جستجوی مقالات مرتبط با کلیدواژه « بیماران همودیالیز » در نشریات گروه « پزشکی »

Kidney diseases are one of the physical diseasesthat make a person and his lifestyle face various problemsthat unintentionally involve their families and requiretheir special care, which can affect the mental state of thecaregiver. to damage The aim of this study was tocompare the effectiveness of family resilience trainingwith cognitive-spiritual hope training on compassionfatigue and distress tolerance in caregivers of kidneypatients undergoing hemodialysis.

The research method was anexperimental type with two experimental and controlgroups with a pre-test and post-test design and a 45-dayfollow-up. Research 60 caregivers were selected throughavailable sampling and were randomly divided into threegroups of 20 people, the people participating in theresearch in three stages to the compassion fatiguequestionnaire (Khosravi et al., 2021) and Simmonsquestionnaire. and Gaher (2005) answered, the collecteddata were analyzed at two levels of descriptive statistics(mean and standard deviation) and inferential variancestatistics with repeated measurements and Bonferroni'spost hoc test. SPSS version 24 software was used for dataanalysis.

Data analysis showed that teaching hope in acognitive-spiritual way on compassion fatigue (F = 16.75,P < 0.01) and distress tolerance (F = 6.86, P < 0.01) hashad a significant impact and there was no significantdifference in terms of effectiveness.

According to the findings of the presentstudy, it is possible to use cognitive-spiritual hopetraining and family resilience training to reducecompassion fatigue and increase distress tolerance incaregivers of kidney patients undergoing hemodialysis.

Kidney disease causes many physical and mental problems for the patient and reduces the quality of life of these people. The aim of the present study was to compare the effectiveness of acceptance and commitment therapy and process emotion regulation training in quality of life of hemodialysis patients.

The statistical population of this semi-experimental study with pretest-post-test-fallow up design were all hemodialysis patients who referred to Loghman Hospital in Tehran in 2019. Among them the patients who were willing and qualified to participate in the study were selected in convenience and then randomly assigned to experimental and control groups (15 persons in the first experimental group, 15 persons in the second experimental group and 15 persons in waiting list control group). The research instrument was the quality of life questionnaire of Hayes et al. (2003). Research data were analyzed using mixed analysis of variance test.

The results of data analysis showed that treatment based on acceptance and commitment and process emotion regulation training in the participants of the experimental groups compared to the control group had a significant effect on improving the quality of life of hemodialysis patients (p <0.05). Also, the effectiveness of acceptance and commitment therapy was higher on patientschr(chr('39')39chr('39')) quality of life (p <0.05).

Acceptance and commitment therapy and process emotion regulation training is effective on improving the quality of life of hemodialysis patients by increasing behavior control and the desire to experience a range of emotions.

Nowadays, chronic kidney disease (CKD) is known as an epidemic disease all around the world. Chronic kidney disease considered as a serious health problem with numerous side effects, including complications progressive in reducing glomerular filtration rate (GFR), imbalances in the homeostasis of the body and decreased quality of life and finally an increase in mortality due to cardiovascular problems. End-stage renal disease leads to hypocalcemia and hyperphosphatemia, that as a result of, parathyroid hormone (PTH) will increased that secondary hyperparathyroidism will occurred eventually. So it is essential to routine examination of electrolytes in these patients. The current study have been done to determine the electrolytes in saliva as a non-invasive sample in hemodialysis patients in order to the saliva to be presented as an appropriate samples for clinical laboratories.
In the present case-control study that has been performed at Imam Ali Hospital, Bojnord, North Khorasan Province, Iran, in the summer of 2016, 44 hemodialysis patients and 44 aged, gender and body mass index (BMI) matched healthy controls were selected and then their cell count, Hb, HCT, iron, ferritin, total iron binding capacity (TIBC), glucose, CRP, triglycerides, cholesterol, urea, creatinine, calcium, phosphorus, potassium and PTH were measured.
Calcium and phosphorus were higher in hemodialysis patients in comparison to the control group. Furthermore, there are not any significant relationship between levels of calcium, phosphorus and potassium in both serum and saliva samples. In addition, we observed the positive relationship between PTH in serum as well as phosphorus and potassium in the saliva.
The findings of current study have been shown that salivary levels of calcium and phosphorus in hemodialysis patients is higher than healthy people, therefor could be a non- invasive suitable marker for diagnosis. In addition, blood PTH levels in hemodialysis patients is associated with salivary levels of phosphorus and potassium, so, perhaps these parameters marked PTH's representative in the blood with further investigation of saliva’s electrolytes.

