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An Intervention to Reduce Sedentary Behavior in Adults with Chronic Kidney Disease: A Feasibility Study. 减少慢性肾病成人久坐行为的干预措施:可行性研究
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-03-01
Mary F Hannan, Arissara Sawatpanich, Emily Kringle, Eleanor Rivera, Ardith Z Doorenbos, James P Lash

Adults with chronic kidney disease (CKD) tend to be extremely sedentary. We investigated the feasibility and acceptability of a sedentary-reducing intervention for adults with CKD. The intervention utilized telephone-delivered coaching and a consumer wearable device to support participants to reduce their sedentary time. The mean age of participants in the sample was 60.5 years; 72% were women, and 83% had CKD Stage 3. At baseline, participants spent 73% of their waking time sedentary. Inter vention phone call attendance was 100%, study retention was 82%, and the intervention was rated as enjoyable (9.1/10). A telephone-delivered, sedentary-reducing intervention is feasible and acceptable in adults with CKD. Future work is needed investigating the efficacy of sedentary-reducing interventions for adults with CKD.

患有慢性肾脏病(CKD)的成年人往往久坐不动。我们研究了为患有慢性肾脏病的成年人提供减少久坐干预的可行性和可接受性。该干预措施利用电话指导和消费者可穿戴设备来帮助参与者减少久坐时间。样本参与者的平均年龄为 60.5 岁,72% 为女性,83% 为慢性肾脏病 3 期患者。基线时,参与者 73% 的清醒时间都是久坐不动。干预电话出席率为 100%,研究保留率为 82%,干预被评为令人愉快的(9.1/10)。对于患有慢性肾脏病的成年人来说,通过电话进行减少久坐的干预是可行的,也是可以接受的。今后还需要对慢性肾脏病成人患者减少久坐干预的效果进行研究。
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引用次数: 0
My Volunteer Journey. 我的志愿之旅
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-03-01
Jennifer Payton
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引用次数: 0
NNJ Journal Club: Patient Outcomes and Length of Stay Following Kidney Transplant. 新泽西州期刊俱乐部:肾移植后的患者疗效和住院时间。
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-03-01
Linda S Wright
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引用次数: 0
Nursing - The Most Trusted Profession. 护理 - 最值得信赖的职业。
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-01-01
Nancy Colobong Smith
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引用次数: 0
Improving Chronic Kidney Disease Risk Factor Screening Among Older Adults: A Quality Improvement Project. 改善老年人慢性肾病危险因素筛查:质量改进项目。
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-01-01
Alexandria Ballard-Sims, Umeika Stephens, Susan Wiers

Evidence-based screening tools and guidelines for chronic kidney disease (CKD) are inconsistently utilized in primary care. A quality improvement (QI) project evaluated the impact of a CKD education workshop for interprofessional clinical staff and the implementation of the Screening for Occult Renal Disease (SCORED) risk assessment tool to improve identification of patients at risk for CKD in a primary care clinic. Results of the SCORED risk assessment indicated 92% of patient participants were at high risk for CKD. Overall, the SCORED risk assessment reinforced CKD risk factor knowledge among health care professionals.

慢性肾脏病(CKD)的循证筛查工具和指南在初级医疗保健中的应用并不一致。一项质量改进(QI)项目评估了为跨专业临床人员举办的慢性肾脏病教育研讨会和隐匿性肾脏病筛查(SCORED)风险评估工具的实施对提高初级保健诊所识别慢性肾脏病高危患者能力的影响。SCORED 风险评估结果表明,92% 的患者属于慢性肾脏病高危人群。总体而言,SCORED 风险评估加强了医护人员对慢性肾脏病风险因素的了解。
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引用次数: 0
ANNA - 55 Years of Improving the Quality of Patient Care. ANNA - 提高病人护理质量 55 年。
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-01-01
Beth Ulrich
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引用次数: 0
Prevalence of Cognitive Impairment and Relationships with Other Factors in Patients with End Stage Kidney Disease Receiving Hemodialysis. 接受血液透析的终末期肾病患者认知障碍的发生率及其与其他因素的关系。
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-01-01
Maureen Metzger, Souad Benloukil, Binu Sharma, Emaad M Abdel-Rahman

Despite recommendations, cognitive screening in patients with end stage kidney disease (ESKD) rarely happens, leading to underestimates of cognitive impairment (CI) prevalence and missed opportunities for intervention. We aimed to describe CI prevalence and associated factors in 100 patients receiving in-center hemodialysis aged 50 years and older. Cognitive function was measured using the Montreal Cognitive Assessment (MoCA). Descriptive analysis techniques characterized the sample and estimated mean scores. Non-parametric and parametric tests explored relationships among MoCA scores and other patient factors. Of the 100 patients, 32% had normal cognitive function, 56% mild CI, and 12% moderate CI. Age, income, and education level significantly corelated with cognitive function in our sample. Identifying clinical factors and appropriate follow up for abnormal screening are crucial next steps in managing cognitive impairment in patients with ESKD receiving in-center hemodialysis.

