Transgender and nonbinary people experience inequity in terms of treatment and outcomes when interacting with healthcare services. Clinicians should treat Trans people with sensitivity in a context of cultural safety to minimise repeat trauma and ensure the delivery of quality, person-centred care.
Objectives
The aim of this paper is to explore the general and specific needs of Transgender and nonbinary people when interacting with renal services and identify practice recommendations and further research needs.
Design
This paper reviews a selection of literature relating to the care of Trans people both generally within healthcare and with respect to specific issues that arise within renal care.
Renal-Specific Findings
Estimation of renal function relies on eGFR formulae that include a sex-signifier, so there are issues as to which are the appropriate versions of the formulae to use in Trans people. Research indicates that for Trans men (assigned female at birth) 6 months or more into transition-related hormonal therapy, equations used should be based on gender identity rather than sex assigned at birth. For Trans women and people who identify as nonbinary, the research is less clear and alternative means of assessing GFR may be needed.
Complications of urogenital gender-affirming surgery can also have implications for acute and chronic kidney disease progression and for the management of such patients in the clinical environment.
Conclusions
Trans people within the renal setting should be treated with sensitivity. Specific considerations are required in terms of assessing kidney function and considering the potential implications of urogenital surgery.
{"title":"Managing Kidney Disease in the Trans Community","authors":"Marissa Dainton","doi":"10.1111/jorc.70024","DOIUrl":"https://doi.org/10.1111/jorc.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Transgender and nonbinary people experience inequity in terms of treatment and outcomes when interacting with healthcare services. Clinicians should treat Trans people with sensitivity in a context of cultural safety to minimise repeat trauma and ensure the delivery of quality, person-centred care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this paper is to explore the general and specific needs of Transgender and nonbinary people when interacting with renal services and identify practice recommendations and further research needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This paper reviews a selection of literature relating to the care of Trans people both generally within healthcare and with respect to specific issues that arise within renal care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Renal-Specific Findings</h3>\u0000 \u0000 <p>Estimation of renal function relies on eGFR formulae that include a sex-signifier, so there are issues as to which are the appropriate versions of the formulae to use in Trans people. Research indicates that for Trans men (assigned female at birth) 6 months or more into transition-related hormonal therapy, equations used should be based on gender identity rather than sex assigned at birth. For Trans women and people who identify as nonbinary, the research is less clear and alternative means of assessing GFR may be needed.</p>\u0000 \u0000 <p>Complications of urogenital gender-affirming surgery can also have implications for acute and chronic kidney disease progression and for the management of such patients in the clinical environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Trans people within the renal setting should be treated with sensitivity. Specific considerations are required in terms of assessing kidney function and considering the potential implications of urogenital surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nga Thi Thuy Nguyen, Tsai-Wei Huang, Yeu-Hui Chuang, Dung Huu Nguyen, Tu Tuan Tran
Background
Fatigue is a prevalent symptom among patients undergoing hemodialysis, significantly impacting their quality of life. There are several instruments to measure fatigue. However, most of these instruments measure general fatigue, with no specific emphasis on fatigue related to hemodialysis. Recently, a validated scale, the Post-Dialysis Fatigue (PDF) scale, was developed to address this gap by directly measuring post-dialysis fatigue.
Objectives
The aim of this study was to translate the English version of the PDF scale into Vietnamese and to examine its reliability and validity, taking into account potential cultural differences in the experience of fatigue.
Design
A cross-sectional study was applied with participants obtained through convenience sampling at two hospitals.
Participants
Three hundred and twenty-eight participants undergoing hemodialysis treatment were recruited.
Measurements
The validity of the 13-item Vietnamese version of Post-Dialysis Fatigue scale was evaluated by examining the content validity, concurrent validity, and construct validity. Both exploratory and confirmatory factor analyses were employed to factorize the underlying structure of the scale and confirm whether the data fit a hypothesized measurement model. The reliability was examined by using Cronbach's alpha and test-retest reliability.
Results
The scale had an excellent content validity index (CVI: 0.86–1.00), good internal consistency (Cronbach's alpha of 0.90), and acceptable test-retest reliability (interclass correlation coefficient of 0.84). Exploratory factor analysis constituted two factors (behavioral fatigue and sensory fatigue) accounting for 59.38% of the variance. The confirmatory factor analysis showed a good model fit (CFI = 0.952, NFI = 0.912, RMSEA = 0.073). Receiver operating characteristic curve analysis identified an optimal cutoff score of 41 by maximizing the combined sensitivity and specificity for screening significant fatigue, according to Youden's Index.
