1
|
Al-Khattabi GH. Factors Associated with Nonadherence to Dietary Prescriptions among Hemodialysis Patients, Makkah, Saudi Arabia. SAUDI JOURNAL OF KIDNEY DISEASES AND TRANSPLANTATION 2023; 34:S44-S65. [PMID: 38995273 DOI: 10.4103/sjkdt.sjkdt_249_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2024] Open
Abstract
The nonadherence of hemodialysis (HD) patients correlates with morbidity and mortality. Despite severe consequences, noncompliance with their medical regimen is the norm for HD patients rather than the exception. Factors associated with nonadherence to dietary restrictions among HD patients have been explored in many studies; however, most were in Western countries and there is a remarkable paucity of studies in Saudi Arabia. HD patients have several features that put them at an increased risk of nonadherence to dietary restrictions, including prolonged, intensive treatment, and their medical regimens are easily determined with objective measures. This crosssectional study aimed to determine factors related to nonadherence to dietary restrictions among 361 HD patients randomly selected from HD centers in Makkah, Saudi Arabia. Individuals were assessed for adherence using the End-Stage Renal Disease - Adherence Questionnaire in addition to clinical examinations and laboratory investigations. Female patients were more likely to be nonadherent to dietary restrictions. Adherence to dietary restrictions was relatively higher among non-Saudi patients, older people, those who are married, those with university qualifications, those who are employed, and those with higher monthly incomes; nevertheless, these differences were not statistically significant. Despite the relatively higher frequency of adherence to dietary restrictions among patients with a duration of dialysis of <60 months, hypertensive patients, patients with a previous kidney transplant, and those with a previous history of psychiatric illnesses, these differences were not statistically significant. Patients with factors associated with nonadherence to dietary restrictions deserve special attention and support to improve their adherence.
Collapse
Affiliation(s)
- Ghanim Hamid Al-Khattabi
- Healthcare Excellence Executive Office, Preventive Medicine and Public Health, Transformational Projects, Population Health and Risks Management Departments, Makkah Healthcare Cluster, Ministry of Health, Makkah, Saudi Arabia
| |
Collapse
|
2
|
Al-Khattabi GH. Adherence of Hemodialysis Patients to Fluid, Diet, Medications, and Hemodialysis Sessions, Makkah, Saudi Arabia. SAUDI JOURNAL OF KIDNEY DISEASES AND TRANSPLANTATION 2023; 34:S31-S43. [PMID: 38995272 DOI: 10.4103/sjkdt.sjkdt_351_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2024] Open
Abstract
The adherence of hemodialysis (HD) patients to medical instructions is considered crucial for a longer life expectancy and better quality of life. Despite its importance, there is a remarkable paucity in research dealing with the adherence of patients under HD in Saudi Arabia. The objective of this study was to identify the prevalence of adherence to fluid, diet, medications, and HD sessions among HD patients in Makkah. This was a cross-sectional study in which 361 HD patients were randomly selected from HD centers in three governmental hospitals in Makkah. Individuals were assessed for adherence using the End-Stage Renal Disease Adherence Questionnaire in addition to a clinical examination and laboratory investigations. These methods were used to identify the level of adherence to fluid, diet, medications, and HD sessions. The frequency of adherence of patients was found to be high for dietary guidelines (88.4%), fluid restriction (87.8%), and medications (88.0%), but it was relatively low for adherence to HD sessions (56.0%). The overall adherence rates in the current study population were thought to be within the range of most published international studies.
Collapse
Affiliation(s)
- Ghanim Hamid Al-Khattabi
- Healthcare Excellence Executive Office, Preventive Medicine and Public Health, Transformational Projects, Population Health and Risks Management Departments, Makkah Healthcare Cluster, Ministry of Health, Makkah, Saudi Arabia
| |
Collapse
|
3
|
Celano CM, Zambrano J, Harnedy L, Arroyo-Ariza D, Carrillo A, Chung WJ, Massey CN, Cohen-Bucay A, Huffman JC. A novel health behaviour intervention to promote adherence in kidney failure. J Ren Care 2023; 49:24-34. [PMID: 35638610 PMCID: PMC9708944 DOI: 10.1111/jorc.12435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 05/09/2022] [Accepted: 05/10/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Health behaviour adherence is associated with improved survival in kidney failure (KF); however, most patients with KF do not adhere to one or more health behaviours. Existing health behaviour interventions have significant limitations and do not focus on psychological factors that are associated with adherence and health. OBJECTIVES To examine the feasibility, acceptability, and preliminary efficacy of a 12-week, phone-delivered, positive psychology-motivational interviewing (MI) intervention to promote psychological well-being and adherence in KF. DESIGN Single-arm, proof-of-concept trial (N = 10). PARTICIPANTS Participants were adults with KF undergoing haemodialysis and reporting suboptimal adherence to physical activity, diet, and/or medications. Participants attended weekly phone sessions with a study trainer, completed weekly positive psychology exercises (focused on gratitude, strengths, and meaning), and worked towards physical activity, diet, and/or medication goals. MEASUREMENTS Feasibility was measured by the percentage of sessions completed, while acceptability was assessed through participant ratings of positive psychology and MI session ease and utility (0-10 Likert scales). We explored the intervention's impact on psychological outcomes and health behaviour adherence using validated scales and accelerometers. RESULTS Participants completed 78% of sessions and rated the program's components as easy to complete (positive psychology: 8.7 ± 1.5; MI: 8.3 ± 2.0) and subjectively helpful (positive psychology: 8.8 ± 1.2; MI: 8.8 ± 1.6). The intervention led to promising but nonsignificant improvements in psychological and adherence measures. CONCLUSIONS This 12-week, phone-delivered program was feasible, well-accepted, and associated with nonsignificant improvements health behaviour adherence, highlighting the need for a larger efficacy trial.