尽管有相关建议,但很少对终末期肾病(ESKD)患者进行认知筛查,导致认知障碍(CI)患病率被低估,错过了干预机会。我们的目的是描述 100 名 50 岁及以上接受中心血液透析患者的认知障碍发生率和相关因素。认知功能采用蒙特利尔认知评估(MoCA)进行测量。描述性分析技术描述了样本的特征并估算了平均得分。非参数和参数测试探讨了 MoCA 分数与其他患者因素之间的关系。在 100 名患者中,32% 认知功能正常,56% 轻度 CI,12% 中度 CI。在我们的样本中,年龄、收入和教育水平与认知功能有明显的核心关系。识别临床因素和对异常筛查进行适当的随访是管理接受中心内血液透析的 ESKD 患者认知功能障碍的关键步骤。
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引用次数: 0
The Current State of Kidney Supportive Care in Nephrology Nursing Practice: A Literature Review. 肾脏科护理实践中肾脏支持性护理的现状:文献综述。
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-01-01
Jovina Concepcion Bachynski, Lenora Duhn, Idevania G Costa, Pilar Camargo-Plazas

Kidney disease is associated with a high physical and psychological symptom burden. For patients whose condition is more compromised, receiving dialysis as a life-sustaining therapy may not improve longevity or quality of life. Palliative care for patients with kidney disease (also termed kidney supportive care [KSC]) is appropriate for this patient population. Nephrology nurses working in dialysis are well positioned to talk with patients about what patients perceive constitutes a meaningful life or death. A literature review was undertaken to find evidence about if and how nephrology nurses engage in KSC with patients receiving dialysis. Based on the 29 articles included in this review, the overarching finding was nephrology nurses working in dialysis are not routinely engaging in KSC. Reasons for this are varied and warrant further investigation.

肾脏疾病给患者带来了沉重的身体和心理症状负担。对于病情较重的患者来说,接受透析作为维持生命的疗法可能无法延长寿命或提高生活质量。肾病患者姑息治疗(也称为肾脏支持治疗 [KSC])适合这类患者。从事透析工作的肾内科护士完全有能力与患者讨论患者所认为的有意义的生死。我们进行了文献综述,以寻找有关肾内科护士是否以及如何与透析患者进行 KSC 交流的证据。根据该综述所包含的 29 篇文章,总的结论是从事透析工作的肾脏内科护士并不经常参与 KSC。原因多种多样,值得进一步研究。
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引用次数: 0
ANNA - Celebrating 55 Years! ANNA - 庆祝 55 周年!
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2024-01-01
Jennifer Payton
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引用次数: 0
Patient Activation and Quality of Life in Patients with Rare Kidney Disease 患有罕见肾病
IF 0.8 4区 医学 Q4 NURSING Pub Date : 2024-01-01
Kristen Hood, Michelle L Johnson, Erin Dy, Jeff Schwehm, Jay Jeffries

Chronic kidney disease (CKD) affects more than 35 million people in the United States, many of whom are undiagnosed. Included in this number are individuals with many types of rare kidney diseases, affecting 20,000 to 200,000 individuals nationwide. There is a major need to educate these individuals on the disease and its progression, especially since many individuals are not aware they have the disease. Descriptive correlational research was conducted in a nationwide sample of adult individuals living with rare glomerular kidney disease. Patient activation and quality of life were the concepts studied across the five CKD stages. New findings included statistically significant differences between participants' self-reported mental health quality of life and CKD Stage 1, with CKD Stages 4 and 5 in the rare kidney disease population. Nurses are essential for educating and supporting patients with rare kidney disease to preserve kidney function and slow disease progression.

美国有 3500 多万人患有慢性肾脏病 (CKD),其中许多人未经诊断。其中包括患有多种罕见肾脏疾病的患者,这些患者在全国范围内有 2 万到 20 万人。我们亟需对这些人进行有关疾病及其进展的教育,尤其是因为许多人并不知道自己患有这种疾病。我们在全国范围内抽样调查了患有罕见肾小球肾病的成年患者,并进行了描述性相关研究。患者的积极性和生活质量是研究 CKD 五个阶段的概念。新发现包括参与者自我报告的心理健康生活质量与罕见肾病人群中的 CKD 1 期、CKD 4 期和 5 期之间存在统计学意义上的显著差异。护士在教育和支持罕见肾病患者保护肾功能和减缓疾病进展方面至关重要。
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引用次数: 0
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Nephrology Nursing Journal
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