Dissertations / Theses: 'Hemodialysis - Patients - Care'

1

Ferro, Paula Luz, and Fernandez Gloria Del. "Spirituality and compliance correlates of hemodialysis patients." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2663.

Full text

Abstract:

The purpose of a study of spirituality and its relationship to the compliance of hemodialysis patients is to consider changing the approach of the treatment team in the dialysis setting. The interdisciplinary treatment team at the dialysis center consists of physicians, nurses, dietitians, and social workers. One of the many roles of the dialysis social worker is to facilitate the adjustment to and acceptance of the patient's need for dialysis.

APA, Harvard, Vancouver, ISO, and other styles

2

Lau, Wai-kwan, and 劉慧君. "An evidence-based nurse-led fluid and dietary control program for haemodialysis patient." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193072.

Full text

Abstract:

End stage renal failure refers to an irreversible kidney dysfunction in which the kidneys fail to remove toxins from the blood stream. Haemodialysis is an effective treatment modality to sustain the lives of patients with end stage renal failure by removing waste products like urea, creatinine, and excess fluid. It involves a challenging regimen including dietary restrictions to ensure long-term survival. Failure to adhere with the regimen can result in fatal consequences. Renal patient discomfort related to non-adherence is commonly seen in clinical settings; however, there is currently no evidence-based fluid or dietary education program available to haemodialysis patients. This dissertation aims to identify and evaluate current evidence for the effectiveness of dietary and fluid control programs in the treatment of haemodialysis patients, to assess the transferability and feasibility of implementing a nurse-led education program regarding dietary and fluid control in haemodialysis patients, and to develop an evidence-based, nurse-led fluid and dietary control program for haemodialysis patients. Four electronic bibliographical databases including PubMed, Cochrane library, PsycInfo and CINAHL and two searching engines including Google scholar and ProQuest were used to identify studies that examined the effectiveness of educational programs or interventions on fluid or dietary control for patients on haemodialysis. Forty-five unique studies were identified as potentially relevant. Eleven of those studies met the selection criteria and were evaluated in this dissertation. Appraisal instrument was used to evaluate the quality of the selected studies. Six studies and three studies showed statistically significant in reduction of serum phosphate level and interdialytic weight gain respectively after educational intervention. Critical evaluation of the available studies led to an evidence-based, nurse-led, fluid and dietary control program for haemodialysis patients that followed the guideline development process of the Scottish Intercollegiate Guideline Network. Comparison on the similarity of patient characteristics, staff competence, and organizational settings of the evaluated studies were similar to those of the target unit. Therefore, the proposed program may be transferable and feasible. Furthermore, a cost-benefit analysis showed that the benefit of the fluid and dietary control program to patients outweighs the cost needed to implement the program. This dissertation outlines a proposed twenty-week program including marketing of the program, training of staff in the targeted renal unit, pilot testing, and application of the proposed program. Evaluation of the program will focus on three categories: patient outcome, health care provider outcome, and organization outcome. Clinical effectiveness of the program is defined by an overall reduction in patients’ mean interdialytic weight gain and mean serum phosphate level, improvement in knowledge test scores by patients, satisfactory nurses’ attendance rate in the renal training sessions, high nurse satisfaction with the educational program, and reduction of admission rate related to non-adherence.
published_or_final_version
Nursing Studies
Master
Master of Nursing

APA, Harvard, Vancouver, ISO, and other styles

3

Oarde, Kristian, and Kristian Oarde. "Palliative Care Education in End-stage Renal Disease Patients Undergoing Hemodialysis." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626645.

Full text

Abstract:

Background: End-stage renal disease (ESRD) is a chronic medical condition where 90% or more of the kidneys are nonfunctional (Doig & Huether, 2014). The current treatment for ESRD is Hemodialysis [HD] (National Institute of Diabetes and Digestive and Kidney Disease [NIDDK], 2013). Individuals who have ESRD who undergo HD suffer from tremendous symptom and treatment burden that affects various facets of life (Axelsson, Klang, Hagelin, Jacobson, & Gleissman, 2014; Axelsson et al., 2012; Tamura & Cohen, 2010). Unfortunately, the symptom and treatment burden associated with ESRD are underrecognized and undertreated (Feely et al., 2016; Gelfman & Meyer, 2012; Murtagh, Addington-Hall, & Higginson, 2007; Russon & Mooney, 2010; Tamura & Meier, 2013). Purpose: The purpose of this quality improvement project is to explore if ESRD patients in Davita Desert Dialysis are knowledgeable about palliative care and if providing education might change their behavior. The primary aim is to create awareness in patients about PC services in an effort to improve their quality of care through education. Design: A quantitative pre- and post survey approach using qualtrics software was utilized to assess the baseline and post-education knowledge of patients who met the inclusion criteria. Setting: DaVita Desert Dialysis, Sun City, AZ. Intervention: The educational intervention is the viewing of a three-minute voice over presentation about palliative care. Limitations: The sample size was small and exposes this study to marked bias and non-generalizability due to the limited number of recruited individuals. Results: One hundred percent of the individuals in the posttest had better awareness about and knowledge about PC. Conclusion: PC can improve the quality of life of patients that suffer from the undertreated and underrecognized symptom and treatment burden (Tamura & Meier, 2013). Further data and studies will be needed to establish PC in the field of nephrology as it relates to the ESRD population undergoing HD. However, the quality improvement focus of increasing PC awareness among ESRD patients undergoing HD has shown great promise as all participants had increased awareness, knowledge availability, and readiness for PC services.

APA, Harvard, Vancouver, ISO, and other styles

4

Somuah, Lilian. "Educating Primary Care Nurses on Phosphorus Management in Chronic Kidney Disease Patients." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5785.

Full text

Abstract:

Fifteen percent of adults in the United States have been diagnosed with chronic kidney disease (CKD). CKD is the slow, progressive, and irreversible loss of kidney function. The most effective means of controlling CKD is by managing dietary phosphorus intake. It is important that staff nurses be educated about effective patient education tools to improve dietary phosphorus management. The purpose of this project was to educate primary care nurses about phosphorus management in CKD patients through the introduction of the phosphorus pyramid as a visual tool. The project sought to understand if an educational intervention regarding phosphorus management in CKD patients could increase the primary care nurse's knowledge. The John Hopkins evidence-based practice model informed the development of this project. Ten primary care nurses participated in a 45-minute education program which focused on the use of the Phosphorus Pyramid. A pre and post-test of knowledge was completed via a Likert scale questionnaire that measured knowledge related to the educational objectives of the program. The posttest scores showed an increase of 15% overall in staff's knowledge regarding dietary phosphorus management, the participants were more likely to correctly answer questions related to the phosphorus content of food and drink. The phosphorus pyramid will serve as a user-friendly tool to assist patients in identifying high phosphorus foods that need to be avoided and low phosphorus foods that are recommended to incorporate in their renal diet. This project supports social change by improving the healthcare team's knowledge regarding dietary recommendations for CKD patients thereby contributing to improved patient outcomes and reduced healthcare costs.

APA, Harvard, Vancouver, ISO, and other styles

5

Schmalz, Gerhard, Anne Kauffels, Otto Kollmar, Jan E. Slotta, Radovan Vasko, Gerhard A. Müller, Rainer Haak, and Dirk Ziebolz. "Oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis and after kidney transplantation." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-210319.

Full text

Abstract:

Background: Aim of this single center cross-sectional study was to investigate oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis (HD) and after kidney transplantation (KT). Methods: Patients undergoing HD for end-stage renal failure and after KT were investigated. Oral health behavior was recorded using a standardized questionnaire, e.g. dental behavior, tooth brushing, oral hygiene aids. Oral investigation included screening of oral mucosa, dental findings (DMF-T) and periodontal situation (Papilla bleeding index [PBI] periodontal probing depth [PPD] and clinical attachment loss [CAL]). Additionally, microbiological analysis of subgingival biofilm samples (PCR) was performed. Statistical analysis: Student’s t-test or Mann–Whitney-U-test, Fisher’s exact test (α = 5 %). Results: A total of 70 patients (HD: n = 35, KT: n = 35) with a mean age of 56.4 ± 11.1 (HD) and 55.8 ± 10.9 (KT) years were included. Lack in use of additional oral hygiene (dental floss, inter-dental brush) was found. KT group presented significantly more gingivial overgrowth (p = 0.01). DMF-T was 19.47 ± 5.84 (HD) and 17.61 ± 5.81 (KT; p = 0. 21). Majority of patients had clinically moderate and severe periodontitis; showing a need for periodontal treatment of 57 % (HD) and 71 % (KT; p = 0.30). Significantly higher prevalence of Parvimonas micra and Capnocytophaga species in the HD group were found (p < 0.01). Conclusion: Periodontal treatment need and lack in oral behavior for both groups indicate the necessity of an improved early treatment and prevention of dental and periodontal disease, e.g. in form of special care programs. Regarding microbiological findings, no major differences between KT and HD patients were found.

APA, Harvard, Vancouver, ISO, and other styles

6

Wolf, Emily A. "Assessing the Prevalence and Characteristics of Vitamin D Deficiency in Hemodialysis Patients in a Long Term Acute Care Hospital." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1320682123.