Collapse
Affiliation(s)
- Christopher M. Celano
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Juliana Zambrano
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Lauren Harnedy
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Daniel Arroyo-Ariza
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Alba Carrillo
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
- Department of Personality, Assessment and Psychological Treatments, University of Valencia, Valencia, Spain
| | - Wei-Jean Chung
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Christina N. Massey
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Abraham Cohen-Bucay
- Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA
- Renal Division and Transplant Center, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Jeff C. Huffman
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA
| |
Collapse
|
4
|
Guerraoui A, Idier L, Hallonet P, Dolley-Hitze T, Gosselin M, Duneau G, Vendrely B, Hirigoyen MD, Azzouz L, Bouillier M, Pelletier S, Fouque D, Fessi H, De-Precigout V, Vigneau C, Kolko A, Pinçon É, Duquennoy S, Delezire A, Chantrel F, Combe C, Chauveau P, Caillette-Beaudoin A, Lasseur C, Prézelin-Reydit M. [Psychological impact of lockdown and the COVID-19 epidemic on haemodialysis patients and carers in France]. Nephrol Ther 2021; 17:252-259. [PMID: 34034972 PMCID: PMC8141903 DOI: 10.1016/j.nephro.2021.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 12/21/2020] [Accepted: 02/09/2021] [Indexed: 11/17/2022]
Abstract
Introduction La crise sanitaire liée à l’épidémie de COVID-19 a nécessité des mesures de confinement en France et des changements de pratiques dans les centres de dialyse. L’objectif était d’évaluer les symptômes d’anxiété, de dépression et de stress pendant le confinement chez les patients hémodialysés et leurs soignants. Méthodes Nous avons adressé, pendant le confinement, entre avril et mai 2020, des autoquestionnaires à des sujets volontaires qui étaient traités par hémodialyse (patients) ou qui travaillaient en hémodialyse (soignants) dans l’un des 14 centres de France participants. Nous avons analysé leur perception des séances de dialyse (bénéfique ou inquiétante), leur niveau de stress (échelle visuelle analogique cotée de 0 à 10), et leur symptomatologie anxieuse et dépressive (échelle Hospital anxiety and depression scale). Les facteurs associés au stress, à l’anxiété et à la dépression ont été analysés avec des modèles de régression linéaire multiple. Résultats Parmi les 669 patients et 325 soignants ayant répondu, 70 % trouvaient bénéfique de venir en dialyse pendant le confinement. Les proportions de sujets présentant un niveau de stress ≥ 6 lié à l’épidémie, au confinement, à la peur de contracter la COVID-19 et à la peur de contaminer un proche étaient respectivement de 23,9, 26,2, 33,4 et 42 %. De plus, 39,2 % présentaient une symptomatologie anxieuse certaine (13,7 %) ou douteuse (19,2 %), et 21,2 % présentaient une symptomatologie dépressive certaine (7,9 %) ou douteuse (13,3 %). L’âge, le sexe, les antécédents de troubles psychologiques et la perception des séances de dialyse étaient les facteurs principaux associés aux niveaux de stress, d’anxiété et de dépression. Conclusion Pendant le confinement, en France, la majorité des patients et des soignants en hémodialyse ont trouvé bénéfique de venir en séance de dialyse. Un sujet sur trois présentait une symptomatologie anxieuse et un sujet sur cinq présentait une symptomatologie dépressive.
Collapse
Affiliation(s)
| | - Laetitia Idier
- Aurad-Aquitaine, 33170 Gradignan, France; Service de néphrologie, transplantation, dialyse, aphérèse, CHU de Bordeaux, 33000 Bordeaux, France; CA3D, 33170 Gradignan, France
| | | | | | | | | | - Benoît Vendrely
- CA3D, 33170 Gradignan, France; Service de néphrologie, dialyse, hôpital Saint-Martin, 33604 Pessac, France
| | | | | | - Marc Bouillier
- Service de néphrologie, CHG Le Puy en Velay, 43000 Le Puy en Velay, France
| | - Solenne Pelletier
- Service de néphrologie, CHU Lyon Sud HCL, 69310 Pierre-Bénite, France
| | - Denis Fouque
- Service de néphrologie, CHU Lyon Sud HCL, 69310 Pierre-Bénite, France
| | - Hafedh Fessi
- Service de néphrologie, CHU Tenon, 75020 Paris, France
| | - Valérie De-Precigout
- Service de néphrologie, transplantation, dialyse, aphérèse, CHU de Bordeaux, 33000 Bordeaux, France
| | - Cécile Vigneau
- Service de néphrologie, CHU de Rennes, 35033 Rennes, France
| | | | | | | | | | - François Chantrel
- Aura Mulhouse, 68100 Mulhouse, France; Service de néphrologie, CH de Mulhouse, 68100 Mulhouse, France
| | - Christian Combe
- Service de néphrologie, transplantation, dialyse, aphérèse, CHU de Bordeaux, 33000 Bordeaux, France
| | | | | | | | - Mathilde Prézelin-Reydit
- Aurad-Aquitaine, 33170 Gradignan, France; Inserm U1219, Bordeaux Population Health, université de Bordeaux, 33076 Bordeaux, France
| |
Collapse
|
5
|
Al-Jabi SW, Sous A, Jorf F, Taqatqa M, Allan M, Sawalha L, Lubadeh E, Sweileh WM, Zyoud SH. Depression among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study from Palestine. RENAL REPLACEMENT THERAPY 2021. [DOI: 10.1186/s41100-021-00331-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Abstract
Background
The impact of end-stage renal disease on the patient’s psychological status necessitates the value of increasing depression awareness. The current study aimed to assess the depression prevalence among Palestinian hemodialyzed patients and its association with patients’ characteristics.
Methods
A convenience clustered sampling technique was followed. Sample was collected from ten hemodialysis centers in the West Bank, Palestine, during 3 months in 2015. We used the Beck Depression Inventory-II scale (BDI-II) to evaluate depression among participants. All data were analyzed using Statistical Package for the Social Sciences version 16.0.
Results
Two hundred and eighty-six hemodialyzed patients were interviewed. The mean age (± standard deviation) of the patients was 52.0 ± 14.3 years, and most participants were males 172 (60.1%). Regarding the dialysis characteristics, the median of years of dialysis was 2 years (1–4). The prevalence of depression was 73.1%. Elderly patients (p = 0.001), female (p = 0.036), living in rural areas or camp (p = 0.032), low income (p = 0.041), unemployment (p = 0.001), not doing regular exercise (p = 0.001), and having multi comorbidities (p = 0.001) were significantly associated with more depression scores. The results of binary logistic regression showed that only patients who were living in camps, patients who were previously employed, and patients who were not practicing exercise remained significantly associated with a higher depression score.
