Academic literature on the topic 'Chronic renal failure Patients Family relationships'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Chronic renal failure Patients Family relationships.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Journal articles on the topic "Chronic renal failure Patients Family relationships"
1
Darsini, Darsini. "Dukungan Keluarga Dengan Tingkat Depresi Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa (Studi Korelasi Di Rumah Sakit Gatoel Mojokerto)." Jurnal Ilmu Kesehatan 4, no. 2 (June 14, 2017): 1. http://dx.doi.org/10.32831/jik.v4i2.83.
Full textAbstract:
Depression is a psychological effect that is common in patients with chronic health problems such as ESRD (End Stage Renal Disease). Depression is often associated with increased morbidity of the disease. The results of preliminary studies that the researchers did found that 85 of patients with chronic renal failure undergoing regular hemodialysis at Gatoel Hospital Mojokerto depressed. Strong support system can speed up recovery of depressive episodes. The purpose of this study to determine the relationship of family support with levels of depression chronic renal failure patients undergoing hemodialysis. The research is to the type of research corellation. The population in this study were patients with chronic renal failure undergoing hemodialysis at Gatoel Hospital Mojokerto by the number of samples taken by 30 respondents with technique thst is consecutive sampling. The results showed that the majority (90%) patients with chronic renal failure undergoing hemodialysis were depressed with the largest proportion is mild and moderate depression (40%). Judging from the absence of family support is known that most of the 53% get enaugh family support. Spearman Rank Test results of the analysis results obtained p = 0,020 ; α = 0,05, so Ha is received it means there is a relationships of family support with levels of depression chronic renal failure patients undergoing hemodialysis at Gatoel Hospital Mojokerto. Family support is an important form of support system for patients who are depressed. Family support appropriate and as required improved the lives an improve quality of live. Families can always be expected to provide support so that patients can develop coping mechanism and problem solving are effective. Keywords : Family Support, Depression, GGK, Hemodialysis
2
Dessy, Diyan Ajeng,. "HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KEPATUHAN PASIEN HEMODIALISA TERHADAP TERAPI GAGAL GINJAL DI RSUD BLAMBANGAN BANYUWANGI." JURNAL ILMIAH FARMASI AKADEMI FARMASI JEMBER 1, no. 1 (January 27, 2021): 21–26. http://dx.doi.org/10.53864/jifakfar.v1i1.7.
Full textAbstract:
Chronic Renal Failure (CRF) is a chronic disorder of renal function is progressive and irreversible. In which the body fails to maintain metabolic and fluid and electrolyte balance, causing uremia and could eventually cause a disruption in the body's immune system. According Raharjo (1996) and Lopez (2006), the estimated number of patients with chronic renal failure continues to increase and the estimated growth of about 10% every year.This research design was a descriptive cross sectional study. Have done a study of 55 patients with chronic renal failure who had been treated at the Hospital Medicine at Blambangan, Banyuwangi in 2014 patient data information obtained from the patient visit checklist. This study was to determine the relationship of family support with chronic renal failure patient adherence to therapy in poly Haemodialysis Haemodialysis in hospital Blambangan, Banyuwangi in 2014.Research was obtained as many as 15 people (27.28%) patients with chronic renal failure aged 25-30 years, and 17 (30.9%) aged 41-50 years with a self-employed job and most of the heavy labor. Researchers hope that the hospitals can provide direction Blambangan Banyuwangi, in-depth knowledge about chronic kidney disease to patients and families of patients so that the family can fully support patient compliance in taking medication and undergoing therapy in a timely and appropriate.From the research, it was concluded that 9.1% of patients not adherent and 90.9% patient compliance with the treatment given by the hospitals Blambangan Banyuwangi.Keywords: Chronic Renal Failure, Hemodialysis, Family Support
3
Petrovic, Lada, Igor Mitic, Dusan Bozic, Slavenka Vodopivec, and Tatjana Djurdjevic-Mirkovic. "Quality of life in patients with chronic renal failure." Medical review 59, no. 9-10 (2006): 411–14. http://dx.doi.org/10.2298/mpns0610411p.