Full text

APA, Harvard, Vancouver, ISO, and other styles

7

Hegay, Olga, and Cristina Larsson. "Hälsa trots sjukdom : Om att leva med hemodialys i hemmet. En litteraturöversikt." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2680.

Full text

Abstract:

Bakgrund: Hemodialys är en livsuppehållande behandling för människor med kronisk njursvikt. Men behandlingen påverkar människans livssituation med till exempel begränsad frihet, känsla av bundenhet till dialysmaskinen och känsla av beroende från vårdpersonal. Den framgångsrika utvecklingen av teknologin har gett patienterna möjlighet att behandla sig själva med hemodialys i hemmet (HHD), vilket kan förbättra patienters livssituation. För att behandlingen ska fungera krävs vårdpersonalens kunskap och engagemang att utbilda patienten i egenvården. För närvarande används behandlingsformen i hemmet i låg omfattning i förhållande till totala antalet patienter i hemodialys, men antalet användare ökar. Sjuksköterskor behöver förstå patienters upplevelser av behandlingen för att kunna förbättra och erbjuda individanpassad omvårdnad. Syfte: Att beskriva patienters upplevelser av att leva med hemodialys i hemmet. Metod: Detta är en litteraturöversikt med tio vetenskapliga artiklar till grund som beskriver och analyserar nya uppkomna teman utifrån de likheter som framkom i resultatdelarna. Resultat: Resultatet visar på att trots behandlingen och sjukdom finns det möjlighet att uppleva hälsa och välbefinnande. Detta redovisas under sju teman: 1) Ökad frihet med HHD ger ett aktivt liv; 2) Medvetenhet om egenvårdens betydelse; 3) Att inte känna sig som patient; 4) Att inleda HHD och en förändrad hemmiljö; 5) Relation med anhöriga och vårdpersonal; 6) Sjukdom och behandling som börda; 7) Hopp och oro inför framtiden. Diskussion: Resultatet diskuteras utifrån patientens perspektiv med hjälp av Orems omvårdnadsteori. Hälsa upplevs när patienten omvärderar och accepterar sin situation. Patientens förmåga till egenvård ökas, vilket främjas genom patientens aktiva medverkan i sin behandling. Detta är möjligt genom sjuksköterskans stöd till att öka patientens egenvårdskapacitet utifrån individuella behov.
Background: Hemodialysis is a life-sustaining treatment for people with end stage renal disease. But the treatment affects individual's life situation with for example limited freedom, feeling of bondage to the dialysis machine and feeling of dependence from healthcare professionals. The successful development of technology has given patients an opportunity to treat themselves with hemodialysis in the home (HHD), which may improve patients' lives. It requires knowledge and involvement of nursing staff in educating the patient in self-care for the achievement of successful functioning of treatment. Currently the usage of this treatment in the home is in low scope in relation to the total number of patients on hemodialysis, but the number of users increases. There is a need for nurses to understand patients' experiences of treatment in order to improve and offer individualized care. Aim: To describe patients' experiences of living with hemodialysis in the home. Methods: This is a literature review with basis of ten scientific articles, which describes and analyzes new themes based on similarities that emerged in resulting parts. Results: The findings show that it is possible to experience health and well-being despite treatment and disease. These findings are presented in the following seven themes: 1) Increased freedom with HHD provides an active life; 2) Awareness of self-care importance; 3) Feeling of not being a patient; 4) Accommodating HHD and changed home environment; 5) Relationship with family members and health professionals; 6) Burden of disease and treatment; 7) Hope and uncertainty about the future. Discussions: The findings are discussed from the patient's perspective using Orem's nursing theory. Health is experienced when the patient re-evaluated and accepted his situation. The patient's ability to self-care increases, which is promoted through the patient's active participation in care. This is possible through the nurse‟s support to increase the patient's self-care capacity based on individual needs.

APA, Harvard, Vancouver, ISO, and other styles

8

Irvin, Renee A. "Quality of care, asymmetric information, and patient outcomes in U.S. for-profit and not-for-profit renal dialysis facilities /." Thesis, Connect to this title online; UW restricted, 1998. http://hdl.handle.net/1773/7489.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

Lundberg, Tunå Sophia, and Emma Svedu. "Att leva på gränsen - en litteraturstudie om kroniskt njursjuka patienters upplevelse av att vara beroende av hemodialys." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24541.

Full text

Abstract:

Bakgrund: Hemodialys är en livslång behandling av njursvikt som är en allvarlig kronisk sjukdom. Hemodialyspatienter har frekventa möten med sjuksköterskor och utvecklar ofta en nära kontakt som kan sträcka sig över flera år. Sjuksköterskan behöver arbeta personcentrerat för att främja patienternas hälsa. Syfte: Syftet med studien var att belysa kroniskt njursjuka patienters upplevelser av att leva med hemodialys.Metod: Litteraturstudie med kvalitativ ansats. Olika sökblock byggdes upp baserade på forskningsfrågan och sökningar utfördes i databaserna CINAHL och PubMed. Efter att ha relevans- och kvalitetsgranskats befanns 12 artiklar vara relevanta för analys. Forsberg och Wengströms förenklade innehållsanalys användes för att analysera materialet.Resultat: Fem teman trädde fram: Tiden då, nu och framåt, Uppfattningen om jaget och kroppen, Relationer, Beroenden och begränsningar samt Förlust, acceptans och tacksamhet.Konklusion: Livet med hemodialys påverkar patienterna både socialt, mentalt och fysiskt. Patienterna upplevde sig begränsade, i beroendeposition och deras sociala relationer förändrades. Sjuksköterskan behöver finnas tillgänglig för patienten för att denne ska uppleva hälsa.Nyckelord: Hemodialys, mellanmänskliga relationer, patient, personcentrerad vård upplevelse.
Background: Hemodialysis is a lifelong treatment of chronic kidney failure - a severe and demanding disease. Patients going through hemodialysis have frequent interaction with nurses and often develop a personal relationship which can continue for several years. The nurse has to apply patient centered care to promote health for the patient.Aim: The aim of this study was to illuminate the lived experience of patients with chronic kidney failure receiving hemodialysis.Method: This study was conducted as a literature review with a qualitative approach. The database searches were conducted in CINAHL and PubMed. 12 articles passed the relevance- and quality review. A content analysis method of five steps was used to analyse the material.Result: Five themes emerged; The past, the now and the future, The perception of self and the body, Relationships, Dependency and limitations and Loss, acceptance and gratitude.Conclusion: Life on hemodialysis affects the patients both socially, mentally and physically. The patients felt restricted, in dependency and that their social relationships were changed. The nurse has to be there for the patient in order for the patient to experience healthKeywords: Experience, hemodialysis, human-to-human relationship, patient, patient centered care.

APA, Harvard, Vancouver, ISO, and other styles

10

Sousa, Maiana Regina Gomes de. "Segurança do paciente em uma unidade de hemodiálise: análise de eventos adversos." Universidade Federal de Goiás, 2014. http://repositorio.bc.ufg.br/tede/handle/tede/4227.

Full text

Abstract:

Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2015-03-02T14:08:16Z No. of bitstreams: 2 Dissertação - Maiana Regina Gomes de Sousa - 2014.pdf: 762702 bytes, checksum: c2282664c3c00ab85e40fe878c7d4cd9 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)
Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-03-04T13:13:56Z (GMT) No. of bitstreams: 2 Dissertação - Maiana Regina Gomes de Sousa - 2014.pdf: 762702 bytes, checksum: c2282664c3c00ab85e40fe878c7d4cd9 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)
Made available in DSpace on 2015-03-04T13:13:56Z (GMT). No. of bitstreams: 2 Dissertação - Maiana Regina Gomes de Sousa - 2014.pdf: 762702 bytes, checksum: c2282664c3c00ab85e40fe878c7d4cd9 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2014-09-30
Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
INTRODUCTION: Health care comes accompanied with potential to cause adverse events (AE) and compromising patient safety. In hemodialysis units there are numerous risk factors that increase the potential of occurrence of these events, suggesting that the supply of safe care to this population presents some exclusive challenges, beyond generic questions of patient safety common to all health establishments. OBJECTIVES: To analyze the occurrence of AE related to hemodialysis treatment. METHODOLOGY: Sectional study, conducted in a hemodialysis unit of a teaching hospital of Goiás. Data collection occurred between March and September 2013, by analyzing the records of the evolution of the hemodialysis sessions, from medical records of patients attended between January and December, 2012 in the unit. Was used an instrument in which were transcribed information related to the patient, treatment and possible AE. Participated in the study 117 patients, all obeyed the inclusion criteria. The analysis of the records was conducted by one researcher and two external reviewers, independently. Statistical analysis was performed using SPSS version 19.0 for Windows. The study was approved by the Research Ethics Committee and obeyed regulatory standards of Resolution 466/2012. RESULTS: Among the 117 patients who participated of the study, 60.7% were male, aged 01-89 years, mean 42 years, median 45 years; 79.5% had chronic renal failure; 21.4% had a diagnosis of diabetic nephropathy as primary renal disease and 4.3% had positive serology for hepatitis B. About the treatment 50.4% had 3.5 hours of session; 87.2% of patients received treatment three times a week and 56.4% had up to three months of treatment, with a median of 02 months. Of the total of 5,938 analyzed hemodialysis sessions was identified in 1,036 at least one record of AE in 94 patients, totaling 1,272 AE. The prevalence of AE per patient was 80.3% and the AE by hemodialysis session was 17.4%. The most prevalent AE were inadequate blood flow (40.6%), bleeding from the venous access (11.6%), infection/signs of infection (9.6%) and clotting in the extracorporeal system (7.1%). In relation to damage caused 76.1% were classified as mild, 22.9% as moderate, 0.9% as severe and 0.1% death. It was evident as an independent variable associated with the AE to be aged 43 years or more. Was found positive correlation between the number of AE per month and number of sessions per month, indicating that the greater the number of hemodialysis, greater the number of EA sessions. CONCLUSION: The investigation has identified a high prevalence of adverse events related to hemodialysis pointing out that there is need to review the care processes and develop actions to identify and control risk situations, as a way to establish more secures procedures and ensure the quality of care.
INTRODUÇÃO: A atenção à saúde vem acompanhada do potencial de causar eventos adversos (EA) e comprometer a segurança do paciente. Em unidades de hemodiálise existem numerosos fatores de risco que aumentam a probabilidade de ocorrência desses eventos, sugerindo que a oferta de assistência segura a esta população apresenta alguns desafios exclusivos, além das questões genéricas de segurança do paciente comuns a todos os estabelecimentos de saúde. OBJETIVOS: Analisar a ocorrência de EA relacionados ao tratamento hemodialítico. METODOLOGIA: Estudo transversal, realizado em uma unidade de hemodiálise de um hospital de ensino de Goiás. A coleta de dados ocorreu entre março e setembro de 2013, por meio da análise dos registros de evolução das sessões de hemodiálise, presentes nos prontuários de pacientes atendidos entre janeiro a dezembro de 2012 na unidade. Foi utilizado um instrumento no qual foram transcritas as informações relacionadas ao paciente, ao tratamento e aos possíveis EA. Participaram do estudo 117 pacientes que atenderam aos critérios de inclusão. A análise dos registros foi realizada pela pesquisadora e por dois revisores externos, de forma independente. A análise estatística foi realizada pelo programa SPSS versão 19.0 for Windows. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa e foram obedecidas as normas regulamentadoras da Resolução 466/2012. RESULTADOS: Dentre os 117 pacientes que participaram do estudo, 60,7% eram do sexo masculino, com idade entre 01 a 89 anos, média de 42 anos e mediana de 45 anos; 79,5% apresentavam insuficiência renal crônica; 21,4% tinham a nefropatia diabética como diagnóstico da doença renal primária e 4,3% possuíam sorologia positiva para o vírus da hepatite B. Sobre o tratamento 50,4% realizavam 3,5 horas de sessão; 87,2% dos pacientes recebiam o tratamento três vezes por semana e 56,4% possuíam até três meses de tratamento, sendo a mediana de 02 meses. Do total de 5.938 sessões de hemodiálise analisadas em 1.036 foi identificado pelo menos um registro de EA em 94 pacientes, totalizando 1.272 EA. A prevalência de EA por paciente foi de 80,3% e a de EA por sessão de hemodiálise foi de 17,4%. Os EA mais prevalentes foram o fluxo sanguíneo inadequado (40,6%), sangramento pelo acesso venoso (11,6%), infecção/ sinais de infecção (9,6%) e coagulação do sistema extracorpóreo (7,1%). Em relação aos danos causados 76,1% foram classificados como leves, 22,9% como moderados, 0,9% como graves e 0,1% óbito. Evidenciou-se como variável independente de associação com o EA ter idade igual a 43 anos ou mais. Foi encontrada correlação positiva entre o número de EA por mês e número de sessões por mês, mostrando que quanto maior o número de sessões de hemodiálise, maior o número de EA. CONCLUSÃO: A investigação permitiu identificar alta prevalência de eventos adversos relacionados à hemodiálise apontando que há a necessidade de revisar os processos assistenciais e desenvolver ações para identificar e controlar situações de riscos, como forma de estabelecer procedimentos mais seguros e garantir a qualidade do cuidado

APA, Harvard, Vancouver, ISO, and other styles

11

Hsu, Wen-Chi, and 許雯琪. "The care of maintenance hemodialysis patients in emergency department." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/76937237756672484727.

Full text

Abstract:

碩士
高雄醫學大學
公共衛生學研究所
97
Background: In Taiwan, the prevalent rate of end-stage renal disease(ESRD) ranked first in the world . As the number of hemodialysis patients increased, the emergency physicians will frequently meet emergent problems of these patients. The purpose of this study was to survey the pattern of emergent visit to emergency department (ED) of maintenance hemodialysis patients and to find out the possible predictors of emergent hemodialysis treatment for hemodialysis patients at ED. Methods: This retrospective study was conducted through charts review in non-traumatic adult patient who visit ED and underwent maintenance hemodialysis(HD-ED) in a medical center between 2005 and 2007. We assessed the presenting conditions in these patients, and analyzed the association between emergent hemodialysis and possible predictors. Results: We found there were higher percentage in severe triage level, higher admission rate (45.1%) and intensive care unit (ICU) admission rate (6.3%) in the ED visits of HD-ED patients than other non-traumatic ED patients. The most common problem of HD-ED patient visits was access-related problem (32.2%). 6.2% of our HD-ED patient visits need emergent hemodialysis treatment (EHD). The most common presenting complaint of EHD group was dyspnea(55.3%), and the most common diagosis of EHD group was volume overload(46.1%). Severe triage levels (level 1&2), higher initial blood pressure, tachypnea and the comorbidity of coronary artery disease were associated the need of emergent hemodialysis treatment. Monday was the most common day of emergent hemodialysis. Conclusions: The ED visits of hemodialysis patients were in greater severity comparing with other ED patient visits. Our results provide a useful guide for emergency physicians to manage the acute medical problems of ED hemodialysis patients. Initial vital signs, triage level, and the comorbidites should be seen as predictors for the need of emergent hemodialysis.

APA, Harvard, Vancouver, ISO, and other styles

12

Chang, Bi-Yu, and 張碧玉. "Determinants of Medical Care Expenditures for ESRD Hemodialysis Patients." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/74902192814473791920.

Full text

Abstract:

碩士
高雄醫學大學
公共衛生學研究所
89
Objectives The major purpose of this study was to identify the determinants of medical care expenditures for the End-Stage Renal Disease(ESRD) hemodialysis patients, which may serve as a basis to establish a risk-adjustment payment system for a general scale. Methods and Materials The study design is based on a cross-sectional study. The study population were ESRD patients who lived in Kaohsiung-Pingung areas and were older than 18 years. In total, there were 2,385 ESRD subjects. Retrospective data were used, which included patients files from the Taiwan Society of Nephrology, and the claim data from the Kaohsiung-Pingung Branch of the Bureau of National Health Insurance. Results The results indicated that age, education, diabetics, and previous-year medical expenses were significant predictive of medical expenditures, which explained 45.3﹪of variances in ESRD patients’ ambulatory expenditures. Specifically, the prior utilization factor had greatest predictive power; 43.6﹪of variances were explained. Discussion The uniqueness of the study is to integrate the data from the Taiwan Society of Nephrology, and the Bureau of National Health Insurance, and to evaluate the appropriateness of applying capitation to ESRD patients. The capitation system can be improved by extending the set of risk adjusters. Without risk adjustment, capitation rates are likely to overpay or underpay medical care expenditures for ESRD hemodialysis patients. The study results were limited by a cross-sectional model. We recommend a longitudinal model to repeated measure and evaluate the goodness of fit and stability of different risk adjusted models for ESRD payments.

APA, Harvard, Vancouver, ISO, and other styles

13

賴秀君. "The Effect of Education on Self-care Agency in Hemodialysis Patients." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/77802394502162759754.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Hsu, Shih-Jung, and 徐世蓉. "The Effectiveness of Introducing Health Education in Hemodialysis Patients to Foreign Care Workers." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/47784277221516703461.

Full text

Abstract:

碩士
亞洲大學
健康產業管理學系長期照護組碩士在職專班
101
Background: In recent years, hemodialysis patients are increasing in Taiwan. Patients of hemodialysis requires radical lifestyle changes including regular attendance at the dialysis unit for treatment, restrictions in fluid intake, changes to diet and medication intake. Self management at home is essential in decreasing risk for poor clinical outcomes and mortality. In Taiwan, however, lots of primary caregivers for those patients are foreign care workers, who might lack of health education and information relating to hemodialysis care. Therefore, the care quality of hemodialysis patients has become a concern. Purpose of research：The objective of this research was to provide an education intervention using a mother-language booklet that cover the care information of hemodialysis for foreign care workers, and then examine the effectiveness on patients’ clinical outcomes. Methods: This study was a quasi-experimental research design. A total of 80 adults maintained on hemodialysis for a minimum of 6 months and their foreign workers participated, 40 pairs were randomized to experimental group and 40 were in control group. The study provided a hemodialysis care booklet in foreign care workers’ mother languages and an extract face to face education intervention for the care workers in experimental groups. Care workers’ understanding of care information was measured by a questionnaire before and after intervention. Patients’ care outcomes were biochemical markers and clinical status which collected from the dialysis data system HOPE4.7 at baseline, and at 3 months post-intervention. Results: In experimental group, the foreign care workers’ understanding of hemodialysis care had a great improvement after intervention. Patients’ biochemical markers and clinical status in AC Glucose, URR, Kt/V, P, fistula obstruction rate (p <0.001), GOT.GPT, and post-dialysis BUN, K (p <0.01), hospitalization rate (p <0.05) were also improved significantly. Conclusion: Foreign care workers’ abilities in hemodialysis patients’ care were successfully improved by providing a mother-language booklet and education intervention. Hemodialysis patients’ better clinical outcomes were subsequently achieved.

