Dietary and Fluid Restrictions in CKD: A Thematic Synthesis of Patient Views From Qualitative Studies

Palmer, Suetonia C.; Hanson, Camilla S.; Craig, Jonathan C.; Strippoli, Giovanni F.M.; Ruospo, Marinella; Campbell, Katrina L.; Johnson, David W.; Tong, Allison

doi:10.1053/j.ajkd.2014.09.012

Cited by 136 publications

(176 citation statements)

References 49 publications

Supporting

Mentioning

163

Contrasting

Unclassified

Order By: Relevance

“…Similarly, depressive disorder in dialysis was associated with double risk of no compliance to calcium-phosphorus dietary prescriptions [26]. According to this, the patient's perception of adherence to dietary restriction can be undermined by decreased cognitive functions, reduced concentration abilities, no care about prescribed therapies and negative thoughts about self [28][29]. Indeed, P is among the most common indicators of compliance to the therapy in depressed uremic [30].…”

Section: Discussionmentioning

confidence: 99%

Depressive Symptoms in Dialysis: Prevalence and Relationship with Uremia-Related Biochemical Parameters

et al. 2018

View full text Add to dashboard Cite

Background: Depression is the most common psychiatric disorder in long-term dialysis patients and a risk factor for morbidity and mortality. Although there is a relevance of the issue in the dialysis setting, we still know little about possible relationships between depression and uraemia-related biochemical abnormalities. Our aims were to evaluate (1) the prevalence of depression in our haemodialysis (HD) and peritoneal dialysis (PD) population using a validated and easy-to-implement screening tool and (2) the association between depression and the main uraemia-related clinical and biochemical parameter changes. Methods: In this monocentric cross-sectional study, all patients of our centre with at least 3 months of dialysis were screened by Patient Health Questionnaire-9 (PHQ-9), a self-administered depression-screening questionnaire validated in dialysis setting. The impact of depressive symptoms on daily life was also assessed. We then analysed relationships between the PHQ-9-derived depressive score, functional impairment score, demographic, clinical and laboratory variables. Results: In our cohort of 145 patients, depressive symptoms were found in 69 patients (46%). Stratifying for severity, mild, moderate and severe grade accounted for 31, 13 and 2% respectively. Depressive symptoms affected 36% of patients on PD versus 52% of patients on HD. Moreover, the PD patients had significantly less functional impairment derived from depressive symptoms than the HD patients. Simple and multiple regression analysis identified serum phosphorus as the only uraemia-related laboratory parameter that was high statistically associated with depressive score. Conclusions: Using a reliable, simple and fast tool, we found that depressive symptoms affect almost half of dialysis patients, particularly so the HD cohort. Severity of depressive symptoms seems related to serum levels of phosphorus possibly because depression affects compliance to therapy.

show abstract

Section: Discussionmentioning

confidence: 99%

Depressive Symptoms in Dialysis: Prevalence and Relationship with Uremia-Related Biochemical Parameters

et al. 2018

View full text Add to dashboard Cite

show abstract

“…This often complicates the choice of food, leading to monotony of the diet, and consequently a lack of acceptance of the recommendations by numerous patients. 5 The basic criterion for good calcium-phosphate control, in accordance with the recommendations of the Working Group of the Polish Society of Nephrology on the quality of treatment in hemodialysis ESKD patients, is obtaining proper values of serum concentrations of calcium (8.4-10.2 mg/dL) and phosphorus (2.5-5.0 mg/dL). The concentration of native (intact) parathyroid hormone (PTH) should be in the range of 2-9 times the upper limit of the reference kit (~130-600 pg/mL).…”

Section: Introductionmentioning

confidence: 99%

Nutrient intake assessed with Diet History Questionnaire II, in relation to long-term calcium-phosphate control in hemodialysis patients with end-stage renal failure

Wyskida¹,

Wajda²,

Klein³

et al. 2018

Adv Clin Exp Med

View full text Add to dashboard Cite

show abstract

“…Previous syntheses of qualitative research have explored the perspectives of patients with CKD on particular issues (including end of life care [10], vascular access [11], and dietary restrictions [12]) or specific patient groups, such as patients on peritoneal dialysis (13). Although most patients requiring dialysis treatment receive in-center hemodialysis, no previous qualitative synthesis has focused on their experiences.…”

Section: Introductionmentioning

confidence: 99%

A Thematic Synthesis of the Experiences of Adults Living with Hemodialysis

Reid

Seymour

Jones

2016

CJASN

View full text Add to dashboard Cite

Background and objectives Patients on in-center dialysis spend significant amounts of time in the dialysis unit; additionally, managing ESRD affects many aspects of life outside the dialysis unit. To improve the care provided to patients requiring hemodialysis, their experiences and beliefs regarding treatment must be understood. This systematic review aimed to synthesize the experiences of patients receiving in-center hemodialysis.Design, setting, participants, & measurements We searched Embase, MEDLINE, CINAHL, PsychINFO, Google Scholar, and reference lists for primary qualitative studies published from 1995 to 2015 that explored the experiences of adult patients receiving treatment with in-center hemodialysis. A thematic synthesis was conducted.Results Seventeen studies involving 576 patients were included in the synthesis. Four analytic themes were developed. The first theme (a new dialysis-dependent self) describes the changes in identity and perceptions of self that could result from dialysis dependence. The second theme (a restricted life) describes the physical and emotional constraints that patients described as a consequence of their dependence. Some patients reported strategies that allowed them to regain a sense of optimism and influence over the future, and these contributed to the third theme (regaining control). The first three themes describe a potential for change through acceptance, adaption, and regaining a sense of control. The final theme (relationships with health professionals) describes the importance of these relationships for in-center patients and their influence on perceptions of power and support. These relationships are seen to influence the other three themes through information sharing, continuity, and personalized support.Conclusions Our synthesis has resulted in a framework that can be used to consider interventions to improve patients' experiences of in-center hemodialysis care. Focusing on interventions that are incorporated into the established relationships that patients have with their health care professionals may enable patients to progress toward a sense of control and improve satisfaction with care.

show abstract

Dietary and Fluid Restrictions in CKD: A Thematic Synthesis of Patient Views From Qualitative Studies

Cited by 136 publications

References 49 publications

Depressive Symptoms in Dialysis: Prevalence and Relationship with Uremia-Related Biochemical Parameters

Depressive Symptoms in Dialysis: Prevalence and Relationship with Uremia-Related Biochemical Parameters

Nutrient intake assessed with Diet History Questionnaire II, in relation to long-term calcium-phosphate control in hemodialysis patients with end-stage renal failure

A Thematic Synthesis of the Experiences of Adults Living with Hemodialysis

Contact Info

Product

Resources

About