Illness representations are associated with fluid nonadherence among hemodialysis patients

Chilcot, Joseph; Wellsted, David; Farrington, Ken

doi:10.1016/j.jpsychores.2009.08.010

Cited by 72 publications

(63 citation statements)

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“…Yaptığımız bu araştırmadaki HD tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeyleri, Albayrak Coşar'ın (2012) yaptığı araştırmada bulunan HD tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerinden düşük, Balım ve Çınar Pakyüz'ün (2016) yaptığı araştırma-daki HD tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerinden yüksek bulunmuş olup, bu araştırmadaki HD tedavisi alan bireylerin sıvı kısıtlaması bilgi düzeyleri her iki araştırmadaki bireylerin sıvı kısıtlaması bilgi düzey-lerinden yüksek, tutum düzeylerinden düşük bulunmuş-tur. Yapılan birçok araştırma sonucunda HD tedavisi alan bireylerin sıvı alımı konusunda uyumsuz oldukları görül-mektedir (4,20,30,37,38,39,40,41,42 (36,39). Bekarların sıvı kontrolüne ilişkin uyum düzeylerinin daha yüksek olması, bizim hasta grubumuzdaki bekarların aile sorumluluğu gibi önemli sorumluluklarının olmaması, daha genç olmaları nedeniyle hayata daha sıkı bağlanmaları ve geleceğe dair ümitlerinin fazla olması ile ilişkilendirilebilir.…”

Section: Discussionunclassified

“…HD tedavi süresi arttıkça, hastaların sıvı kontrol uyumu bilgi düzey-leri de artmaktadır. Bu araştırma sonucuna benzer şekilde HD tedavi süresinin artması ile sıvı kontrol uyumunun arttığını gösteren araştırmalar mevcut iken (26,41), tam tersi sonucun elde edildiği araştırmalar da mevcuttur (30,43).…”

Section: Discussionunclassified

“…Alınan sıvı miktarını saptamak için dikkate alınan en önemli klinik parametre İDWG olmakla beraber tek başına sıvı alımı uyumunu değerlendirmek için yeterli değildir. Hastanın rezidüel böbrek fonksiyonu ve kuru ağırlığı da uyumu değerlendirmede dikkate alı-nan önemli parametrelerdir (30,31,32). Alınan sıvıyı dengelemenin en uygun yolu, hedeflenen diyaliz sonrası ağır-lığın ayarlanması ve İDWG'nin sınırlandırılmasıdır (33).…”

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Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Karabulutlu¹,

Yilmaz²

2020

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ÖZETAmaç: Bu araştırma, hemodiyaliz tedavisi alan bireylerin sıvı kısıtlamasına uyum düzeylerini değerlendirmek ve sıvı kısıtlamasına uyumu etkileyen faktörleri belirlemek amacıyla yapılmıştır. Results: It was found that individuals receiving hemodialysis had a moderate level of concordance with fluid restriction (51.23±5.88); they had high levels of knowledge regarding fluid restriction (20.22±1.07); and they had a moderate level of concordance in terms of behavioral aspects (22.42±4.23), but low levels of concordance in terms of the attitudes aspect (8.59±2.61). Individuals' concordance with fluid restriction was found to be influenced by gender and marital status; knowledge level was found to be influenced by gender and treatment duration, and behavior was significantly influenced by gender. Women, in comparison to men, were found to have higher concordance levels in terms of knowledge, behavior and total fluid control aspects; single patients' level of concordance with total fluid control was higher compared to married patients, and the level of knowledge about fluid control was lower in patients who had had a treatment duration of 6 months to 2 years, in comparison with other groups. Interdialytic weight gain decreased with increasingly concordant attitudes and total scores for fluid control, and the amount of ultrafiltration needed decreased with the increase in behavior and total scores. Gereç ve Conclusion:It was found that individuals who received hemodialysis were not adequately concordant with fluid restriction. Individualized training and practice is required to increase concordance with fluid restriction.

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Section: Discussionunclassified

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Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Karabulutlu¹,

Yilmaz²

2020

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“…Nesta revisão da literatura científica internacional, foram encontrados dezessete estudos que abordam a percepção sobre a doença e da doença renal crônica em pacientes em HD associados a várias temáticas da doença. Já no Brasil, os estudos ainda são inexistentes com essa população, contemplada nas questões propostas neste estudo (Chilcot, Wellsted, & Farrington, 2010;Gilbar, Or-Han, & Plivazky, 2005;Kaveh & Kimmel, 2001) apesar do número expressivamente alto de portadores de DRC, no Brasil. Tendo em vista que o acesso ao tratamento e à saúde no Brasil possa apresentar resultados peculiares, torna-se importante entender as particularidades das percepções dos pacientes brasileiros.…”

Section: Introductionunclassified

Percepção sobre a doença renal crônica de pacientes em hemodiálise: Revisão Sistemática.