Conclusions
This study is the first one confirmed about depression and its prevalence among hemodialyzed patients in the West Bank, Palestine. Compared to other communities, the study found a higher depression prevalence rate. There is a need to offer psychological interviews and non-pharmacological and pharmacological interventions.
Collapse
|
6
|
Tao X, Chow SKY, Zhang H, Huang J, Gu A, Jin Y, He Y, Li N. Family caregiver's burden and the social support for older patients undergoing peritoneal dialysis. J Ren Care 2020; 46:222-232. [PMID: 32077629 DOI: 10.1111/jorc.12322] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Xingjuan Tao
- School of Nursing Shanghai Jiao Tong University Shanghai China
| | | | - Haifen Zhang
- Department of Nephrology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai China
| | - Jiaying Huang
- Department of Nephrology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai China
| | - Aiping Gu
- Department of Nephrology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai China
| | - Yan Jin
- Department of Nephrology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai China
| | - Yanna He
- Department of Nephrology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai China
| | - Na Li
- Department of Nephrology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai China
| |
Collapse
|
7
|
Sousa H, Ribeiro O, Paúl C, Costa E, Miranda V, Ribeiro F, Figueiredo D. Social support and treatment adherence in patients with end‐stage renal disease: A systematic review. Semin Dial 2019; 32:562-574. [DOI: 10.1111/sdi.12831] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Helena Sousa
- School of Health Sciences University of Aveiro (ESSUA) Aveiro Portugal
- Center for Health Technology and Services Research (CINTESIS.UA) Aveiro Portugal
| | - Oscar Ribeiro
- Center for Health Technology and Services Research (CINTESIS.UA) Aveiro Portugal
- Department of Education and Psychology University of Aveiro Aveiro Portugal
| | - Constança Paúl
- Institute of Biomedical Sciences Abel Salazar University of Porto Porto Portugal
- Center for Health Technology and Services Research (CINTESIS) Porto Portugal
| | - Elísio Costa
- Faculty of Pharmacy University of Porto Porto Portugal
- UCIBIO, REQUIMTE University of Porto Porto Portugal
| | | | - Fernando Ribeiro
- School of Health Sciences University of Aveiro (ESSUA) Aveiro Portugal
- Institute of Biomedicine – iBiMED, University of Aveiro Aveiro Portugal
| | - Daniela Figueiredo
- School of Health Sciences University of Aveiro (ESSUA) Aveiro Portugal
- Center for Health Technology and Services Research (CINTESIS.UA) Aveiro Portugal
| |
Collapse
|
8
|
Meuleman Y, Hoekstra T, Dekker FW, van der Boog PJM, van Dijk S. Perceived Sodium Reduction Barriers Among Patients with Chronic Kidney Disease: Which Barriers Are Important and Which Patients Experience Barriers? Int J Behav Med 2018; 25:93-102. [PMID: 28887758 PMCID: PMC5803277 DOI: 10.1007/s12529-017-9668-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
PURPOSE The purposes of this study were to assess the importance of perceived sodium reduction barriers among patients with chronic kidney disease (CKD) and identify associated sociodemographic, clinical, and psychosocial factors. METHOD A total of 156 patients with CKD completed a questionnaire assessing sodium reduction barriers (18 self-formulated items), depressive symptoms (Beck Depression Inventory), perceived autonomy support (Modified Health Care Climate Questionnaire), and self-efficacy (Partners in Health Questionnaire). Factor analysis was used to identify barrier domains. Correlation coefficients were computed to examine relationships between barrier domains and patient characteristics. RESULTS Nine barrier domains were identified. Barriers perceived as important were as follows: high sodium content in products, lack of sodium feedback, lack of goal setting and discussing strategies for sodium reduction, and not experiencing CKD-related symptoms (mean scores > 3.0 on 5-point scales, ranging from 1 'no barrier' to 5 'very important barrier'). Other barriers (knowledge, attitude, coping skills when eating out, and professional support) were rated as moderately important (rated around midpoint), and the barrier 'intrinsic motivation' was rated as somewhat important (mean score = 1.9). Sodium reduction barrier domains were not associated with gender and kidney function, but were associated with age, level of education, number of comorbidities, perceived autonomy support, depressive symptoms, and self-efficacy (range r = 0.17-0.35). Patients with lower self-efficacy and perceived autonomy support scores experienced most sodium reduction barriers. CONCLUSION Patients with CKD experience multiple important sodium reduction barriers and could benefit from support strategies that target various sodium reduction barriers and strengthen beliefs regarding self-efficacy and autonomy support. Additionally, environmental interventions should be implemented to reduce sodium levels in processed foods.
Collapse
Affiliation(s)
- Yvette Meuleman
- Department of Health, Medical, and Neuropsychology, Institute of Psychology, Leiden University, Wassenaarseweg 52, 2300 RB, Leiden, The Netherlands. .,Department of Medical Psychology, Leiden University Medical Center, Leiden, The Netherlands.
| | - Tiny Hoekstra
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.,Department of Nephrology, VU University Medical Center, Amsterdam, The Netherlands
| | - Friedo W Dekker
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands
| | | | - Sandra van Dijk
- Department of Health, Medical, and Neuropsychology, Institute of Psychology, Leiden University, Wassenaarseweg 52, 2300 RB, Leiden, The Netherlands
| | | |
Collapse
|
9
|
Erdley-Kass SD, Kass DS, Gellis ZD, Bogner HA, Berger A, Perkins RM. Using Problem-solving Therapy to Improve Problem-solving Orientation, Problem-solving Skills and Quality of Life in Older Hemodialysis Patients. Clin Gerontol 2018; 41:424-437. [PMID: 29185878 DOI: 10.1080/07317115.2017.1371819] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES To determine the effectiveness of Problem-Solving Therapy (PST) in older hemodialysis (HD) patients by assessing changes in health-related quality of life and problem-solving skills. METHODS 33 HD patients in an outpatient hemodialysis center without active medical and psychiatric illness were enrolled. The intervention group (n = 15) received PST from a licensed social worker for 6 weeks, whereas the control group (n = 18) received usual care treatment. RESULTS In comparison to the control group, patients receiving PST intervention reported improved perceptions of mental health, were more likely to view their problems with a positive orientation and were more likely to use functional problem-solving methods. Furthermore, this group was also more likely to view their overall health, activity limits, social activities and ability to accomplish desired tasks with a more positive mindset. CONCLUSIONS The results demonstrate that PST may positively impact mental health components of quality of life and problem-solving coping among older HD patients. CLINICAL IMPLICATIONS PST is an effective, efficient, and easy to implement intervention that can benefit problem-solving abilities and mental health-related quality of life in older HD patients. In turn, this will help patients manage their daily living activities related to their medical condition and reduce daily stressors.