Conclusions
The post-dialysis fatigue scale is a valid and reliable scale for assessing fatigue in patients undergoing hemodialysis and consists of two factors: behaviora
{"title":"Translation and Validation of Post-Dialysis Fatigue Scale Among Vietnamese Patients With Hemodialysis","authors":"Nga Thi Thuy Nguyen, Tsai-Wei Huang, Yeu-Hui Chuang, Dung Huu Nguyen, Tu Tuan Tran","doi":"10.1111/jorc.70025","DOIUrl":"https://doi.org/10.1111/jorc.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fatigue is a prevalent symptom among patients undergoing hemodialysis, significantly impacting their quality of life. There are several instruments to measure fatigue. However, most of these instruments measure general fatigue, with no specific emphasis on fatigue related to hemodialysis. Recently, a validated scale, the Post-Dialysis Fatigue (PDF) scale, was developed to address this gap by directly measuring post-dialysis fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study was to translate the English version of the PDF scale into Vietnamese and to examine its reliability and validity, taking into account potential cultural differences in the experience of fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional study was applied with participants obtained through convenience sampling at two hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Three hundred and twenty-eight participants undergoing hemodialysis treatment were recruited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>The validity of the 13-item Vietnamese version of Post-Dialysis Fatigue scale was evaluated by examining the content validity, concurrent validity, and construct validity. Both exploratory and confirmatory factor analyses were employed to factorize the underlying structure of the scale and confirm whether the data fit a hypothesized measurement model. The reliability was examined by using Cronbach's alpha and test-retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The scale had an excellent content validity index (CVI: 0.86–1.00), good internal consistency (Cronbach's alpha of 0.90), and acceptable test-retest reliability (interclass correlation coefficient of 0.84). Exploratory factor analysis constituted two factors (behavioral fatigue and sensory fatigue) accounting for 59.38% of the variance. The confirmatory factor analysis showed a good model fit (CFI = 0.952, NFI = 0.912, RMSEA = 0.073). Receiver operating characteristic curve analysis identified an optimal cutoff score of 41 by maximizing the combined sensitivity and specificity for screening significant fatigue, according to Youden's Index.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The post-dialysis fatigue scale is a valid and reliable scale for assessing fatigue in patients undergoing hemodialysis and consists of two factors: behaviora","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maurizio Bossola, Laura Angioletti, Alessia Trotta, Valeria Tommolini, Marta Di Giovanni, Ilaria Mariani, Enrico Di Stasio, Michela Balconi
Background
Depression is common in patients with chronic kidney disease on maintenance hemodialysis. However, depression prevalence and associated variables have been less studied in maintenance hemodialysis patients older than 65 years old.
Objectives
This study aimed to define the prevalence of depression and the associated variables in older patients on maintenance hemodialysis.
Design
This is a cross-sectional study.
Participants
Participants included 197 older patients on maintenance hemodialysis (age range 65–80) recruited between September 2023 to September 2024 in Italy.
Measurements
Depression levels were measured with the Beck Depression Inventory II and perceived stress levels with the Perceived Stress Scale. We also collected clinical and laboratory variables.
Results
Of 197 patients, 130 patients (66%) had Beck Depression Inventory < 14 and 67 (34%) had Beck Depression Inventory ≥ 14. The two groups differed for age, sex, dialytic age, activity of daily living and instrumental activity of daily living scores, Body Mass Index, post-dialysis fatigue, dialysis recovery time, Perceived Stress Scale score, and serum creatinine. At the logistic regression analysis, the Beck Depression Inventory score was independently associated with female sex, post-dialysis fatigue, low IADL, and Perceived Stress Scale score. Post-dialysis fatigue intensity, duration, and frequency and the post-dialysis fatigue sum were significantly higher in patients with Beck Depression Inventory ≥ 14 than in those with Beck Depression Inventory < 14. The correlation between Beck Depression Inventory and Perceived Stress Scale was statistically significant. Then, we stratified patients according to the score of the Cohen's Perceived Stress Scale into three groups: low stress (0–13), moderate stress (14–26), and severe stress (27–40). Patients with Beck Depression Inventory≥ 14 had a higher frequency of severe perceived stress.