APA, Harvard, Vancouver, ISO, and other styles

15

Lin, Meng-Shan, and 林孟珊. "A Correlational Study on Health Literacy and Self-Care Behaviors among Hemodialysis Patients." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/71733590166482674500.

Full text

Abstract:

碩士
中臺科技大學
護理系碩士班
102
The population of patients with ESRD (end-stage renal disease) in the whole world has been dramatically increased at a rate about 7% per year. It is expected that total patients of ESRD in the world will approach 2 million by 2016. This international problem in public heath may cause a big loading in health-care expense to the whole world.Therefore, the purpose of this study is to understand the correlation between the comprehension in health and the self-care behavior in patients under hemodialysis. This research involved a cross-sectional study was design with questionnaires based on purposive sampling. The subjects for this study was 110 patients (46 males, 64 females) in the hemodialysis center of a city hospital. The self-composed quationaires included 3 parts: social demographic characters, health literacy, and self-care behavior . In statistical analysis for the validity assessment, health literacy =95 %，In Kuder-Richardson reliability (K-R 20 reliability) = 0.89，Cronbach’ α value for self-care behavior = 0.854. This study was approved by the institutional Human Research Committee (# CS13047). The questionnaires were collected from May 31 2013 to June 20 2013 after filled out by patients. The data were analyzed with the statistical software of SPASS fro Window 17.0, and the results were showed below. The mean age of the subjects was 56.4±10.7 years, and the average duration of hemodialysis was 5.6 years. The total scores for health literacy was 67.5. This is considered as moderate degree. It included 77 for the score in the accuracy of reading the information in drug bag, 68.6 for the score in knowledge comprehension, 80.4 for the score in draining tube care, 72 for the score in taking drugs, 48.7 in taking healthy foods, 74.4 in activity of daily livings. The total score in self care behavior was 69. It is considered as moderate degree. It included 82.9 for the score in draing tube care, 64 for the scoe in taking drugs, 77.6 in food selection, 78.4 in the activity of daily libinfs. The comparison between the health literacy and the self-care behavior showed a positive correlation (r=0.81, p <0.001). For the individual characters, patients with middle age, being married, with high education level (higher than high school or technical school), with shorter duration of hemodialysis would have better comprehension in health and better slef-care behavior. After regression analysis, it was found that the health literacy and the duration of hemodialysis can predict the self-care behavior. The better the comprehension in health and the shorter the duration of hemodialysis, the better the self-care behavior. The conclusion of this study may help the nursing staff in taking care of aged hemodialysis patients or patients received long duration of hemodialysis, who may have poor health literacy to cause poor care in draining tubes, drug intake, health food intake, and activity of daily livings . The staff nurses can help those patients in health education to improve their self-care activity.

APA, Harvard, Vancouver, ISO, and other styles

16

YANG, JIA-YI, and 楊佳怡. "The Knowledge, Attitude and Willingness toward Advance Care Planning and Patient Self-Determination Act among Patients with Hemodialysis." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/xtzz4a.

Full text

Abstract:

碩士
中臺科技大學
醫療暨健康產業管理系碩士班
107
According to the 2017 US Renal Data Registration System (end -stage renal diseases, ESRD) annual report, the incidence and prevalence of ESRD in Taiwan rank first in the world. How to break through the taboos of the traditional culture of the East, to participate in advance care planning and sign advance decision in order to make healthcare decisions for the end of life, and to reduce the psychological burden of the families have become the most important issue today. The purpose of this study was to investigate the related factors and association between knowledge, attitudes and willingness for advance care planning and patient self-determination among hemodialysis patients. In this study, a structured questionnaire was adopted to 129 hemodialysis patients of a medical center in central Taiwan. The questionnaire included personal characteristics, knowledge, attitude and willingness of advance care planning and Patient Self-Determination Act, and other related issues. Descriptive statistics and inferential statistics were obtained from SPSS 25.0 software, including t-test, one-way ANOVA, Pearson correlation analysis, multiple regression analysis and hierarchical regression. According to the results, the extremely low mean score of the total knowledge was 23.4, and the knowledge of ACP & AD and Patient Self-Determination Act were23.3 and 23.4 respectively. The mean of attitude toward the objectives of ACP & AD, barriers of ACP & AD, the Patient Self-Determination was points, and the importance of ACP were 78.43, 55.77, 69.94, and 77.62 respectively. The standardized mean score of willingness to participate ACP was 69.52, and the willingness to use sustain life treatment was 54.05. Those who educated above college, unmarried, suffering from diabetes mellitus, was not confused with the current dialysis decision, healthcare staff provided information about the advance care planning(ACP) and advance decision(AD), having discussed with the families about the life-threatening medical decisions for the end of life, the advance care planning(ACP) should initiate by the patient himself, willing to pay the all or part of "advance care planning consultation fee" had a significantly higher knowledge about advance care planning and Patient Self-Determination Act. Those who female , educated above college, unmarried, suffering from hypertension, cardiovascular diseases, and heart failure, dialysis twice a week, receiving dialysis treatment for 6 to 10 years, having signed do not resuscitate (DNR) or palliative care willingness, having healthcare professionals discussed medical decision to life-threatening treatments with patients or their families, discussing with their families about the life-threatening medical decisions for the end of life, the most willing to discuss end-of-life with medical staff, initiating ACP discussion when other serious complications beginning, designating patients with siblings as surrogates had positive attitude towards advance care planning and Patient Self-Determination Act. There were higher willingness of participant to advance care planning and patient self-determination among patients those who female, savings or pensions are sufficient to support their life, suffering from hypertension, cardiovascular diseases, and cancers, discussing with their families about the life-threatening medical decisions for the end of life, wanting to discuss the willingness of life with loved ones, and willing to pay the all or part of "advance care planning consultation fee". There was a positive association between attitude toward Patient Self-Determination and total knowledge, the willingness to participant and the importance of ACP, and the willingness to sustain life treatments and the barriers of ACP & AD. Knowledge (such as total, ACP & AD, and Patient Self-Determination Act) has no significant association to the willingness to participant and to sustain life treatments. Consideration both knowledge and attitude, the willingness to participant had a significantly positive association to knowledge of ACP & AD, and the importance of ACP, and had a was significantly negative association to knowledge of Patient Self-Determination Act. There was a significant positive association between ACP & AD barriers and the willingness to sustain life treatments. From the legislation to the actual implementation of the Patient Self-Determination Act, there is still a lack of relevant education, training and promotion. Most hemodialysis patients do not understand the Patient Self-Determination Act. The lack of knowledge leads to low recognition and willingness to this policy. In order to guide the patient's autonomy, the relevant knowledge of the Patient Self-Determination Act should be strengthened to ensure the right to decide the care of end of life.

APA, Harvard, Vancouver, ISO, and other styles

17

Yu-Horng, Lee, and 李瑜弘. "The Stress, Social Support, Helplessness and Self-Care Behaviors among the Long-Term Hemodialysis Patients." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/91337264675378387386.

Full text

Abstract:

碩士
高雄醫學院
護理學研究所
87
The purposes of this study was to explore the stress, social support, helplessness, self-care behaviors, and significant variables associated with helplessness and self-care behaviors among the long-term hemodialysis patients. A total of 131 hemodialysis patients were obtained from purposive sampling at five different hemodialysis centers in Tainan, Taiwan. The instruments used in this study were Stress Scale of the Hemodialysis Patients, Social Support Scales, Learned Helplessness Scale and Self-care Behaviors Scale. The data was analyzed by descriptive statistics, t-test, one-way ANOVA, Pearson’s product moment correlation and stepwise multiple linear regression. The findings were as follows: (1)Subjects of the study showed that stadardized score of the helplessness and the self-care behaviors were 59.54 and 73.54. The level of helplessness belong to middle level. The decreasing order of standardized score in self-care behaviors was diet choices, fistula care, water control, health maintenance and monitor behaviors. (2)helplessness was related to age, sex, education level, occupation status, living status, duration of dialysis, stress of the role function limitation. (3)Diet choices, fistula care, health maintenance and monitor behaviors were significantly difference in occupation status. Support of family and relatives was significantly positive correlated with diet choices, fistula care, health maintenance and monitor behaviors, but was not correlated with water control. Helplessness was significantly positive correlated with diet choices, fistula care, health maintenance and monitor behaviors, but was not correlated with water control behaviors. Helplessness was significantly positive correlated with diet choices, fistula care behaviors (4)The predictors of helplessness included occupation status, education level, living status and stress of the role function limitation. These factors accounted for 36.1% of the variance of helplessness. (5) Occupation status accounted for 4.3% of the variance of fistula care. Attending religious meeting regularly accounted for 3.0% of the variance of water control. Support of family and relatives and helplessness accounted for 14.6% of the variance of diet choices. Support of family and relatives accounted for 10.7% of the variance of health maintenance and monitor behaviors. According to the study results, the nursing interventions have been recommended to prevent helplessness for the hemodialysis patients. Assisting the patients’ self-care behaviors and providing the support of family and relatives were suggested to help them coping with helplessness and to promote self-care behaviors. Keywords:stress, social support, helplessness, self-care behaviors, long-term hemodialysis patients.