Full textAbstract:
Introduction. Hemodialysis and transplantation are performed not only to replace renal function, but also to improve patients' quality of life. The aim of our investigation was to compare the quality of life in patients with chronic renal failure (CRF) before and after the introduction of active therapy. Material and methods. We tested 76 patients (pts): 20 pts on conservative therapy (CT), 21 pts on chronic hemodialysis and 35 pts with renal transplantation. A questionnaire (combining two questionnaires) was used to investigate the physical, emotional and social aspects of health. Results. In regard to physical health of transplantation patients (TP) it was established that work capacity and activities were less damaged, whereas physical activity was highest in pts on CT. Social activity was limited in a higher percentage in TP (40%) than in hemodialysis patients (HD) (19%), while family relationships were most damaged in pts on HD (28.57%). Discomforts were most common in pts on HD. The highest percentage of pts estimated their health status as good or average, but their health status improved after transplantation in 82.86% that is in 57.14% after HD. It was similar with the quality of life: 28.57% of kidney transplant patients rated their quality of life as very good, and 54.28% rated it as good; 38.09% of HD patients rated their quality of life as very good, whereas only 5% of CT patients rated it as very good, and 20% as good. .
4
Sara Tania Aprianty, Sara, and Hani Siti Hanifatun Fajria. "THE RELATIONSHIP OF FAMILY SUPPORT REGARDING THE PATIENTS WITH CHRONIC KIDNEY FAILURE WHO HAVE HEMODIALIZED THERAPY TREATMENT IN PMI HOSPITAL BOGOR." Jurnal Ilmiah Wijaya 10, no. 2 (June 22, 2020): 80–88. http://dx.doi.org/10.46508/jiw.v10i2.52.
Full textAbstract:
Chronic Renal Failure (CRF) is a disease that has occurred after various diseases that damage the kidney nephrons period up to the point the two are not capable of functioning regulatory and ekstetoriknya to maintain homeostasis. Number of patients with kidney failure in Indonesia is estimated to reach 300.000 people. As many as 12.804 patients with renal failure undergoing hemodialysis. To determine correlation family support patient compliance with chronic renal failure undergo hemodialysis therapy in RS PMI Bogor. This type of research is descriptive quantitative analytical research with cross sectional design. How sampling in this study with purposive sampling with a sample of 152 respondents. The instrument used is questionnaire while data analysis techniques using univariate and bivariate analysis using statistical test Chi-Square. Of the 152 respondents with a family to support as many as 139 respondents (91.4%), adherent patients as many as 128 respondents (84.2%) and family support with adherent patients as many as 121 respondents (79.6%). Statistical test results using Chi-square test p value value 0,007 (p <0.05) and the value of OR 5.762. The conclusion of this research that, There is a correlation between family support patient compliance with chronic renal failure through hemodialysis therapy in PMI Hospital Bogor, 2016. The researchers recommend that increased family support by distributing leaflets to the patients and families about the importance of family support for compliance patients undergo hemodialysis therapy.
5
Fajar Adhie Sulistyo. "THE RELATIONSHIP OF FAMILY SUPPORT WITH QUALITY OF LIFE AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE IN RUNNING HEMODIALIZATION THERAPY AT PMI HOSPITAL BOGOR." Jurnal Ilmiah Wijaya 10, no. 1 (February 1, 2018): 15–19. http://dx.doi.org/10.46508/jiw.v10i1.3.
Full textAbstract:
Background : Chronic kidney disease is a pathophysiological process with diverse etiology, resulting in a progressive decline in renal function, and the patients generally end up with kidney failure. Family support is a support given by families who have blood relations in favor of the health of patients with kidney failure. Quality of life is an individual perception of patients with kidney failure toward his position in life. The aim of this study was to determine the relationship of family support with the quality of life of patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. The method of this research uses uses descriptively analytic type with cross sectional approach. The sample of this researchconsists of 129 respondents. The sampling was taken by accidental sampling technique. The instrument in this study were questionnaires family support and quality of life. The data were analyzed by using univariate and bivariate (using the chi-square test with α = 0.05). Result : Based on the research results through 88 respondents that (68.2%) whose family support is good, then 86 respondents (93%) have a good quality of life, and 2 respondents (5%) have less quality of life. From 8 respondents (6.2%) whose family support is less, 1 respondent (2%) have a good quality of life, and 7 respondents (19%) have a less quality of life. Based on statistical test p = 0.000, it can be concluded that there is significant correlation between both variables. Clonclusion : It is concluded that there is a relationship between family support and the quality of life among patients with chronic renal failure undergoing hemodialysis therapy in PMI hospital Bogor. Through this research, it is expected to be used as a source reference of information for nurses in hemodialysis room.
