Anastasia Liossatou, Afra Masià-Plana, Veronica Strini, Davide Sisti, Ilaria de Barbieri, Sofia Zyga
{"title":"护士在慢性肾脏疾病相关瘙痒管理中的认知和作用：一项横跨欧洲的多中心调查","authors":"Anastasia Liossatou, Afra Masià-Plana, Veronica Strini, Davide Sisti, Ilaria de Barbieri, Sofia Zyga","doi":"10.1111/jorc.70018","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Chronic kidney disease-associated pruritus is a debilitating condition affecting people on haemodialysis, and nephrology nurses have the potential to play a crucial role in its early identification and management.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To investigate the nephrology nurses’ perceptions and roles in the identification and management of chronic kidney disease-associated pruritus among people receiving haemodialysis.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A survey-based, cross-sectional study was conducted by the European Dialysis Transplant Nurses Association/European Renal Care Association, using a structured questionnaire designed by the researchers and distributed online.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Nephrology nurses working in the haemodialysis field.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 286 questionnaire submissions were received from 15 European countries. The study sample comprised 48 male and 238 female nurses. The findings reveal that 71.9% of nurses participating in the study widely agreed that the people on haemodialysis under their care tend to withhold reporting symptoms of chronic kidney disease-associated pruritus. Nurses perceived that approximately 25% of their people on haemodialysis did not openly discuss their symptoms of pruritus with their care team. Most nurses (76.4%) reported being involved in recommending or prescribing treatments for chronic kidney disease-associated pruritus, with 71.4% specifically addressing treatments for itching. However, 35.5% of healthcare professionals do not fully recognise the link between pruritus and kidney disease.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The study highlights the complex challenges nephrology nurses face in identifying and managing chronic kidney disease-associated pruritus. It emphasises the significant impact of pruritus on people's quality of life and the crucial role nurses can play in early detection and management.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nurse's Perceptions and Roles in the Management of Chronic Kidney Disease-Associated Pruritus: A Multicentre Survey Across Europe\",\"authors\":\"Anastasia Liossatou, Afra Masià-Plana, Veronica Strini, Davide Sisti, Ilaria de Barbieri, Sofia Zyga\",\"doi\":\"10.1111/jorc.70018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Chronic kidney disease-associated pruritus is a debilitating condition affecting people on haemodialysis, and nephrology nurses have the potential to play a crucial role in its early identification and management.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To investigate the nephrology nurses’ perceptions and roles in the identification and management of chronic kidney disease-associated pruritus among people receiving haemodialysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A survey-based, cross-sectional study was conducted by the European Dialysis Transplant Nurses Association/European Renal Care Association, using a structured questionnaire designed by the researchers and distributed online.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>Nephrology nurses working in the haemodialysis field.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 286 questionnaire submissions were received from 15 European countries. The study sample comprised 48 male and 238 female nurses. The findings reveal that 71.9% of nurses participating in the study widely agreed that the people on haemodialysis under their care tend to withhold reporting symptoms of chronic kidney disease-associated pruritus. Nurses perceived that approximately 25% of their people on haemodialysis did not openly discuss their symptoms of pruritus with their care team. Most nurses (76.4%) reported being involved in recommending or prescribing treatments for chronic kidney disease-associated pruritus, with 71.4% specifically addressing treatments for itching. However, 35.5% of healthcare professionals do not fully recognise the link between pruritus and kidney disease.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The study highlights the complex challenges nephrology nurses face in identifying and managing chronic kidney disease-associated pruritus. 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Nurse's Perceptions and Roles in the Management of Chronic Kidney Disease-Associated Pruritus: A Multicentre Survey Across Europe
Background
Chronic kidney disease-associated pruritus is a debilitating condition affecting people on haemodialysis, and nephrology nurses have the potential to play a crucial role in its early identification and management.
Objectives
To investigate the nephrology nurses’ perceptions and roles in the identification and management of chronic kidney disease-associated pruritus among people receiving haemodialysis.
Design
A survey-based, cross-sectional study was conducted by the European Dialysis Transplant Nurses Association/European Renal Care Association, using a structured questionnaire designed by the researchers and distributed online.
Participants
Nephrology nurses working in the haemodialysis field.
Results
A total of 286 questionnaire submissions were received from 15 European countries. The study sample comprised 48 male and 238 female nurses. The findings reveal that 71.9% of nurses participating in the study widely agreed that the people on haemodialysis under their care tend to withhold reporting symptoms of chronic kidney disease-associated pruritus. Nurses perceived that approximately 25% of their people on haemodialysis did not openly discuss their symptoms of pruritus with their care team. Most nurses (76.4%) reported being involved in recommending or prescribing treatments for chronic kidney disease-associated pruritus, with 71.4% specifically addressing treatments for itching. However, 35.5% of healthcare professionals do not fully recognise the link between pruritus and kidney disease.
Conclusion
The study highlights the complex challenges nephrology nurses face in identifying and managing chronic kidney disease-associated pruritus. It emphasises the significant impact of pruritus on people's quality of life and the crucial role nurses can play in early detection and management.
期刊介绍：
The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA).
The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given.
The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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