Wenwen Lu, Na Xu, Qiyun Zhuo, Huixian Wang, Bihong Huang, Yanpei Cao
IntroductionThis cross‐sectional study analyzed the fear of falling (FOF) and associated influencing factors in patients undergoing maintenance hemodialysis (MHD).MethodsPatients on MHD (n = 131) were assessed using the short Falls Efficacy Scale International, Generalized Anxiety Disorder‐7, Patient Health Questionnaire‐9, Perceived Social Support Scale, and Barthel Index questionnaires.ResultsThe total FOF score was positively correlated with total anxiety and depression scores but negatively correlated with the total score of activities of daily living. There were significant differences in FOF among different age groups, employment status, the use of walkers, living arrangements (living alone), and having a history of falling in the past year. Age, employment status, history of falls in the past year, and anxiety score were significant risk factors for FOF in MHD patients.ConclusionFOF in MHD patients is strongly associated with age, employment status, history of falls in the past year, and anxiety level.
{"title":"Fear of falling and associated influencing factors in patients on maintenance hemodialysis","authors":"Wenwen Lu, Na Xu, Qiyun Zhuo, Huixian Wang, Bihong Huang, Yanpei Cao","doi":"10.1111/1744-9987.14208","DOIUrl":"https://doi.org/10.1111/1744-9987.14208","url":null,"abstract":"IntroductionThis cross‐sectional study analyzed the fear of falling (FOF) and associated influencing factors in patients undergoing maintenance hemodialysis (MHD).MethodsPatients on MHD (<jats:italic>n</jats:italic> = 131) were assessed using the short Falls Efficacy Scale International, Generalized Anxiety Disorder‐7, Patient Health Questionnaire‐9, Perceived Social Support Scale, and Barthel Index questionnaires.ResultsThe total FOF score was positively correlated with total anxiety and depression scores but negatively correlated with the total score of activities of daily living. There were significant differences in FOF among different age groups, employment status, the use of walkers, living arrangements (living alone), and having a history of falling in the past year. Age, employment status, history of falls in the past year, and anxiety score were significant risk factors for FOF in MHD patients.ConclusionFOF in MHD patients is strongly associated with age, employment status, history of falls in the past year, and anxiety level.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"394 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263111","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":"Enhancing hepatitis C management in ESRD: Evaluating efficacy and safety of alternative antiviral regimens","authors":"Ume Aiman, Umer Bin Shahzad","doi":"10.1111/1744-9987.14209","DOIUrl":"https://doi.org/10.1111/1744-9987.14209","url":null,"abstract":"","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"56 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263112","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":"Therapeutic Apheresis and Dialysis Forthcoming Events October 2024","authors":"","doi":"10.1111/1744-9987.14018","DOIUrl":"https://doi.org/10.1111/1744-9987.14018","url":null,"abstract":"","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"13 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142194670","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":"Therapeutic Apheresis and Dialysis Forthcoming Events August 2024","authors":"","doi":"10.1111/1744-9987.14015","DOIUrl":"https://doi.org/10.1111/1744-9987.14015","url":null,"abstract":"","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"39 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141550431","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}
IntroductionThe study aims to evaluate the validity and reliability of the hemodialysis resilience scale (PHRS) in the Turkish population.MethodsA cross‐sectional methodologic study involved 136 hemodialysis patients at two dialysis centers affiliated with a foundation university in Turkey. The updated guidelines for the Intercultural Scale Adaptation Stages, Language, and Culture Adaptation were followed.ResultsCronbach's α of the PHRS‐Tr was 0.94. A three‐factor structure was extracted, namely “the pursuit of positive meaning in the present,” “building the will to live through close human relationships,” and “acceptance of hemodialysis as a part of daily life” explaining 66.82% of the total variance. Test–retest reliability was conducted with 50 patients within the sample 2 weeks after the first application. The correlation coefficient for test–retest reliability was r = 0.680.ConclusionThe study results indicate that the PHRS‐Tr is a valid and reliable tool for assessing resilience status in Turkish hemodialysis patients.
