Prurido no paciente em hemodiálise: associação com ingestão de fósforo e nível sérico de cálcio

Tinôco, Jéssica Dantas de Sá; Paiva, Maria das Graças Mariano Nunes de; Macêdo, Beatriz Medeiros de; Cossi, Marcelly Santos; Delgado, Millena Freire; Lira, Ana Luísa Brandão de Carvalho

doi:10.1590/1983-1447.2018.2017-0081

Cited by 7 publications

(9 citation statements)

References 9 publications

(17 reference statements)

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Section: Discussionmentioning

confidence: 99%

“…Cutaneous manifestation frequently associated with end-stage renal disease is pruritus, and this symptom results in significant changes in the quality of life of the sufferer, sleep disturbances, and depression potentiating the risk of morbidity [3]. The majority of patients belonged to an age range of 50-61 years [2,3,5,10,11]. No gender discrimination was observed in the development of pruritus among patients of CKD in multiple studies [3,5,11,12], while a few studies reported increased prevalence in the male gender [2,10].…”

Section: Discussionmentioning

confidence: 99%

“…The majority of patients belonged to an age range of 50-61 years [2,3,5,10,11]. No gender discrimination was observed in the development of pruritus among patients of CKD in multiple studies [3,5,11,12], while a few studies reported increased prevalence in the male gender [2,10]. Studies usually categorized the patients of end-stage renal disease in the presence and absence of pruritus [3,5,12], while a couple of studies categorized patients according to the severity of pruritus i.e., mild, moderate, and severe [2,10].…”

Section: Discussionmentioning

confidence: 99%

“…In the 1970s, around 85% of sufferers of chronic kidney disease developed CKD-aP [1]. Pruritus encountered by patients of chronic kidney disease (CKD) is a consequence of multiple factors, primarily metabolic i.e., hypercalcemia, hyperphosphatemia, hypermagnesemia, secondary hyperparathyroidism, aggregation of itch-inducing mediators such as substance P (a neuropeptide), histamine, and complement activation along with interleukins [2][3][4]. The quality of CKD-aP varies from patient to patient, being unremitting, immense, and incurable while in many sufferers it can be momentary or restricted to a particular region of the body [5].…”

Section: Introductionmentioning

confidence: 99%

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Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study

Asghar

Singh²,

Siddiqui³

et al. 2021

Cureus

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Background and objectivesUremic pruritus is a recurrent and delicate manifestation in patients suffering from end-stage renal disease. It is a consequence of multiple factors, primarily comprising of metabolic factors and complement activation along with interleukins. The objective of our study was to find out the associated factors of uremic pruritus in chronic hemodialysis patients. The secondary aim was to obtain cut-off values of all the markers predicting pruritus. Materials and methodsA cross-sectional observational study was conducted in the nephrology department of a tertiary care hospital including 135 patients. The current occurrence of pruritus was diagnosed on the basis of a validated and reliable scale of pruritus among chronic kidney disease (CKD) patients in the local language. Multivariate logistic regression and receiver operating characteristic analysis were conducted to decipher the required objectives. ResultsStudy participants had a mean age of 56.29 ± 10.51 years with 56.3% males and 43.7% females. Hypertension was frequent comorbidity (75.6%) followed by diabetes (51.9%). Mean body mass index (BMI), duration of CKD diagnosis, and hemodialysis onset were 26.55 ± 5.37 kg/m 2 , 6.58 ± 3.65 years, and 3.32 ± 2.09 years respectively. Pruritus was reported in 37.0% of the study participants. On multivariate logistic regression, presence of skin allergy (aOR: 8.100 [2.926-22.420], p<0.001), phosphate >4.5 mg/dL .532], p=0.033), female gender (aOR: 3.592 [1.337-9.655], p=0.011), albumin <3.5 g/dL (aOR: 2.987 [1.156-7.716], p=0.024) and potassium >5.1 mEq/L (aOR: 2.934 [1.030-8.355], p=0.044) were found significantly associated with pruritus. ConclusionMany factors were linked to pruritus in hemodialysis patients in the current study. The current study also significantly correlated certain factors with pruritus independently.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study

Asghar

Singh²,

Siddiqui³

et al. 2021

Cureus

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“…Terms like "Skin" and "Abdomen" are linked to people with chronic kidney disease, because these are locations where they show physical changes, which requires attention from the health team must during clinical assessment. For example, the occurrence of pruritus in the skin can be a consequence of the accumulation of uremic substances, elevated serum levels of calcium and phosphorus and secondary hyperparathyroidism (32) . The abdomen, on the other hand, may be a location that shows signs and symptoms of changes in the disease originated, for example, by nutritional intake.…”

Section: Discussionmentioning

confidence: 99%

Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

et al. 2020

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Objectives: to validate the terms of the specialized nursing language used in the care of people with chronic kidney disease undergoing conservative treatment identified in the literature by mapping them with terms of the International Classification for Nursing Practice, version 2019, and representing them by means of a mandala. Methods: descriptive, documentary and methodological study. The terms were collected in 53 scientific articles, standardized and mapped with the terminology. The validation was performed by six nurses through a focus group. The Content Validity Index was used and terms with a value ≥ 0.80 were validated. Results: the normalization resulted in 957 relevant terms, of which 499 were constant and 458 not included in the terminology. Terms were validated when Content Validity Index was between 0.86 and 1.0. Conclusions: the study allowed the validation of terms that will contribute to unify the professional language of nursing in the care of people with chronic kidney disease.

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The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence

Sharif-Nia,

Marôco,

Froelicher

et al. 2024

Sci Rep

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Hemodialysis is a conservative treatment for end-stage renal disease. It has various complications which negatively affect quality of life (QOL). This study aimed to examine the relationship between fatigue, pruritus, and thirst distress (TD) with QOL of patients receiving hemodialysis, while also considering the mediating role of treatment adherence (TA). This cross-sectional study was carried out in 2023 on 411 patients receiving hemodialysis. Participants were consecutively recruited from several dialysis centers in Iran. Data were collected using a demographic information form, the Fatigue Assessment Scale, the Thirst Distress Scale, the Pruritus Severity Scale, the 12-Item Short Form Health Survey, and the modified version of the Greek Simplified Medication Adherence Questionnaire for Hemodialysis Patients. Covariance-based structural equation modeling was used for data analysis. The structural model and hypothesis testing results showed that all hypotheses were supported in this study. QOL had a significant inverse association with fatigue, pruritus, and TD and a significant positive association with TA. TA partially mediated the association of QOL with fatigue, pruritus, and TD, denoting that it helped counteract the negative association of these complications on QOL. This model explained 68.5% of the total variance of QOL. Fatigue, pruritus, and TD have a negative association with QOL among patients receiving hemodialysis, while TA reduces these negative associations. Therefore, TA is greatly important to manage the associations of these complications and improve patient outcomes. Healthcare providers need to assign high priority to TA improvement among these patients to reduce their fatigue, pruritus, and TD and improve their QOL. Further studies are necessary to determine the most effective strategies for improving TA and reducing the burden of complications in this patient population.

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Prurido no paciente em hemodiálise: associação com ingestão de fósforo e nível sérico de cálcio

Cited by 7 publications

References 9 publications

Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study

Associated Factors With Uremic Pruritus in Chronic Hemodialysis Patients: A Single-Center Observational Study

Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence

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