Conclusions
Beck Depression Inventory score was independently associated with female sex, instrumental activity of daily living and Perceived Stress Scale score in older patients on maintenance hemodialysis.
{"title":"Symptoms of Depression and Associated Variables in Older Patients on Maintenance Hemodialysis","authors":"Maurizio Bossola, Laura Angioletti, Alessia Trotta, Valeria Tommolini, Marta Di Giovanni, Ilaria Mariani, Enrico Di Stasio, Michela Balconi","doi":"10.1111/jorc.70026","DOIUrl":"https://doi.org/10.1111/jorc.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Depression is common in patients with chronic kidney disease on maintenance hemodialysis. However, depression prevalence and associated variables have been less studied in maintenance hemodialysis patients older than 65 years old.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to define the prevalence of depression and the associated variables in older patients on maintenance hemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is a cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Participants included 197 older patients on maintenance hemodialysis (age range 65–80) recruited between September 2023 to September 2024 in Italy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Depression levels were measured with the Beck Depression Inventory II and perceived stress levels with the Perceived Stress Scale. We also collected clinical and laboratory variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 197 patients, 130 patients (66%) had Beck Depression Inventory < 14 and 67 (34%) had Beck Depression Inventory ≥ 14. The two groups differed for age, sex, dialytic age, activity of daily living and instrumental activity of daily living scores, Body Mass Index, post-dialysis fatigue, dialysis recovery time, Perceived Stress Scale score, and serum creatinine. At the logistic regression analysis, the Beck Depression Inventory score was independently associated with female sex, post-dialysis fatigue, low IADL, and Perceived Stress Scale score. Post-dialysis fatigue intensity, duration, and frequency and the post-dialysis fatigue sum were significantly higher in patients with Beck Depression Inventory ≥ 14 than in those with Beck Depression Inventory < 14. The correlation between Beck Depression Inventory and Perceived Stress Scale was statistically significant. Then, we stratified patients according to the score of the Cohen's Perceived Stress Scale into three groups: low stress (0–13), moderate stress (14–26), and severe stress (27–40). Patients with Beck Depression Inventory≥ 14 had a higher frequency of severe perceived stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Beck Depression Inventory score was independently associated with female sex, instrumental activity of daily living and Perceived Stress Scale score in older patients on maintenance hemodialysis.</p>\u0000 </section","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Issue Information: Journal of Renal Care 3/2025","authors":"","doi":"10.1111/jorc.12501","DOIUrl":"https://doi.org/10.1111/jorc.12501","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa Arnold-Ujvari, Elizabeth Rix, Kim O'Donnell, Janet Kelly
Background
First Nations People receive clinical care by renal staff who may or may not have had access to cultural education. If they have, what this education involves and if it has been co-designed with First Nations People is unknown.
Objective
Conduct a scoping review to examine the range and types of cultural education provided to clinical and professional (nonclinical) renal staff caring for First Nations People in Australia and similarly other colonized countries {Aotearoa/New Zealand (NZ), Canada, and North America}.
Design
Using the JBI methodology for scoping reviews a systematic search of 11 database (Australian Indigenous Health InfoNet, Scopus, APAIS-ATSIS (Informit), CINAHL (EBSCO), Embase (Ovid), Medline (Ovid), Health & Medical Collection (Proquest), Nursing & Allied Health Database (Proquest), Psychology Database (Proquest), Public Health Database (Proquest), and Sociology Database (Proquest) was undertaken. The search included studies published in English from January 1992 to September 2024.
Results
Nineteen papers met the scoping review criteria identifying multiple barriers and effective staff cultural education in renal settings. Sixteen papers were from Australia. Only three papers undertook both cultural education and evaluation. Cultural safety emerged as an education and clinical approach increasingly used internationally to inform positive effects on both care recipients (First Nations People with kidney disease) and staff participants.
Conclusion
There is limited published literature regarding renal-specific cultural education for kidney care staff working with First Nations People. The extent to which First Nations recipients of care have been involved and education effectiveness evaluated is not evident.
