The Effects of Self-Management Interventions on the Health Outcomes of Individuals With Chronic Kidney Disease After Critical Illness: An Integrative Review

2019 ◽  
Vol 13 (3) ◽  
pp. 126-144
Author(s):  
Claudia Leung Ho Yau ◽  
Janita Chau Pak Chun
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Health Outcomes ◽  
English Language ◽  
Well Being ◽  
Management Program ◽  
Self Management ◽  
Management Interventions

BackgroundSelf-management is a crucial step towards achieving better physical and mental well-being and a better health-related quality of life for individuals with chronic kidney disease (CKD). Despite the high prevalence of CKD and the significant burdens faced by the individuals with CKD, their caregivers, and healthcare systems, very few studies have explored CKD and its consequences compared to other chronic diseases.ObjectiveTo synthesize and present the best available evidence on the effectiveness of CKD self-management interventions in terms of the biomedical, psychosocial, and behavioral aspects of health outcomes.MethodsThree electronic English-language literature databases were searched from inceptions to March 2018. Two reviewers independently selected articles according to pre-specified criteria, critically appraised and extracted data from relevant research. Narrative summaries were presented because the interventions and study features of the included articles were heterogeneous.ResultsOf the five included articles, three were interventional and two were systematic reviews. Effective self-management interventions have beneficial effects on biomedical outcomes such as blood pressure, psychosocial outcomes such as quality of life and self-efficacy, and behavioral outcomes such as CKD knowledge, self-management techniques, and adherence to self-care regimens and treatments.ConclusionsA self-management program that could provide better education and guidance for individuals with CKD is needed, as this would improve the provision of resources and preparations for foreseeable and avoidable CKD complications. The findings from the included articles demonstrate that limited amount of research has focused on CKD management. Additional randomized controlled trials that compare interventions with usual care are needed to determine the efficacy of CKD self-management programs.

scholarly journals Summary of Self-Management Program for Patients with CKD: A Systematic Review

2020 ◽  
Vol 8 (2) ◽  
pp. 70
Author(s):  
Hendrik Prayitno Luawo ◽  
Yulia Indah Permata ◽  
Ulfa Nur Rohmah ◽  
Waluyo Waluyo ◽  
Saskiyanti Ari Andini
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Exercise Intervention ◽  
Well Being ◽  
Management Program ◽  
Self Management ◽  
Physical And Mental Health ◽  
Positive Effect

Background: Self-management is an important step in preventing and impeding the progression of chronic kidney disease. The effective support and encouragement of self-management in patients with chronic kidney disease is therefore required. The aim of this study was to examine the effectiveness of a self-management program improving the quality of life on patients with CKD.Method: The literature review used the keywords ‘chronic kidney disease’, ‘self-management program’ and ‘quality of life’. From the article search using “AND” as well, only 8 studies met the inclusion criteria. Across the 8 studies, 592 participants and a mean 147 per trial were included within the middle age group.Discussion: The types intervention were a heterogenous. CKD self-management program, renal education and exercise intervention, the EASE program, the KDE program, and a CKD Educational Program recommended to improve quality of life.Consclusion: The education and exercise intervention had a positive effect on the physical and mental health and well-being of the patients with CKD. Therefore early education about renal disease improves quality of life and treatment outcomes in patients with CKD who are on dialysis.

scholarly journals Cronic Kidney Disease, Life Quality Assessment Of Patients

2016 ◽  
Vol 12 (6) ◽  
pp. 103
Author(s):  
Marsida Duli ◽  
Qamil Dika ◽  
Matilda Bushati
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Clinical Decision Making ◽  
Well Being ◽  
Clinical Decision ◽  
Healthy Population ◽  
Important Indicator

