a pharmacist and a clinical nurse specialist since July 1997. This paper presents an informal evaluation of our experience of joint working, and has drawn on diary entries to outline the components of the service provided. The main focus is on the boundary negotiated between pharmacist and nurse responsibilities and expertise, involving as it does areas of potential conflict and complementarity. Through a critical examination of the assumptions and expectations associated with 'generic' pharmacist and nurse roles, we begin to clarify the respective contributions which the disciplines make to anaemia management.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pre-dialysis education. A change in clinical practice. How effective is it? Pre-dialysis教育。临床实践的改变。效果如何?
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01
A O'Donnell, L Tucker
{"title":"Pre-dialysis education. A change in clinical practice. How effective is it?","authors":"A O'Donnell,&nbsp;L Tucker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The last decade has seen a great expansion in the provision of pre-dialysis education within the UK, with our programme in operation since 1996. In order to evaluate its impact on patient care, two methodologies were employed: the first used a satisfaction survey with which to examine patient perception of the programme; the second approach examined resource utilisation, in particular length of stay, as an outcome measure. Difficulties have arisen in discerning the impact of the programme amongst the other education interventions to which the patient is exposed. Comparative length of stay data was used as an alternative means of assessment. The results of the audit led us to question the effectiveness of the methodology that we employed and has led us to propose the development of a standard. It is hoped that the adoption of a more structured approach will not only aid the effectiveness of the programme itself but also facilitate the evaluation process.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exercising to fitness on dialysis. 通过透析锻炼来健身。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01 DOI: 10.1111/j.1755-6686.1999.tb00022.x
C Death
{"title":"Exercising to fitness on dialysis.","authors":"C Death","doi":"10.1111/j.1755-6686.1999.tb00022.x","DOIUrl":"https://doi.org/10.1111/j.1755-6686.1999.tb00022.x","url":null,"abstract":"<p><p>Exercise tolerance is a recognised consequence of chronic renal failure. Physical de-conditioning is an integral factor in preventing the achievement of an otherwise very acceptable quality of life which can be accomplished by good dialysis therapy. This paper reports on the implementation of an exercise programme in an ESRD setting with a patient population of over 1,100. Patients aged between 20 and 65 years were identified for phase one of the programme. All patients had an in-depth medical assessment to eliminate potential risks. The programme encompasses stretching, strengthening and aerobic exercises and a individualised exercise prescription was compiled for each participant. Twelve months after the initiation of this programme there is evidence of increased exercise tolerance, increased feelings of well-being and enhanced stability on dialysis.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"13-5"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1755-6686.1999.tb00022.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Blood pressure measurement in haemodialysis patients. 血液透析患者的血压测量。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01 DOI: 10.1111/j.1755-6686.1999.tb00020.x
T Cerrai, I Benedetti, F Della Scala, M Gori, S Nicolini, S Pampaloni, R Paolini, G C Piccioli, M Righi, R Romoli, S Torricelli
{"title":"Blood pressure measurement in haemodialysis patients.","authors":"T Cerrai,&nbsp;I Benedetti,&nbsp;F Della Scala,&nbsp;M Gori,&nbsp;S Nicolini,&nbsp;S Pampaloni,&nbsp;R Paolini,&nbsp;G C Piccioli,&nbsp;M Righi,&nbsp;R Romoli,&nbsp;S Torricelli","doi":"10.1111/j.1755-6686.1999.tb00020.x","DOIUrl":"https://doi.org/10.1111/j.1755-6686.1999.tb00020.x","url":null,"abstract":"<p><p>Several studies suggest that the 24 hour ambulatory blood pressure monitoring (ABPM) predicts left ventricular hypertrophy more accurately than conventional blood pressure measurement (CBPM) with mercury sphygmomanometer. We estimated the left ventricular mass by M-mode echocardiography in 58 patients on regular haemodialysis treatment during the midweek haemodialysis (HD) interval. ABPM was recorded during the 24 hours preceding the dialysis session and the average of values were compared with the average of the 13 pre HD CBPM recorded by nurses during the month preceding the echocardiography study. The two types of BP measurements correlated significantly with each other, (systolic BP r = 0.62; p < 0.001 and diastolic BP r = 0.74; p < 0.001). The correlation of left ventricular mass with pre-HD systolic BP was stronger (r = 0.54; p < 0.001) than with 24h-systolic BP (r = 0.33; p < 0.01). The overall accuracy of prediction was also similar (68% for pre HD-CBPM; 67% for 24h-ABPM). Measurements of diastolic BP did not correlate significantly with LVM. Our data suggest that 24h-ABPM does not offer any advantage over pre HD-CBPM in predicting left ventricular hypertrophy in HD patients.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1755-6686.1999.tb00020.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
XXVIII Annual conference of EDTNA/ERCA. European Dialysis and Transplant Nurses Association/European Renal Care Association. Berlin, Germany, 2-5 June 1999. Abstracts. 第二十八届EDTNA/ERCA年会。欧洲透析和移植护士协会/欧洲肾脏护理协会。柏林，德国，1999年6月2-5日。摘要。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-01-01