6
Basri, Basri. "HUBUNGAN PENGETAHUAN PASIEN GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISISTERHADAP KEPATUHAN DIETDI RSI MALAHAYATI." Jurnal Maternitas Kebidanan 4, no. 2 (October 18, 2019): 25. http://dx.doi.org/10.34012/jumkep.v4i2.707.
Full textAbstract:
Knowledge and compliance are the key to health in patients with chronic renal failure undergoing hemodialysis therapy, a diet that is consumed in excess or less will cause side effects in patients, while patients with chronic renal failure often experience deficits in nutritional intake. The purpose of this study was to determine the relationship between the level of knowledge and level of dietary compliance in patients with chronic renal failure undergoing hemodialysis therapy in an Islamic hospital instead of terrain. The method used was an observational analytic population of all patients with chronic renal failure, all patients with chronic renal failure undergoing hemodialysis therapy at an Islamic hospital actually had a field of 33 patients using a total sample. Data collection used questionnaires, independent variables of knowledge and dependent variables on diet compliance. Data were analyzed with significance α = 0.05. The results of the study showed that most (72.7%) respondents had good knowledge and almost all respondents (93.9%) were obedient in dieting. The results of the analysis obtained are ρ = 0.011, ρ> 0.005 meaning that there is no significant relationship between knowledge and dietary compliance. Knowledge greatly affects adherence to a person's diet, there are other things that affect such as patient experience, social, economic conditions, patient psychological factors, and family support for patients. For patients with chronic kidney failure who undergo hemodialysis therapy should maintain their knowledge and also be able to advise patients who have recently undergone hemodialysis therapy from their past experience and for colleagues to always give enthusiasm and motivation to patients and provide support for knowledge and information.
7
Ningrum, Windy Astuti Cahya, M. Rafiud Drajat, and Imardiani Imardiani. "DUKUNGAN KELUARGA DAN PENGETAHUAN DENGAN KEPATUHAN PEMBATASAN CAIRAN PASIEN GAGAL GINJAL KRONIK." Masker Medika 8, no. 1 (August 14, 2020): 146–56. http://dx.doi.org/10.52523/maskermedika.v8i1.387.
Full textAbstract:
Latar Belakang: Kegagalan fungsi ginjal dalam mempertahankan metabolisme keseimbangan cairan dan elektrolit merupakan kondisi yang dialami oleh pasien gagal ginjal kronik, keadaan ini mengakibatkan pasien perlu untuk mengontrol asupan cairan guna membantu mengurangi beban kerja ginjal dalam memproses cairan. Pembatasan cairan merupakan salah satu intervensi atau terapi dan faktor penting dalam menentukan keberhasilan terapi pasien gagal ginjal kronik, sehingga dibutuhkan kepatuhan pasien dalam terapi tersebut. Pengetahuan keluarga dan dukungan keluarga merupakan faktor yang dapat meningkatkan kepatuhan pasien dalam menjalani pembatasan cairan. Tujuan Penelitian: Mengetahui hubungan pengetahuan dan dukungan keluarga dengankepatuhan pembatasan cairan pasien gagal ginjal kronik. Metode Penelitian: Penelitian ini menggunakan jenis desain analitic korelasi melalui pendekatan cross sectional dengan teknik non probability sampling : total sampling yangdilaksanakan pada tanggal 10 April – 15 April dan didapatkan jumlah sampel 52 responden dengan menggunakan instrument penelitian kuesioner dan observasi.Hasil: Analisis uji chi square antara pengetahuan dengan kepatuhan pembatasan cairan didapatkan nilai p=0,012 dan dukungan keluarga dengan kepatuhan pembatasan cairan didapatkan nilai p=0,014.Kesimpulan: Ada hubungan yang signifikan antara pengetahuan dan dukungan keluarga dengan kepatuhan pembatasan cairan pasien gagal ginjal kronik di Ruang Hemodialisa RS PUSRI Palembang.
condition experienced by patients with chronic renal failure, this condition resulted in patients need to control fluid intake to help reduce the workload of the kidney in processing fluids. Fluid restriction is one of intervention or therapy and an important factor in determining the success of chronic renal failure therapy patients, so that patient's compliance is required in the therapy. Family knowledge and family support are factors that can improve patient compliance with fluid restrictions. Objective: To examine the relationship of knowledge and family support to fluid restriction adherence in patients with chronic renal failure. Method: This research use correlation analitic design type through cross sectional approach with non probability sampling technique: consecutive sampling and got sample number 52 respondents. Result: Analysis of chi square test between knowledge to fluid restriction compliance (p value = 0,012) and family support to compliance of fluid restriction (p value = 0,014). Conclusion: There is a significant relationship between knowledge and family support for fluid restrictioncompliance in patients with chronic renal failure in the Hemodialisa Room of PUSRI Palembang Hospital.
