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Tytuł:
Rola i zadania pielęgniarki sprawującej opiekę nad pacjentem podczas zabiegu hemodializy
The role and tasks of nurses taking care of patients in hemodialysis
Autorzy:
Żółtańska, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/472778.pdf
Data publikacji:
2018-03-01
Wydawca:
Collegium Witelona Uczelnia Państwowa
Tematy:
hemodializa
pacjent dializowany
opieka pielęgniarska
hemodialysis
post-hemodialysis complications
nursing care
Opis:
Leczenie nerkozastępcze może odbywać się w formie dializoterapii i transplantacji nerek. Dializoterapia jest przeprowadzana za pomocą dwóch metod: hemodializy i dializy otrzewnowej. Proces hemodializy (HD) jest dynamicznym zabiegiem, w czasie którego osocze krwi pacjenta jest poddawane kilkugodzinnemu oddziaływaniu na nie roztworu leczniczego, jakim jest płyn dializacyjny. Do najważniejszych ostrych powikłań, jakie mogą wystąpić w trakcie zabiegu, należą: hipotonia i hipertonia śróddializacyjna, kurcze mięśni, świąd skóry, odczyny gorączkowe, hipoglikemia. Rzadziej występują zespół pierwszego użycia dializatora, zespół niewyrównania, hiper- i hipokaliemia, zator powietrzny, hemoliza. Ważnym członkiem w zespole terapeutycznym stacji dializ jest pielęgniarka. To właśnie ona jest najbliżej pacjenta, sprawuje bezpośredni nadzór nad prawidłowym przebiegiem zabiegu hemodializy, obserwuje chorego, reaguje natychmiast, kiedy pojawią się powikłania. Odgrywa również znaczącą rolę w edukacji chorych, co skutkuje poprawą jakości życia, lepszym samopoczuciem w okresie międzydializacyjnym oraz zmniejszeniem liczby powikłań.
Renal replacement therapy may take the form of dialysis and kidney transplantation. Dialysis is performed by means of two methods: hemodialysis and peritoneal dialysis. Hemodialysis (HD) is a dynamic procedure during which the patient's blood plasma is exposed for a few hours to a therapeutic solution such as dialysis fluid. The most important acute complications that may occur during the procedure are hypotension and hypertonic muscle cramps, skin pruritus, fever, hypoglycaemia. The less frequently observed complications include the first dialysis use syndrome, decompensation syndrome, hyperand hypocalcaemia, air embolism and hemolysis. A nurse is an important member of the therapeutic dialysis unit. She is in direct control of the normal course of hemodialysis, she observes the patient, reacting immediately whenever complications occur. She plays an important role in the process of educating patients, which results in improved quality of life and improved well-being observed in patients during the interval between dialysis and the reduction in the number of occurring complications.
Źródło:
Zeszyty Naukowe Państwowej Wyższej Szkoły Zawodowej im. Witelona w Legnicy; 2018, 1, 26
1896-8333
Pojawia się w:
Zeszyty Naukowe Państwowej Wyższej Szkoły Zawodowej im. Witelona w Legnicy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Survival of tunneled hemodialysis catheters after percutaneous placement
Autorzy:
Weber, Ewa
Liberek, Tomasz
Wołyniec, Wojciech
Gruszecki, Marcin
Rutkowski, Bolesław
Powiązania:
https://bibliotekanauki.pl/articles/1038854.pdf
Data publikacji:
2016
Wydawca:
Polskie Towarzystwo Biochemiczne
Tematy:
hemodialysis
tunneled catheter
survival
Opis:
Background. Tunneled catheters are becoming increasingly used as a permanent dialysis access. Easy way of insertion and good long-term patency make them competitive to fistulas in some groups of patients. Methods. Late complications and survival of 180 tunneled catheters inserted from June 2010 to December 2013 in 171 unselected hemodialysis patients were analyzed. Results. The cumulative time of observation was 2103.5 patient-months and median observation was 9 months (range of 0.5-45 months). Only 19 out of 180 catheters were removed due to complications (12 for infections, 4 due to malfunction and 3 because of mechanical damage). Majority of catheters were removed electively: 27 after maturation of arterio-venous fistula (AVF), 4 after kidney transplant, 5 after transfer to peritoneal dialysis and 3 due to the recovery of renal function. At the end of the observation, 58 catheters were still in use and 64 patients had died with functioning catheter. When censored for elective catheter removal and patient death, 88.2% of catheters survived for 1 year. Catheter survival was significantly better in older patients (over 65 years, in comparison to patients < 65 years, p = 0.046). Conclusions. Nearly 90% of all inserted catheters gave reliable dialysis access as long as it was needed. Among them, over 30% of the inserted catheters were in use at the end of the observation period, and over 30% of patients had died with a functioning catheter. The results of tunneled catheters survival are encouraging and they should be taken into consideration during decision-making on vascular access, especially in the older patients.