Collapse
Affiliation(s)
- Shiloh D Erdley-Kass
- a Department of Sociology, Social Work and Criminal Justice , Bloomsburg University , Bloomsburg , Pennsylvania , USA
| | - Darrin S Kass
- b College of Business , Bloomsburg University , Bloomsburg , Pennsylvania , USA
| | - Zvi D Gellis
- c School of Social Policy and Practice and Center for Mental Health and Aging , University of Pennsylvania , Philadelphia , Pennsylvania, USA
| | - Hillary A Bogner
- d Perleman School of Medicine , University of Pennsylvania , Philadelphia Pennsylvania , USA
| | - Andrea Berger
- e Geisinger Center for Health Research , Danville , Pennsylvania , USA
| | | |
Collapse
|
10
|
Oquendo LG, Asencio JMM, de las Nieves CB. Contributing factors for therapeutic diet adherence in patients receiving haemodialysis treatment: an integrative review. J Clin Nurs 2017; 26:3893-3905. [DOI: 10.1111/jocn.13804] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2017] [Indexed: 01/13/2023]
Affiliation(s)
- Lissete González Oquendo
- Department of Nursing; Faculty of Health Sciences, based Fuerteventura; University of Las Palmas de Gran Canaria; Las Palmas Spain
| | | | | |
Collapse
|
11
|
Yazıcı AE, Erdem P, Erdem A, Yazıcı K, Acar ŞT, Başterzi AD, Taşdelen B. Depresyonu Olan Son Dönem Böbrek Yetmezliği Hastalarında Essitalopramın Etkinliği ve Tolerabilitesi: Bir Açık Plasebo Kontrollü Çalışma. ACTA ACUST UNITED AC 2016. [DOI: 10.5455/bcp.20120215011558] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
| | - Pervin Erdem
- Mersin Üniversitesi Tıp Fakültesi Psikiyatri AD, Mersin-Türkiye
| | | | - Kemal Yazıcı
- Mersin Üniversitesi Tıp Fakültesi Psikiyatri AD, Mersin-Türkiye
| | - Şenel Tot Acar
- Mersin Üniversitesi Tıp Fakültesi Psikiyatri AD, Mersin-Türkiye
| | | | - Bahar Taşdelen
- Mersin Üniversitesi Tıp Fakültesi Biyoistatistik AD, Mersin-Türkiye
| |
Collapse
|
12
|
Ikenoue T, Fukuma S, Yamamoto Y, Yamazaki S, Akizawa T, Akiba T, Saito A, Kurokawa K, Fukuhara S. Influence of Staff Encouragement on Perceived Burden of Dietary Restriction Among Patients Living Alone. Ther Apher Dial 2016; 20:623-631. [PMID: 27412757 DOI: 10.1111/1744-9987.12418] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Revised: 12/05/2015] [Accepted: 01/28/2016] [Indexed: 11/29/2022]
Abstract
To help relieve the burden of dietary restrictions experienced by many hemodialysis (HD) patients, dialysis staff may encourage patients, with no consideration to the degree of family support. Here, we clarified the effect of staff encouragement and living conditions on the burden of dietary restrictions in HD patients. This retrospective cohort study was conducted using data from the Dialysis Outcomes and Practice Patterns Study (DOPPS) I and III. We enrolled patients aged 18-75 years on HD therapy for at least 3 months. We categorized patients into four groups based on combinations of level of staff encouragement (high or low) and living condition (alone or with family) at baseline survey. Patients who felt they received high staff encouragement and lived with their family were set as the control. The main outcome was increase in patients' perceived burden of dietary restriction after 1 year. 1377 (69.1%) felt they received high staff encouragement, and 176 (9.1%) were living alone. After 1 year, 537 (26.9%) patients reported feeling an increased burden of dietary restriction. A low level of staff encouragement did not increase the burden in any patients, regardless of living situation. However, a high level of staff encouragement did increase the burden in patients living alone (adjusted odds ratio: 1.57, 95% confidence interval: 1.05-2.36). We observed an unexpected association between high staff encouragement and increased burden of dietary restriction among patients living alone. Staff encouragement may not relieve patients' burden with respect to dietary restriction and may in fact exacerbate it.
Collapse
Affiliation(s)
- Tatsuyoshi Ikenoue
- Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Shingo Fukuma
- Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Yosuke Yamamoto
- Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Shin Yamazaki
- Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Tadao Akizawa
- Division of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - Takashi Akiba
- Department of Blood Purification, Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - Akira Saito
- Division of Nephrology and Metabolism, Department of Medicine, Tokai University School of Medicine, Sagamihara, Japan
| | | | - Shunichi Fukuhara
- Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan
| |
Collapse
|
13
|
Tomita T, Yasui-Furukori N, Sugawara N, Ogasawara K, Katagai K, Saito H, Sawada K, Takahashi I, Nakamura K. Prevalence of major depressive disorder among hemodialysis patients compared with healthy people in Japan using the Structured Clinical Interview for DSM-IV. Neuropsychiatr Dis Treat 2016; 12:2503-2508. [PMID: 27757034 PMCID: PMC5053379 DOI: 10.2147/ndt.s106817] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND We investigated the prevalence of depression in hemodialysis (HD) patients using the Center for Epidemiologic Studies for Depression (CES-D) scale and the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID) and compared the rates with those of community dwelling people in Japan. PATIENTS AND METHODS A total of 99 patients undergoing HD were recruited. Blood sampling was performed no later than 2 weeks prior to assessment. As a reference group for SCID and CES-D evaluation, 404 age- and sex-matched healthy controls who had participated in the Iwaki Health Promotion Project were included in this study. The SCID and the CES-D scale were administered to all participants to diagnose their depression. Participants who met the criteria of a major depressive episode according to the SCID were classified as SCID depression and the participants whose CES-D score was 16 or higher were classified as CES-D depression. RESULTS Ninety-nine HD patients completed the evaluation and data collection. There were no significant differences in age, sex, or CES-D scores between HD patients and controls. There were 12 cases of SCID depression in HD patients and four cases in controls. There was a significant difference between HD patients and controls in the prevalence of SCID depression. There were no significant differences between the two groups with regard to demographic or clinical data. There were 19 HD patients and 24 controls who showed CES-D depression. There was no significant difference between HD patients and controls in the prevalence of CES-D depression. There was a significant difference in potassium level between the two groups, but there were no significant differences in any of the other items. CONCLUSION There were significantly more HD patients showing SCID depression than controls in the present study. In clinical settings, the SCID might be useful in surveying cases of depression detected by screening tools among HD patients.
