A Comparison of Erectile Dysfunction Improvement Between Patients With Regular Hemodialysis and Patients With Continuous Ambulatory Peritoneal Dialysis

Duarsa, Gede Wirya Kusuma; Kandarini, Yenny; Winarta, Gede Kesuma; Santosa, Kadek Budi; Yudiana, I Wayan; Tirtayasa, Pande Made Wisnu; Pramana, Ida Bagus Putra; Oka, Anak Agung Gde; Pradhana, Adinda Putra

doi:10.1016/j.jsxm.2021.02.007

Cited by 4 publications

(9 citation statements)

References 7 publications

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“…Hemodialysis patients may lose confidence in treatment and affect prognosis due to long treatment cycle and irreversible course [ 3 , 4 ]. Clinically, whether some effective intervention measures can be used to improve the maintenance quality of arteriovenous fistula in hemodialysis patients and ultimately improve the quality of dialysis is considered, but there are few relevant literatures [ 5 , 6 ].. Studies have shown that the correct nursing is an important factor affecting the survival period of fistula [ 7 , 8 ].. Traditional nursing methods lack systematicness and pertinence.…”

Section: Introductionmentioning

confidence: 99%

[Retracted] To Explore the Application of PDCA in Hemodialysis Center and Its Effect on the Maintenance of Internal Fistula

Cui

et al. 2022

BioMed Research International

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Background. The survey found that in recent years, with the incidence of chronic kidney disease (CKD) increasing, some patients with CKD even progressed to end-stage renal disease. Luckily, progressive hemodialysis technology and nursing level can improve the quality of life and prognosis of patients. Objective. To explore the application of plan-do-check-adjust (PDCA) cycle in the management of nurses in hemodialysis center and its effect on the maintenance of internal fistula in patients. Methods. In this study, a randomized controlled trail (RCT) was used to select 90 patients who underwent maintenance hemodialysis in the hemodialysis center of our hospital from January 2018 to June 2021 as objects. They were divided into a PDCA group (with PDCA nursing management) and routine group (with routine nursing management) by random number table with each of 45 cases for 6 months to compare the differences of the internal fistula complications, internal fistula maintenance quality, patients’ microinflammatory state, and satisfaction with nursing, as well as nursing staff’s operational and theoretical performance between the two groups. Results. There was no significant difference in CRP, IL-1, TNF-α, and IL-6 levels between the two groups before intervention ( P > 0.05 ); after that, these levels in the PDCA group were lower than those in the routine group, with statistically significant difference ( P < 0.05 ); before intervention, there was no statistically significant difference in the qualification rate of blood flow, the awareness rate of health education, and the incidence of nursing defects between the two groups ( P > 0.05 ); after that, the qualification rate of blood flow and the awareness rate of health education among nurses in PDCA group were higher than those in routine group, while the incidence of nursing defect accidents in the PDCA group was lower than that in routine group, and the differences were statistically significant ( P < 0.05 ); before intervention, there was no significant difference in the complication rate between the two groups ( P > 0.05 ); after that, the complication rate of the PDCA group was lower than that of the routine group, and the differences were statistically significant ( P < 0.05 ); after intervention, the theoretical assessment and practical skills assessment scores of the PDCA group were higher than those of the routine group, and the differences were statistically significant ( P < 0.05 ); after intervention, the nursing satisfaction of the PDCA group was higher than that of the routine group, and the differences were statistically significant ( P < 0.05 ). Conclusion. The application of PDCA approach in the management of nurses in hemodialysis centers can effectively improve the quality of internal fistula management and improve the practical and theoretical level of nurses, as well as reduce the microinflammation of patients.

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Section: Introductionmentioning

confidence: 99%

[Retracted] To Explore the Application of PDCA in Hemodialysis Center and Its Effect on the Maintenance of Internal Fistula

Cui

et al. 2022

BioMed Research International

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“…The options for dialysis-therapies are hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) which aim to maintain the patient’s quality of life. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

“… 6 , 7 Erectile dysfunction (ED) is a sexual dysfunction that is often encountered as a complication for male patients with end-stage CKD. 4 , 6 , 7 In several studies, the prevalence of ED in patients with end-stage CKD were between 50% and 80%. 8 Compared to the general population of the same age, the prevalence of sexual dysfunction was significantly higher in patients with end-stage CKD.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, there was an increase in urea levels in the blood which will trigger atherosclerosis contributing directly in pathophysiology of ED in CKD patients. 4 …”

Section: Introductionmentioning

confidence: 99%

“…In contrast, no significant differences in improving the severity of ED and the IIEF-5 score was found in the HD group. 4 …”