{"title":"Validity and reliability of the Turkish version of the patient on hemodialysis resilience scale","authors":"Çiğdem Özdemir Eler, Sultan Kav","doi":"10.1111/1744-9987.14138","DOIUrl":"https://doi.org/10.1111/1744-9987.14138","url":null,"abstract":"IntroductionThe study aims to evaluate the validity and reliability of the hemodialysis resilience scale (PHRS) in the Turkish population.MethodsA cross‐sectional methodologic study involved 136 hemodialysis patients at two dialysis centers affiliated with a foundation university in Turkey. The updated guidelines for the Intercultural Scale Adaptation Stages, Language, and Culture Adaptation were followed.ResultsCronbach's α of the PHRS‐Tr was 0.94. A three‐factor structure was extracted, namely “the pursuit of positive meaning in the present,” “building the will to live through close human relationships,” and “acceptance of hemodialysis as a part of daily life” explaining 66.82% of the total variance. Test–retest reliability was conducted with 50 patients within the sample 2 weeks after the first application. The correlation coefficient for test–retest reliability was <jats:italic>r</jats:italic> = 0.680.ConclusionThe study results indicate that the PHRS‐Tr is a valid and reliable tool for assessing resilience status in Turkish hemodialysis patients.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"61 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830825","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}
IntroductionThe objective of the current study was to investigate the association between lower body bone fractures occurring during maintenance hemodialysis and prognosis.MethodsThis study included 151 hemodialysis patients at the dialysis center of our hospital as of December 2017, and data were systematically gathered from medical records over a period of 5 years, concluding in December 2022.ResultsFourteen patients, 3.0 per 100 person‐years, in 151 hemodialysis patients suffered from lower body bone fractures. The ratio of males was significantly lower, and age was significantly higher in the lower body bone fracture group than in the no lower body bone fracture group. Duration of hemodialysis prior to entry into this study was significantly shorter in the lower body bone fracture group than in the no lower body bone fracture group. Serum albumin was significantly lower and alkaline phosphatase was significantly higher in the lower body bone fracture group than in the no lower body bone fracture group. Mortality rate was significantly higher in the lower body bone fracture group (85.7%) compared to no lower body bone fracture group (28.5%) (p = 0.01). Kaplan–Meier survival curves for mortality showed that lower body bone fracture group had poor prognosis compared to no lower body bone fracture group. Multivariable‐adjusted odds ratio for mortality were significantly higher for cases with lower body bone fractures.ConclusionLower body bone fractures have high mortality rates and poor prognosis in the patients with hemodialysis.
{"title":"Lower body bone fractures have high mortality rates and poor prognosis in the patients with hemodialysis","authors":"Kazuhiko Yoshikawa, Takuya Kishi, Ayako Takamori, Akira Kitajima, Taku Goto, Shiki Nakayama, Kohei Yamanouchi, Kuniyasu Takagi, Yoshitaka Hirooka, Kazuma Fujimoto, Naoya Nagata, Ouya Nagata, Fumihiro Kuroki, Nobuyoshi Fukuda, Yuichiro Akiyoshi, Takuaki Yamamoto","doi":"10.1111/1744-9987.14139","DOIUrl":"https://doi.org/10.1111/1744-9987.14139","url":null,"abstract":"IntroductionThe objective of the current study was to investigate the association between lower body bone fractures occurring during maintenance hemodialysis and prognosis.MethodsThis study included 151 hemodialysis patients at the dialysis center of our hospital as of December 2017, and data were systematically gathered from medical records over a period of 5 years, concluding in December 2022.ResultsFourteen patients, 3.0 per 100 person‐years, in 151 hemodialysis patients suffered from lower body bone fractures. The ratio of males was significantly lower, and age was significantly higher in the lower body bone fracture group than in the no lower body bone fracture group. Duration of hemodialysis prior to entry into this study was significantly shorter in the lower body bone fracture group than in the no lower body bone fracture group. Serum albumin was significantly lower and alkaline phosphatase was significantly higher in the lower body bone fracture group than in the no lower body bone fracture group. Mortality rate was significantly higher in the lower body bone fracture group (85.7%) compared to no lower body bone fracture group (28.5%) (<jats:italic>p</jats:italic> = 0.01). Kaplan–Meier survival curves for mortality showed that lower body bone fracture group had poor prognosis compared to no lower body bone fracture group. Multivariable‐adjusted odds ratio for mortality were significantly higher for cases with lower body bone fractures.ConclusionLower body bone fractures have high mortality rates and poor prognosis in the patients with hemodialysis.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"86 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140841949","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}
IntroductionHemodialysis (HD) patients have become a serious public health problem, the number of which is increasing every year worldwide. This study aimed to determine the relationship between satisfaction with life, dietary attitude, and comfort level in patients receiving HD treatment.MethodsThis research was conducted in a relational cross‐sectional descriptive design. The research was conducted with 174 patients (85% of the population) receiving HD treatment between March 20 and September 30, 2023. In the study, hierarchical regression analysis was performed with SPSS 25.0. Machine learning analysis and prediction were performed using R programming language, version 4.1.3.ResultsThe model used to determine the factors affecting satisfaction with life was significant and usable (F(2,171) = 25.855, p = 0.001). Attitudes of HD patients toward dietary therapy and their HD comfort levels together explained 22.3% of the total variance of satisfaction with life. In the regression model, according to the results of the t‐test regarding the significance of the regression coefficient, the increase in the HD comfort levels of the participants (t = 2.668, p = 0.008) and the increase in the attitude of the HD patients toward dietary therapy (t = 5.897, p = 0.001) caused a statistical increase in “satisfaction with life.” According to Shapley values, the most important variable in the prediction of satisfaction with life variable is attitude for the dietary attitude.ConclusionIt was determined that the increase in the comfort levels of HD patients and their positive dietary attitudes increased satisfaction with life. It is recommended to provide education to increase patients' diet attitudes and comfort levels.
