Remote Diagnosis System of Uremia Complicated with Sleep Disorder and Effectiveness of Nursing Intervention

Wang, Yiqian; Zhu, Jing; Cao, Jun; Zheng, Dan; Wang, Lihua

doi:10.1155/2021/4649139

Cited by 2 publications

(3 citation statements)

References 19 publications

(15 reference statements)

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“…Uremic patients are in the end stage of renal failure. Hemodialysis is mainly used for alternative treatment to replace the excretory function of the kidney, ensure the normal metabolism of the body, and prolong the survival time of patients [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients

Chen

Ding

et al. 2022

Computational and Mathematical Methods in Medicine

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Aim. Patients in the hemodialysis stage are prone to psychological pressure of depression and anxiety and have resistance, which affects the clinical treatment effect. Effective psychological intervention plays a very important role in improving patients’ psychological pressure and patients’ compliance. The aim of this study is to explore the nursing effect of psychological intervention on uremic hemodialysis patients. Methods. There were 126 uremic hemodialysis patients admitted to the hospital from August 2020 to December 2021. The patients were randomly divided into the routine nursing care group ( n = 63 ) and psychological intervention group ( n = 63 ). The routine nursing care group received routine nursing care for uremia hemodialysis patients. The psychological intervention group implemented psychological intervention on uremia hemodialysis patients. The methods of psychological intervention mainly include establishing a good nurse-patient relationship, popularizing hemodialysis knowledge, timely psychological counseling for patients, and organizing patient communication meetings. The treatment compliance, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) of the two groups were compared before and after nursing. SF-36 scale was used to evaluate the quality of life of patients. The incidence of complications and nursing satisfaction were compared between the two groups. Results. The treatment compliance rate and nursing satisfaction of hemodialysis uremic patients in the psychological intervention group were significantly higher than the routine nursing care group. The SAS and SDS of hemodialysis uremia patients in the psychological intervention group were significantly lower than the routine nursing care group after psychological intervention, and SF-36 scale was significantly higher than the routine nursing group. The main complications of uremic hemodialysis patients are hypotension, hyperkalemia, internal fistula occlusion, and infection. Compared with the routine nursing care group, the incidence of complications in the psychological intervention group was significantly reduced. Conclusion. The implementation of psychological nursing intervention for uremic hemodialysis patients have a very significant effect on reducing the incidence of complications and improving anxiety, depression, treatment compliance, and the quality of life and the nursing satisfaction.

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Section: Introductionmentioning

confidence: 99%

Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients

Chen

Ding

et al. 2022

Computational and Mathematical Methods in Medicine

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“…These findings are consistent with those of the previous studies. Generally, long dialysis duration is often accompanied by inadequate dialysis [ 25 ], malnutrition [ 26 ], depression [ 27 ], or abnormal calcium and phosphorus metabolism [ 11 ], which are well-known risk factors for sleep disturbances. A high Ca × P product may be related to secondary hyperparathyroidism, uremic pruritus, bone pain, coronary artery calcification, and increased cardiovascular diseases [ 11 , 28 ], which may further affect the sleep quality of patients undergoing CAPD.…”

Section: Discussionmentioning

confidence: 99%

“…The causes of poor sleep quality in patients undergoing CAPD are not fully understood and may be multifactorial. Previous studies have shown that male sex [ 10 ], old age [ 11 ], depression [ 12 ], anemia [ 13 ], uremic pruritus [ 14 ], low serum vitamin D [ 15 ], and duration of dialysis [ 16 ] all contributed to sleep disturbances in dialysis patients. In addition, Li et al.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of poor sleep quality in continuous ambulatory peritoneal dialysis patients in Nanchang, Southeast China

et al. 2022

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This study aimed to explore the prevalence and risk factors of poor sleep quality in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) at the peritoneal dialysis center of the First Affiliated Hospital of Nanchang University. This cross-sectional study was conducted from March 2019 to December 2019. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep quality of patients undergoing CAPD. A PSQI score of ≥5 was defined as poor sleep quality, whereas a PSQI of <5 was defined as good sleep quality. Logistic regression analysis was used to analyze risk factors for poor sleep quality. In total, 456 patients undergoing CAPD were investigated. The average PSQI score was 5.0 ± 2.9. Among the participants, 46.3% had poor sleep quality, and 45.6% were female patients. The average age was 49.4 ± 13.3 years. Compared with good sleepers, poor sleepers included a higher proportion of females and calcium–phosphorus (Ca × P) product, longer dialysis durations, lower total endogenous creatinine clearance rates, less residual renal function, and lower albumin levels. Multivariate logistic regression analysis showed that a long dialysis duration, low albumin level, and high Ca × P product were independent risk factors for poor sleep quality in patients undergoing CAPD. Odds ratios (95% confidence interval) for these risk factors were 1.01 (1.00–1.02), 0.95 (0.91–1.00), and 1.02 (1.00–1.03), respectively. Interventions aimed at improving albumin and Ca × P product levels may improve quality of life for CAPD patients.

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Remote Diagnosis System of Uremia Complicated with Sleep Disorder and Effectiveness of Nursing Intervention

Cited by 2 publications

References 19 publications

Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients

Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients

Prevalence and risk factors of poor sleep quality in continuous ambulatory peritoneal dialysis patients in Nanchang, Southeast China

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