Dialysis: Medical and Psychological Considerations

Hussain, Fiaz; Zimbrean, Paula C.

doi:10.1007/978-3-319-94914-7_7

Cited by 2 publications

(1 citation statement)

References 102 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Obat-obatan non-benzodiazepine, seperti eszopiklon, zaleplon, dan zopiklon dapat digunakan untuk mengobati insomnia pada pasien hemodialisis untuk jangka waktu yang singkat, mulai dari dosis rendah dan titrasi perlahan. Studi acak kecil telah menemukan zaleplon dan melatonin bermanfaat untuk periode waktu yang singkat tanpa efek samping yang signifikan (Hussain & Zimbrean, 2018).…”

Section: Manajemen Farmakologisunclassified

Management of Insomnia in Hemodialysis Patients: A Literature Review

Aini

Maliya²

2020

Jurnal Berita Ilmu Keperawatan

View full text Add to dashboard Cite

Introduction: Hemodialysis (HD) therapy is the most common therapy for patients with End Stage Renal Disease (ESRD). Insomnia prevalent among dialysis patients which affects their quality of life and death. Although hemodialysis therapy has been proven to prolong survival, the action of hemodialysis therapy has complications that cause symptoms, one of which is sleep disturbance. Complaints of sleep disorders that are often encountered in dialysis units are experienced by 50-80% of dialysis patients. Of the various sleep disorders, insomnia is one of the symptoms that is often experienced by ESRD patients. Methods: A literature review comparing several literatures through the search of accredited journal sites such as PubMed, Elsevier, ResearchGate, and Neliti with the keywords management insomnia in hemodialysis patients in the 2015-2020 period. Research Results: Management of insomnia is reviewed with the aim of providing guidance to encourage treatment. In the six journals reviewed, education on sleep hygiene, CBT-I, relaxation therapy, massage therapy, and drug administration (with caution) improving the quality of sleep for hemodialysis patients. Conclusions: Pharmacological and non-pharmacological management to overcome insomnia in hemodialysis patients can be given by considering the factors that influence it. Management is advised to use a nonpharmacological approach first. The administration of pharmacological therapy is recommended only for short-term use, used with caution in hemodialysis patients.

show abstract

Section: Manajemen Farmakologisunclassified

Management of Insomnia in Hemodialysis Patients: A Literature Review

Aini

Maliya²

2020

Jurnal Berita Ilmu Keperawatan

View full text Add to dashboard Cite

show abstract

Factors Contributing to the Burden of Depression Amongst Patients Receiving Hemodialysis at Public and Private Dialysis Centres

Raghavan,

Billa,

Billa

2024

IJN

View full text Add to dashboard Cite

Background Chronic kidney disease poses significant morbidity on patients and subjects them to stressors in financial, occupational, and social aspects, making them vulnerable to mental health problems. We estimated the prevalence of depression in CKD patients undergoing maintenance hemodialysis (MHD) and evaluated the factors affecting it. Materials and Methods This cross-sectional survey included 282 patients from four Apex Kidney Care centers, Mumbai. Their mental health was assessed using PHQ-9 survey, a validated questionnaire for identifying depression. Categorical variables were compared using the Chi square test and continuous variables with the Mann Whitney U test. Logistic regression was used for multivariate analysis and odds ratios were calculated. Results Females constituted 36.52% of the study population. There was an equal distribution of patients from charitable centers (142 patients) and private centers (140 patients). The current analysis focused on those patients (n = 60) with significant depression i.e. a PHQ-9 score of 10 or greater, and these were compared to the rest of patients (n = 222). In logistic regression, female gender (p = 0.002), catheter as access (p = 0.025), stress of food restriction (p < 0.0001) showed statistically significant positive association, whereas being employed (p = 0.022) showed statistically significant negative association with depression. The distribution of patients with significant depression in both public (21.10%) and private (21.40%) centers was equal. Conclusion The prevalence of depression in MHD patients is substantial. Employment status, catheter access, and food restrictions are the modifiable factors influencing mental health. A focused approach on maximizing arterio-venous fistula creation, diet counseling, employment friendly shift adjustments, and mental health counseling can help mitigate this challenge.

show abstract

Dialysis: Medical and Psychological Considerations

Cited by 2 publications

References 102 publications

Management of Insomnia in Hemodialysis Patients: A Literature Review

Management of Insomnia in Hemodialysis Patients: A Literature Review

Factors Contributing to the Burden of Depression Amongst Patients Receiving Hemodialysis at Public and Private Dialysis Centres

Contact Info

Product

Resources

About