Castro

Gross

2013

Salud soc.

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ELISA KERN DE CASTRO1; CARLA QUARTEIRO GROSS2 (UNIVERSIDADE DO VALE DO RIOS SINOS, São Leopoldo, RS, Brasil) RESUMO O objetivo do artigo foi realizar uma revisão sistemática sobre percepção da doença renal crônica de pacientes em hemodiálise, entre janeiro de 2001 e dezembro de 2012 nas bases de dados Academic Search Premier e Medline with Full Text. Foram encontrados 13 artigos publicados em diferentes revistas da área da saúde. Os resultados indicaram que a percepção negativa da doença foi relacionada à não-adesão ao tratamento, a comportamentos de autocuidado, sintomas de depressão, qualidade de vida, mortalidade, sobrevida e na adesão ao tratamento à medicina complementar e alternativa. Conclusão: o conceito de percepção da doença é útil para compreensão do impacto da doença renal crônica e do tratamento em hemodiálise para a qualidade de vida desses pacientes PALAVRAS-CHAVE: Percepção sobre a doença, representação sobre a doença, doença renal crônica, hemodiálise, qualidade de vida. ABSTRACTThe purpose of this article is a systematic review of the international literature on hemodialysis patients' perception of chronic kidney disease. It was carried out between January 2001 and December 2012 using the databases Academic Search Premier and Medline with Full Text. The authors found 13 articles published in health-related magazines. Results show that negative illness perception was related to non-adherence to the recommended treatment, self-care behaviors, depression symptoms, quality of life, mortality, survival, and adherence to complementary and alternative medical treatments. The authors conclude that perception of the illness is useful in understanding the impact of chronic kidney disease and hemodialysis treatment on these patients' quality of life.

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“…Perception of ones' own disease by patients with ESRD who are maintained on hemodialysis, has been the subject of much recent research [2][3][4][5], including several current prospective studies [6]. Yet, only a few reports describe the relationship between patients' perception of ESRD, and the indicators of HD adequacy and mortality rates [7,8].…”

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Relationships Between Perception of Illness, Social Support and Hemodialysis Adequacy

Sak

Dryl-Rydzyńska²,

Książek

2015

Polish Journal of Public Health

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Introduction. The patients in situations of "being ill" have to face not only pain and disabilities, but also problems in their social relationships. Perceptions of illness are results of reactions to the changes in the existential situations, and that these correspond to determined illness coping strategies.Aim. The aim of the research was to determine the relationships between perception of illness and social support, with the indicators of the adequacy of the renal replacement treatment and the level of urea as a biomarker of disease offset.Material and methods. The study was conducted on a group of 150 patients who were on chronic hemodialysis, and who were suffering from end stage renal disease. The patients were treated at on of the several Fresenius Medical centres. As a group, average Kt/V value was 1.45 (SD=0.22) and the URR ratio 71.78 (SD=5.95). Moreover, average urea concentration before HD equaled to 133.78mg% (SD=39.68) and after hemodialysis -38.22mg% (SD=14.60). The research procedure was based on a questionnaire study. This applied three standardized scales: the Imagination and Perception of Illness Scale (IPIS), the brief Illness Perception Questionnaire (IPQ-Brief) and the Berlin Social Support Scale (BSSS).Results. Patients who exhibited higher values of urea concentration in the blood serum measured before HD, perceived their disease (IPIS scale) as causing more motivation loss to carrying out specific activities, as well as mental and physical sphere destruction, pessimism and lost control over the disease. What is more, higher values of urea reduction ratio (URR) positively correlate with the loss of control over the disease (r=-0.20, p=0.024). Moreover, patients characterized by higher values of urea concentration in the blood serum before hemodialysis, evinced greater need for social support (BSSS).Conclusions. The need for social support among ESRD patients treated by hemodialysis does not correlate with dialysis adequacy indicators. Furthermore, the level of urea marked before hemodialysis exhibits an interdependence with psychological determinants of illness perception and social support.

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Illness representations are associated with fluid nonadherence among hemodialysis patients

Cited by 72 publications

References 55 publications

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Hemodiyaliz Tedavisi Alan Bireylerin Sıvı Kısıtlamasına Uyum Düzeyleri

Percepção sobre a doença renal crônica de pacientes em hemodiálise: Revisão Sistemática.

Relationships Between Perception of Illness, Social Support and Hemodialysis Adequacy

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