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The Effect of Dialysis Shift on Depression and Sleep Disturbances in Patients on Chronic Hemodialysis 透析移位对慢性血液透析患者抑郁和睡眠障碍的影响
4区 医学 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.37526/1526-744x.2023.50.4.293
Margaret E Clark, Zorica Kauric-Klein
Studies suggest that the hemodialysis (HD) shift on which a patient dialyzes impacts sleep disorders, depressive symptoms, quality of life, and mortality. However, study findings have been limited and inconsistent. The purpose of this project was to determine the relationship between HD shifts (morning, afternoon, and evening), and depression and sleep quality disturbance. Forty-one participants were recruited to participate in this project. Participants on the third shift had the highest levels of depression (M = 11.67) and poorest sleep quality (M = 14.5), compared to those who dialyzed on the first shift, who had the best sleep quality scores (M = 8.31; p = 0.013) and depression scores (M = 4.25). A significant positive correlation was observed between depression and sleep quality scores (r = 0.64; p < 0.001). Results indicate the HD shift can play a significant role in sleep disturbances and depression in patients on HD. Further studies need to be conducted to validate these findings.
研究表明,患者透析时血液透析(HD)的转变会影响睡眠障碍、抑郁症状、生活质量和死亡率。然而,研究结果是有限的和不一致的。本研究的目的是确定HD轮班(上午、下午和晚上)与抑郁和睡眠质量障碍之间的关系。招募了41名参与者参与该项目。与第一轮班透析的参与者相比,第三轮班的参与者抑郁程度最高(M = 11.67),睡眠质量最差(M = 14.5),他们的睡眠质量得分最高(M = 8.31;p = 0.013)和抑郁评分(M = 4.25)。抑郁与睡眠质量评分呈显著正相关(r = 0.64;P < 0.001)。结果表明,HD移位可能在HD患者的睡眠障碍和抑郁中起重要作用。需要进行进一步的研究来验证这些发现。
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引用次数: 0
President’s Message: Nephrology Nurses Caring for Themselves 总统致辞:肾脏科护士照顾自己
4区 医学 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.37526/1526-744x.2023.50.4.281
Jennifer Payton
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引用次数: 0
From the Editor-in-Chief: Solving the Nurse and Physician Shortages Requires 主编:解决护士和医生短缺的需要
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.37526/1526-744x.2023.50.3.193
B. Ulrich
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引用次数: 0
Influence of Care on the Prevention of Bacteremia in Hemodialysis: Systematic Review 护理对血液透析患者预防菌血症的影响:系统综述
4区 医学 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.37526/1526-744x.2023.50.4.333
Veronica Gimeno-Hernan, Guillermo Moreno-Munoz, Alfonso Meneses-Monroy, Araceli Faraldo-Cabana, Elena Orgaz-Rivas, Ignacio Zaragoza-Garcia, Ismael Ortuno-Soriano
Central venous catheter-related infection is the most common complication in patients on hemodialysis. Nursing care is essential for its maintenance, minimizing risk factors, and avoiding complications, such as bacteremia. A systematic review was conducted to identify the influence of nursing care on the prevention of bacteremia due to hemodialysis catheter. The primary endpoint was the bacteremia rate measured as number of events per 1000 catheter days. The rate of bacteremia in the studies ranged from 0.2 to 5.47 events per 1000 catheter days after the application of nursing care. Several studies have shown a significant reduction in central venous catheter bacteremia with the application of management protocols, appropriate vigilance, and monitoring, as well as the inclusion of the Plan Do Check Act cycle and education.
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引用次数: 0
NNJ Journal Club: Transplantation and Dialysis Vintage 《移植与透析》杂志
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.37526/1526-744x.2023.50.1.67
L. Wright
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引用次数: 0
NNJ Journal Club: Race, Ethnicity, and Diabetes Screening NNJ杂志俱乐部:种族,民族和糖尿病筛查
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.37526/1526-744x.2022.49.4.379
L. Wright
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引用次数: 0
The Effect of a Yoga Intervention on Physical and Psychological Outcomes in Patients on Chronic Hemodialysis 瑜伽干预对慢性血液透析患者生理和心理结局的影响
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.37526/1526-744x.2022.49.4.335
Zorica Kauric Klein
Studies have found that yoga may be beneficial to patients with chronic diseases by improving physical functioning, cardiovascular risk factors, and mood disorders. To date, minimal research has been conducted on the benefits of yoga in patients on chronic hemodialysis. Yoga utilizes postures, breathing, and meditation to help focus the mind and engage the body in low-to-moderate physical activity. The purpose of this pilot study was to determine the feasibility of conducting a chair yoga study and compare the effects of a four-week chair yoga intervention on psychological and physiological outcomes in a sample of 31 patients on chronic hemodialysis. At study completion, the chair yoga group had significantly lower depression and anxiety scores, and diastolic blood pressure than the standard care group. This study demonstrated the difficulty in recruiting participants for yoga studies. Future studies with larger sample sizes and over longer durations of time should be conducted to further validate findings. In addition, further exploration of interventions to promote motivation in this population to participate in similar low-intensity exercises needs to be conducted.
研究发现,瑜伽可能对慢性疾病患者有益,可以改善身体机能、心血管风险因素和情绪障碍。迄今为止,关于瑜伽对慢性血液透析患者的益处的研究很少。瑜伽利用姿势、呼吸和冥想来帮助集中注意力,让身体参与到低到中度的身体活动中。本初步研究的目的是确定进行椅子瑜伽研究的可行性,并比较为期四周的椅子瑜伽干预对31例慢性血液透析患者心理和生理结果的影响。在研究结束时,椅子瑜伽组的抑郁和焦虑评分以及舒张压明显低于标准护理组。这项研究证明了招募瑜伽研究参与者的困难。未来应该进行更大样本量和更长时间的研究,以进一步验证研究结果。此外,还需要进一步探索干预措施,以促进这一人群参与类似低强度运动的动机。
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引用次数: 0
From the Editor-in-Chief - National Plan for Health Workforce Well-Being 来自主编——国家卫生工作者福利计划
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.37526/1526-744x.2022.49.5.393
B. Ulrich
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引用次数: 0
From the Editor-in-Chief - The Health of Nurse Work Environments Affects the Health of Patients and Nurses 来自主编-护士的健康工作环境影响病人和护士的健康
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.37526/1526-744x.2022.49.4.309
B. Ulrich
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引用次数: 0
NNJ Journal Club: Health Literacy and Listing for Kidney Transplant NNJ杂志俱乐部:肾脏移植的健康素养和清单
IF 0.9 4区 医学 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.37526/1526-744x.2022.49.5.457
L. Wright
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引用次数: 0
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