Factors Affecting Hemodialysis Adequacy in Cohort of Iranian Patient with End Stage Renal Disease

Shahdadi, Hosien; Balouchi, Abbas; Sepehri, Zahra; Rafiemanesh, Hosein; Magbri, Awad; Keikhaie, Fereshteh; Shahakzehi, Ahmad; Sarjou, Azizullah Arbabi

doi:10.5539/gjhs.v8n8p50

Cited by 6 publications

(6 citation statements)

References 35 publications

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“…The increase blood flow rate is associated with high dialysis adequacy. These results are consistent with the previous studies (6,23). Thereby, 15% to 20% increase in blood flow led to an increase in urea clearance followed by an increase in dialysis adequacy due to increased diffusion mechanism.…”

Section: Discussionsupporting

confidence: 83%

“…The result of our study showed, dialysis adequacy was less than international targets (9), which is consistent with the results of different studies (6,8). The results of this study indicated, dialysis inadequacy in routine dialysis using conventional filters, blood flow and dialysate flow rate.…”

Section: Discussionsupporting

confidence: 81%

“…In patients who cannot tolerate longer than 4-hour dialysis session, longer dialysis sessions are costly. Increased dialysate flow rate does not greatly affect dialysis adequacy (6). Confounding results were in dialysis adequacy with increased blood flow and high-flux filter interventions.…”

Section: Introductionmentioning

confidence: 87%

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Comparison of two interventions of increased blood flow rate and high-flux filters on hemodialysis adequacy and complications; a quasi-experimental study

Shahdadi¹,

Balouchi²,

Haghighi³

2017

J Renal Inj Prev

Self Cite

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Dialysis should be a safe procedure with less complications. It should improve physical state of the patients. High dialysis adequacy should also be taken into account in dialysis procedure. Thereby, the present study recommended dialysis with increased blood flow rate with higher adequacy and less complications compared to routine dialysis despite insignificant difference in dialysis adequacy and complications between increased blood flow intervention and high-flux hemodialysis. Nevertheless, increased blood flow intervention increased dialysis adequacy. For this purpose, this intervention was preferred over high-flux hemodialysis. Introduction: Various parameters such as increased blood flow and high flux filter increase dialysis adequacy. Each parameter is associated with specific complications. Objective: The aim of this study was comparison of two interventions of increased blood flow rate and high-flux filter on hemodialysis adequacy and complications. Please cite this paper as: Patients and Methods:This was a single-group quasi-experimental before-and-after intervention study. Twenty-two patients undergoing dialysis three times a week in the last 6 months consented to participate in the study. The participants were selected using random sampling method. They were reevaluated prior to dialysis and every 30 minutes until the end of each hemodialysis session using dialysis complication checklist. Dialysis adequacy was measured at the end of the fourth session for each patient. Results: The paired t test results showed a significant increase in dialysis adequacy in dialysis with increased blood flow and dialysis with high flux filter (high-flux hemodialysis) compared to routine dialysis (P = 0.01). A significant increase was found in incidence of muscular cramp in dialysis with increased blood flow compared to routine dialysis based on McNemar's statistical test (P = 0.02). Conclusion: Dialysis adequacy improved in both increased blood flow intervention and highflux hemodialysis compared to routine dialysis. On the other hand, increased blood flow intervention was associated with less complications than high-flux hemodialysis. In addition, increased blood flow intervention was more efficient and safer than high-flux hemodialysis.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 81%

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Comparison of two interventions of increased blood flow rate and high-flux filters on hemodialysis adequacy and complications; a quasi-experimental study

Shahdadi¹,

Balouchi²,

Haghighi³

2017

J Renal Inj Prev

Self Cite

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“…Disease duration and treatment period, increased hospitalization and therapy costs, mental status and social harms are among complexities affecting thalassemia patients and their families (11). Without the contribution of the patients, their treatment will not be enough effective and no satisfactory result will be obtained (12). Generally, the existence of a patient in a family provides the ground for the behavioral change of the family members and can naturally increase the family requirements.…”

Section: Introductionmentioning

confidence: 99%

Effects of Home-Care Training on the Self-Efficacy of Patients with Beta Thalassemia Major

Moghadam¹,

Nourisancho²,

Shahnazi³

et al. 2016

Mater Sociomed

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Background:The self-efficacy of thalassemia patients is an important factor in creating behavioral changes in such patients. Home-care training reduces hospitalization duration as well as relevant costs and improves disease outcomes. This study was designed to assess the effect of home-care training on the self-efficacy of patients with beta thalassemia major.Methodology:This was a quasi-experimental, case-control, before and after intervention study conducted on 136 thalassemia cases from January 2014 to October 2015. Data was collected through Shere general self-efficacy questionnaire (SGSES). Home-care trainings were provided in the form of training courses with respect to the training needs of thalassemia major cases. Two (2) months after the end of training courses, SGSES questionnaire was filled again and the obtained data was analyzed by SPSS 21 as well as descriptive-inferential statistics (significance level=P≤0.05).Results:The results of this study revealed that the mean self-efficacy score of control group was 48.69±6.82 before intervention which increased to 46.69±6.81 after intervention. The mean self-efficacy score of case group was 44.58±5.23 before intervention which increased to 49.5±6.66 after intervention. The rise of self-efficacy score, after intervention, was significantly higher in the case group compared with the control group (P≤.001).Conclusion:According to results, home-care training can develop self-efficacy in thalassemia patients. In home-care training procedure patients play an active role. By providing home-care trainings, therefore, an effective step should be taken to promote the self-efficacy of the patients and to decrease associated problems.

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“…Renal osteodystrophy in chronic kidney disease (CKD) patients causes several significant problems, including cardiovascular complications, the leading cause of mortality in chronic kidney disease [1,5]. There are many studies in the world reporting different results.…”

Section: Introductionmentioning

confidence: 99%

Renal Osteodystrophy in End Stage Renal Disease Patients in a Center in South East of Iran: A Cross-Sectional Study

Zohre¹,

Sepehri²,

Afshari³

et al. 2017

Clinical-Skills

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Factors Affecting Hemodialysis Adequacy in Cohort of Iranian Patient with End Stage Renal Disease

Cited by 6 publications

References 35 publications

Comparison of two interventions of increased blood flow rate and high-flux filters on hemodialysis adequacy and complications; a quasi-experimental study

Comparison of two interventions of increased blood flow rate and high-flux filters on hemodialysis adequacy and complications; a quasi-experimental study

Effects of Home-Care Training on the Self-Efficacy of Patients with Beta Thalassemia Major

Renal Osteodystrophy in End Stage Renal Disease Patients in a Center in South East of Iran: A Cross-Sectional Study

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