Źródło:
Acta Biochimica Polonica; 2016, 63, 1; 139-143
0001-527X
Pojawia się w:
Acta Biochimica Polonica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Blood platelets apoptosis in hemodialyzed patients
Autorzy:
Sobol, A.
Kamińska, M.
Walczyńska, M.
Stasiak, M.
Szymański, J.
Walkowiak, M.
Walkowiak, B.
Powiązania:
https://bibliotekanauki.pl/articles/284932.pdf
Data publikacji:
2009
Wydawca:
Akademia Górniczo-Hutnicza im. Stanisława Staszica w Krakowie. Polskie Towarzystwo Biominerałów
Tematy:
blood platelets
hemodialysis
apoptosis
Opis:
Blood platelet proteome of hemodialyzed uremic patients exhibits significant difference in comparison to the blood platelet proteome of healthy subjects. This alteration is manifested by the presence of high concentrations of low molecular peptides within the whole range of pI. Increased platelet apoptosis has been put forward as a possible cause of this phenomenon (1). The aim of the present research was to assess whether blood platelet populations from hemodialyzed uremic patients exhibit more binding sites for Annexin V (a marker of apoptosis) than control samples from healthy donors. Blood was obtained from uremic patients immediately before and after hemodialysis. At the same time samples from control healthy donors were also collected. Blood was anticoagulated with sodium citrate and was immediately exposed to propidium iodide, fluorescent labeled Annexin V and CD61 antibodies. The samples were incubated for 10 minutes in the dark and next the labeled samples were processed in a BectonDickinson FACScan flow cytofluorymeter. Our preliminary study was performed for 12 hemodialyzed patients, 13nondialyzed uremic patientsand 12 controls. It was found that the blood platelet population of hemodialyzed patients exhibited significantly higher level of fluorescence intensity attributed to Annexin V. Furthermore, this intensity was comparable before and after hemodialysis and was independent on patient age. The results support the hypothesis that blood platelet contact with artificial surfaces during the process of hemodialysys may be partially responsible for triggering blood platelet apoptosis.
Źródło:
Engineering of Biomaterials; 2009, 12, no. 89-91; 29-30
1429-7248
Pojawia się w:
Engineering of Biomaterials
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
High-hydrophilic membranes for dialysis and hemodialysis
Autorzy:
Suberlyak, O.
Melnyk, J.
Baran, N.