Kidney disease is one of the most common diseases in people that leads to emotional problems such as stress, anxiety and depression. The purpose of this study was to predict of the amount of depression, anxiety and stress based on spiritual components in hemodialysis patients in Ilam province.
In this research, which was carried out with the correlation method, 150 hemodialysis patients were selected and then subjected to the study by means of available sampling. Three questionnaires regarding depression, anxiety, stress, prayer and spiritual health were used as a means of data collection. In this research, dimensions of prayer and spiritual health were considered as a predictors and emotional components were considered as a dependent variable. The data were analyzed by R Pearson correlation coefficient and multiple regressions analyzes.
The results of the study revealed that there are significant negative relationships between all dimensions of prayer and depression and stress, while there are also significant negative relationships between a dimensions of prayer except pray frequency and anxiety (P Spiritual components are correlative with patient's emotional component. Thus, religious beliefs can be used to improve hemodialysis patients’ health.

Background and Kidney failure reduces the kidney function and in long term it leads to chronic kidney disease. One of the main complications of this disease is irreversible damage to the kidneys (end-stage kidney disease) and hemodialysis is the main method used to treat advanced kidney failure. The main problem associated with hemodialysis is treating anemia caused by lack of erythropoietin secretion in kidney which is usually treated by synthetic erythropoietin. On the other hand, choosing the right dosage of erythropoietin is important because it is expensive and could have some complications. This research aimed at predicting the dosage of erythropoietin and identifying affecting factors. Data was collected from a dialysis center in Tehran and data mining methods were used. The input variables were measured in the past 6 months of treating patients with erythropoietin. The sequential data was then converted to the bag of features (BOF) format. Then support vector machines and random forest were applied on the BOF to predict the erythropoietin dosage. The amount of medication in previous months was found to be an important factor in determining the appropriate dosage of erythropoietin for the next month. In optimal condition, random forest and SVM could predict the erythropoietin dosage with an average accuracy of 90% and 79%, respectively. This study identified the factors influencing the treatment and control of anemia in hemodialysis patients. These results could be of great benefit in prescribing the proper dosage of erythropoietin, and reducing the treatment cost and duration. Moreover, it helps to prevent the complications caused by excessive use of erythropoietin such as increase in hemoglobin level.

Fetuin-A is a circulating protein and a powerful circulating inhibitor of vascular calcification. It has been shown that Fetuin–A interactions with vascular vitamin D receptors may be an important key in preventing renal calcification. The aim of the present study was evaluating the levels of vitamin D (Vit D), intact Parathormone hormone(iPTH) and their relationship with that of Fetuin-A as the main factor involved in vascular calcification in patients suffering from heart diseases (HD). The serum levels of iPTH, Fetuin-A, 25OH vitamin D, calcium, and phosphorus were determined in forty six hemodialysis (28 men and 18 women) and fort three age and sex matched control subjects (20 men and 23 women) by enzyme-linked immunosorbent assay and spectrophotometric methods. In HD patients Fetuin-A and Vit D levels were significantly lower than the healthy controls (p = 0.004 and p=0.002 respectively). Serum iPTH and phosphorus concentrations were higher in HD patients compared to the healthy control group (p<0.001 both of them). Women hemodialysis patients were detected to have significantly lower Vit D and higher serum iPTH levels in comparison with HD men (p<0.05 all the cases). Our findings suggest a lower levels of Fetuin-A, vitamin D and higher levels of iPTH may increase susptibility of atherosclerosis in patients with HD.

Aim and This study was aimed to determine the relationship between positive psychological variables (hope and spirituality) psychopathology (depression، stress، anxiety) and quality of life in hemodialysis patients in Isfahan''s Ali Asghar Hospitals. Methods and Materials: This study was a descriptive one، and its population was all Hemodialysis patients in Ali Asghar Hospital. The participants in this study were 96 Hemodialysis patients. They were selected by a simple random sampling method. The survey tools included demographic questions، (SF-36) quality of life، life expectancy، (DASS) depression، stress، anxiety and spirituality questionnaire. Mean and standard deviation were used to analyze the data and for hypothesis testing the Pearson correlation and simultaneous regression analysis were used. There was a significant relationship between positive psychological variables (hope and spirituality) and psychopathology (depression، stress، anxiety) with quality of life in hemodialysis patients. In other words، participants with higher scores on (spirituality and hope) had a better quality of life، and those who higher score on DASS had a lower quality of life (p<0. 05). These finding indicated that: There was a significant relationship between quality of life and spirituality in hemodialysis patients (p<0. 05). There was a significant relationship between quality of life and hope in hemodialysis patients (p<0. 05). There was a significant relationship between quality of life and (stress، depression and anxiety) in hemodialysis patients (p<0. 001). These finding indicated that quality of life in Hemodialysis patients can be predicted by hope and (stress، depression، anxiety)