Section: Introductionmentioning

confidence: 99%

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The Assessment of Male Erectile Dysfunction Characteristics in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis and Hemodialysis Using the International Index of Erectile Function (IIEF-5) Combined with Hospital Anxiety and Depression Scales

Warli¹,

Alamsyah²,

Nasution³

et al. 2023

IJNRD

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Purpose To determine the differences in mean scores of erectile dysfunctions (EDs) assessed by the International Index of Erectile Function (IIEF-5) questionnaire between patients with chronic kidney disease (CKD) undergoing hemodialysis and patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Patients and Methods This is an analytic observational study with a cross-sectional design that was conducted from June to December 2022 at the Urology Center of Haji Adam Malik General Hospital and Rasyida Kidney Specialized Hospital. The sample of this study were male CKD-patients who underwent regular hemodialysis (HD) and who underwent CAPD, and met the inclusion and exclusion criteria. Psychological disorders experienced during therapy session are considered as risk factors and assessed via the Hospital Anxiety and Depression Scale (HADS). These disorders assessment was used to evaluate the severity of the patients’ anxiety and depressive symptoms. Statistical data analysis was carried out. Results Both groups had HADS-A and HADS-D scores with an average <7, classified as normal anxiety and depression. Most of the patients in the HD group had mild-to-moderate ED (28.6%), while in the CAPD group had mild severity of ED (38.1%). There were no significant differences in severity of ED between patients undergoing HD and CAPD (p > 0.05). However, there was a significant difference in ED scores (IIEF-5) between patients undergoing HD and those with CAPD (p < 0.05), in which patients in the CAPD group had a higher IIEF-5 score. In addition, there was a significant positive correlation with moderate strength (p<0.001; r =0.494) between anxiety disorders and ED disorders in patients undergoing HD and CAPD, whereas there is no significant correlation between depressive disorders and ED conditions (p > 0.05). Conclusion There was a significant difference in IIEF-5 scores between patients undergoing HD and CAPD.

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Better renal replacement therapy to improve sexual function in female patients with end-stage renal disease: A cross-sectional study

Tjahjodjati¹,

Steven²

2024

Curr Urol

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Background: Sexual dysfunction is commonly observed in patients with end-stage renal disease (ESRD). Sexual dysfunction in correlation with ESRD is associated with physiological and psychological problems resulting in low sexual desire, arousal, difficulties in achieving orgasm, and pain during intercourse. Studies on female sexual dysfunction (FSD) in correlation with renal replacement therapy are limited, and previous studies reporting contradictive results have indicated that the best modality for providing better outcomes (especially on FSD) remains unclear. Thus, this study aimed to compare the sexual function between female patients with ESRD who were on continuous ambulatory peritoneal dialysis (CAPD) and those on hemodialysis (HD). Materials and methods: This study enrolled female patients who were randomly selected from the urology and renal division of the Internal Medicine Outpatient Clinic of our hospital from January 2020 to August 2021 and divided into the following groups: predialysis, HD, CAPD, and control groups. The participants were asked to fill out the Female Sexual Function Index (FSFI) questionnaires, and their data were recorded and analyzed using GraphPad Prism 9.0.0. Results: Of the 280 patients, 200 female patients were included in this study. The rate of FSD (cutoff: 26.55) was 42% in the control group, 72% in the predialysis group, 62% in the CAPD group, and 66% the in HD group. The control group had a higher mean score in all parameters ( p < 0.05). The total FSFI mean score indicated no significant difference ( p > 0.05) between the patients on HD and those on CAPD; the mean of each point was almost identical except for satisfaction, which was higher among patients on CAPD ( p < 0.05). Significant differences in the components of desire, arousal, orgasm, and satisfaction were observed between the groups. Conclusions: Patients on CAPD had better FSFI scores than the female patients with ESRD who were on HD, and the scores of both groups of patients were better than those of the predialysis group.

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A Comparison of Erectile Dysfunction Improvement Between Patients With Regular Hemodialysis and Patients With Continuous Ambulatory Peritoneal Dialysis

Cited by 4 publications

References 7 publications

[Retracted] To Explore the Application of PDCA in Hemodialysis Center and Its Effect on the Maintenance of Internal Fistula

[Retracted] To Explore the Application of PDCA in Hemodialysis Center and Its Effect on the Maintenance of Internal Fistula

The Assessment of Male Erectile Dysfunction Characteristics in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis and Hemodialysis Using the International Index of Erectile Function (IIEF-5) Combined with Hospital Anxiety and Depression Scales

Better renal replacement therapy to improve sexual function in female patients with end-stage renal disease: A cross-sectional study

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