Powiązania:
https://bibliotekanauki.pl/articles/284940.pdf
Data publikacji:
2007
Wydawca:
Akademia Górniczo-Hutnicza im. Stanisława Staszica w Krakowie. Polskie Towarzystwo Biominerałów
Tematy:
dializa
hemodializa
dialysis
hemodialysis
Źródło:
Engineering of Biomaterials; 2007, 10, no. 63-64; 18-19
1429-7248
Pojawia się w:
Engineering of Biomaterials
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
New Method of Forced Implantation of Permanent Catheters for Hemodialysis into Critically Stenosed or Occluded Central Veins
Autorzy:
Przywara, Stanisław
Iłżecki, Marek
Terlecki, Piotr
Zubilewicz, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/1395845.pdf
Data publikacji:
2014-12-18
Wydawca:
Index Copernicus International
Tematy:
vascular access for hemodialysis
permanent catheters for hemodialysis
central venous occlusive disease
Opis:
The aim of the study was to report a novel technique of forced implantation of catheters for hemodialysis into critically stenosed or occluded central veins, without preceding angioplasty or stenting. Material and methods. Sixteen patients with central venous occlusive disease, requiring urgent hemodialysis underwent this procedure. Catheterization of stenosis - occlusion was initially performed with soft guidewire, subsequently exchanged to stiff guidewire. Forced insertion of dilators, peel-off sheath throughout the stenosis or occlusion and finally implantation of the catheter completed the procedure. Our technique does not require pre-procedural angioplasty or stent deployment. Results. In all patients postoperative hemodialysis was managed with satisfactory adequacy. No early or late complications related to the procedure occurred. We did not observe any clinically significant aggravation of symptoms of central vein stenosis or occlusion. Complications, not-related to the procedure included one, late skin entry site infection and one, late catheter thrombosis. These were managed without the necessity of catheter exchange. Conclusions. Our technique of forced implantation of catheters for hemodialysis into critically stenosed or occluded central veins without previous balloon predilatation or stenting is simple and diminishes the total cost of the procedure. Provides quick vascular access for hemodialysis in life threatening situations.
Źródło:
Polish Journal of Surgery; 2014, 86, 9; 405-409
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Bilateral brachiocephalic vein stenosis in a chronic hemodialysis patient with well-functioning arteriovenous fistula – A rare entity
Autorzy:
SINGH, MAJ GEN
KUMAR, VINOD
Powiązania:
https://bibliotekanauki.pl/articles/1391558.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
arteriovenous fistula
central veins
hemodialysis
Opis:
Introduction: Central vein stenosis has been reported in patients of end stage renal disease with subclavian vein being more commonly affected than brachiocephalic vein. Case report: We present a case of young female with bilateral brachiocephalic vein obstruction following arteriovenous fistula creation for hemodialysis.
Źródło:
Polish Journal of Surgery; 2021, 93, 4; 74-75
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment and management of pain in hemodialysis patients: A pilot study
Autorzy:
Kafkia, T.
Vehviläinen-Julkunen, K.
Sapountzi-Krepia, D.
Powiązania:
https://bibliotekanauki.pl/articles/1914056.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
renal replacement therapy
pain
hemodialysis
Opis:
Purpose: To assess pain levels of hemodialysis (HD) patients and to report pain management techniques. Materials and methods: A quantitative descriptive study design with a summative approach to qualitative analysis was held, with a personal interview of the HD patients in a Southern European city hospital (n=70), using the Visual Analog Scales (VAS), the Wong-Baker Pain Scales (WBPS) and McGill Pain Questionnaire. People confused or in a coma, with hearing or reading problems and inability to communicate in the spoken language were excluded. Results: Renal patients under investigation were 69.72 ±12.45 years old, male (58.5%) and on HD for 35.5 ± 27.4 months. In the Wong Baker Scale, pain was rated as “hurts little more” 30.8%, (n=20) and in the VAS 30.8% (n=20) reported 6/10 the amount of pain experienced. Forty-six percent pinpointed internal pain in the legs. Pain experienced was characterized as sickening (70.8%), tiring (67.7%), burning (66.2%), rhythmic (86.2%), periodic (66.2%) and continuous (61.5%). The patients studied mainly manage pain either with warm towel/cloth (85.2% females and all male patients), with massage (84.2% and 88.9%, respectively) or painkillers (47.4% and 52.6%, respectively). In a correlation of gender and pain management techniques, statistical significance was found only with warm towel (p=0.038). Conclusions: As renal patients are an increasing group of healthcare service users, and pain is affecting their everyday life, it is essential to individualize pain evaluation and to provide further education to clinical nurses so that they can effectively manage pain.
Źródło:
Progress in Health Sciences; 2014, 4, 1; 53-60
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The effect of perceived social support on the quality of life of hemodialysis patients. A preliminary study.
Autorzy:
Theofilou, P.
Stefanidou, M.