第一民族的人接受临床护理的肾脏工作人员可能或可能没有获得过文化教育。如果他们有，这种教育包括什么，以及它是否与第一民族人民共同设计，这是未知的。目的：对澳大利亚和其他类似的殖民国家（新西兰、加拿大和北美）为第一民族提供临床和专业（非临床）肾脏工作人员文化教育的范围和类型进行范围审查。设计使用JBI方法对11个数据库(Australian Indigenous Health InfoNet, Scopus, APAIS-ATSIS (Informit), CINAHL (EBSCO), Embase (Ovid), Medline (Ovid), Health &；医疗收集（建议），护理& &；联合健康数据库（Proquest）、心理学数据库（Proquest）、公共卫生数据库（Proquest）和社会学数据库（Proquest）。该研究包括1992年1月至2024年9月期间发表的英文研究。结果19篇论文符合范围审查标准，确定了肾脏设置的多重障碍和有效的员工文化教育。16篇论文来自澳大利亚。只有三篇论文同时进行了文化教育和评价。文化安全作为一种教育和临床方法出现，在国际上越来越多地使用，以告知对护理接受者（患有肾病的第一民族人民）和工作人员参与者的积极影响。结论：针对与原住民一起工作的肾脏护理人员进行肾脏文化教育的已发表文献有限。第一民族受照顾者的参与程度和教育效果的评估程度并不明显。
{"title":"Cultural Education Provided to Renal Staff Caring for First Nations People in Australia and Similarly Colonized Countries: A Scoping Review","authors":"Melissa Arnold-Ujvari, Elizabeth Rix, Kim O'Donnell, Janet Kelly","doi":"10.1111/jorc.70023","DOIUrl":"https://doi.org/10.1111/jorc.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>First Nations People receive clinical care by renal staff who may or may not have had access to cultural education. If they have, what this education involves and if it has been co-designed with First Nations People is unknown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Conduct a scoping review to examine the range and types of cultural education provided to clinical and professional (nonclinical) renal staff caring for First Nations People in Australia and similarly other colonized countries {Aotearoa/New Zealand (NZ), Canada, and North America}.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Using the JBI methodology for scoping reviews a systematic search of 11 database (Australian Indigenous Health InfoNet, Scopus, APAIS-ATSIS (Informit), CINAHL (EBSCO), Embase (Ovid), Medline (Ovid), Health & Medical Collection (Proquest), Nursing & Allied Health Database (Proquest), Psychology Database (Proquest), Public Health Database (Proquest), and Sociology Database (Proquest) was undertaken. The search included studies published in English from January 1992 to September 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen papers met the scoping review criteria identifying multiple barriers and effective staff cultural education in renal settings. Sixteen papers were from Australia. Only three papers undertook both cultural education and evaluation. Cultural safety emerged as an education and clinical approach increasingly used internationally to inform positive effects on both care recipients (First Nations People with kidney disease) and staff participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is limited published literature regarding renal-specific cultural education for kidney care staff working with First Nations People. The extent to which First Nations recipients of care have been involved and education effectiveness evaluated is not evident.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144323541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Background</h3> <p>Fatigue is a subjective and complex issue that commonly occurs in patients undergoing haemodialysis and significantly affects quality of life. A wide range of factors, including demographic, physiological, and psychological variables, influence the experience of fatigue in patients receiving haemodialysis.</p> </section> <section> <h3> Objective</h3> <p>This study was conducted to determine the level of fatigue in patients receiving haemodialysis and to hierarchically evaluate the effects of demographic, physiological, and psychological variables that contribute to fatigue.</p> </section> <section> <h3> Design</h3> <p>It is a descriptive cross-sectional study.</p> </section> <section> <h3> Participants</h3> <p>The study recruited 165 patients undergoing haemodialysis, and it was carried out at three local general hospitals in Turkey that offer maintenance haemodialysis.</p> </section> <section> <h3> Measurements</h3> <p>Data was collected using Piper Fatigue Scale, Pittsburgh Sleep Quality Index and Hospital Anxiety and Depression Scale. Additionally, a descriptive information form comprising questions derived from the literature and expert opinions was utilised to identify the demographic and laboratory markers of individuals. A form consisting of validated questionnaires was used for sociodemographic data. Stepwise multiple regression analysis was used to assess the extent to which demographic, physiological, and psychological variables predict fatigue.