Acute and chronic renal failure, psychological support of hemostatic patients. Attitudes and experiences of nurses working in artificial kidney units

D. Stasinopoulos; I. Krezou; P. Kostagiolas

doi:10.18535/ijsrm/v13i04.mp03

Abstract

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.

Keywords

Renal FailurePatientsPsychological SupportNurses

References

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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.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
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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.Google Scholar ↗
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.Google Scholar ↗
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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).Google Scholar ↗
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Kovesdy, C.P., 2022. Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), pp.7-11.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
Shahgholian, N. and Yousefi, H., 2015. Supporting hemodialysis patients: A phenomenological study. Iranian journal of nursing and midwifery research, 20(5), p.626.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗
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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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).Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-7] Collins, L.G. and Swartz, K., 2011. Caregiver care. American family physician, 83(11), pp.1309-1317.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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).Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-21] Kovesdy, C.P., 2022. Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), pp.7-11.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-28] Shahgholian, N. and Yousefi, H., 2015. Supporting hemodialysis patients: A phenomenological study. Iranian journal of nursing and midwifery research, 20(5), p.626.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗

[refR-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.Google Scholar ↗