Giannakopoulou, N.
Tzavella, F.
Zyga, S.
Tsironi, M.
Alikari, V.
Powiązania:
https://bibliotekanauki.pl/articles/1918921.pdf
Data publikacji:
2020-06-10
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
hemodialysis
quality of life
social support.
Opis:
Purpose: Recent studies have shown that the role of social support is a predictive factor influencing the course of the disease. The current study is focused on patients’ assessment of quality of life and the relationship of the latter with perceived social support. Materials and methods: A total sample of 40 hemodialysis patients voluntarily participated in this study. Participants were recruited from two clinics in Athens and have been under hemodialysis. The measures used were the Missoula- Vitas Quality of Life Index–15 and the Multidimensional Scale of Perceived Social Support. For the data analysis descriptive statistics, parametric Pearson r test and Non-parametric Spearman’s rho test were used. Statistical level was set up at 0.05. Results: The results of the current study provide good quality of life of hemodialysis patients and significant statistical significance between quality of life in several domains. Conclusions: This study concludes that the participants’ assessment of quality of life is poor regarding the well-being dimension. Also, perceived social support is significantly related to quality of life
Źródło:
Progress in Health Sciences; 2020, 10(1); 19-25
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Co kardiolog powinien wiedzieć o nefrologii?
Autorzy:
Koscielniak, K.
Powiązania:
https://bibliotekanauki.pl/articles/261393.pdf
Data publikacji:
2008
Wydawca:
Politechnika Wrocławska. Wydział Podstawowych Problemów Techniki. Katedra Inżynierii Biomedycznej
Tematy:
nefrologia
hemodializa
dializoterapia
nefrology
hemodialysis
dialysis
Opis:
Nefrologia jest dziedziną bardzo hermetyczną dla "nienefrologów". W Polsce dializuje się kilkanaście tysięcy pacjentów, wśród których około 90% stanowią chorzy leczeni hemodializą, a 10% - dializą otrzewnową [1]. Z tej populacji około 10-20% stale przebywa w oddziałach szpitalnych z powodu powikłań. Pacjenci z chorobami nerek są specyficzną, niejednorodną grupą chorych, charakteryzującą się odmienną epidemiologią, wysokim odsetkiem powikłań [2], mającą odmienne rokowania po takich samych procedurach terapeutycznych, jak "populacja nienefrologiczna", wymagającą specjalnego traktowania, innego interpretowania badań biochemicznych, odmienności leczenia [3].
Źródło:
Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna; 2008, 14, 3; 245-246
1234-5563
Pojawia się w:
Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Hemodialysis dose and long-term COVID-19 outcomes – a retrospective cohort study
Autorzy:
Stepanova, Natalia
Rysyev, Andriy
Snisar, Lyudmyla
Powiązania:
https://bibliotekanauki.pl/articles/40416862.pdf
Data publikacji:
2024-03-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
dialysis dose
hemodialysis
hospitalization
long COVID
mortality
Opis:
Introduction and aim. Long-term outcomes of COVID-19 pose a global challenge, particularly impacting individuals with underlying health conditions, including those who have undergone hemodialysis (HD). The study aimed to investigate the relationship between preexisting dialysis dose, measured by single pool Kt/V (spKt/V), and long-term outcomes of COVID-19 in patients undergoing HD. Material and methods. Demographic, clinical, and laboratory parameters following COVID-19 recovery, and long-term outcomes, including the presence of COVID-19 sequelae, hospitalization, and all-cause mortality during a year after COVID-19 were retrospectively analyzed. Results. Out of the 195 patients included, there were 108 males (55.4%) and 87 females (44.6%), with a median age of 56 (44-63) years and a dialysis duration of 49 (31.3–85.2) months. Patients with spKt/V<1.4 had a significantly increased risk of long-term COVID-19 sequelae (HR 9.1, 95% CI: 3.4; 24.6), hospitalization (HR 7.6, 95% CI: 3.9; 14.6), and all-cause mortality (HR 8.5, 95% CI: 2.9; 25.8) within one year after COVID-19 recovery compared with those with spKt/V≥1.4. spKt/V cutoff point of ≤1.3 emerged as a significant risk factor for one-year hospitalization and mortality within our cohort. Conclusion. Suboptimal dialysis dose, as indicated by spKt/V < 1.4, is associated with adverse long-term COVID-19 outcomes in patients undergoing HD. Optimizing dialysis adequacy may mitigate these risks. Further research is needed to validate these findings and explore interventions to improve outcomes in this vulnerable population.