</p> </section> <section> <h3> Results</h3> <p>The individuals included in the study (<i>n</i> = 165) had a mean age of 60.9 ± 14.43 years, 55.4% were male, and 62.4% had received primary school education. The study identified high levels of fatigue, anxiety, depression, and poor sleep quality in patients undergoing haemodialysis. Our study revealed that a combination of age, gender, anxiety and depression levels, albumin levels, and sleep quality accounted for 39.1% of the variance in fatigue levels. Specifically, demographic and laboratory variables explained 18.6% of the variance, anxiety and depression levels contributed 14.5%, and sleep quality accounted for 6%. These results underscore the substantial impact of psychological factors in fatigue among patients receiving haemodialysis.</p> </section> <section> <h3> Conclusion</h3> <p>Mood and sleep quality are associated with fatigue in patients unde
{"title":"Progressive Evaluation of Determinants of Fatigue in Patients Undergoing Haemodialysis","authors":"Tuğba Aydemir, Rabiye Çirpan","doi":"10.1111/jorc.70022","DOIUrl":"https://doi.org/10.1111/jorc.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fatigue is a subjective and complex issue that commonly occurs in patients undergoing haemodialysis and significantly affects quality of life. A wide range of factors, including demographic, physiological, and psychological variables, influence the experience of fatigue in patients receiving haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study was conducted to determine the level of fatigue in patients receiving haemodialysis and to hierarchically evaluate the effects of demographic, physiological, and psychological variables that contribute to fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>It is a descriptive cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>The study recruited 165 patients undergoing haemodialysis, and it was carried out at three local general hospitals in Turkey that offer maintenance haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Data was collected using Piper Fatigue Scale, Pittsburgh Sleep Quality Index and Hospital Anxiety and Depression Scale. Additionally, a descriptive information form comprising questions derived from the literature and expert opinions was utilised to identify the demographic and laboratory markers of individuals. A form consisting of validated questionnaires was used for sociodemographic data. Stepwise multiple regression analysis was used to assess the extent to which demographic, physiological, and psychological variables predict fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The individuals included in the study (<i>n</i> = 165) had a mean age of 60.9 ± 14.43 years, 55.4% were male, and 62.4% had received primary school education. The study identified high levels of fatigue, anxiety, depression, and poor sleep quality in patients undergoing haemodialysis. Our study revealed that a combination of age, gender, anxiety and depression levels, albumin levels, and sleep quality accounted for 39.1% of the variance in fatigue levels. Specifically, demographic and laboratory variables explained 18.6% of the variance, anxiety and depression levels contributed 14.5%, and sleep quality accounted for 6%. These results underscore the substantial impact of psychological factors in fatigue among patients receiving haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mood and sleep quality are associated with fatigue in patients unde","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many patients experience depression and anxiety even after kidney transplantation, making it crucial to strengthen their resilience.
Objectives
To explore resilience attributes in patients who have undergone kidney transplantation to develop the Resilience Scale for Patients with Kidney Transplantation.
Design
A qualitative design was employed.
Participants
A total of 10 adults aged 18 years or older who had undergone kidney transplantation at least 12 months prior and volunteered to participate in the study.
Approach
Individual interviews were conducted using semi-structured questions, and qualitative content analysis was performed using an inductive approach.
Findings
The identified resilience attributes were physical health management, adverse psychological reactions, coping strategies for recovery, optimism, family support, social–environmental support, socioeconomic support, perception of stressful situations, and positive thinking during recovery.
Conclusions
Resilience attributes in patients who have undergone kidney transplantation were identified, providing fundamental data for understanding resilience in this population and in clinical nursing.
