Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients

Chen, Yan; Ding, Jie; Li, Chun‐Qing; Wu, Ting; Li, Qingya; Chen, Rujing; Zhou, Jingfen

doi:10.1155/2022/8040656

Cited by 6 publications

(7 citation statements)

References 43 publications

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“…There is evidence that treating one symptom can produce a "crossover" effect and reduce the discomfort of other symptoms in the cluster [ 44 ]. For example, the mood symptom cluster is composed of multiple negative mood symptoms, which can be systematically solved through psychological relief [ 45 ]. In the cluster of skin discomfort symptoms, dry skin is a common symptom of patients (74.85%).…”

Section: Discussionmentioning

confidence: 99%

Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: a cross-sectional study

Zhou¹,

Gu²,

Cheng³

et al. 2023

BMC Nephrol

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Background Symptom networks can provide empirical evidence for the development of personalized and precise symptom management strategies. However, few studies have established networks of symptoms experienced by older patients on maintenance hemodialysis. Our goal was to examine the type of symptom clusters of older maintenance hemodialysis patients during dialysis and construct a symptom network to understand the symptom characteristics of this population. Methods The modified Dialysis Symptom Index was used for a cross-sectional survey. Network analysis was used to analyze the symptom network and node characteristics, and factor analysis was used to examine symptom clusters. Results A total of 167 participants were included in this study. The participants included 111 men and 56 women with a mean age of 70.05 ± 7.40. The symptom burdens with the highest scores were dry skin, dry mouth, itching, and trouble staying asleep. Five symptom clusters were obtained from exploratory factor analysis, of which the clusters with the most severe symptom burdens were the gastrointestinal discomfort symptom cluster, sleep disorder symptom cluster, skin discomfort symptom cluster, and mood symptom cluster. Based on centrality markers, it could be seen that feeling nervous and trouble staying asleep had the highest strength, and feeling nervous and feeling irritable had the highest closeness and betweenness. Conclusions Hemodialysis patients have a severe symptom burden and multiple symptom clusters. Dry skin, itching, and dry mouth are sentinel symptoms in the network model; feeling nervous and trouble staying asleep are core symptoms of patients; feeling nervous and feeling irritable are bridge symptoms in this symptom network model. Clinical staff can formulate precise and efficient symptom management protocols for patients by using the synergistic effects of symptoms in the symptom clusters based on sentinel symptoms, core symptoms, and bridge symptoms.

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Section: Discussionmentioning

confidence: 99%

Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: a cross-sectional study

Zhou¹,

Gu²,

Cheng³

et al. 2023

BMC Nephrol

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“… 14 Early and appropriate diagnosis of depression in ESRD patients is crucial for improving treatment adherence and quality of life. 14 , 15 Therefore, health care professional caring for HD patients should be qualified to regularly assess and investigate depression, facilitating promptly referral to psychologists for early treatment. 3 , 5 Recent studies highlight the positive impact of early nursing screening, psychological support, and nursing intervention in the treatment compliance, quality of life, and the reduction of anxiety, depression and risk of complications.…”

Section: Introductionmentioning

confidence: 99%

“… 3 , 5 Recent studies highlight the positive impact of early nursing screening, psychological support, and nursing intervention in the treatment compliance, quality of life, and the reduction of anxiety, depression and risk of complications. 15 , 16 …”

Section: Introductionmentioning

confidence: 99%

Prevalence of Depression and Its Associated Factors Among Hemodialysis Patients in Hodeida City, Yemen

Alkubati,

Al-Sayaghi,

Salameh

et al. 2024

JMDH

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Background Depression has a negative impact on the health outcomes of hemodialysis (HD) patients, including decreased quality of life and increased morbidity and mortality rates. Therefore, this study aimed to determine the prevalence of depression and its associated factors among HD patients in Hodeida city, Yemen. Methods A cross-sectional study involving 200 HD patients at the Dialysis Center in Hodeida was conducted from February to May 2022. Data on depression were collected using the 9-item Patient Health Questionnaire (PHQ-9). Association of sociodemographic characteristics of patients with depression were assessed using chi-square, subsequently by multivariable logistic regression. Statistical significance was set at P -values <0.05. Results The response rate was 98% (200/204). Depression was prevalent among 63% of HD patients at the Dialysis Center in Hodeida city. Sex was significantly associated with depression, where female patients were more frequently depressed than males (82.4% vs 56.4%, P < 0.001). In addition, employment status and medical insurance were significantly associated with depression, where unemployed patients were more frequently depressed than employed patients (67.6% vs 52.5%, P = 0.041) and patients with medical insurance were less frequently depressed than their counterparts (47.1% vs 66.3%, P = 0.035). Conclusion Depression is highly prevalent among HD patients in Hodeida city. Female sex, unemployment and lack of medical insurance are predictors of depression among HD patients. These findings emphasize the urgent need for targeted interventions. Implications for practice Depression is common among HD patients, so that, psychiatric physicians and nurses are increasingly needed in HD centers to implement mental health assessment of patients for depression signs and symptoms to help in early diagnosis and management of depression in order to improve patients’ quality of life and preventing negative outcomes.

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“…Psychological intervention refers to the planned implementation of psychological counseling for patients in order to help them reduce psychological pressure and complete the predetermined goal. 9 Previous studies have reported that psychological intervention could help improve DTC patients’ QoL. In 2016, Wu et al 10 reported that a 1-year psychological and behavioral intervention could improve functional capacities and QoL, alone with reducing depression and anxiety in patients with DTC who treated with postoperative radioactive iodine.…”

Section: Introductionmentioning

confidence: 99%

Effect of Psychological Intervention on Differentiated Thyroid Cancer Patients in the Treatment with Radioactive Iodine

Liu¹,

Zuo²,

Liu³

et al. 2023

PPA

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Objective This study aimed to design a standard method of psychological intervention and evaluate the effect of such psychological intervention against the psychological distress of differentiated thyroid cancer (DTC) patients in the treatment with radioactive iodine. Methods The enrolled patients were randomly divided into the intervention group and the control group. Both the patients in the 2 groups received the routine nursing care, while the patients in the intervention group also received the additional standard psychological interventions. The questionnaires including patient health questionnaire-9 (PHQ-9), generalized anxiety disorder 7-item (GAD-7), cancer fatigue scale (CFS) and positive and negative affect schedule (PANAS) were used to assess psychological status. These questionnaires were performed at week 0 (T0), week 8 (T1, immediately after the last time of intervention) and week 24 (T2, 16 weeks after the intervention). Results PHQ-9, GAD-7, CFS and Negative Affect (NA) scores measured at T1 and T2 in the intervention group were significantly lower than those in the control group ( P < 0.001). And intervention group also had higher positive affect (PA) scores at T1 and T2 ( P < 0.001). Furthermore, the changes of PHQ-9, GAD-7, CFS, PA and NA scores from T0 to T1 and T0 to T2 were more evident in the intervention group than in the control group. Conclusion Psychological intervention could significantly improve psychological distress of DTC patients in the treatment with radioactive iodine.

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Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients

Cited by 6 publications

References 43 publications

Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: a cross-sectional study

Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: a cross-sectional study

Prevalence of Depression and Its Associated Factors Among Hemodialysis Patients in Hodeida City, Yemen

Effect of Psychological Intervention on Differentiated Thyroid Cancer Patients in the Treatment with Radioactive Iodine

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