J Creina Twomey, Patrick S Parfrey, Brendan J Barrett, David N Churchill, Christine Y Way
{"title":"Responsiveness of the patient's perception of hemodialysis scale.","authors":"J Creina Twomey, Patrick S Parfrey, Brendan J Barrett, David N Churchill, Christine Y Way","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To assess hemodialysis (HD) patients' physical health, social supports, psychosocial well-being and the interrelationship among patients' experiences, demographics, illness characteristics, and biochemical indicators of health. To determine responsiveness of the Patient's Perception of Hemodialysis Scale (PPHS) to change in health status and critical events.</p><p><strong>Methods: </strong>Using a longitudinal design HD patients (n = 85) were assessed at two time periods. Data analysis included measures of central tendency and tests of difference to assess interrelationships and responsiveness of the PPHS.</p><p><strong>Results: </strong>There were no significant changes in PPHS's subscales scores between measurement times or groups based on demographic variables. Significant differences were found in the number of co-morbid illnesses, illness severity, albumin, and urea reduction. The Psychosocial Distress subscale varied significantly in relation to time on HD, reason for admission to hospital, and number of admissions. Physical Health scores were significantly different for subgroups divided by illness, illness severity, number of illnesses, age, albumin and reason for admission. PPHS subscale mean scores were responsive to positive events in the predicted direction most of the time and appeared to have had more of an effect on the PPHS scores than negative critical events.</p><p><strong>Conclusion: </strong>The PPHS is responsive to a change in physical health and positive critical events, but results were unsubstantiated for patient's reaction to negative critical events. The PPHS is reliable, valid, and responsive to physical changes and positive critical events. This instrument offers health care professionals a viable method for assessing important factors capable of predicting quality outcomes.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"24 2","pages":"33-44"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32714224","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}
{"title":"Satellite hemodialysis services for patients with end stage renal disease.","authors":"Kathy Organ, Sandra MacDonald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>More than 40,000 Canadians are living with end stage renal disease and approximately 22,400 of those are currently being treated with hemodialysis (The Kidney Foundation of Canada, 2013). Long distance travel to access hemodialysis services can be a serious burden for patients, and travelling more than 60 minutes can mean a 20% greater risk for death, as compared with those who travel 15 minutes or less (Moist et al., 2008). Satellite hemodialysis units are seen as one solution to this problem. This study assessed the impact of services provided by one satellite hemodialysis unit on patients' satisfaction, access to care and quality of life using a qualitative interview research design. Seven patients were interviewed and three themes emerged including the burden of long distance travel before satellite services (safety, time and cost), satisfaction with satellite services (pleasant environment and continuity of care), and improved quality of life. This study showed that a satellite hemodialysis unit improved access to services and enhanced the quality of life of those patients who participated in the study.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"24 1","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32305301","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}
{"title":"Quality of life in end stage renal disease: a concept analysis.","authors":"Julie Emelie Boudreau, Anik Dubé","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>This concept analysis examines quality of life (QOL) in the context of end stage renal disease (ESRD).</p><p><strong>Background: </strong>Quality of life is a multidimensional concept historically used by governmental bodies to measure society's satisfaction of economic and social outcomes. However, health care researchers have demonstrated that the concept of QOL relates to a deeper meaning of an individual's experience of life and health.</p><p><strong>Design: </strong>Walker and Avant's (2010) framework of concept analysis was chosen to provide conceptual clarity for nephrology nurses and allied health care professionals.</p><p><strong>Data sources: </strong>The CINHAL, EBSCO, ERIC, Medline, PsycINFO, and PubMed databases were searched for the period of 1998-2013 for literature published in English and French with a focus of peer-reviewed journals from disciplines of health sciences and psychology.</p><p><strong>Results: </strong>Consequent to this concept analysis, QOL has been defined by three defining attributes, such as the ability to engage in vigorous activities, the ability to perform activities of daily living (ADL), and the ability to engage in family, social, and occupational roles.</p><p><strong>Conclusion: </strong>These findings enable a clear and functional definition of the concept of QOL in the context of ESRD, therefore facilitating the ability of nephrology nurses and allied health care professionals to assess clients' needs and improve their health care outcomes through their lived experience.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"24 1","pages":"12-20"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32305297","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}
{"title":"Addressing quality of life and end-of-life decisions with patients.","authors":"Gavril Hercz, Marta Novak","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"24 1","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32305303","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}