APA, Harvard, Vancouver, ISO, and other styles

18

Fang, Hsiu Hui, and 方秀惠. "The Relationships of Quality of Life , Diet Knowledge, and Self -Care Behavior of Hemodialysis Patients." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/8s559b.

Full text

Abstract:

碩士
嘉南藥理大學
醫務管理系
102
Objective: To understand the influence of quality of life of hemodialysis patients due to their diet knowledge and self-care behavior. Methods: The study was a cross-sectional study. The convenience sample of 150 outpatient hemodialysis patients was collected from eight dialysis centers of a chain organization in southern Tainan. Structured questionnaires were used to collect demographic characteristics, diet knowledge, self-care behavior and Taiwan condensed version of the Quality of Life Questionnaire Scale. Statistical methods included descriptive statistics, one-way ANOVA, Pearson correlation analysis and multiple linear regression analysis. Results: Gender, marital status, occupation, income, religion and living situations have no significant correlation with the overall quality of life. Education and economic condition showed a positive correlation with the overall quality of life, having the total variance explained by 14%. The diet knowledge and the overall quality of life do not have significant correlation. Self-care behavior of drug compliance, regular exercise showed a positive correlation with the overall quality of life, having the total variance explained by 10%. Economic, drug compliance, diet control, and regular exercise had a positive correlation with the overall quality of life, having the total variance explained by 16%. Among the four constructs of the overall quality of life the environmental construct had the highest score and the social construct had the lowest score. Conclusion: The results of this study showed that the predictors which affect the quality of life in hemodialysis patients are economics and medication compliance. Due to the guidance of medical staff, patients can enhance the ability of medication compliance. Through the support and companionship of patients’ family can raise their willingness to do regular exercise. These will increase the heart and lung function of patients and improve their quality of life.

APA, Harvard, Vancouver, ISO, and other styles

19

Chen, Heng-Chun, and 陳姮均. "Burnout, coping, quality of care and patients'' satisfaction among nurses in hemodialysis units." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/15073878675298368377.

Full text

Abstract:

碩士
高雄醫學大學
醫務管理學研究所碩士在職專班
98
High occupational stress is considered to be one of the major risks for health in 21 century. People pay more attention to patient’s safty in recent years and the hemodialysis nursing staff with high burnout may harm the patient’s safty. This study is designed to explore (1) condition of burnout and coping of hemodialysis nursing staff (2) difference of burnout and coping among hemodialysis nursing staff (3) difference of patient’s satisfaction caused by personsal characteristics (4) relationship between different hemodialysis nursing staff burnout ,coping and patient’s satisfaction (5) the influence of personal characteristics of hemodialysis nursing staff to burnout and coping. Methods : We conducted cross sectional questionnaires surveyings of hemodialysis nursing staff and patients from 13 units in hospital and dialysis clinics across Pintung and Kaohsiung area. A total of 226 responded questionnaires (88.6% retrieved) are collected from hemodialysis nursing staff and 382 responded questionnaires (93.4% retrieved) from hemodialysis patients. The collected data was analyzed by using descriptive statistics, one-way ANOVA, Pearson’s Product-momnet correlation and stepwise multiple regresses to find the effect of relationship. Results: (1) The index of burnout in hemodilaysis nursing staff is higher than average of the national-wide workers.( personal burnout 49.2 vs 32.9, task burnout 43.9 vs 28.4, work overload 46.0 vs 35.2 client service burnout 37.3 vs 30.5) The most common way of coping are seeking assistance and supports from others. (2) The degree of burnout has significant difference (p<.05) in service seniority ,marital status and official rank.Coping has significant difference (p<.05) in age and marital status. The average family income of hemodialysis patient is significant difference (p<.05) with hemodialysis patient’s satisfaction. (3) Personal burnout and task burnout are negatively correlated with self-adjustment in facing problem. Over commitment to work is positively correlated with solving problem with rational thinking and effective coping . Burnout of client service is negatively correlated with solving problem with rational thinking, self-adjustment in facing problem, seeking asistance,support from others and effective coping.(4) Hemodialysis service seniority, average wage, official rank and working place have significant influence to staff burnout while marital status, age, nurse-patient ratio, degree of education and working place have significant influence to coping. Conclusion and suggestion: This study shows that hemodialysis nursing staff have higher burnout than average of the national-wide workers. Hemodialysis nursing staff is the high risk group of burnout. Improvement of working environment could decrease high burnout of hemodialysis nursing staff and demission rate in the meanwhile it could provide safty health care service and patient’s satisfaction.

APA, Harvard, Vancouver, ISO, and other styles

20

Chang, Chia-Tien, and 張嘉恬. "The Effects of Individual and Neighborhood Socioeconomic Status on Dialysis-related Medical Care in Hemodialysis Patients." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/16180380278302473141.

Full text

Abstract:

碩士
國立陽明大學
衛生福利研究所
102
Background: Tackling health inequalities is a key concern of public health policy makers. The effect of socioeconomic status (SES) on health care quality has been observed in many studies. Therefore, eliminating the discrepancy of health care between socioeconomic status has become an important policy in many countries. In the past decades, whether the patients were referred to nephrology earlier and the probability of receiving arteriovenous fistulas (AVF) are the main influences on the effect of hemodialysis. The major purpose of Taiwan's National Health Insurance (NHI) is to reduce financial barriers to care. It is worth ascertaining if individual and neighborhood socioeconomic inequalities exist in early nephrology referral and the probability of receiving AVF for hemodialysis patients. Methods: This population-based retrospective cohort study examined the incidence of new hemodialysis patients in 2009 as identified from the Taiwan National Health Insurance database and relevant secondary data. Early referral was defined as patients meeting with a nephrologist more than 90 days before initial hemodialysis, and the type of vascular access (AVF vs. arteriovenous grafts (AVG)) creation was defined as patients' first vascular access creation within one year before and after HD initiation. Stepwise binomial logistic regression models were performed to examine the effect of individual socioeconomic status (premium-based monthly salary (NT$), level of education, and employment status) and neighborhood SES (“average family income and expenditure per household” and “educational attainment of population aged 15 and over - junior college and above”) on early nephrology referral and the probability of receiving AVF after controlling for demographic characteristics, co-morbid conditions, and characteristic of major health care organizations before referral. Results: A total of 7,687 consecutive adult incident hemodialysis patients were identified, and 70.9% of them were referred early. In subgroups, the early referral rate was 69.0% among patients aged between 18 and 64 years and 72.4% among patients aged 65 years and older. Unemployment patients and those with lower premium-based monthly salary had significantly lower early referral rate after controlling for other factors (OR=0.85, 95%CI=0.74-0.98; OR=0.86, 95%CI=0.75-0.98). A total of 6,303 incident hemodialysis patients received AVF or AVG, and 83.0% of them used AVF. In subgroups, the probability of receiving AVF was 88.6% among patients aged between 18 and 64 years and 77.9% among patients aged 65 years and older. After controlling for other factors, the patients with lower premium-based monthly salary had lower probability of receiving AVF (OR=0.81, 95%CI=0.67-0.99). Compared with patients graduated from college, patients graduated from elementary school (OR=0.54, 95%CI=0.38-0.76), junior high school (OR=0.64, 95%CI=0.44-0.94), and senior high school (OR=0.65, 95%CI=0.44-0.96) had lower probability of receiving AVF. No significant association was found between neighborhood SES and referral pattern and the type of vascular access creation. Conclusions: Individual socioeconomic inequalities exist in early nephrology referral and the type of vascular access creation for hemodialysis patients despite universal health coverage. We suggested that how to enhance health literacy should be paid more attention, in order to eliminate the discrepancy of patients with chronic kidney disease between socioeconomic status.

APA, Harvard, Vancouver, ISO, and other styles

21

Lay, Liing, and 賴麗英. "An Effect Study Of Cardiac Function, Self-Care Knowledge, And Self-Care Behavior On Quality Of Life In Patients With Hemodialysis." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/66515067890377868639.