Collapse
Affiliation(s)
- Tetsu Tomita
- Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan
| | - Norio Yasui-Furukori
- Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan
| | - Norio Sugawara
- Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan; Aomori Prefectural Center for Mental Health and Welfare, Aomori, Japan
| | | | - Koki Katagai
- School of Medicine, Hirosaki University, Hirosaki, Japan
| | - Hisao Saito
- Department of Urology, Oyokyo Kidney Research Institute, Hirosaki, Japan
| | - Kaori Sawada
- Department of Social Medicine, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan
| | - Ippei Takahashi
- Department of Social Medicine, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan
| | - Kazuhiko Nakamura
- Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan
| |
Collapse
|
14
|
Umeukeje EM, Merighi JR, Browne T, Victoroff JN, Umanath K, Lewis JB, Ikizler TA, Wallston KA, Cavanaugh K. Self-Motivation Is Associated With Phosphorus Control in End-Stage Renal Disease. J Ren Nutr 2015; 25:433-9. [PMID: 25912398 PMCID: PMC4546917 DOI: 10.1053/j.jrn.2015.03.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2014] [Revised: 03/13/2015] [Accepted: 03/14/2015] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVE Hyperphosphatemia is common in end-stage renal disease and associates with mortality. Phosphate binders reduce serum phosphorus levels; however, adherence is often poor. This pilot study aims to assess patients' self-motivation to adhere to phosphate binders, its association with phosphorus control, and potential differences by race. DESIGN AND METHODS Cross sectional design. Subjects were enrolled from one academic medical center dialysis practice from July to November 2012. Self-motivation to adhere to phosphate binders was assessed with the autonomous regulation (AR) scale (range: 1-7) and self-reported medication adherence with the Morisky Medication Adherence Scale. Linear regression models adjusting for age, sex, health literacy, and medication adherence were applied to determine associations with serum phosphorus level, including any evidence of interaction by race. RESULTS Among 100 participants, mean age was 51 years (±15 years), 53% were male, 72% were non-white, 89% received hemodialysis, and mean serum phosphorus level was 5.7 ± 1.6 mg/dL. More than half (57%) reported the maximum AR score (7). Higher AR scores were noted in those reporting better health overall (P = .001) and those with higher health literacy (P = .01). AR score correlated with better medication adherence (r = 0.22; P = .02), and medication adherence was negatively associated with serum phosphorus (r = -0.40; P < .001). In subgroup analysis among non-whites, higher AR scores correlated with lower serum phosphorus (high vs lower AR score: 5.55 [1.5] vs 6.96 [2.2]; P = .01). Associations between AR score (β 95% confidence interval: -0.37 [-0.73 to -0.01]; P = .04), medication adherence (β 95% confidence interval: -0.25 [-0.42 to -0.07]; P = .01), and serum phosphorus persisted in adjusted analyses. CONCLUSIONS Self-motivation was associated with phosphate binder adherence and phosphorus control, and this differed by race. Additional research is needed to determine if personalized, culturally sensitive strategies to understand and overcome motivational barriers may optimize mineral bone health in end-stage renal disease.
Collapse
Affiliation(s)
- Ebele M Umeukeje
- Division of Nephrology and Hypertension, Vanderbilt University, Nashville, Tennessee; Vanderbilt Center for Kidney Disease, Nashville, Tennessee
| | - Joseph R Merighi
- School of Social Work, University of Minnesota, Saint Paul, Minnesota
| | - Teri Browne
- College of Social Work, University of South Carolina, Columbia, South Carolina
| | | | - Kausik Umanath
- Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, Michigan
| | - Julia B Lewis
- Division of Nephrology and Hypertension, Vanderbilt University, Nashville, Tennessee; Vanderbilt Center for Kidney Disease, Nashville, Tennessee
| | - T Alp Ikizler
- Division of Nephrology and Hypertension, Vanderbilt University, Nashville, Tennessee; Vanderbilt Center for Kidney Disease, Nashville, Tennessee
| | | | - Kerri Cavanaugh
- Division of Nephrology and Hypertension, Vanderbilt University, Nashville, Tennessee; Vanderbilt Center for Kidney Disease, Nashville, Tennessee.