Źródło:
European Journal of Clinical and Experimental Medicine; 2024, 22, 1; 107-116
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparison of results of placement of cuffed –tunneled hemodialysis catheter in internal jugular vein with subclavian vein for long -term dialysis
Autorzy:
Zafarghandi, Mohammad-Reza
Nazari, Iraj
Taghavi, Morteza
Salimi, Javad
Moini, Majid
Askarpour, Shahnam
Powiązania:
https://bibliotekanauki.pl/articles/1396126.pdf
Data publikacji:
2013-03-01
Wydawca:
Index Copernicus International
Tematy:
subclavian
internal jugular vein
hemodialysis
renal failure
Opis:
Aim of the study was to comparison between internal jugular vs. subclavian vein cuffed tunnel catheter placement for dialysis. Material and methods. Cases who required central venous catheter for dialysis were included in this study. Forty cases were included in this study and divided to two groups. Catheters were placed randomly in internal jugular vein or subclavian. Patients were followed for 6 months. Early and late complications of catheter’s placement were recorded. Analysis was done using Spss ver 13.0 (Chicago, IL, USA). Results. There were no significant differences between subclavian and internal jugular vein regarding occurrence of infection resulted in extraction or treatment. Also there were no significant differences regarding occurrence of thrombosis resulted in extraction or treatment. Failure rate was significantly higher in cases with internal jugular vein catheter compared to cases with subclavian vein catheter (p=0.04). Conclusion. Failure rate was significantly higher in cases with internal jugular vein catheter compared to subclavian cathether. Subclavian catheter is more appropriate route for catheter placement.
Źródło:
Polish Journal of Surgery; 2013, 85, 3; 133-136
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
SARS-CoV-2 infection in vaccinated maintenance hemodialysis patients despite anti-spike seroconversion: a report of 3 breakthrough cases
Autorzy:
Biedunkiewicz, Bogdan
Tylicki, Leszek
Puchalska-Reglińska, Ewelina
Dąbrowska, Małgorzata
Ślizień, Waldemar
Kubanek, Alicja
Rąbalski, Łukasz
Kosiński, Maciej
Grzybek, Maciej
Renke, Marcin
Dębska-Ślizień, Alicja
Powiązania:
https://bibliotekanauki.pl/articles/2203183.pdf
Data publikacji:
2022-03-01
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
SARS-CoV-2
breakthrough infection
hemodialysis
vaccination
Opis:
Chronically hemodialyzed (HD) patients are at a high risk of developing very severe forms of COVID-19 disease. In this article we describe three HD patients (all males, aged 70, 70 and 74 years) vaccinated intramuscularly with a two-dose mRNA BNT162b2 vaccine; BionTech/Pfizer Comirnaty, in whom subsequent breakthrough SARS-CoV-2 infections developed. All patients achieved post-vaccine seroconversion for anti-spike antibodies with IgG titers of 445, 227 and 92.5 AU/mL (cut-off, 13 AU/mL) case 1, 2 and 3 respectively. SARS-CoV-2 infection was diagnosed 44, 28 and 48 days after the second dose of BNT162b2 and confirmed with the polymerase-chain-reaction (PCR) test. Two asymptomatic patients underwent this test because of their direct contact with a person with confirmed COVID-19. The third patient reported only a non-significant drop in oxygen saturation, and was hospitalized (case 3). All these patients were characterized by a low post-vaccination neutralizing antibody titer and a high production of these antibodies after falling ill (795, 845 and 5770). Perhaps this production of antibodies is responsible for the mild course of the disease, and the likely reduction of mortality. These breakthrough cases in no way undermine the importance of the vaccinations, and on the contrary argue for their urgency.