{"title":"Qualitative Content Analysis of the Resilience Scale for Patients With Kidney Transplantation","authors":"Mi Ha Chung","doi":"10.1111/jorc.70020","DOIUrl":"https://doi.org/10.1111/jorc.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Many patients experience depression and anxiety even after kidney transplantation, making it crucial to strengthen their resilience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore resilience attributes in patients who have undergone kidney transplantation to develop the Resilience Scale for Patients with Kidney Transplantation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative design was employed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>A total of 10 adults aged 18 years or older who had undergone kidney transplantation at least 12 months prior and volunteered to participate in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Approach</h3>\u0000 \u0000 <p>Individual interviews were conducted using semi-structured questions, and qualitative content analysis was performed using an inductive approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The identified resilience attributes were physical health management, adverse psychological reactions, coping strategies for recovery, optimism, family support, social–environmental support, socioeconomic support, perception of stressful situations, and positive thinking during recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Resilience attributes in patients who have undergone kidney transplantation were identified, providing fundamental data for understanding resilience in this population and in clinical nursing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Childhood hypertension, defined as blood pressure above the 95th percentile for age, sex, and height on three occasions, affects 3%–5% of children, with higher rates among those with kidney disease. In these cases, it is often secondary to renal pathology. Kidney disease increases hypertension risk, while uncontrolled hypertension accelerates renal damage, contributing to chronic kidney disease progression and cardiovascular issues. Early detection, particularly in high-risk groups, are critical to reducing long-term complications.
Objectives
Although many studies focus on modifiable causes, few explore parental awareness. This study aimed to assess parents' knowledge of childhood hypertension.
Design
A prospective, cross-sectional descriptive study conducted at a single center.
Participants
Parents of children with known or suspected kidney disease attending a pediatric nephrology outpatient clinic for routine follow-up.
Measurements
A 13-item questionnaire was administered to parents during routine visits to assess their awareness of childhood hypertension.
Results
The questionnaire was completed by 260 mothers and 240 fathers with varied educational backgrounds: primary school (22.8%), middle school (20.8%), high school (22%), and university (18.4%). Most parents (56.4%) were unaware that hypertension can occur in childhood, and 67.4% didn't know the link with renal disease. Only 14% recognized the connection between overweight and high blood pressure, and 15.6% knew about pharmacological treatment. Awareness increased with education level.
Conclusions
The study revealed a significant lack of awareness among parents, highlighting the need for targeted education to improve early recognition and intervention.
{"title":"How Aware Are Parents of Childhood Hypertension?","authors":"Zehra Aydin","doi":"10.1111/jorc.70021","DOIUrl":"https://doi.org/10.1111/jorc.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood hypertension, defined as blood pressure above the 95th percentile for age, sex, and height on three occasions, affects 3%–5% of children, with higher rates among those with kidney disease. In these cases, it is often secondary to renal pathology. Kidney disease increases hypertension risk, while uncontrolled hypertension accelerates renal damage, contributing to chronic kidney disease progression and cardiovascular issues. Early detection, particularly in high-risk groups, are critical to reducing long-term complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Although many studies focus on modifiable causes, few explore parental awareness. This study aimed to assess parents' knowledge of childhood hypertension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A prospective, cross-sectional descriptive study conducted at a single center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Parents of children with known or suspected kidney disease attending a pediatric nephrology outpatient clinic for routine follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>A 13-item questionnaire was administered to parents during routine visits to assess their awareness of childhood hypertension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The questionnaire was completed by 260 mothers and 240 fathers with varied educational backgrounds: primary school (22.8%), middle school (20.8%), high school (22%), and university (18.4%). Most parents (56.4%) were unaware that hypertension can occur in childhood, and 67.4% didn't know the link with renal disease. Only 14% recognized the connection between overweight and high blood pressure, and 15.6% knew about pharmacological treatment. Awareness increased with education level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study revealed a significant lack of awareness among parents, highlighting the need for targeted education to improve early recognition and intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph A. Vassalotti, Anna Francis, Augusto Cesar Soares Dos Santos, Ricardo Correa-Rotter, Dina Abdellatif, Li-Li Hsiao, Stefanos Roumeliotis, Agnes Haris, Latha A. Kumaraswami, Siu-Fai Lui, Alessandro Balducci, Vassilios Liakopoulos, World Kidney Day Joint Steering Committee
{"title":"Are Your Kidneys Ok? Detect Early to Protect Kidney Health","authors":"Joseph A. Vassalotti, Anna Francis, Augusto Cesar Soares Dos Santos, Ricardo Correa-Rotter, Dina Abdellatif, Li-Li Hsiao, Stefanos Roumeliotis, Agnes Haris, Latha A. Kumaraswami, Siu-Fai Lui, Alessandro Balducci, Vassilios Liakopoulos, World Kidney Day Joint Steering Committee","doi":"10.1111/jorc.70019","DOIUrl":"https://doi.org/10.1111/jorc.70019","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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