Full text

Abstract:

碩士
義守大學
管理學院管理碩士在職專班
100
The purpose of this study was to survey the relationships among the cardiac function, self-care knowledge, self-care behavior, and quality of life of hemodialysis patients, and to establish the model of the quality of life. Methods of this study are including purposive sampling and cross-sectional questionnaire. The research tools included: self-care knowledge scale, self-care behavior scale, the SF-12 quality of life scale, and a non-invasive cardiac output device. Data analysis included: descriptive statistics and structural equation model. There were 136 hemodialysis patients who had received more than three months enrolled in the study. The mean of age was 61.82 years old. The correct rate of questionnaire of self-care knowledge was 72%. The mean of self-care behavior and fluid control behavior were 71.5 and 61.21%, respectively. The mean of overall physical function and mental function were 38.91 ± 10.83 and 40.97 ± 9.73, respectively. The study used SEM to examine the integrated quality of life model. The findings showed that the older persons had worse self-care knowledge. The better the cardiac contractility, the better the quality of life. The findings also showed that patients have better self-care behavior but have worse quality of life. Hemodialysis patients maintained long-term restrictions on diet and water will result in their daily life under limited social activities and psychological distress.Diet and fluid control behavior were correlated with mental function of quality of life significantly. Therefore, if the patients are more rigorous in diet and fluid control behavior, they have worse quality of life. There was a significantly positive correlation between cardiac contractility, self-care knowledge, and quality of life. There was a significantly negative correlation between age, self-care behavior, and quality of life. The correlation bewteen self-care knowledge and quality of life was not significant. It was recommended that nurses should afford the elferly clear and comprehensive relevant health education. For patients or families who were more rigorous in diet and fluid control behavior, the nurses should enhance psychological support and care, establish an effective communication bridge, provide well assistance to strength patients’ mental support, increase their self-care knowledge, thereby enhance quality of life of hemodialysis patients.

APA, Harvard, Vancouver, ISO, and other styles

22

Chen, Yi-Ying, and 陳怡盈. "A Study of the Relationship among Disease Characteristic、Self-Care Behavior and Quality of Life for Hemodialysis Patients A Study of the Relationship among Disease Characteristic、Self-Care Behavior and Quality of Life for Hemodialysis Patients A Stu." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/81071251699668580556.

Full text

Abstract:

碩士
輔仁大學
應用統計學研究所
97
The purpose of this study was to explore the relationship among disease characteristic, self-care behavior and quality of life for Hemodialysis patients. Questionnaire survey between gender had been conducted on the Hemodialysis patients with age over 18 in North Taiwan area. Responses of 266 patients selected by Quota Proportional Sampling were statistically analysed with descriptive statistics, correlation analysis, canonical correlation analysis and structural equation modeling. The results of study are following：Most of the subjects are married, unemployed , with age 45 or above and have 7 year hemodialysis history averagely. Among all of them, 33% s has high overall quality of life, 22% has somewhat low overall quality of life , especially for Physical and Psychological Domain. Those with better self-care behavior have slighter disease characteristic. And the symptom control liability from medicine outweighted the influence from diet. The SEM shows that there are significant relationship between Disease characteristics and quality of life and also between the Disease characteristics and self-care behaviors.

APA, Harvard, Vancouver, ISO, and other styles

23

Pei-Chi, Chen, and 陳沛其. "Study on the Relationship of Social Support, Self-Care Behavior and Quality of Life among Hemodialysis Patients." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/nrj873.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Khomba, Mayamiko Munthali. "The experiences of patients receiving haemodialysis treatment in an open setting environment at an academic hospital in Johannesburg." Thesis, 2014. http://hdl.handle.net/10539/15260.

Full text

Abstract:

BACKGROUND: Patients receiving haemodialysis (HD) treatment experience a significant symptom burden and their needs are multifaceted. In HD unit, patients receive treatment in a diverse cultural and open ward setting. However, patients‟ experiences of receiving HD treatment in an open ward setting are not known. OBJECTIVES: The central aim of this study was to explore and describe the experiences of patients receiving HD treatment in an open setting environment at an academic hospital in Johannesburg. DESIGN: A qualitative, exploratory and descriptive study was conducted at a public, tertiary level academic hospital in Johannesburg after obtaining ethical approval from Wits University and relevant authorities. SETTING: The research setting for this study was an adult Chronic Renal Dialysis Unit. POPULATION: Sixteen adult (age 18 and above) patients receiving chronic HD treatment were recruited purposively in this study. INTERVENTIONS: An in-depth semi-structured interview was conducted either before or after receiving HD treatment, which was audio-recorded, transcribed then analysed by using Giorgi Phenomenological method. FINDINGS: A mood enhancer appeared a major theme as participants positively valued the open setting environment for their overall and psychological well-being. Participants expressed by being with others and sharing experiences, a sense of community likened to a family developed. Common to all participants‟ language was the use of the “we” in relation to being in the open setting environment. This expression of the “we” by participants was interpreted as a community concept. The use of “we” associated with the concept of community described as a space to which every patient receiving HD belonged. They described their experiences in a collective manner. This was evident in repetitive reference to their common space, being together, sharing experiences, and finding identity from one another, being understood and a sense of being protected with personal relations that extend beyond 10 years for some. This open space contributed to shaping their perception of body image and illness. The nurse‟s role in timeously providing HD care was appreciated by many. However, being exposed to multiple situations of chronic illness and treatment a sense of fear developed. Any negative event experienced, watched, observed, or heard in the HD unit triggered fear in the patients. Two common fears were of HD complications and the constant threat of death. Complications such as clotting, muscle cramps and collapsing because of hypotension as well as watching somebody dying on the machine were all reported in this study and so psychological counselling was felt to be very important. CONCLUSION The recommendations proposed in this study hopefully will assist HD staff to intervene and make adjustments to support patients‟ holistic needs. Further studies into patients receiving HD in open settings and mixed-gender space are required for diversity of experiences and knowledge from different settings. Keywords: Haemodialysis, hospital environment, open setting, patient experiences

APA, Harvard, Vancouver, ISO, and other styles

25

Wei, Shu-Yi, and 魏淑儀. "An Evidence-based Research of Integrated CKD Care Program Impacts on the medical effectiveness of Incident ESRD Patients on Hemodialysis." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/49653939544170044278.

Full text

Abstract:

碩士
高雄醫學大學
醫務管理學研究所碩士在職專班
94
An Evidence-based Research of Integrated CKD Care Program Impacts on the medical effectiveness of Incident ESRD Patients on Hemodialysis Background and objectives: End-stage renal disease (ESRD) is epidemic worldwide. The medical expenditure of ESRD was increasing rapidly in last decade in Taiwan , due to the high annual incidence of ESRD rising from 257 pmp (per million population) in 1996 to 352 pmp in 2004. The integrated chronic kidney disease (CKD) care program was implemented since 2003 in Taiwan. The purpose of this study was to evaluate the effectiveness of 「Integrated CKD Care Program」. Methods and materials: The study subjects were divided as: (1) intervention group: 74 patients with intervention; (2) control groups: 117 patients without intervention after CKD care program and 194 incident ESRD patients before CKD care program implementation. We collected and compared the data and outcomes between intervention and control groups about demographic characteristics, underlying disease, and cormobidity. The outcome variables included clinical, quality outcome, medical expenditure and service utilization. The different predictive models of medical expenditure during pre-hemodialysis 6 months to initial HD were established. The statistical analysis were performed by independent- t test, Chi-square test, one-way ANOVA test, simple regression and multiple regression analysis. Results: The results of the intervention group vs. control group were as follows: hematocrit 24.19 vs. 22.78 %, p=0.018; albumin 3.28 vs. 3.11 g/dl, p=0.032; quality outcome grade 1：59.46 vs. 15.38 %; grade 2~ 4：48.54 vs. 84.62 %, p <0.001; medical service utilization: freguency of outpatient visit on 6 months before hemodialysis (HD) average 1.58 vs.0.83 times per patient-month, p<0.001; length of stay on initial HD through hospitalization: average 6.58 vs. 16.15 days, p<0.001 per patient; total dosage of rHuEPO on 6 months before HD: 4790.54 vs. 2361.82U per patient-month, p=0.003; medical expenditure: outpatient cost on 6 months before HD: average 5546.52 vs. 1759.02 NT dollars per patient- month, p=0.001; inpatient cost on initial HD : 40924.89 vs. 114622.10 NT dollars, p<0.001; overall expense ( dialysis cost excluded) during 6 months before HD to initial HD：77304.69 vs 115035.70 NT dollars per patient, p＝0.006. By stepwise multiple regression analysis, the significant risk factors of predictive model of overall medical expenditure were as follows: length of stay on initial HD via hospitalization, days of hospitalization before HD, hospital level, gender and albumin (p<0.05). Conclusion: Our results revealed the evidences that the integrated CKD care program significantly reduces medical expenditure, ultilization and improves quality of care on incident ESRD patients on hemodilysis.

APA, Harvard, Vancouver, ISO, and other styles

26

Wang, Lu-mei, and 王魯梅. "Application of empowerment concept to explore the effectiveness of multimedia interactive video on self-care,powerlessness and quality of life among hemodialysis patients." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/88211658275440816429.

Full text

Abstract:

碩士
輔英科技大學
護理系碩士班
94
The study aims to discern the current state of first-year hemodialysis treatment patients’ self-care knowledge, self-care behavior, powerlessness, and quality of life, and the yield following the interception of multimedia interactive CD-ROM. The research design has taken to the quasi-experiment method in dual before and after test groups, and the research tools include a hemodialysis self-care knowledge questionnaire, hemodialysis self-care behavioral questionnaire, powerlessness questionnaire, abridged Taiwan edition of the World Health Organization quality of life questionnaire, and multimedia interactive CD-ROM. The data analysis has taken to the chi-square test and t-test for comparing the similarities between the two groups. The deductive statistics of repeated measures two-way ANOVA method is used to compare and analyze the yield of the two groups, before and after. The results showed that the cases are found with insufficient knowledge, incapable of completely achieve and comprehend routine self-care, powerlessness and low quality of life, while the multimedia interactive CD-ROM not only serves to effectively enhance self-care knowledge (p=.000), self-care behavior (p=.000), improve powerlessness (p=.000), and improve quality of life (p=.000), but the results are also ongoing.

