Psychosocial Impacts of Chronic Kidney Disease and Dialysis Therapy

Abstract

Background: Chronic Kidney Disease (CKD) has been a significant global health problem and a source of an enormous burden on the healthcare system and psychological distress for diagnosed patients. This study aims to understand the psychosocial impacts of CKD and dialysis therapy on patients undergoing dialysis in LAUTECH Teaching Hospital, Osogbo. Methodology: A descriptive study design was used, and the sampling technique was purposive. Subject participation was voluntary and preceded informed consent. Patients that had CKD and undergoing dialysis were identified. Data were collected, cleaned, and analysed using SPSS Version 23. Results: Patients perceptions of life and social limitations due to CKD and dialysis therapy revealed that 74.1% of the respondents always feel anxious, 67.8% feel that adjusting to dialysis is difficult, 85.5% of the respondents think that CKD and dialysis therapy is making them poorer, 90.3% feel they were neglecting important activities in life due to dialysis therapy. There was a significant relationship between patients’ perception of life and social limitations and the perceived influence of dialysis therapy on family functions and support persons (p<0.05) as well as the level of income and behavioural compliance. Conclusion: Our study revealed that CKD and dialysis therapy have major psychosocial impacts on the patients although many can cope well. We recommend more financial supports and interventions for CKD patients undergoing dialysis therapy. Doi: 10.28991/SciMedJ-2021-0302-5 Full Text: PDF

A Fuzzy MCDM Approach for Structured Comparison of the Health Literacy Level of Hospitals

“…(1) integrating health literacy initiatives into existing corporate social responsibility programs focused on health and wellbeing in the workplace; (2) engaging in an active dialogue with key healthcare stakeholders; and (3) developing a -Blueprint for Action in Health Literacy,‖ based on best practices and case studies. Companies and programs that are moving toward enhancing their social role in society will be able to solve many problems by assessing the current organizational health literacy responsiveness situation of healthcare organizations, knowing and arranging the different areas and weaknesses of health literacy in organizations according to the sustainable development priorities of the health sector, and focusing on these points and creating partnerships between health institutions and the institutions.…”

“…This framework could be used in general or as a specific framework. The following are required: (1) To achieve a good picture of the importance of health literacy criteria from the sustainable perspective of the country, the healthcare sustainable conditions in its different areas and the role of the selected healthcare facility in achieving it should be considered; (2) The importance of the criteria is deferent by cities and healthcare facility types (hospital, unit, or center and public or private), and this deference should also be considered; (3) The investigated and compared healthcare organizations should be located at the same location, and have the same facility type; (4) The selected indicators should be applicable for use in the selected sector [10]; (5) The information gathering should be repeatable and stable, and the consistency test for the data gathered should use fuzzy analytic hierarchy process data, and an agreement test for the decision makers' opinions gathered using fuzzy Delphi should be performed; and (6) The framework should allow the healthcare sector or companies to visualize and explain the results of the evaluation, weighting, and comparison and, finally, allow a derivation of the areas where the government or companies could improve or where the business sector could help, serve, or plan its corporate social responsibility practices.…”

“…Providing a healthy life for citizens, enhancing well-being for them, providing timely and reliable delivery of quality healthcare, granting access to quality essential healthcare services, reducing risk and cost of services, and improving health outcomes are considered some of the leading sustainable development targets of countries [1,2,3]. Corporate social responsibility is regarded as one way to achieve such targets [4].…”

Fuzi polysaccharides improve immunity in immunosuppressed mouse models by regulating gut microbiota composition

“…in China [ 8 ]. In recent decades, several major diseases including cardiovascular diseases, chronic kidney diseases and neurodegenerative diseases have been significant health problems globally [ 9 , 10 ]. Recently, a series of studies showed that Fuzi products including Hei-Shun-Pian, Bai-Fu-Pian and other traditional Chinese medicines had anti-inflammatory and immune-enhancing effects in such major diseases.…”