Acute and chronic renal failure, psychological support of hemostatic patients. Attitudes and experiences of nurses working in artificial kidney units
Downloads
Chronic renal failure is one of those chronic diseases that, due to the persistence of the disease and the long-term treatment process, has various effects on the physiological, psychological, functional capacity, lifestyle changes and independence status of the patient and his/her family. The aim of this study is to explore nurses' attitudes and perceptions of psychological distress and psychological support for hemostatic patients.
To this end, a quantitative questionnaire survey was conducted among nurses in a large Greek provincial hospital. According to the results of the survey, the psychological burden of hemostatic patients is particularly high, confirming previous data. The most important finding of the present study is that when patients do not receive, or at least feel that they do not receive, psychological support from their close family circle, this has a negative impact on the patient's cooperation during treatment.
Downloads
1. Ahrari, S., Moshki, M. and Bahrami, M., 2014. The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. Journal of caring sciences, 3(1), p.11.
2. Al Nazly, E., Ahmad, M., Musil, C. and Nabolsi, M., 2013. Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: a qualitative study. Nephrology Nursing Journal, 40(4).
3. Alshammari, B., Noble, H., McAneney, H., Alshammari, F. and O’Halloran, P., 2021, September. Factors associated with burden in caregivers of patients with end-stage kidney disease (a systematic review). In Healthcare (Vol. 9, No. 9, p. 1212). MDPI.
4. Bayoumi, M. and Alwakeel, J., 2012. Hemodialysis patients needs priorities according to maslows hierarchy and quality of life. Palliative Care Medicine, 2, p.2.
5. Cagan, O., Unsal, A., Celik, N., Yilmaz, A.T., Culha, I. and Eren, H.K., 2018. Care burden of caregivers of hemodialysis patients and related factors. Int J Caring Sci, 11(1), pp.279-84.
6. Chuasuwan, A., Pooripussarakul, S., Thakkinstian, A., Ingsathit, A. and Pattanaprateep, O., 2020. Comparisons of quality of life between patients underwent peritoneal dialysis and hemodialysis: a systematic review and meta-analysis. Health and quality of life outcomes, 18, pp.1-11.
7. Collins, L.G. and Swartz, K., 2011. Caregiver care. American family physician, 83(11), pp.1309-1317.
8. Cruz, M.C., Andrade, C., Urrutia, M., Draibe, S., Nogueira-Martins, L.A. and Sesso, R.D.C.C., 2011. Quality of life in patients with chronic kidney disease. Clinics, 66(6), pp.991-995.
9. Cukor, D., Cohen, S.D., Peterson, R.A. and Kimmel, P.L., 2007. Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness. Journal of the American Society of Nephrology, 18(12), pp.3042-3055.
10. Fructuoso, M., Castro, R., Oliveira, L., Prata, C. and Morgado, T., 2011. Quality of life in chronic kidney disease. Nefrología (English Edition), 31(1), pp.91-96.
11. Haririan, H.R., Aghajanloo, A. and Fard, M.G., 2011. Assessment of Informational and instrumental support in hemodialysis patients in the hospitals of Zanjan University of Medical Sciences. NMCJ, 1, pp.25-30.
12. He, S., Zhu, J., Jiang, W., Ma, J., Li, G. and He, Y., 2019. Sleep disturbance, negative affect and health-related quality of life in patients with maintenance hemodialysis. Psychology, health & medicine, 24(3), pp.294-304.
13. Hedayati, S.S., Bosworth, H.B., Briley, L.P., Sloane, R.J., Pieper, C.F., Kimmel, P.L. and Szczech, L.A., 2008. Death or hospitalization of patients on chronic hemodialysis is associated with a physician-based diagnosis of depression. Kidney international, 74(7), pp.930-936.
14. Hedayati, S.S., Minhajuddin, A.T., Toto, R.D., Morris, D.W. and Rush, A.J., 2009. Prevalence of major depressive episode in CKD. American Journal of Kidney Diseases, 54(3), pp.424-432.
15. Iacovides, A., Fountoulakis, K.N., Balaskas, E., Manika, A., Markopoulou, M., Kaprinis, G. and Tourkantonis, A., 2002. Relationship of age and psychosocial factors with biological ratings in patients with end-stage renal disease undergoing dialysis. Aging clinical and experimental research, 14, pp.354-360.