Assessing quality of life in patients with varying degrees of chronic kidney disease is an important issue because of its impact on clinical decision-making as increasing the efficiency of resources in the health system. Through this survey provided an attempt to assess the quality of life of patients with chronic kidney disease undergoing dialysis. Commitment to maximize their functioning and well-being constitutes the essence of the purpose of health care. In recent decades elaborate SF 36 is cut by a gauge derive so simple and basic that helps to evaluate the function of the target of researchers, a certain age group, a disease or a treatment group. Short questionnaire forms SF36 instrument gauge is used to determine the level of quality of life in patients with chronic renal failure under the different stages of treatment with dialysis. The study involved 206 people, 112 from patients to Tirana and Shkodra and 94 healthy persons, who collaborated consensually for completing the questionnaires. Based on the results, the quality of life of dialysis patients is significantly worse than that of the healthy population and patients with other injuries less severe of renal function. Survey indicates that a more holistic approach to be used in the treatment of patients with chronic kidney disease including clinical decision making and patient perception. Precisely for this it is recommended to enter the practice of clinical interest that a set of questionnaires that provide information on patients' perception of health as an important indicator that facilitates the physician-patient collaboration in order to better treatment of the disease and increase the quality the life of the patient.

scholarly journals MO809DOES LISTENING TO LIVE MUSIC DURING HEMODIALYSIS SESIONS AFFECT THE QUALITY OF LIFE?*

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Miriam Serrano ◽  
Alicia Garcia-Testal ◽  
Inmaculada Rico-Salvador ◽  
Conrado Carrrascosa López ◽  
Rafael Ortiz Ramón ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Classical Music ◽  
Scale Effects ◽  
Kidney Diseases ◽  
Well Being ◽  
Control Group ◽  
Mean Time

Abstract Background and Aims Patients with chronic kidney disease on hemodialysis (HD) treatment have a health-related quality of life (HRQoL) lower than the reference values of the Spanish population. Previous studies have shown through music therapy reduce levels of pain, anxiety and depression in chronic kidney disease patients on hemodialysis. This study presents an intervention with classical music performed live during HD sessions. It is the first time to study the effect of classical music heard live on HRQL. Method Randomized clinical trial by groups. 90 patients agreed to participate. They were randomized into an intervention group (IG) and a control group (CG). The IG listened to 30/45 minutes of live classical music in two of the three weekly HD sessions for 1 month. The CG followed his usual treatment. Different individual scales of the quality of life test in kidney diseases (KDQOL-SF) were analyzed, in two times, baseline (Start) and after (End) the musical intervention in both groups. The analysis was performed using a mixed linear regression model for repeated measures with independent variables (age, sex, months in HD, Kt/v, Hemoglobin (Hb)) and dependent variables (individual KDQOL-SF scale scores). Results The CG sample included 43 patients with a mean age of 75.8 years; 22 women (51%); mean Kt/v 1.53; mean Hb 11.5 and mean time on HD 60.46 months. The GI sample included 47 patients with a mean age of 73.53 years; 18 women (38%); mean Kt/v 1.47; mean Hb 11.3 and mean time on HD 63.34 months. The results show that after the intervention, IG vs CG increased the mean score (pm) in all the scales significantly. The End time and GI interaction showed a mean score increase of 15.78 (p <0.001) for the Symptoms/problems scale; 14.96 (p <0.001) scale Effects of kidney disease; 16.36 (p <0.001) on the Kidney disease burden scale; 14.78 (p <0.001) on the Sleep scale; 25.46 (p <0.001) on the Vitality scale; 29.57 (p <0.001) on the Emotional well-being scale; 41.92 (p <0.001) on the Pain scale and 23.39 (p <0.001) on the General Health scale. Conclusion Live classical music intervention during hemodialysis sessions improves self-perceived HRQL in patients with chronic kidney disease on HD

Quality of Life and Stressors in Patients with Chronic Kidney Disease Depending on Treatment

2015 ◽  
Vol 18 ◽  
Author(s):  
Sonia Martínez-Sanchis ◽  
M. Consuelo Bernal ◽  
José V. Montagud ◽  
Anna Abad ◽  
Josep Crespo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Sleep Disturbances ◽  
Well Being ◽  
Total Quality ◽  
Transplant Patients ◽  
Dialysis Vintage ◽  
Almost All