APA, Harvard, Vancouver, ISO, and other styles

27

Yang, Chien-Chih, and 楊見智. "The Association Among the Palliative Care Cognition,Attitude and Qualities of Life in Hemodialysis Patients - Based on Dialysis Center of a Community Teaching Hospital." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/a6pp3m.

Full text

Abstract:

碩士
國立雲林科技大學
工業工程與管理系
103
In recent years, with the advanced medical technology and the National Health Insurance (NHI) system, the average life expectancy of Taiwan nationals has increased, while the disease pattern has transitioned into chronic diseases. Among non-cancer chronic diseases, hemodialysis occupies the highest share of healthcare resources, and long-term hemodialysis has also physiologically and psychologically burdened patients, which has long term affected the quality of life. in Taiwan, palliative care promotion has extended from cancer patients to non-terminal cancer patients, with enhancing patients’ quality of life in the terminal stage of disease. Past studies on the correlation between perceived palliative care and quality of life remain scarce. hence, this study conducted a survey on perceived palliative care, attitude towards palliative care, and quality of life targeting patients who have undergone hemodialysis in order to explore the correlation between the aforementioned. Patients on Hemodialysis from a regional hospital in Yunlin County were adopted as research participant. Through the scales including Perceived Palliative Care and Attitude Towards Palliative Care, as well as the Kidney Disease Quality of Life, KDQOL TM-36, a correlation analysis was carried out. Finally, in-depth interviews were conducted to gain an insight into the actual situation of patients on Hemodialysis in terms of palliative care and the quality of life. Findings from the questionnaires of 103 patients on Hemodialysis in this study show that: 1.Patients “with disease other than kidney disease” (such as diabetes, hypertension, heart disease) has significant difference in perceived palliative care compared to patients “without disease other than kidney disease”. To explore the cause, “severity of disease” tended to make patients think deeper. 2.Those with regions (such as Catholicism and Protestantism” had lower perceived palliative care compared to patients with no religion, as well as Buddhists, and Taoists. Compared to other regions, Buddhist patients showed a more poitive attitude towards palliative care. 3.Patients with diabetes, hypertension, or heart disease showed a more positive attitude towards receiving palliative care compared to patients without disease other than kidney disease. 4.The Pearson’s correlation analysis results show that perceived palliative care and attitude towards palliative care had a high degree of correlation, while no significant correlation was seen between perceived palliative care/attitude towards palliative care and quality of life. The results of in-depth interviews with the 16 patients on Hemodialysis show that: 1.Most patients did not reduce the frequency of hemodialysis undertaken due to deteriorating physical conditions, as they made decisions based on the doctor’s judgement. 2.Most patients have heard of palliative care and are aware that it is intended to make patients more dignified. Even in the terminal stage, patients on Hemodialysis were willing to receive palliative care. 3.In daily life,such as diet, transportation, and work had the greatest impact on the patients on Hemodialysis who found the quality of life to be more important than prolonging life. The research results are expected to provide recommendations in five aspects namely, patients, family members, healthcare personnel, hospital, and healthcare resources, which will increase the willingness of patients to receive palliative care. Keywords：hemodialysis, quality of life, palliative care, in-depth interview

APA, Harvard, Vancouver, ISO, and other styles

28

Wu, Pei-Ling, and 吳佩玲. "The effectiveness of Emotional Problem Education Program on the knowledge, attitude and behavior of hemodialysis nurses who care the dialysis patients with emotional disorders and mental problems." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/01071039731856709768.

Full text

Abstract:

碩士
國立臺灣大學
護理學研究所
94
The major purpose of our study is to explore the effectiveness of the emotional problem education program on the knowledge, attitude, and behavior of the hemodialysis nursing personnel who care the hemodialysis patients with emotional disorders and mental problem. We use the Quasi-experimental designs. Under the purposive sampling, the objects are the hemodialysis nursing care personnel working at two medical centers and one district center in the northern Taiwan. They are classified into three groups: experimental group-I, experimental group-II and control group. We use the Emotional Problem Education Program as intervention tool by which we also try to understand its effectiveness. After the pretest, Exp-I received five 60-minute courses and Exp-II received only one 60-minute course. Then we give the posttest for both groups on the end of education course. The control group does not receive any education program after the pretest. The timing of the pretest and posttest for these three groups tests at the same. Using three questionnaires which are : Individual Basic Data Questionnaire, Emotional Problem Knowledge Questionnaire, Depression Attitude Questionnaire, Emotional Problem Practice Skills and Performance Behavior Questionnaire. The effective questionnaire is 53(response rate 61％). The results shown: (1)There is significant difference on the total working career and age in the three groups, the nursing personnel of Exp-I group are senior. (2)On the aspect of the experience about contact with hemodialysis patients with mental problem, there are much more experiences for Exp-I group to contact the schizophrenic patients. (3)The total hours of mental health education are given more to the Exp-I group. (4)Among 3 groups, there is no significant difference on the pretest result about knowledge, attitude, and behaviors. (5)Analyzed with Repeated Measures as Mixed effects GLMs, experimental intervention is a fixed effect, three groups are in different ages, total work year , look after schizophrenia patient and mental health educate participate in the hours as a covariance, the knowledge shows no significant difference among all three groups. (6)The scores of the posttest on attitude are all increased in three groups. It shows that there is a positive upgrade of the attitude of nursing personnel to the depressive disorders. (7) On the aspect of nursing behavior, the average value of execution of nursing behavior will increase 0.51 score as the increase by one year of age. (8)After the analysis with the Pearson Correlation Coefficient, there is no correlation between the attendance times of emotional problem education and knowledge, attitude or behavior, but the age is related with nursing behavior. According to our study, there is no significant difference in knowledge ，depressive attitude and in behavior of caring about emotional problem, but it’s result and process can be used as a reference tool of continuing education for the hemodialysis nursing personnel.

APA, Harvard, Vancouver, ISO, and other styles

29

Cafazzo, Joseph Anthony. "Facilitating patient self-care through remote patient monitoring: Validation, design, and evaluation of an intervention for nocturnal hemodialysis." 2007. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=742415&T=F.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

Huang, Syuan-Syuan, and 黃璿璇. "Nursing Experience Care for Chronic Foot Ulcer in a Diabetic Patient with Hemodialysis Combining Peripheral Arterial Occlusive Disease." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/48852300697260411602.

Full text

Abstract:

碩士
中臺科技大學
醫療暨健康產業管理系碩士班
103
Motivation: Given the increasing cases of diabetes and more than ninety percent of cases undergoing hemodialysis treatment, witnessed similar cases without access to adequate care and amputation was the fate of one of the selected case studies outpatient hemodialysis patients with diabetes cum, this is motivated this study. Objective: This study explored a middle-aged male patients undergoing hemodialysis and the combined cases of peripheral arterial occlusive disease cases in the face of chronic foot ulcers. This study was aimed at the promotion cases resilience and achieved partial self-care, and thus enhance the quality of life and reduce re-admission situations. Also we hope to be a case of sharing this experience nursing, clinical nursing staff to provide care for similar cases of reference to enhance the quality of clinical care. Research Methods: Gordon eleven functional health status assessment of the case, establish the case of health problems, including self-care deficit, anxiety and hopelessness for the future, the risk of wound infection, lack of knowledge of other psychological, physical and social impact of the course; Therefore, this study Watson caring theory care concept, so the case can be brave enough to face the trauma of losing limbs, regain hope in life. Conclusion: Foot care diabetes education, in addition to improving patient compliance, increase self-care capabilities, in order prevent the risk of foot ulcers and amputations, and may reduce the burden on families and reduce the economic impact of family , thus improving the quality of life of patients and reduce medical costs.

APA, Harvard, Vancouver, ISO, and other styles

31

Maree, Marilyn Jacqueline. "The impact of dialysis therapy on metabolic syndrome traits at the Groote Schuur Hospital." Thesis, 2015. http://hdl.handle.net/10321/1246.