Źródło:
European Journal of Translational and Clinical Medicine; 2022, 5, 1; 12-16
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Zastosowanie termowizji w diagnostyce chorób naczyń u chorych hemodializowanych
The role of thermovision in the diangnostics of vascular diseases in hemodialysis patients
Autorzy:
Żyłka, W.
Gala-Błądzińska, A.
Powiązania:
https://bibliotekanauki.pl/articles/261502.pdf
Data publikacji:
2016
Wydawca:
Politechnika Wrocławska. Wydział Podstawowych Problemów Techniki. Katedra Inżynierii Biomedycznej
Tematy:
termowizja
hemodializoterapia
powikłania naczyniowe
thermovision
hemodialysis
vascular complication
Opis:
W pracy pokazano przydatność obserwacji termogramów rąk u chorych hemodializowanych w ocenie patologicznych zmian w zakresie unaczynienia rąk. Omówiono zasadę działania kamer termowizyjnych oraz ich zastosowanie w badaniach biomedycznych. Pokazano technikę termowizyjną jako dodatkowe nieinwazyjne narzędzie pozwalające na wyłonienie grupy chorych hemodializowanych szczególnie narażonych na powikłania naczyniowe. Zaobserwowano tendencje do obniżania się temperatury rąk chorych wraz z gorszymi parametrami gospodarki wapniowo fosforanowej oraz aterogennym profilem lipidowym. Badania przeprowadzono w grupie 35 chorych przewlekle hemodializowanych, a uzyskane dane porównano do wyników 22 zdrowych mężczyzn.
The study shows the usefulness of the observation of thermographs of hands in hemodialysis patients in the evaluation of pathological changes in the vascularity of hands. The main principle of working of thermal imaging cameras and their application in biomedical researches were discussed. The thermographic technique was shown as an additional non-invasive tool to identify a group of hemodialysis patients who are particularly susceptible to vascular complications. It was observed the tendency to reduce the temperature of hands in patients with worse parameters of a calcium-phosphate metabolism and atherogenic lipid profile. The study was conducted in a group of 35 hemodialysis patients and the data was compared to results obtained in 22 healthy men.
Źródło:
Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna; 2016, 22, 3; 121-129
1234-5563
Pojawia się w:
Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Using proton-pump inhibitors among hemodialysis patients - single academic dialysis center’s preliminary experience
Autorzy:
Rakowska, M.
Brzósko, S.
Dąbrowska, E.
Jabłońska, E.
Szczykowska, J.
Prusator, P.
Kwaśniewska, A.
Naumnik, B.
Powiązania:
https://bibliotekanauki.pl/articles/1918465.pdf
Data publikacji:
2017
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
Proton-pump inhibitors
hemodialysis
overuse
side effects
nephrology
Opis:
Introduction: Proton-pump inhibitors (PPIs) are a class of drugs which decrease gastric acid production, their overuse is becoming increasingly common. Purpose: The aim of this study was to evaluate medical indications for PPIs in a cohort of prevalent hemodialysis (HD) patients and their awareness about the medical effects of these drugs. Materials and methods: The study was performed in 78 HD patients enrolled in a chronic dialysis program in a single academic dialysis unit. The study was based on medical history obtained from the patients (survey about drugs they take with intention of revealing PPIs, indications for the treatment, their awareness of the mechanism of action of these drugs).Results: 46 patients (59%) took or have been taking PPIs. Almost half (49%; n=22) had no clear medical indications for the drugs. Prescription of PPIs without medical indications was more common among nephrologists (27%), when compared with gastroenterologists (5%; p<0.05). Only 29% (n=13) of patients taking PPIs were aware of the mechanism of action of the drugs. Conclusions: Results of this study reveal the problem of PPI overuse among HD patients. Gastroenterologists usually prescribed PPIs according to medical indications. Lack of patients’ knowledge about the indications for PPI therapy is overwhelming.
