Adherence to treatment and hospitalization risk in hemodialysis patients

Vaičiūnienė, Rūta; Kuzminskis, Vytautas; Žiginskienė, Edita; Skarupskienė, Inga; Bumblytė, Inga Arūnė

doi:10.5301/jn.5000038

Cited by 18 publications

(17 citation statements)

References 13 publications

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“…Considering laboratory parameters, controversy exists on gender association with chronic kidney disease–mineral bone disease parameters. In the present analysis, serum phosphorus control was better in females, probably due to more effective dialysis, which results in greater phosphorus clearance [ 22 ], better compliance with diet [ 23 ] and/or better adherence to phosphate binders [ 24 ]. It has been reported that not only high but also low serum phosphorus levels can be associated with unfavorable prognosis [ 25 ], while a clear association between hyperphosphatemia and increased cardiovascular disease has not been demonstrated in females [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Dialyzing women and men: does it matter? An observational study

Artan

Kırçelli²,

et al. 2016

Clin Kidney J

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BackgroundApplication and consequences of hemodialysis treatment may differ between genders; focusing on these differences may be useful to optimize outcomes.MethodsData from 1 999 648 hemodialysis sessions performed in 10 984 (3316 incident and 7668 prevalent) patients, treated in 55 centers of the European Clinical Database (EuCliD)–Turkey, were analyzed, and various demographic, clinical, biochemical, therapeutic and prognostic parameters were compared.ResultsThere were 1905 male and 1411 female incident and 4339 male and 3329 female prevalent patients. For females, the mean age in incident (61.8 ± 14.9 years) and prevalent (58.3 ± 15.2 years) patients was higher than for males (60.2 ± 14.8 and 56.5 ± 14.9 years, respectively) (P < 0.001 for both analyses). Also, body mass index was higher, while the hemoglobin level, and the percentage of interdialytic weight gain and arteriovenous fistula were lower. Serum phosphorus was similar in both genders in incident cases, while it was lower in prevalent female patients. Serum parathyroid hormone levels were lower in incident, but higher in prevalent male cases. Erythropoiesis-stimulating agents and vitamin D preparations were more frequently used in female incident and prevalent patients. Hospitalization was more frequent in prevalent females, while it did not differ significantly in the incident cases. Overall, no significant difference was observed in survival rates at 3 years in both incident and prevalent male and female patients.ConclusionsMany parameters differ significantly between female and male dialysis patients. Considering the effects of sex on several parameters may be a valuable approach for achieving better outcomes when formulating treatment strategies in this patient population.

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Section: Discussionmentioning

confidence: 99%

Dialyzing women and men: does it matter? An observational study

Artan

Kırçelli²,

et al. 2016

Clin Kidney J

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“…Given the importance of adherence to treatment in hemodialysis patients, several studies have been carried out in various countries. García-Llana et al (24,25) in Spain and Oliveria et al (26) in Brazil investigated quality of life and adherence to treatment of these patients. However, a review of the related studies in Iran demonstrated that no study has comprehensively and simultaneously surveyed the life quality and adherence to treatment in these patients despite the important role of the effect of adherence to treatment on quality of life in these patients.…”

Section: Introductionmentioning

confidence: 99%

Correlation between quality of life and adherence to treatment in hemodialysis patients

et al. 2018

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Introduction: Institutionalizing adherence to treatment in hemodialysis patients is one of the important nursing goals for improving quality of life in these patients. Adherence to treatment approach in these patients can play a pivotal role in improving the health level and feeling of well-being. Objectives: This study aimed at determining the quality of life in hemodialysis patients presenting to hemodialysis centers affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, on the basis of adherence to treatment. Patients and Methods: This is a correlational descriptive-analytic study. The study population consisted of hemodialysis patients in five hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran, in 2017. The data were collected during 8 months from October 2016 to May 2017 in Tehran. A sample volume of 200 patients was determined in this study. Demographic information questionnaire, KDQOL-SF, and ESRD-AQ were applied in data collection. Availability sampling method was used to select the samples on the basis of inclusion criteria. The data were analyzed with SPSS version 18 using descriptive and inferential statistics. Results: Our findings showed that 50% of the patients were male. Most of the respondents of the study (23%) were 51-60 years old. The results indicated that the mean score of quality of life of patients was 50.42±22.81. The mean total score of adherence to treatment was 901.13±85.30. Also, the correlation coefficient in this study revealed a significant correlation between total score of quality of life and adherence to treatment (r=0.218, P<0.01). Conclusion: Considering the significant correlation between adherence to treatment and life quality of patients, healthcare providers can promote the life quality of these patients via focusing on planning programs for emphasizing the role of education and interventions that improve adherence to treatment in these patients.

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“…[ 1 ] Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. [ 5 ] To maintain a general level of health, patients undergoing hemodialysis must follow the prescribed treatment regimen. Adherence to treatment plays an important role in the effectiveness of hemodialysis and health promotion in patients.…”

Section: Introductionmentioning

confidence: 99%

The effects of motivational interviewing on the health status of patients undergoing hemodialysis

Dashtidehkordi

Shahgholian

Maghsoudi

et al. 2018

Iranian J Nursing Midwifery Res

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Background:Patients undergoing hemodialysis are exposed to a wide range of physical, psychological, and social problems. One of the most important strategies for health promotion in patients is motivational interviewing. This study investigated the effect of motivational interviewing on the health status of patients undergoing hemodialysis.Materials and Methods:This single-blind, parallel, randomized, clinical trial was conducted on 57 patients undergoing hemodialysis who referred to hemodialysis centers of Alzahra and Amin Hospitals, Isfahan, Iran. The participants were selected through quota sampling method and were assigned to the experimental and control groups. The experimental group received five sessions of motivational interviewing, while the control group received five sessions of group discussion about their disease. The General Health Questionnaire (GHQ) was completed by the participants before and after the intervention. Independent t-test, paired-sample t-test, and Mann–Whitney, Chi-square, and Fisher's exact tests were used to analyze the collected data. In this study, the level of significance was 0.05.Results:Before the intervention, there was no significant difference between the mean scores of general health of the two groups (t = 0.48, p = 0.631). However, one week after the intervention, the mean score of general health in the intervention group was significantly lower than that of the control group (t = 3.12, p = 0.003).Conclusions:It can be concluded that motivational interviewing effectively improved the general health of patients undergoing hemodialysis, and using such interventions in these patients is recommended.

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Adherence to treatment and hospitalization risk in hemodialysis patients

Abstract: Higher IDWG and higher serum levels of phosphorus independently increased the relative risk of hospitalizations in hemodialysis patients. With skipped and shortened dialysis sessions, higher serum potassium level was not associated with hospitalization risk.

Cited by 18 publications

References 13 publications

Dialyzing women and men: does it matter? An observational study

Dialyzing women and men: does it matter? An observational study

Correlation between quality of life and adherence to treatment in hemodialysis patients

The effects of motivational interviewing on the health status of patients undergoing hemodialysis

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