Full text

Abstract:

Submitted in fulfillment of the requirements for Masters in Technology: Clinical Technology Durban University of Technology, 2014.
Background The metabolic syndrome (MS) is a clustering of cardiovascular (CV) risk factors and is noted to be increasing globally. Several studies have shown a link between the MS, chronic kidney disease (CKD) and end-stage renal disease (ESRD) possibly through a process of inflammation. Dialysis therapy may increase inflammation and could worsen MS and increase CV risk and diseases in ESRD patients. ESRD has been associated with increased CV disease in dialysis patients. Although there have been several reports on the prevalence of MS from the general population as well as from other specific groups, there are no known studies in South Africa on the prevalence of MS in ESRD patients on chronic dialysis therapy. The prevalence and risk factors for CV diseases are also currently unknown in the dialysis population in Cape Town. Aim The aim of this study was to determine the prevalence of MS in the dialysis population at Groote Schuur Hospital in Cape Town, to determine the effect of dialysis on MS and its traits and to evaluate CV risk in this patient group. Methods A total of 143 prevalent chronic dialysis patients who consented were used for this study. Demographic and relevant clinical details including systolic and diastolic blood pressures, waist and hip circumference and body mass index were obtained from all patients. Blood was drawn in the fasting state for assessment of full lipogram, glucose, ferritin, iron, calcium and phosphate. The metabolic syndrome was defined using the Adult Treatment Panel III (ATPIII) criteria. To determine the impact of dialysis on MS and its traits in our patients, only incident (new) patients starting dialysis were followed up for assessment of MS traits at timed intervals (at baseline, at 6 months and at 12 months) following initiation of chronic dialysis. To evaluate CV risk in this study, common traditional CV risk factors were assessed and were stratified according to number of risk factors as low ( ≤ 1), moderate (2 – 4) or high ( ≥ 4). Relevant statistical methods were used for analysis. Results Of the 143 patients in the study, 67.8% were on haemodialysis (HD) and 32.2% were on peritoneal dialysis (PD). The mean age of all the patients was 38.5 ± 10.4 years. The MS was present in 37.1% of all patients (PD – 52.2%, HD 29.9%; p = 0.015) and the frequency of increased waist circumference and hypertriglyceridaemia were significantly higher in PD patients than HD patients (p < 0.0001 and p = 0.006 respectively). Hypertension was the most prevalent MS trait in all the patients (89.5%) and was also the most prevalent trait in males (92.4%), females (85.9%) and in HD and PD patients (91.3% and 88.7% respectively). The frequency of CV risk was 3.5, 75.5 and 21.0% respectively for low, moderate and high CV risk and there was no difference in CV risk in HD and PD patients. High CV risk correlated with body mass index (BMI), increased waist circumference (WC), hyperphosphataemia, raised calcium – phosphate product, raised parathyroid hormone (PTH) and elevated C-reactive protein (p < 0.05). There was no significant change in MS prevalence or prevalence of MS traits in patients who were followed up irrespective of gender or modality of dialysis (p > 0.05) Conclusion The prevalence of the MS is higher in dialysis patients compared to the general population in South Africa and among dialysis patients, the prevalence is higher in PD than HD patients. Patients with MS have significantly higher CV risk factors than those without MS. Although dialysis therapy appear to have no significant effects on the prevalence of the MS or its traits in this study, the increased prevalence of the MS and CV risk factors may be related to the underlying disease process associated with ESRD. There is therefore an urgent need to identify and treat dialysis patients with the MS in order to reduce CV morbidity and mortality in this group of patients. Further prolonged prospective studies are needed to clarify the impact of dialysis on the MS and its traits in the ESRD population.

APA, Harvard, Vancouver, ISO, and other styles

32

VYHLIDALOVÁ, Mária. "Multidisciplinární péče na hemodialyzačních střediscích." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-174714.

Full text

Abstract:

It is inconceivable for only one person to take care of ill people in a health care. To achieve the aim which is in particular maintenance of the highest life quality of specimens in health or in disease, is important mutual cooperation of professionals in the branch, where every single ensure care for a patient on the basis of his own knowledge and skills. It is about team co-operation, where every single member of the team has his own obligations, but also rights and authority. The term multisiciplinary care means co-operation of more scientific branches. Hemodialysis patients'nursing care is about team of professionals, who are fully involved in satisfying patients' needs. This co-operation enables primarily the unitary communication, reduction of patient's issue analysis, unified and consecutive nursing care, complete documentation and quality evaluation of provided nursing care of these patients. The aim of the dissertation was to chart multidicsiplinary care's issues at hemodialysis, on the basis of available literature. The dissertation is based on theoretically processed topic by the method of documents' content analysis and method of review and synthesis. Information is obtained from domestic but also foreign science books, scientific magazines, and internet sources. Findings from the 42nd international conference EDTNA/ERCA, which topic was Innovation of renal care through multi-professional leadership, which took place in Malmö, Sweden, from 31st of August to 3rd of September 2013, also contributed. The dissertation is divided into three basic chapters. The first part is focused on team characteristic. There are definitions, types, features, building, composition, roles, conflicts within a team and elemental description of multidisciplinary co-operation. The second chapter deals with a history and hemodialysis as a medical extracorporal method. The third, and the broadest section, is focused on multidisciplinary co-operation at the centre of hemodialysis. It is divided into several sub-chapters. In each of them the information descend from general field to concrete needs of hemodialysed patient and continue to the description of each member of a multidisciplinary team. The result is comprehensive view on provision of multidisciplinary care in the centres of hemodialysis. The output of the dissertation is a draft of the nursing care algorithm within the purview of multidisciplinary care at the centres of hemodialysis. Multidisciplinary care is necessary requirement for assumption of effective, high quality and continuous medical and nursing care at all the centres.

APA, Harvard, Vancouver, ISO, and other styles

33

Horníková, Dita. "Rozdíly v kvalitě života pacientů léčených hemodialýzou, peritoneální dialýzou a transplantací ledvin." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-380741.

Full text

Abstract:

The literature indicates that treatment by means of elimination methods is extremely challenging for patients, bringing a fundamental change to their lives. The aim of the thesis was to identify and describe the challenges of treatment in patients with renal failure and how a given method of treatment affects the patient's quality of life and needs, as well as to understand the subjective difficulties and problems. A data collection method in the form of non-standardized semi-structured interviews was selected for qualitative research. The surveyed sample consisted of six patients of a dialysis centre. The respondents taking part in the qualitative research were informed in advance of the course, circumstances and ethical aspects of the research. The obtained data was analyzed, colour-coded and then sorted into subcategories. The results were interpreted using the "showdown" technique. The interviewed sample of respondents was subjected to multiple elimination methods in the treatment of their disease. Kidney transplant patients subjectively evaluated the quality of their lives as very high, talking about "a life of a normal man". Peritoneal dialysis patients also evaluated their quality of life as relatively high, highlighting a certain feeling of independence. Haemodialysis patients describe...

APA, Harvard, Vancouver, ISO, and other styles

34

JANOUŠKOVÁ, Jaroslava. "Komparace ošetřovatelské péče o nemocné s peritoneální dialýzou a hemodialýzou." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-174584.

Full text

Abstract:

The number of patients with kidney disease is increasing worldwide. Such diseases include chronic kidney failure that needs dialysis treatment. Problems associated with providing nursing care to patients in a dialysis program are extensive and specific. Starting the treatment with a peritoneal dialysis or a haemodialysis causes a great psychological burden to patients. It noticeably affects not only patients' lives but also lives of their family and friends. Patients in the regular dialysis program are facing many health and social problems. Mutual trust between a nurse and a patient on dialysis to a certain extent influences the course of the treatment. Balanced and satisfied patient can live a better and more valuable life. The goals of the thesis: 1) To determine whether a comparably high quality nursing care is provided to patients with haemodialysis and peritoneal dialysis 2) To determine whether the approach to the provision of nursing care to the patients with haemodialysis and peritoneal dialysis is comparable. 3) To determine whether comparable forms of education and communication are used in providing nursing care for the patients with haemodialysis and peritoneal dialysis. Research questions: 1) Is the nursing care provided to the patients with haemodialysis and peritoneal dialysis of comparable quality? 2) A the approach to the provision of nursing care for patients with haemodialysis and peritoneal dialysis comparable? 3) Are comparable forms of education and communication used in providing nursing care for the patients with haemodialysis and peritoneal dialysis? Methods used: In the empirical part of the thesis a qualitative research was used to process data. The research was conducted through a non-standardized interview. Three sets of questions were created for the three groups of respondents, i.e. the respondents with peritoneal dialysis, respondents with haemodialysis and nurses who take care of patients with haemodialysis and peritoneal dialysis. The criterion for the selection of respondents was their willingness to cooperate. The nature and purpose of the research was explained to the addressed respondents. From the interviews with patients it was determined how they perceive the provided nursing care, the nurses' approach, and the way of interaction during haemodialysis and peritoneal dialysis. Interviews with nurses were focused on comparability and demands of nursing care for patients with haemodialysis and peritoneal dialysis, as well as on the used forms of communication and the way how to approach these patients. Results: The results of the research show that the care provided to patients with peritoneal dialysis as well as with haemodialysis is perceived by the responding patients with peritoneal dialysis, with haemodialysis and nurses as of the same quality. Peritoneal dialysis and haemodialysis each have their specificities and a different way of execution. Both are provided in differing environments. Peritoneal dialysis is done by the patient himself in their own social environment. During haemodialysis, nursing care is provided to the patient by nurses in a haemodialysis centre. As comparable is perceived by all respondents the nurses' approach to the patients, i.e. to each patient individually. In conclusion, the results imply that nurses during the contact with the patients with peritoneal dialysis and with haemodialysis use comparable forms of communication and education. Conclusion: At the present time there is an attempt to perform dialysis treatment to benefit the patient as much as possible. Peritoneal dialysis and haemodialysis are considered as equivalent substitute for renal function. They differ only in the principle and the method of executing. Nursing care provided to patients with peritoneal dialysis and with haemodialysis is perceived by the respondents as of comparable quality. The results of this thesis can be the basis for further research.

APA, Harvard, Vancouver, ISO, and other styles

Dissertations / Theses on the topic 'Hemodialysis - Patients - Care'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles