Patient-centric holistic integrative therapies as an adjuvant in checking the progression of chronic kidney disease: A case study.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2023-06-08 DOI:10.1177/17423953231181413

Karishma Silwal, Hemanshu Sharma, Gulab Rai Tewani, Pradeep Mk Nair

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Abstract

Objective: Chronic kidney diseases (CKDs) characterized by progressive loss of kidney function impart significant burden on the patients. Besides physical disabilities, CKD affects the mental health and quality of life of the patients. Recent studies suggest the need for interdisciplinary patient-centric care in the management of CKD.

Methods: The present study introduced patient-centric holistic integrative therapies (YNBLI) in a 64-year-old female diagnosed with CKD in 2021, who presented with breathlessness, fatigue, loss of appetite, and anxiety. She is a known case of type 2 diabetes, hypertension and osteoarthritis of knee. She was advised for dialysis by her nephrologists', however, she was reluctant to undergo dialysis due to anxiety about the side effects and lifelong dependency on dialysis. She initially underwent a 10-day YNBLI program at our inpatient setting followed by adhering to the home-based YNBLI for 16 weeks.

Results: She showed significant improvement in the kidney function, hemoglobin levels, quality of life and symptoms with no adverse events. The improvements were consistent throughout the 16 weeks after discharge.

Discussion: This study presents the effective use of patient-centric holistic integrative therapies (YNBLI) as an adjuvant in the management of CKD. Future studies are warranted to substantiate these findings.

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以患者为中心的整体综合疗法作为辅助检查慢性肾脏疾病的进展:一个案例研究。

目的:慢性肾脏疾病(CKDs)以进行性肾功能丧失为特征，给患者带来了巨大的负担。除了身体残疾，慢性肾病还会影响患者的心理健康和生活质量。最近的研究表明，在CKD的管理中需要跨学科的以患者为中心的护理。方法:本研究在2021年诊断为CKD的64岁女性患者中引入了以患者为中心的整体整合疗法(YNBLI)，该患者表现为呼吸困难、疲劳、食欲不振和焦虑。她是已知的2型糖尿病，高血压和膝关节骨关节炎的病例。肾科医生建议她进行透析，但由于担心副作用和终身依赖透析，她不愿接受透析。她最初在我们的住院环境中接受了10天的YNBLI计划，随后坚持以家庭为基础的YNBLI 16周。结果:患者的肾功能、血红蛋白水平、生活质量及症状均有明显改善，无不良事件发生。在出院后的16周内，这种改善是一致的。讨论:本研究提出了以患者为中心的整体综合疗法(YNBLI)在CKD治疗中的有效应用。未来的研究将证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.