| |
Collapse
|
15
|
Dialé NNN, Mamadou SO, Aida S, Habib TM, Boucar D. Factors Related to Depression in Patients Undergoing Hemodialysis Due to Renal Failure in Senegal. ACTA ACUST UNITED AC 2015. [DOI: 10.4236/psych.2015.64038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
16
|
Wileman V, Farrington K, Wellsted D, Almond M, Davenport A, Chilcot J. Medication beliefs are associated with phosphate binder non-adherence in hyperphosphatemic haemodialysis patients. Br J Health Psychol 2014; 20:563-78. [PMID: 25209368 DOI: 10.1111/bjhp.12116] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2014] [Revised: 08/07/2014] [Indexed: 12/18/2022]
Abstract
OBJECTIVES Patients with end-stage kidney disease receiving haemodialysis (HD) are at risk of cardiovascular disease and bone disorders related to high levels of serum phosphate. We studied the association between medication beliefs and depressive symptoms, with non-adherence to phosphate binding medication in a group of HD patients at risk of complications due to hyperphosphatemia. DESIGN Cross-sectional design. METHODS Baseline data from 112 patients participating in a randomized controlled trial, evaluating an adherence intervention, are presented. All patients had serum phosphate levels >1.6 mmol/l at baseline. Adherence was measured by (1) serum phosphate and (2) Medication Adherence Report Scales (MARS). Beliefs about Medicines (BMQ) and depressive symptoms (PHQ-9) were also evaluated. RESULTS Beliefs about Medicines Questionnaire necessity, but not concerns, beliefs were found to correlate with serum phosphate (r = -.23, p < .05) and self-reported adherence (r = .35, p < .01). In regression models, controlling for demographic, clinical and psychological variables, necessity beliefs explained the variance of serum phosphate (β = -.22, p = .01) and self-reported adherence (β = .30, p ≤ .01). Both BMQ concerns and depressive symptoms were not related to non-adherence. CONCLUSION Patients' beliefs about the necessity of their prescribed phosphate binding medications explain variation in non-adherence levels, measured both subjective and objectively. Dialysis patient's medication beliefs are potentially modifiable targets for future interventions.
Collapse
Affiliation(s)
- Vari Wileman
- Centre for Lifespan and Chronic Illness Research, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | | | - David Wellsted
- Centre for Lifespan and Chronic Illness Research, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | | | - Andrew Davenport
- Center for Nephrology and Royal Free Hospital, University College London, UK
| | | |
Collapse
|
17
|
Jones J, Nijman H, Ross J, Ashman N, Callaghan P. Aggression on haemodialysis units: a mixed method study. J Ren Care 2014; 40:180-93. [PMID: 25042357 DOI: 10.1111/jorc.12068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Aggression on haemodialysis units is a growing problem internationally that has received little research attention to date. Aggressive behaviour by patients or their relatives can compromise the safety and well-being of staff and other patients sharing a haemodialysis session. OBJECTIVES The objectives of the study were twofold: First, to identify the prevalance and nature of aggression on haemodialysis units; and second, to investigate factors that contribute to aggressive behaviour on haemodialysis units. DESIGN AND METHODS A cross-sectional, sequential mixed method research design was adopted, with two research methods utilised. Incidents of aggressive behaviour were recorded over a 12-month period, using a renal version of the Staff Observation Aggression Scale. Six months after the incident data collection had commenced, semi-structured qualitative interviews were conducted with 29 multidisciplinary members of staff. RESULTS Over 12 months, 74 aggressive incidents were recorded. The majority of incidents involved verbal aggression, and the perpetrators were a minority of patients, relatives and staff. Two patients were responsible for 38% of all incidents; both patients had mental health problems. Distinct temporal patterns to the aggressive behaviour were observed according to the day of the week and time of day. CONCLUSION This study demonstrates that aggression is a significant problem on haemodialysis units, with verbal aggression most prevalent. The temporal patterns to aggression observed are related to the uniqueness of the haemodialysis setting, with a distinctly different treatment environment compared with other healthcare settings.
Collapse
Affiliation(s)
- Julia Jones
- School of Health Sciences, City University London, London, UK
| | | | | | | | | |
Collapse
|
18
|
Zhang J, Zhang P, Ni X, Bao B, Huang C, Wu Y, Ni M, Duan J, Chen J. Vitamin D status in chronic dialysis patients with depression: a prospective study. BMC Psychiatry 2014; 14:125. [PMID: 24774860 PMCID: PMC4014207 DOI: 10.1186/1471-244x-14-125] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Accepted: 04/22/2014] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Depression is the most widely acknowledged psychological problem among end-stage renal disease (ESRD) patients. Depression may be associated with VD deficiency. The aims of this study are to (a) elucidate the prospective association between HsCRP, VD contents and depressive symptoms in the dialyzed population, and (b) find the effect of calcitriol supplementation on depression in dialyzed patients. METHODS In this prospective study, 484 dialysis patients (382 hemodialysis [HD] cases and 102 peritoneal dialysis [PD] cases; aged 18-60 years) from two hospitals in southeast China were included. The depression in these patients was evaluated using the Chinese version of Beck's Depression Inventory (BDI). All subjects answered the BDI-I questionnaire for assessment of depression levels in summer. A cut-off value of 16 was set to include dialysis patients with depression. All patients were divided into two groups depending on the absence (Group 1) or presence (Group 2) of depression. The two groups took 0.5 μg/day 1,25-Dihydroxyvitamin D orally for one year. BDI Scores were recalculated for all patients. Sociodemographic, clinical data, and serum VD contents were also collected. RESULTS A total of 484 participants (247 men [51.0%] and 237 women [49.0%]) were surveyed. Depressive symptoms were found in 213 (44.0%) patients. The baseline serum VD level (VD2 + VD3) was 17.6 ± 7.7 nmol/L. Patients with depressive symptoms have significantly higher serum HsCRP level and significantly lower serum VD level compared with the control group. After one-year follow-up, the supplementation of 0.5 μg/day calcitriol slightly improved the microinflammatory state such as lowering mean serum HsCRP level and improving serum VD level, but not in significantly enhancing the depressive symptoms. CONCLUSIONS Calcitriol supplementation did not significantly enhance the depressive symptoms in our dialyzed population although patients with low levels of serum VD were more depressed. Therefore, more prospective randomized controlled trials are necessary to reveal the exact cause-and-effect relationship between VD status and depressive symptoms or VD status related to some specific subtypes in dialyzed patients.