{"title":"XXVIII Annual conference of EDTNA/ERCA. European Dialysis and Transplant Nurses Association/European Renal Care Association. Berlin, Germany, 2-5 June 1999. Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 Suppl 1 ","pages":"16-60"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21368352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intermittent venovenous haemodiafiltration in critically ill patients with acute renal failure. 重症急性肾功能衰竭患者的间歇性静脉-静脉血液滤过。
EDTNA/ERCA journal (English ed.) Pub Date : 1998-10-01
P Van Malderen, L De Rijck, M Vermaut, G Van Leuven, G De Bolle, J M Billiouw, W Lornoy, I Becaus
{"title":"Intermittent venovenous haemodiafiltration in critically ill patients with acute renal failure.","authors":"P Van Malderen,&nbsp;L De Rijck,&nbsp;M Vermaut,&nbsp;G Van Leuven,&nbsp;G De Bolle,&nbsp;J M Billiouw,&nbsp;W Lornoy,&nbsp;I Becaus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Various renal replacement therapies have been used for the treatment of acute renal failure in critically ill patients in the last decade. Due to the slower rate of solute and fluid removal, the continuous renal replacement therapies are generally better tolerated than conventional therapy. There is no consensus whether different treatment strategies effect the outcome of critically ill patients and no clear definition of adequacy of renal support in the severely ill patient. Despite their possible benefits, the continuous renal replacement therapies place major demands on the organisation and workload in the dialysis unit. Having taken this into consideration our unit has opted for a ten hours daytime intermittent venovenous haemodiafiltration technique as an alternative for patients in severe conditions of haemodynamic instability, the so-called \"go slow\" dialysis.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"19-20"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A pre-training assessment tool for home dialysis. 家庭透析训练前评估工具。
EDTNA/ERCA journal (English ed.) Pub Date : 1998-10-01
J Chow
{"title":"A pre-training assessment tool for home dialysis.","authors":"J Chow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Learning only occurs when one is ready to learn and involves a wide range of intellectual skills. A pre-training assessment is the foundation for all client care activities, especially for the success of a home training programme. This paper discusses the process of the development of a pre-training assessment tool for home dialysis, which acts as a screening instrument to identify suitable candidates for the home dialysis programme, and therefore serves to reinforce the chance of success with the learning.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"30-1, 38"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Three year prospective follow up of the peritoneal access. 腹膜通路的三年前瞻性随访。
EDTNA/ERCA journal (English ed.) Pub Date : 1998-10-01
A Reyero, A Galera
{"title":"Three year prospective follow up of the peritoneal access.","authors":"A Reyero,&nbsp;A Galera","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Peritoneal access-related complications were prospectively studied in 54 peritoneal catheters placed in 49 patients between January 1994 and December 96 in a single centre. There were no perioperative complications. Five (9%) catheters were removed because of catheter-derived complications (3 outflow obstruction, 2 leak), 4 (7.4%) because of peritonitis and 1 was spontaneously extruded. Complications included 4 (7.4%) migrations with outflow obstruction, 6 (11%) leaks and 27 episodes of exit site infection occurring in 16 (30%) catheters. Six catheters suffered more than one infection. Exit site infection in the first month after catheter placement is a risk factor for multiple exit site infections by different bacteria and for catheter removal.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"32-5"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality decision making in dialysis. 透析中的质量决策。
EDTNA/ERCA journal (English ed.) Pub Date : 1998-10-01
L G Nilsson, C Anderberg, R Ipsen, E Persson, G Andersson
{"title":"Quality decision making in dialysis.","authors":"L G Nilsson,&nbsp;C Anderberg,&nbsp;R Ipsen,&nbsp;E Persson,&nbsp;G Andersson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A patient approaching the final stage of his renal disease is faced with many difficult questions. Should he opt for a transplant or start on dialysis? In the case of dialysis, can he manage his treatment at home or will he need to be cared for in a clinic? Should be choose peritoneal dialysis or haemodialysis? Is the freedom of being independent from a machine, given by CAPD, as valuable as the freedom of having days without treatment, given by HD? The issues are complex and do not have a given answer. To make the proper decisions about his treatment the patient needs extensive information and support from the caregivers. Likewise, the caregivers need to know the patient well in order to give appropriate advice. In this exchange of information, the renal nurse has a very important role. Some patients may need to be dialysed in a hospital but most can get an equally good or even better dialysis treatment in a less stressful environment. A high degree of self-care is preferred by people who value independence and freedom of movement. Self-care also improves the self-confidence and increases the chances of maintaining employment and a rich social life. Self-care could mean both PD and HD, sometimes with the assistance of a spouse or a nurse. But a certain degree of self-care can also be maintained in limited-care centres and satellites, where the presence of nursing staff gives the feeling of security. For everybody involved, not least the purchasers of health care, it is desirable to keep the patients out of the costly hospital environment for as long as possible.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"11-4"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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