Patient Knowledge, Adherence to the Therapeutic Regimen, and Quality of Life in Hemodialysis

Alikari, Victoria; Matziou, Vasiliki; Tsironi, Maria; Theofilou, Paraskevi; Giannakopoulou, Natalia; Tzavella, Foteini; Fradelos, Εvangelos C.; Zyga, Sofia

doi:10.1007/978-3-030-78771-4_29

Cited by 10 publications

(4 citation statements)

References 49 publications

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“…Although existing studies confirm that the level of disease knowledge is closely related to quality of life, 6 this study did not confirm this association, which requires further investigation.…”

Section: Discussioncontrasting

confidence: 99%

“…Some studies have reported on other factors associated with the chronic disease quality of life, such as the level of disease knowledge, self-efficacy, resilience, confidence, self-management, etc. [6][7][8][9][10][11] However, we do not yet know whether these factors are also associated with HRQOL in patients with gout. In addition, Previous studies on the HRQOL in gout patients have focused on South and East China, 4,5,12 while southwest China has unique geographical characteristics and food culture, but the current research in this region is still insufficient.…”

Section: Introductionmentioning

confidence: 99%

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The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model

Wang,

Guo,

Chen

et al. 2023

PPA

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Purpose Gout is more severe in men, leading to a poor quality of life. Previous studies did not sufficiently pay attention to the quality of life and related factors in gout patients in Southwest China. This study aimed to investigate the quality of life of men with gout in Southwest China and explore the relationship between psychosocial factors and health-related quality of life from the perspective of an information-motivation-behavioral skill model. Patients and Methods This was a cross-sectional study conducted in the West China Hospital of Sichuan University located in Southwest China. In total, 230 male patients with gout were enrolled. The health-related quality of life of patients was assessed using the gout impact scale. The gout knowledge questionnaire was used to assess patients’ information. The positive psycap questionnaire was used to assess motivation. The gout patients’ self-management assessment scale was used to assess behavioral skills. Multiple linear regression was used to identify the factors associated with the health-related quality of life of patients. Results The overall mean gout impact scale score was 52.7±15.3 (maximum possible = 100). Factors associated with the total gout impact scale score were tophi (β=0.138, P =0.050), pain (β=0.255, P <0.001), and resiliency (β=−0.282, P <0.001). In addition, demographic characteristics (educational level, smoking and marital status), clinical characteristics (tophi, pain, number of attacks over half a year, and number of affected joints) and psychosocial behavior variables (resiliency, hope, disease treatment management, diet management) were associated with several dimensions of the gout impact scale. Conclusion The health-related quality of life of male patients with gout in Southwest China was at a medium level. We found that demographic characteristics, clinical characteristics, and psychosocial factors were associated with health-related quality of life of patients with gout. These findings can be used as a reference to improve health-related quality of life of patients with gout.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model

Wang,

Guo,

Chen

et al. 2023

PPA

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“…The improvement in quality of life increases the patient's adherence to the dialysis session and decreases the mortality risk. 72 Meanwhile, a minority of the patients in this study remain complaint of pruritus. This can be explained by higher doses of activated charcoal or longer periods of treatment are needed to achieve marked improvement of relief of pruritus.…”

Section: Discussionmentioning

confidence: 79%

Does Indoxyl Sulfate Have a Role in Uremic Pruritus? A Laboratory and Interventional Study

Akl,

El-Eraki,

Elfallah

et al. 2023

J Cutan Med Surg

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Background: Pruritus is a common complaint in patients with end-stage renal disease. Indoxyl sulfate (IS) is a tryptophan end metabolite extremely renal excreted. Activated charcoal can interfere with IS intestinal absorption. Objectives: To evaluate the serum level of IS and the effect of activated charcoal on uremic pruritus. Materials and Methods: In all, 135 participants were divided into 2 main groups. In total, 45 normal and healthy individuals as a control group and 90 patients on regular hemodialysis; 45 of these patients had uremic pruritus and the other 45 were not complaining of uremic pruritus. Serum IS was measured. Activated charcoal was used by patients with uremic pruritus. The severity of pruritus and Dermatology Life Quality Index (DLQI) were assessed. Results: The serum IS was significantly elevated in uremic patients than in control subjects ( P < .001) and significantly elevated in uremic patients without pruritus ( P < .001). Furthermore, there were positive significant correlations between the serum IS and both severity of pruritus ( P < .001) and DLQI ( P < .001). After activated charcoal usage, there was a significant decrease in IS level with the improvement of pruritus and quality of life of patients. Conclusions: IS may play a role in uremic pruritus. Activated charcoal could be considered a treatment for uremic pruritus.

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“…Patient compliance is crucial for the success of hemodialysis therapy (Alikari et al, 2021;Yangöz et al, 2021). Compliance refers to an individual's behaviour of following instructions or guidelines provided by their healthcare provider, whether it pertains to a medication regimen, diet, or lifestyle change (Bergen, 2020;Chen et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Examining the Association of Hemodialysis Adherence with Blood Pressure in Chronic Renal Failure

Yulianti,

Nallappan

2023

IJNI

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Medication adherence is important for people with chronic renal failure (CRF) undergoing hemodialysis. Lowering blood pressure can reduce symptoms and improve the long-term health of hemodialysis patients. Hypertension is more prevalent and more complex to control in patients with chronic kidney disease and can also be a cause or result of the condition. This study aimed to investigate the association between blood pressure and hemodialysis therapy adherence in patients with renal failure. This study employed a descriptive correlation method to examine patients with CRF who are currently undergoing hemodialysis therapy and have a history of hypertension. In this study, 31 respondents were selected using purposive sampling. Data on medication adherence were collected by questionnaire, while blood pressure readings were used to examine the prevalence of hypertension. The research location is the government hospital in Sukabumi, Indonesia. A chi-square statistical test was used for data analysis. The result showed a relationship between hemodialysis therapy compliance and the incidence of hypertension in patients with chronic renal failure who are undergoing hemodialysis therapy. In patients with chronic renal failure receiving hemodialysis, there is a significant positive correlation between blood pressure and treatment adherence. Research contributes that adherence to the prescribed hemodialysis regimen may play a crucial role in the management and prevention of hypertension in this patient population.

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Patient Knowledge, Adherence to the Therapeutic Regimen, and Quality of Life in Hemodialysis

Cited by 10 publications

References 49 publications

The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model

The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model

Does Indoxyl Sulfate Have a Role in Uremic Pruritus? A Laboratory and Interventional Study

Examining the Association of Hemodialysis Adherence with Blood Pressure in Chronic Renal Failure

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