Effect of Multidimensional Educational Interventions Among Dialysis Patients

D'souza, Bryal; Attur, Ravindra Prabhu; Unnikrishnan, Bhaskaran; Kamath, Rajesh

doi:10.2174/1874303x01811010072

Cited by 3 publications

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“…The current evidence on progressive RE in CKD is encouraging although real‐life applications in clinical settings are still very limited 46,47,79 . Sustainable long‐term interventions require commitment not only from patients and their caregivers but more importantly, they require commitment from the healthcare team 79–81 . Healthcare professionals act as gatekeepers for health information 82 ; thus, staff education on the importance of sarcopenia screening, its debilitating effects, and possible interventions should be a priority.…”

Section: Discussionmentioning

confidence: 99%

Resistance exercise and nutritional interventions for augmenting sarcopenia outcomes in chronic kidney disease: a narrative review

Noor

Reid

Slee

2021

J cachexia sarcopenia muscle

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Sarcopenia is an age‐related progressive muscle disease characterized by loss of muscle mass, muscle strength and physical performance with high prevalence in chronic kidney disease (CKD). CKD is associated with decreased muscle protein synthesis and muscle breakdown due to a number of factors including, the uremic inflammatory environment of the disease. CKD patients are highly sedentary and at risk of malnutrition which may exacerbate sarcopenia outcomes even further. Short and long‐term exercise and nutritional interventions have been studied and found to have some positive effects on sarcopenia measures in CKD. This narrative review summarized evidence between 2010 and 2020 of resistance exercise (RE) alone or combined with nutritional interventions for improving sarcopenia outcomes in CKD. Due to lack of CKD‐specific sarcopenia measures, the second European Working Group on Sarcopenia in Older People (EWGSOP2) definition has been used to guide the selection of the studies. The literature search identified 14 resistance exercise‐based studies and 5 nutrition plus RE interventional studies. Muscle strength outcomes were increased with longer intervention duration, intervention supervision, and high participant adherence. Data also suggested that CKD patients may require increased RE intensity and progressive loading to obtain detectable results in muscle mass. Unlike muscle strength and muscle mass, physical performance was readily improved by all types of exercise in long or short‐term interventions. Four studies used RE with high‐protein nutritional supplementation. These showed significant benefits on muscle strength and physical performance in dialysis patients while non‐significant results were found in muscle mass. More research is needed to confirm if a combination of RE and vitamin D supplementation could act synergistically to improve muscle strength in CKD. The current evidence on progressive RE for sarcopenia in CKD is encouraging; however, real‐life applications in clinical settings are still very limited. A multidisciplinary patient‐centred approach with regular follow‐up may be most beneficial due to the complexity of sarcopenia in CKD. Long‐term randomized control trials are needed to verify optimal RE prescription and explore safety and efficacy of other nutritional interventions in CKD.

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Section: Discussionmentioning

confidence: 99%

Resistance exercise and nutritional interventions for augmenting sarcopenia outcomes in chronic kidney disease: a narrative review

Noor

Reid

Slee

2021

J cachexia sarcopenia muscle

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Effect of Educational Nursing Guidelines on Self-management and Health-Related Quality of Life for Hemodialysis Patients

Ibrahim,

Ali,

Allawy

2024

Iranian Journal of Nursing and Midwifery Research

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Background: Chronic kidney disease is the biggest problem in health care today, and the primary replacement therapy, hemodialysis, has a severe impact on both self-management and quality of life. This study aimed to evaluate the effect of educational nursing guidelines on self-management and health-related quality of life for hemodialysis patients. Materials and Methods: A quasi-experimental design was used. A convenience sample of 100 hemodialysis patients in the hemodialysis unit at Ismailia General Hospital, 50 patients for the study and 50 patients for the control groups. Data were collected using a patient demographic information questionnaire, hemodialysis self-management scale, and survey instrument on kidney disease quality of life 36-item (KDQOL-36). The intervention was conducted over 12 weeks in five sessions, from implementing the guidelines to the post-test phase. The control group received the usual care. SPSS version 23, descriptive statistics, and inferential statistics like independent t-test and Pearson Chi-square test were used. Results: Regarding self-management dimensions, a statistically significant difference was found between the study and control group regarding problem-solving and communications, fluid control, diet, self-advocacy, and emotional control with p < 0.001, and effect size 5.89,4.99, 5.06, and 4.54, respectively. Regarding the quality of life domains, a statistically significant difference was found between the study and control group regarding physical functioning, mental functioning, the burden of kidney disease, management of symptoms, and kidney disease effect with p < 0.001 and the effect size 9.39, 6.07, 1.86, 7.65, and 6.96, respectively. Conclusions: Educational guidelines are effective for improving self-management and quality of life.

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Supportive Therapy for Fatigue in Hemodialysis Patients

Ramai

Lobo

2021

Int J Health Sci Res

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Fatigue is an enervating symptom of prolonged dialysis of patients and significantly impacts the health related quality of life of dialysis patients. Reduction of fatigue in dialysis patients is a challenging task for any health care provider. Fatigue develops during long term dialysis usually due to chronic health conditions associated with prolonged dialysis. The contributing factors for fatigue in end stage renal disease (ESRD) patients may be broadly classified into physiological, psychological / behavioural, socio-demographic and dialysis related factors. It is known that some of these factors are modifiable leading to reduction in fatigue. A multidisciplinary health care strategy comprising alternative therapy such as acupressure; mind based therapy such as meditation, deep breathing and yoga; body based therapies such as physical activity, therapeutic exercise, body massage; biological based therapy such as diet and nutrition shall help to reduce the fatigue in dialysis population. Conclusion: To improve the patient care and health related quality of life in dialysis patients, nurses should develop a framework for decreasing the fatigue. This concept paper describes the various therapies available for reducing the fatigue and discusses the ways of including these supportive and alternative therapies into regular medical care. Key words: Fatigue, ESRD, hemodialysis, alternative and supportive therapy

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Effect of Multidimensional Educational Interventions Among Dialysis Patients

Cited by 3 publications

References 0 publications

Resistance exercise and nutritional interventions for augmenting sarcopenia outcomes in chronic kidney disease: a narrative review

Resistance exercise and nutritional interventions for augmenting sarcopenia outcomes in chronic kidney disease: a narrative review

Effect of Educational Nursing Guidelines on Self-management and Health-Related Quality of Life for Hemodialysis Patients

Supportive Therapy for Fatigue in Hemodialysis Patients

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