Economic burden of maintenance hemodialysis patients’ families in Nanchong and its influencing factors

Ma, Yunyan; Yu, Hao; Sun, Hongzan; Li, Mi; Li, Li; Meng, Q

doi:10.21037/apm-20-1787

Cited by 7 publications

(5 citation statements)

References 14 publications

(15 reference statements)

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“…To be precise, sleep disorder refers to a state of dissatisfaction with the quality and quantity of sleep for a period of time [16]. Figure 3 shows the specific manifestations of sleep disorders What needs to be differentiated from sleep disorders is the concept of sleep deprivation [17]. Sleep deprivation refers to a state in which a person cannot get enough sleep due to environmental or personal reasons.…”

Section: The Concept Of Sleep Disordersmentioning

confidence: 99%

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The Relationship between Sleep Quality and Hemodialysis and Nursing Intervention in Uremia Patients Based on Intelligent Data

Lin¹,

Zhang

Zhang³

2022

BioMed Research International

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Uremia is a manifestation of end-stage renal failure and is a clinical syndrome shared by various advanced renal diseases. In recent years, the prevalence of uremia has been increasing. Maintenance hemodialysis therapy is used as the treatment of choice for uremia and is widely used. For uremia, the day-to-day treatment has a serious impact on the patient’s symptoms, causing a lot of unnecessary burdens to life. While imposing a severe symptom burden on patients, excessive sleep deprivation repair time can cause various risk injuries and further increase the probability of patient mortality. The resulting sleep deprivation can lead to the functional damage of multiple organs and systems such as the cardiovascular system and the immune system. Therefore, improving sleep quality can increase the survival rate of patients to a certain extent. There is less domestic attention to its related research, and there are not many discussions on the pathogenesis. Based on this, this paper proposes to explore the effect of hemodialysis on the sleep quality of patients with uremia under the support of intelligent data. In this study, it was found that MHD patients had various sleep quality problems, and the incidence of sleep disturbance was 61.78%. The experimental results in this paper show that the incidence of sleep disturbance in diabetic nephropathy is 89.7%. This may be combined with a series of complications in patients with diabetes, which in turn affects the quality of sleep in patients. It may increase patient mortality and affect patient quality of life and survival. Therefore, we should pay close attention to the prevention of various complications in diabetic dialysis patients, which will help to improve sleep quality.

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Section: The Concept Of Sleep Disordersmentioning

confidence: 99%

“…What needs to be differentiated from sleep disorders is the concept of sleep deprivation [ 17 ]. Sleep deprivation refers to a state in which a person cannot get enough sleep due to environmental or personal reasons.…”

Section: The Relationship Between Hemodialysis and Sleep Disorders In...mentioning

confidence: 99%

The Relationship between Sleep Quality and Hemodialysis and Nursing Intervention in Uremia Patients Based on Intelligent Data

Lin¹,

Zhang

Zhang³

2022

BioMed Research International

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“…Medical costs such as hemodialysis and the negative impact on employment caused by persistent diseases may increase the economic pressure of patients and cause greater stigma. A previous study showed that the self-perceived burden of hemodialysis patients was heavy and that 65.6% of patients reported moderate to severe levels of burden ( Ma et al, 2020 ). In addition to the direct impact of disease, the role of patients’ inner experience, such as social isolation, in the process of stigma addition cannot be ignored.…”

Section: Discussionmentioning

confidence: 99%

Status of and Factors Influencing the Stigma of Chinese Young and Middle-Aged Maintenance Hemodialysis Patients: A Preliminary Study

et al. 2022

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Many young and middle-aged maintenance hemodialysis patients suffer a poor prognosis, experience a series of problems during long-term treatment and are thus prone to stigma. This study was designed to analyze stigma in young and middle-aged maintenance hemodialysis patients and explore its influencing factors. This study was conducted as a cross-sectional descriptive study with a convenience sampling method and included 97 patients from Shanghai Jiao Tong University Affiliated Sixth People’s Hospital between November 2020 and February 2021. The Social Impact Scale, a demographic questionnaire, and hemodialysis indicators were used in the investigation. Patient biochemical indexes from hemodialysis were compared. Young and middle-aged maintenance hemodialysis patients had a medium level of stigma. Patients who had low income, were younger, were male, had long-term hemodialysis and were unemployed had significantly higher stigma scores than other patients (P < 0.05). Age, gender, occupational status, annual household income and the duration of hemodialysis were found to be the main factors related to stigma in young and middle-aged maintenance hemodialysis patients by multiple regression analysis. Perceptions of hemodialysis-related stigma were common in our sample. Patients who had low income, were younger, were male, had long-term hemodialysis and were employed had a higher level of stigma, which deserves attention from clinical medical workers. Replication studies are needed to confirm these findings.

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“…In recent years, in addition to the two most common causes of CKD, hypertension and diabetes, more causes have been identified that may contribute to CKD (3,4), and because of the multiple causes of CKD and the interaction of various chronic diseases, it is difficult to contain or slow down the development of CKD from its causes. In addition to this, kidney damage is irreversible and kidney function gradually declines, making dialysis the main clinical treatment for ESRD (5)(6)(7). However, ESRD patients need to receive lifelong treatment, which imposes a heavy financial burden on the patients' families and society (8).…”

Section: Introductionmentioning

confidence: 99%

An analysis of the etiologies and economic indexes of inpatients with stage 5 chronic kidney disease in North China

Guo

Gou

et al. 2022

Front. Public Health

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ObjectiveThe aim of this study was to analyze the epidemiological characteristics of the causes of chronic kidney disease (CKD) stage 5 patients in North China and to investigate the economic burden of those on hemodialysis (HD) or peritoneal dialysis (PD), as well as the associated influencing factors.MethodsGeneral clinical information, etiological categories, and hospitalization costs for HD or PD were collected from 1,515 patients hospitalized with stage 5 CKD at the Affiliated Hospital of Hebei University from 2016 to 2018. Logistic regression analysis was used to analyze the independent influencing factors affecting patients' financial burden.ResultsThe highest rate of DN was found in patients aged 70 years or older (27.0%) and the highest incidence of primary glomerulopathy was found in patients aged <50 years (24.3%). Age, type of dialysis, and type of health insurance were independent influences on the total financial burden of patients, and the results of multifactorial logistic regression analysis showed that age [OR (95% CI): 1.009 (1.002, 1.020)] and type of dialysis [OR (95% CI): 1.746 (1.149, 2.659)] would increase the total financial burden. The type of health insurance would reduce the total financial burden [OR (95% CI): 0.222 (0.108, 0.418)].ConclusionChronic kidney disease, with its complex etiology and the heavy financial burden required for treatment, remains a more serious public health problem globally, and it is therefore necessary to further improve medical coverage for dialysis patients, increase management efforts, broaden pro-poor policies and increase the accessibility of medical services in low- and middle-income areas.

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Economic burden of maintenance hemodialysis patients’ families in Nanchong and its influencing factors

Cited by 7 publications

References 14 publications

The Relationship between Sleep Quality and Hemodialysis and Nursing Intervention in Uremia Patients Based on Intelligent Data

The Relationship between Sleep Quality and Hemodialysis and Nursing Intervention in Uremia Patients Based on Intelligent Data

Status of and Factors Influencing the Stigma of Chinese Young and Middle-Aged Maintenance Hemodialysis Patients: A Preliminary Study

An analysis of the etiologies and economic indexes of inpatients with stage 5 chronic kidney disease in North China

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