Collapse
Affiliation(s)
- Jisheng Zhang
- Department of Nephrology, Beilun Branch of the First Affiliated Hospital, College of Medicine, Zhejiang University, Ningbo, Zhejiang, PR China.
| | - Ping Zhang
- Department of Nephrology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China
| | - Xiaoying Ni
- Department of Neurology, People's Hospital of Yinzhou, College of Medicine, Ningbo University, Ningbo, Zhejiang, PR China
| | - Beiyan Bao
- Department of Nephrology, Ningbo Urology and Nephrology Hospital, College of Medicine, Ningbo University, Ningbo, Zhejiang, PR China
| | - Congyang Huang
- Department of Nephrology, Ningbo Urology and Nephrology Hospital, College of Medicine, Ningbo University, Ningbo, Zhejiang, PR China
| | - Yongyao Wu
- Department of Nephrology, Beilun Branch of the First Affiliated Hospital, College of Medicine, Zhejiang University, Ningbo, Zhejiang, PR China
| | - Min Ni
- Department of Psychiatry, Beilun Branch of the First Affiliated Hospital, College of Medicine, Zhejiang University, Ningbo, Zhejiang, PR China
| | - Jinfeng Duan
- Department of Psychiatry, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China
| | - Jianghua Chen
- Department of Nephrology, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China
| |
Collapse
|
19
|
Griva K, Lai AY, Lim HA, Yu Z, Foo MWY, Newman SP. Non-adherence in patients on peritoneal dialysis: a systematic review. PLoS One 2014; 9:e89001. [PMID: 24586478 PMCID: PMC3934877 DOI: 10.1371/journal.pone.0089001] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 01/13/2014] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND It has been increasingly recognized that non-adherence is an important factor that determines the outcome of peritoneal dialysis (PD) therapy. There is therefore a need to establish the levels of non-adherence to different aspects of the PD regimen (dialysis procedures, medications, and dietary/fluid restrictions). METHODS A systematic review of peer-reviewed literature was performed in PubMed, PsycINFO and CINAHL databases using PRISMA guidelines in May 2013. Publications on non-adherence in PD were selected by two reviewers independently according to predefined inclusion and exclusion criteria. Relevant data on patient characteristics, measures, rates and factors associated with non-adherence were extracted. The quality of studies was also evaluated independently by two reviewers according to a revised version of the Effective Public Health Practice Project assessment tool. RESULTS The search retrieved 204 studies, of which a total of 25 studies met inclusion criteria. Reported rates of non-adherence varied across studies: 2.6-53% for dialysis exchanges, 3.9-85% for medication, and 14.4-67% for diet/fluid restrictions. Methodological differences in measurement and definition of non-adherence underlie the observed variation. Factors associated with non-adherence that showed a degree of consistency were mostly socio-demographical, such as age, employment status, ethnicity, sex, and time period on PD treatment. CONCLUSION Non-adherence to different dimensions of the dialysis regimen appears to be prevalent in PD patients. There is a need for further, high-quality research to explore these factors in more detail, with the aim of informing intervention designs to facilitate adherence in this patient population.
Collapse
Affiliation(s)
- Konstadina Griva
- Department of Psychology, National University of Singapore, Singapore
- Unit of Behavioural Medicine, University College London, London, United Kingdom
| | | | - Haikel Asyraf Lim
- Department of Psychology, National University of Singapore, Singapore
| | - Zhenli Yu
- Department of Renal Medicine, Khoo Teck Puat Hospital, Singapore
| | - Marjorie Wai Yin Foo
- Department of Nephrology, Peritoneal Dialysis Centre, Singapore General Hospital, Singapore
| | - Stanton P. Newman
- Unit of Behavioural Medicine, University College London, London, United Kingdom
- Health Services Research Group, City University London, London, United Kingdom
| |
Collapse
|
20
|
Nabolsi MM, Wardam L, Al-Halabi JO. Quality of life, depression, adherence to treatment and illness perception of patients on haemodialysis. Int J Nurs Pract 2013; 21:1-10. [DOI: 10.1111/ijn.12205] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Affiliation(s)
- Manar M Nabolsi
- Clinical Nursing Department-Faculty of Nursing; The University of Jordan; Amman Jordan
| | - Lina Wardam
- Community Nursing Department-Faculty of Nursing; The University of Jordan; Amman Jordan
| | - Jehad O Al-Halabi
- College of Nursing; Jeddah King Saud bin Abdulaziz University for Health Sciences-National Guard; Jeddah Saudi Arabia
| |
Collapse
|
21
|
Screening for depression and associated risk factors among Egyptian end-stage renal disease patients on haemodialysis. MIDDLE EAST CURRENT PSYCHIATRY 2013. [DOI: 10.1097/01.xme.0000433782.59658.a3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
|
22
|
Khalil AA, Darawad MW. Objectively measured and self-reported nonadherence among Jordanian patients receiving hemodialysis. Hemodial Int 2013; 18:95-103. [PMID: 24015683 DOI: 10.1111/hdi.12093] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This study assessed nonadherence behavior to diet and fluid restrictions and examined the association between nonadherence behavior and demographic and clinical characteristics among Jordanian adults with end-stage renal disease receiving hemodialysis. A descriptive, correlational, cross-sectional design was used. The patients were interviewed within the first 90 minutes of dialysis session using the Dialysis Dietary and Fluid Nonadherence questionnaire (DDFQ). Demographic and clinical data were gathered from the patients and the medical records. The objective markers of dietary and fluid nonadherence (potassium, phosphorus, blood urea nitrogen, and interdialytic weight gain) were followed for the last 3 months, and average values were calculated. Diet and fluid nonadherence was common among Jordanian hemodialysis patients as 17-80% were nonadherent using different measures. Significant strong associations were found between the DDFQ subscales, and significant moderate associations between DDFQ and objective markers of dietary and fluid nonadherence. Youth, male gender, smokers, prolonged dialysis vintage, and less residual renal function were associated with nonadherence regardless of the measures used. There was substantial consistency between the DDFQ and objective measures of dietary and fluid nonadherence among Jordanian adults with end-stage renal disease receiving hemodialysis. Future interventional research should incorporate DDFQ and objective markers to measure dietary and fluid nonadherence and health-related outcomes.
Collapse
Affiliation(s)
- Amani A Khalil
- Clinical Nursing Department, College of Nursing-The University of Jordan, Amman, Jordan
| | | |
Collapse
|
23
|
Quel rôle le psychologue peut-il avoir en éducation thérapeutique en néphrologie ? Un exemple en auto-dialyse. Nephrol Ther 2013; 9:166-70. [DOI: 10.1016/j.nephro.2012.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2012] [Revised: 11/07/2012] [Accepted: 12/02/2012] [Indexed: 01/21/2023]
|
24
|
Oh HS, Park JS, Seo WS. Psychosocial influencers and mediators of treatment adherence in haemodialysis patients. J Adv Nurs 2013; 69:2041-53. [PMID: 23294367 DOI: 10.1111/jan.12071] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2012] [Indexed: 11/28/2022]
Abstract
AIM This article is a report of the development and testing of the hypothetical model that illustrates relationships between treatment adherence and its psychosocial influencing factors and to elucidate the direct and indirect (mediating) effects of factors on treatment adherence. BACKGROUND Poor adherence has been consistently reported in haemodialysis patients. Much research has showed various influencing factors of adherence, but these studies have failed to identify consistent influencing factors. DESIGN This study was performed using a non-experimental, cross-sectional design. METHODS The study subjects were 150 end-stage renal failure patients on haemodialysis at a university hospital located in Incheon, South Korea. Data were collected over 10 months (June 2010-April 2011). FINDINGS The hypothetical model provided a good fit with data. Haemodialysis-related knowledge, perceived barrier to adherence, self-efficacy on adherence, and healthcare provider support had significant effects on adherence. Self-efficacy was found to mediate barrier-adherence and family support-adherence relationships. Self-efficacy in combination with barrier, family support, and healthcare provider support was found to mediate the depression-adherence relationship. CONCLUSION Strategies aimed at the development of successful adherence interventions should focus on reducing perceived barriers and enhancing self-efficacy and knowledge. It can be suggested that efforts to improve the healthcare provider-patient relationship would enhance adherence. In depressive patients, strategies that promote self-efficacy and the support of family or healthcare providers could diminish the negative impact of depression on adherence.
Collapse
Affiliation(s)
- Hyun Soo Oh
- Department of Nursing, Inha University, Incheon, Korea
| | | | | |
Collapse
|
25
|
Schulz T, Niesing J, Stewart RE, Westerhuis R, Hagedoorn M, Ploeg RJ, Homan van der Heide JJ, Ranchor AV. The role of personal characteristics in the relationship between health and psychological distress among kidney transplant recipients. Soc Sci Med 2012; 75:1547-54. [DOI: 10.1016/j.socscimed.2012.05.028] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2011] [Revised: 04/28/2012] [Accepted: 05/24/2012] [Indexed: 12/21/2022]
|
26
|
Abstract
OBJECTIVE Depressive symptoms seem to pose a risk factor for mortality among patients on dialysis. It is currently unknown whether the association is only short-lived and whether associations over time depend on specific causes of mortality. METHODS In a prospective nationwide cohort study, 1528 patients with end-stage renal disease starting on dialysis completed the Mental Health Inventory. Patients were observed up to 5 years or until the end of follow-up in April 2011. Cox regression analyses were used to calculate associations between depressive symptoms and short-term (0-6 months), medium-term (6-24 months), or long-term (24-60 months) cardiovascular and noncardiovascular mortality. RESULTS The adjusted hazard ratio (HR) was 1.43 (95% confidence interval [CI] = 1.08-1.88) for cardiovascular mortality and 2.07 (95% CI = 1.62-2.64) for noncardiovascular mortality. Depressive symptoms posed a strong risk factor for noncardiovascular mortality at the short term (HR = 2.82, 95% CI = 1.58-5.05), medium term (HR = 2.08, 95% CI = 1.40-3.09), and long term (HR = 1.84, 95% CI = 1.26-2.69), whereas the association between depressive symptoms and cardiovascular mortality was not observed during the first 6 months of follow-up (HR = 1.03, 95% CI = 0.49-2.15). CONCLUSIONS Depressive symptoms at the start of dialysis therapy are associated with short-, medium-, and long-term mortality. The cause-specific mortality risk over time may help clinicians to understand multifactorial causes of the association between depressive symptoms and survival.
Collapse
|
27
|
Nowak Ł, Adamczak M, Więcek A. Is inflammation a new risk factor of depression in haemodialysis patients? Int Urol Nephrol 2012; 45:1121-8. [PMID: 22972567 PMCID: PMC3732758 DOI: 10.1007/s11255-012-0269-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2012] [Accepted: 08/08/2012] [Indexed: 11/29/2022]
Abstract
Purpose Prevalence of depression is high in patients with chronic kidney disease. Depression is associated with increased mortality and the higher rate of suicides in these patients. The aim of the study was to estimate the prevalence of depressive symptoms in haemodialyzed patients in Upper Silesia region of Poland and the possible role of inflammation in depression development. Methods Six hundred and ninety-seven haemodialyzed patients from 22 dialysis centres in Upper Silesia region of Poland were enrolled into the study. Mean age was 59.1 ± 0.5 years, and mean time of dialysis treatment was 3.6 ± 0.2 years. Each patient received 21-item Beck Depression Inventory (BDI) questionnaire for depression screening. Additional questions considering length of dialysis treatment, concomitant diseases and number of days spent in hospitals during the last year were also asked. Results Depressive symptoms were found in 268 (38.6 %) patients. Patients with depressive symptoms when compared with the patients without them tended to have higher C-reactive protein plasma concentration (14.3 ± 1.3 vs. 11.1 ± 0.9 mg/l; p = 0.067) and were more often dialyzed with central catheter (27.6 vs. 18.2 %; p = 0.0042). During the last year, patients with depressive symptoms spent in hospitals more days than patients without depressive symptoms (24.3 vs. 15.3 days, respectively; p < 0.0001). Significant positive correlation between BDI score and C-reactive protein level (r = 0.1625; p = 0.001) was found both in univariate and multivariate analysis. Conclusions (1) Depressive symptoms are frequently found (38.6 %) in haemodialyzed patients in Upper Silesia part of Poland. (2) Catheter placement and inflammation seem to play an important role in the pathogenesis of depression in haemodialysis patients.
Collapse
Affiliation(s)
- Łukasz Nowak
- Department of Nephrology, Endocrinology and Metabolic Disorders, Medical University of Silesia, Francuska 20-24, 40-027, Katowice, Poland.
| | | | | |
Collapse
|
28
|
Khalil AA, Darawad M, Al Gamal E, Hamdan-Mansour AM, Abed MA. Predictors of dietary and fluid non-adherence in Jordanian patients with end-stage renal disease receiving haemodialysis: a cross-sectional study. J Clin Nurs 2012; 22:127-36. [DOI: 10.1111/j.1365-2702.2012.04117.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|