Sever daily sleepiness is one of the problems of patient with chronic renal failure. There are evidences indicating different sleep pathology in patients undergoing hemodialysis. This study was conducted to evaluate the effect of applying continuous monitoring model on sleepiness of hemodialysis patients in Shahinshahr/ Isfahan. This semi-experimental study was performed on 40 hemodialysis patients. Data gathering was done by Epwort Questionnaire. The questionnaire was used twice before the intervention with the interval of one month. The applied model contained four steps: orientation، sensitization، control and evaluation. Patients were divided into five groups and 4-6 training sessions during three weeks were held for each group and during the remained 9 weeks، consultations for continuous sleep monitoring، control and evaluation were performed. The questionnaire was filled out immediately after the intervention and one month later. Data were analyzed through SPSS 15 through descriptive and analytic statistics. The study findings revealed that mean score of sleepiness before intervention was 11/06 (± 3/32). Therefore، after intervention it increased significantly to 5. 54 (± 2/85) (P=0/0001). The percentage of sleepiness before the intervention was 74/4 that decreased significantly to 38/8 % (p = 0/0001). Using continuous care model as an ethnic model can reduce many problems of patients. It is recommended to study monitoring model more elaborately in order to utilize it on other hemodialysis patients.

Hemodialysis patients are at risk for infection with hepatitis B virus; so, hepatitis B vaccination is critical in these patients. Different methods are used to improve immunity of hemodialysis patients with different and controversial results. The aim of this study was to compare the effect of hepatitis B vaccination by itradermal low dose versus intramuscular high dose vaccines in hemodialysis patients’ short- and long-time follow-up. In a cross-sectional study, 24 hemodialysis patients not responded to conventional method of vaccination, were enrolled to intramuscular or intradermal groups randomly. The antibody titer was checked after 1 and 3 months of the end of vaccination. In 16 remaining patients, antibody titer was rechecked also after 14 and 20 months. In studied patients, the mean HBS antibody titer was 4.4 ± 3.1 mu/ml at the beginning of study; and 190.4 ± 59 and 223.3 ± 83.9 mu/ml after 1 and 3 months follow-up, respectively (P < 0.001). In remaining patients, the mean antibody titer after 14 and 20 months follow-up was 144 ± 164.2 and 45.2 ± 34 mu/ml, respectively (P < 0.001). Response to vaccination at short time in two groups was very good but after 14 months, the antibody titer decreased and the decline of antibody titer continued until 20 months.

Hemodialysis patient's health depends on adherence to treatment recommendations. Non-adherence to treatment is directly associated with worse clinical outcomes. This study was designed to determine the association of between treatment adherence behaviors among maintenance hemodialysis patients and depression, perceived social support, self efficacy, and patient's interaction with medical service providers based on social cognitive theory. This cross-sectional study used proportional random sampling to select 160 maintenance hemodialysis patients in Isfahan. Data was gathered by Beck depression questionnaire, Multidimensional Scale of Perceived Social Support (MSPSS), Strategies Used by Patients to Promote Health (SUPPH) questionnaire, Patient Reactions Assessment questionnaire, and the End-Stage Renal Disease Adherence Questionnaire. The data were analyzed using descriptive and correlation statistics. Our findings showed that 60.06% of the participants were male. Their average age was 51.95 ± 15.04 and mean of total scores of treatment adherence behaviors was 861.48 ± 201.64 (range: 0-1200). There was not any significant relationship between the studied factors treatment adherence behaviors. However, behavioral sub-scales were significantly related with the studied factors (P < 0.05). Furthermore, all factors had significant relationships with scores of perception about the importance of behaviors (P < 0.001). Demographics, including age, sex, and marital status, were also related with treatment adherence behavior scale and sub-scale (P < 0.05). Based on the results, social-psycological factors affect treatment adherence behaviors as a mediator of perceptions. Therefore, they have to be considered in future theory-based interventions and studies.