AbstractThis study evaluated health-related quality of life (HRQOL) in a Spanish sample of chronic kidney disease patients (n= 90) undergoing different renal replacement therapies, considering the influence of treatment stressors, mood, anxiety and quality of sleep. While all patients had worse physical functioning than controls (p< .01), only those undergoing haemodialysis (HD) showed worse physical well-being, occupational functioning, spiritual fulfillment and more health interference with work (p< .05). They also obtained higher depression scores than renal transplant patients (TX) (p= .005). Those TX receiving the immunosuppressor sirolimus exhibited more cardiac/renal, cognitive and physical limitations than the rest (p< .05). Dialysis vintage correlated positively with sleep disturbances and depression scores and negatively with total Quality of Life (QLI) (p< .05). HD patients experienced more psychological distress than peritoneal dialysis patients (PD) (p= .036). Regression models including sleep, anxiety and depression were estimated for subscales of HRQOL. In TX patients, low depressive scores related to an optimal QLI in almost all subscales, while in HD patients they explained part of the variability in psychological well-being, interpersonal functioning and personal fulfillment. HD condition results in a QLI more distant to the standards of controls.

Depression in Chronic Kidney Disease

2014 ◽  
Author(s):  
Alan J. Christensen ◽  
Julia R. Van Liew ◽  
Quinn D. Kellerman
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Patient Management ◽  
Medical Condition ◽  
Self Management ◽  
Comorbid Depression ◽  
Co Morbidity ◽  
Depression Assessment

Chronic kidney disease (CKD) is a prevalent medical condition posing a range of unique physical and self-management demands for patients and presenting a variety of patient management challenges for clinicians. Co-morbid depression and other psychiatric disorders represent a significant detriment to the quality of life and clinical outcomes of CKD patients. Evidence suggests that 12% to 40% of individuals in the later stages of CKD meet DSM (III, IV, or IV-TR) diagnostic criteria for a mood disorder. Moreover, the existence of comorbid depression has been associated with earlier patient mortality. Depression assessment is itself complicated by the physiologic and medical treatment status of the patient, and depression is believed to be both underdiagnosed and undertreated in this population. Rigorous empirical demonstrations of the safety and/or efficacy of both pharmacologic and nonpharmacologic treatments for depression are limited for this population. However, a number of important factors that should be considered in treating depression in kidney disease patients have been identified. This chapter summarizes these and other key clinical recommendations relevant to the evaluation and treatment of co-morbidity of depression in this population.

scholarly journals Self-Management Programs on eGFR, Depression, and Quality of Life among Patients with Chronic Kidney Disease: A Meta-Analysis

2016 ◽  
Vol 10 (4) ◽  
pp. 255-262 ◽  
Author(s):  
Mei-Chen Lee ◽  
Shu-Fang Vivienne Wu ◽  
Nan-Chen Hsieh ◽  
Juin-Ming Tsai
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Meta Analysis ◽  
Self Management

scholarly journals A Personalized Multi-Component Lifestyle Intervention Program Leads to Improved Quality of Life in Persons with Chronic Kidney Disease

2019 ◽  
Author(s):  
Samuel A. Headley ◽  
Jasmin C. Hutchinson ◽  
Brian A. Thompson ◽  
Marissa L. Ostroff ◽  
Courtney J. Doyle-Campbell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Health Outcomes ◽  
Physical Function ◽  
Lifestyle Intervention ◽  
Intervention Group ◽  
Self Report ◽  
Care Group