{"title":"The relationship between satisfaction with life, dietary attitude, and comfort level in hemodialysis patients: Analysis with machine learning approach","authors":"Necmettin Çiftci, Metin Yıldız, Zeynep Yildirim","doi":"10.1111/1744-9987.14136","DOIUrl":"https://doi.org/10.1111/1744-9987.14136","url":null,"abstract":"IntroductionHemodialysis (HD) patients have become a serious public health problem, the number of which is increasing every year worldwide. This study aimed to determine the relationship between satisfaction with life, dietary attitude, and comfort level in patients receiving HD treatment.MethodsThis research was conducted in a relational cross‐sectional descriptive design. The research was conducted with 174 patients (85% of the population) receiving HD treatment between March 20 and September 30, 2023. In the study, hierarchical regression analysis was performed with SPSS 25.0. Machine learning analysis and prediction were performed using R programming language, version 4.1.3.ResultsThe model used to determine the factors affecting satisfaction with life was significant and usable (<jats:italic>F</jats:italic>(2,171) = 25.855, <jats:italic>p</jats:italic> = 0.001). Attitudes of HD patients toward dietary therapy and their HD comfort levels together explained 22.3% of the total variance of satisfaction with life. In the regression model, according to the results of the <jats:italic>t</jats:italic>‐test regarding the significance of the regression coefficient, the increase in the HD comfort levels of the participants (<jats:italic>t</jats:italic> = 2.668, <jats:italic>p</jats:italic> = 0.008) and the increase in the attitude of the HD patients toward dietary therapy (<jats:italic>t</jats:italic> = 5.897, <jats:italic>p</jats:italic> = 0.001) caused a statistical increase in “satisfaction with life.” According to Shapley values, the most important variable in the prediction of satisfaction with life variable is attitude for the dietary attitude.ConclusionIt was determined that the increase in the comfort levels of HD patients and their positive dietary attitudes increased satisfaction with life. It is recommended to provide education to increase patients' diet attitudes and comfort levels.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"84 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140831064","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}
Vasileios Anastasiou, Marieta P. Theodorakopoulou, Vasileios Kamperidis, Stylianos Daios, Konstantinos Tsilonis, Maria‐Eleni Alexandrou, Dimitrios V. Moysidis, Afroditi Boutou, George Giannakoulas, Antonios Ziakas, Pantelis Sarafidis
IntroductionThe aim of this study was to investigate changes in echocardiographic right ventricular (RV) indices in relation to the degree of fluid accumulation between hemodialysis sessions, evaluated according to the recommended threshold of interdialytic‐weight‐gain corrected for dry weight (IDWG%).MethodsA post‐hoc analysis was performed using data from 41 maintenance hemodialysis patients. Patients were divided into a higher (>4.5%) and a lower (<4.5%) IDWG% group and underwent an echocardiographic assessment at the start and the end of the 3‐day and the 2‐day interdialytic interval.ResultsRV systolic pressure (RVSP) increments were more pronounced in the higher compared to the lower IDWG% group (16.43 ± 5.37 vs. 14.11 ± 13.38 mm Hg respectively, p = 0.015) over the 3‐day interval, while changes in RV filling pressures, did not differ significantly between the groups (p = 0.84).ConclusionsDuring the 3‐day interdialytic interval, pulmonary circulation is particularly overloaded in patients with fluid accumulation higher than the recommended thresholds, as evidenced by higher RVSP elevations.
{"title":"Changes in right ventricular dimensions, function, and pulmonary circulation loading according to the degree of interdialytic weight gain in maintenance hemodialysis patients","authors":"Vasileios Anastasiou, Marieta P. Theodorakopoulou, Vasileios Kamperidis, Stylianos Daios, Konstantinos Tsilonis, Maria‐Eleni Alexandrou, Dimitrios V. Moysidis, Afroditi Boutou, George Giannakoulas, Antonios Ziakas, Pantelis Sarafidis","doi":"10.1111/1744-9987.14135","DOIUrl":"https://doi.org/10.1111/1744-9987.14135","url":null,"abstract":"IntroductionThe aim of this study was to investigate changes in echocardiographic right ventricular (RV) indices in relation to the degree of fluid accumulation between hemodialysis sessions, evaluated according to the recommended threshold of interdialytic‐weight‐gain corrected for dry weight (IDWG%).MethodsA post‐hoc analysis was performed using data from 41 maintenance hemodialysis patients. Patients were divided into a higher (>4.5%) and a lower (<4.5%) IDWG% group and underwent an echocardiographic assessment at the start and the end of the 3‐day and the 2‐day interdialytic interval.ResultsRV systolic pressure (RVSP) increments were more pronounced in the higher compared to the lower IDWG% group (16.43 ± 5.37 vs. 14.11 ± 13.38 mm Hg respectively, <jats:italic>p</jats:italic> = 0.015) over the 3‐day interval, while changes in RV filling pressures, did not differ significantly between the groups (<jats:italic>p</jats:italic> = 0.84).ConclusionsDuring the 3‐day interdialytic interval, pulmonary circulation is particularly overloaded in patients with fluid accumulation higher than the recommended thresholds, as evidenced by higher RVSP elevations.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"96 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830820","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":"Therapeutic Apheresis and Dialysis Forthcoming Events June 2024","authors":"","doi":"10.1111/1744-9987.14012","DOIUrl":"https://doi.org/10.1111/1744-9987.14012","url":null,"abstract":"","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":"40 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830822","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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