16. Jankowska-Polańska, B., Uchmanowicz, I., Wysocka, A., Uchmanowicz, B., Lomper, K. and Fal, A.M., 2017. Factors affecting the quality of life of chronic dialysis patients. The European Journal of Public Health, 27(2), pp.262-267.
17. Juergensen, E., Wuerth, D., Finkelstein, S.H., Juergensen, P.H., Bekui, A. and Finkelstein, F.O., 2006. Hemodialysis and peritoneal dialysis: patients’ assessment of their satisfaction with therapy and the impact of the therapy on their lives. Clinical Journal of the American Society of Nephrology, 1(6), pp.1191-1196.
18. Kalantar‐Zadeh, K., Crowley, S.T., Beddhu, S., Chen, J.L., Daugirdas, J.T., Goldfarb, D.S., Jin, A., Kovesdy, C.P., Leehey, D.J., Moradi, H. and Navaneethan, S.D., 2017, May. Renal replacement therapy and incremental hemodialysis for veterans with advanced chronic kidney disease. In Seminars in dialysis (Vol. 30, No. 3, pp. 251-261).
19. Kerklaan, J., Hannan, E., Hanson, C., Guha, C., Cho, Y., Christian, M., Hamiwka, L., Ryan, J., Sinha, A., Wong, G. and Craig, J., 2020. Perspectives on life participation by young adults with chronic kidney disease: an interview study. BMJ open, 10(10), p.e037840.
20. 20.Kimmel, P.L. and Patel, S.S., 2006, January. Quality of life in patients with chronic kidney disease: focus on end-stage renal disease treated with hemodialysis. In Seminars in nephrology (Vol. 26, No. 1, pp. 68-79). WB Saunders.
21. Kovesdy, C.P., 2022. Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), pp.7-11.
22. Lee, A.J., Morgan, C.L., Conway, P. and Currie, C.J., 2005. Characterisation and comparison of health-related quality of life for patients with renal failure. Current medical research and opinion, 21(11), pp.1777-1783.
23. Lou, X., Li, Y., Shen, H., Juan, J. and He, Q., 2019. Physical activity and somatic symptoms among hemodialysis patients: a multi-center study in Zhejiang, China. BMC nephrology, 20, pp.1-9.
24. Ma, S.J., Wang, W.J., Tang, M., Chen, H. and Ding, F., 2021. Mental health status and quality of life in patients with end-stage renal disease undergoing maintenance hemodialysis. Annals of Palliative Medicine, 10(6), pp.6112121-6116121.
25. Mashayekhi, F., Pilevarzadeh, M. and Rafati, F., 2015. The assessment of caregiver burden in caregivers of hemodialysis patients. Materia socio-medica, 27(5), p.333.
26. Mehrotra, R., Cukor, D., Unruh, M., Rue, T., Heagerty, P., Cohen, S.D., Dember, L.M., Diaz-Linhart, Y., Dubovsky, A., Greene, T. and Grote, N., 2019. Comparative efficacy of therapies for treatment of depression for patients undergoing maintenance hemodialysis: a randomized clinical trial. Annals of internal medicine, 170(6), pp.369-379.
27. Nugent, R.A., Fathima, S.F., Feigl, A.B. and Chyung, D., 2011. The burden of chronic kidney disease on developing nations: a 21st century challenge in global health. Nephron Clinical Practice, 118(3), pp.c269-c277.
28. Shahgholian, N. and Yousefi, H., 2015. Supporting hemodialysis patients: A phenomenological study. Iranian journal of nursing and midwifery research, 20(5), p.626.
29. Sumanathissa, M., De Silva, V.A. and Hanwella, R., 2011. Prevalence of major depressive episode among patients with pre-dialysis chronic kidney disease. The International Journal of Psychiatry in Medicine, 41(1), pp.47-56.
30. Tejada-Tayabas, L.M., Partida-Ponce, K.L. and Hernández-Ibarra, L.E., 2015. Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel. Revista Latino-Americana de Enfermagem, 23, pp.225-233.
31. Vazquez, I., Valderrábano, F., Fort, J., Jofré, R., López-Gómez, J.M., Moreno, F. and Sanz-Guajardo, D., 2005. Psychosocial factors and health-related quality of life in hemodialysis patients. Quality of Life Research, 14, pp.179-190.
Copyright (c) 2025 D. Stasinopoulos, I. Krezou, P. Kostagiolas

This work is licensed under a Creative Commons Attribution 4.0 International License.