AbstractIntroductionLifestyle interventions have been shown to produce favorable changes in some health outcomes in patients with chronic kidney disease (CKD). However, few such studies, employing “real world” methods have been completed in patients with CKD.ObjectiveThis study tested the effectiveness of a comprehensive, multicomponent, lifestyle intervention, delivered through individualized counseling on a variety of health outcomes in pre-dialysis CKD patients.MethodsEligible patients were assigned randomly to the intervention (TR) or usual care group (UC). A six-month home-based program involving personalized counseling to increase physical activity to recommended levels among stage G3a to G4 CKD patients while exchanging plant proteins for animal proteins was implemented. Physical function, cardiovascular function, dietary intake, medication use, and health-related quality of life (HRQOL) were assessed at baseline and after 1-month, 3-months (M3) and 6-months (M6).ResultsForty-two, patients (age 60.2 ± 9.2, BMI 34.5 ± 7.8) participated in this study (TR=27 UC=15). The intervention reduced (p<0.05) brachial (bSBP) and central systolic blood pressures (cSBP) at month 3 (M3) but both were attenuated at month 6 (M6). Scores on the effect of kidney disease subscale of the HRQOL measure improved in the intervention group at M3 and M6. There was no change in the other measures of HRQOL or in any physical function scores.ConclusionsThis personalized multi-component lifestyle intervention enabled CKD patients to self-report fewer concerns with how CKD affected their daily lives independent of changes in physical function.

scholarly journals Effect of Exercise on Health-Related Quality of Life in Patients with End-Stage Renal Disease

2021 ◽  
Author(s):  
Dhanya Michael ◽  
Joseph S. Fidelis ◽  
Sijo Joseph Pakalomattom
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Fitness Function ◽  
Well Being ◽  
Related Quality ◽  
Health Related ◽  
Stage Renal Disease ◽  
End Stage

Chronic kidney disease (CKD) is becoming more common around the world. Chronic kidney disease (CKD) is linked to a wide range of other health problems, such as diabetes, hypertension, stroke, and pulmonary illness. Patients with CKD tend to lead sedentary lives for a variety of reasons. Dialysis patients, on the other hand, are much less active than the general population. All of these factors raise the likelihood of future morbidity and mortality, while also lowering the overall quality of life for people who are ill (HRQoL). Regular physical activity (PE) has been shown to increase overall well-being and HRQoL. Here, we discuss several PEs and their effects on CKD patients\' physical fitness, function, and HRQoL, as well as the significance of haematocrit normalisation and the influence on their serum phosphorus levels. We have discussed the advantages of PE for this particular population of individuals as well as the side effects of intradialytic PE. There have also been discussions on factors that contribute to impaired physical function in CKD patients and the impact of PEs on different bodily systems.

scholarly journals THE CORRELATION BETWEEN HS-CRP LEVEL AND NUTRITION STATUS TO THE QUALITY OF LIFE OF PATIENTS WITH CHRONIC KIDNEY DISEASE WHO UNDERWENT HEMODIALYSIS IN HAJI ADAM MALIK CENTRAL GENERAL HOSPITAL MEDAN

2020 ◽  
Vol 7 (11) ◽  
pp. 49-55
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Nutritional Status ◽  
Physical Health ◽  
General Hospital ◽  
Well Being ◽  
Psychological Well Being ◽  
Hs Crp

Chronic kidney disease (CKD) is a global health problem with global prevalence ranging from 11-13%. The process of chronic inflammation and malnutrition in CKD patients undergoing hemodialysis (HD) is a medical condition that affects the quality of life. This study aims to determine the correlation of hs-CRP levels and nutritional status with quality life of CKD patients undergoing HD. This research is an analytical study, cross sectional design, conducted in December 2019 - March 2020 at Haji Adam Malik General Hospital Medan. Based on the fisher's exact test of 37 samples, a significant correlation was found between hs-CRP and physical health (p = 0. 037, PR 1.6) and with psychological well- being (p = 0.045; PR 1.78). There was no correlation found between hs-CRP with social relations (p = 0.091; PR 1.7) and the environment (p = 0.078; PR 1.54). A significant correlation was found between nutritional status and several domains including physical health (p = 0.038; PR 1.6), psychological well-being (p = 0.005; PR 2.09), social correlations (p = 0.011; PR 2.48), and the environment (p = 0.012; PR 2.02). The study determinded that there was correlation found between hs-CRP levels with physical health and psychological well-being and between nutritional status with all domains of quality of life.

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