Źródło:
Progress in Health Sciences; 2017, 7(1); 39-43
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Is there a need for a weight management control program in hemodialysis patients? The implication of exercise programs
Czy jest potrzeba stosowania programu kontroli wagi u pacjentów poddawanych hemodializie? Wykorzystanie programów ćwiczeń
Autorzy:
Bogataj, S.
Pajek, J.
Ponikvar, J.B.
Pajek, M.
Powiązania:
https://bibliotekanauki.pl/articles/2048840.pdf
Data publikacji:
2021
Wydawca:
Akademia Bialska Nauk Stosowanych im. Jana Pawła II w Białej Podlaskiej
Tematy:
hemodialysis
body composition
functional training
intradialytic cycling
impact
Opis:
Background. In hemodialysis (HD) patients, age-related muscle loss and body composition changes are more intense than in those with normal renal function. This study aimed to determine the effects of functional training in addition to intradialytic cycling exercise, compared to intradialytic cycling alone on body composition in HD patients. Material and methods. Patients were randomized to an experimental group (n=20; functional training and intradialytic cycling) or control group (n=20; intradialytic cycling) over 16 weeks. In the first 8 weeks, the experimental group attended guided functional training before dialysis, and afterward performed functional training at home. Results. After 16 weeks, a significant intergroup difference was found only in total body water only (p=0.037) in favor of the experimental group. Significant intragroup changes were found for weight (after 8 weeks: p=0.009; after 16 weeks: p=0.012), waist circumference (after 8 weeks: p=0.026; after 16 weeks: p=0.044), and BMI (after 16 weeks: p=0.046) in the experimental group and for fat tissue index (after 16 weeks: p=0.038) in the control group. Overall exercise compliance was high, reaching more than two-thirds of prescribed exercise volumes. Conclusions. Our results showed increased weight and BMI following functional training in HD patients. This increase was not a result of an increase in body fat, which was illustrated by unchanged results in fat tissue index.
Wprowadzenie. U pacjentów poddawanych hemodializie związane z wiekiem utrata mięśni i zmiany w składzie ciała są bardziej intensywne niż u osób z prawidłowym funkcjonowaniem nerek. Celem badania było określenie wpływu treningu funkcjonalnego jako dodatku do śróddializacyjnych ćwiczeń na rowerze w porównaniu z samymi śróddializacyjnymi ćwiczeniami na rowerze na skład ciała pacjentów poddawanych hemodializie. Materiał i metody. Pacjenci zostali losowo przypisani do grupy doświadczalnej (n=20, trening funkcjonalny i śróddializacyjna jazda na rowerze) albo kontrolnej (n=20, śróddializacyjna jazda na rowerze) na 16 tygodni. Przez pierwszych osiem tygodni grupa doświadczalna uczestniczyła w prowadzonych przez trenera treningach funkcjonalnych przed poddaniem się dializie i wykonywała trening funkcjonalny w domu. Wyniki. Po 16 tygodniach pomiędzy grupami zaszła istotna zmiana w zakresie całkowitej zawartości wody w ciele (p=0,037) na korzyść grupy doświadczalnej. Wykazano zasadnicze różnice między grupami w zakresie wagi (po 8 tygodniach: p=0,009; po 16 tygodniach: p=0,012), obwodu pasa (po 8 tygodniach: p=0,026; po 16 tygodniach p=0,044) i wartości BMI (po 16 tygodniach: p=0,046) w grupie doświadczalnej oraz w zakresie wskaźnika tkanki tłuszczowej (po 16 tygodniach: p=0,038) w grupie kontrolnej. Ogólna zgodność ćwiczeń była wysoka i sięgała ponad 2/3 przepisanych ćwiczeń. Wnioski. Wyniki wykazały zwiększoną wagę i BMI w następstwie treningu funkcjonalnego u pacjentów poddawanych dializoterapii. Wzrost ten nie był efektem zwiększenia zawartości tłuszczu w ciele, co potwierdził brak zmian we wskaźniku tkanki tłuszczowej.
Źródło:
Health Problems of Civilization; 2021, 15, 1; 29-36
2353-6942
2354-0265
Pojawia się w:
Health Problems of Civilization
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 32

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