8
Mulyadi, Mulyadi, and Almaini Almaini. "The Relationship between Regiousity and Family Support with Meaningfulness of Life of Chronic Kidney Failure’s Clients in Curup Hospital." Jurnal Sains Kesehatan 25, no. 2 (August 13, 2018): 31–38. http://dx.doi.org/10.37638/jsk.25.2.31-38.
Full textAbstract:
Basic medical research 2013 pointed to an increasing prevalence GGK by province in Indonesia in 2013, interviews doctor's diagnosis increases with age, the rose sharply in the age group 35-44 years (0.3%), was followed the age of 45-54 years (0.4%) and aged 55-74 years (0.5%) is the highest in the age group 75 years (0.6%). The study aims to know the relationship religiousity and family support to the meaningfulness life of patients with chronic renal failure undergoing hemodialysis. Design Analytical research using descriptive method with cross sectional approach. Samples are renal failure patients undergoing hemodialysis in hospitals Curup is counted many as 56 people. The results showed there significant relationship between religiutitas and family support to the meaningfulness life of patients. By increasing religiutitas family support will increase the motivation of patients in hemodialysis therapy. Keywords : CRF, haemodialysis, meaningfulness life, religiousity
9
Mistik, Selcuk, Demet Unalan, Humeyra Aslaner, and Bulent Tokgoz. "Evaluation of Fatigue’s Effect and Severity in Hemodialysis Patients." Eurasian Journal of Family Medicine 11, no. 2 (June 30, 2022): 136–42. http://dx.doi.org/10.33880/ejfm.2022110208.
Full textAbstract:
Aim: In this study, it was aimed to evaluate the effect and severity of fatigue levels in hemodialysis patients. Methods: This cross-sectional study was conducted on 130 patients who applied to Hemodialysis units between 01 November-01 December 2019. Piper Fatigue Scale, Fatigue Impact Scale, and Fatigue Severity Scale were used as data collection tools. In statistical analysis, Student's t-test and variance analysis were used. Pearson correlation coefficient was calculated to evaluate the relationship between the variables. Results: It is found that hemodialysis patients got the highest score on Piper Fatigue Scale from Piper Fatigue Scale - Affect (5.48±2.85) and patients felt moderately tired. Of the patients, 43.1% stated that ‘dialysis’ was the most important reason that contributes directly or causes their fatigue, and 23.1% stated that the best thing they found to reduce their fatigue was to sleep. Hemodialysis patients got the highest score on the Fatigue Impact Scale from the psychosocial (35.42±18.67) effect dimension. The mean score of the patients' Fatigue Impact Scale was 4.84±1.93. The Piper Fatigue Scale - Behavior, Piper Fatigue Scale - Affective, Piper Fatigue Scale - Sensory and Piper Fatigue Scale - Cognitive Dimension Scores, Fatigue Impact Scale - Cognitive, Fatigue Impact Scale - Physical and Fatigue Impact Scale - Psychosocial Dimension and Fatigue Impact Scale Total Scores and Fatigue Severity Scale Scores in Chronic Renal Failure patients with a chronic disease were significantly higher than in patients without chronic disease. The Fatigue Impact Scale - Cognitive, Fatigue Impact Scale - Physical, and Fatigue Impact Scale - Psychosocial dimensions, Fatigue Impact Scale total scores, and Fatigue Severity Scale scores in patients diagnosed with anemia were significantly higher than in those without anemia. Conclusion: In our study, patients over 65 years of age and those with chronic diseases other than Chronic Renal Failure had higher levels and greater impact and severity of fatigue. Keywords: dialysis, fatigue, severity, hemodialysis
10
Istiana, Dian, Zaenal Arifin, Heni Agustini Megantari Putri, Syamdarniati Syamdarniati, and Dewi Nur Sukma Purqoti. "HUBUNGAN MEKANISME KOPING DENGAN TINGKAT KECEMASAN PASIEN GAGAL GINJAL KRONIK DI UNIT HEMODIALISA RSUD PROVINSI NTB." Jurnal Ilmiah STIKES Yarsi Mataram 11, no. 2 (December 23, 2022): 67–77. http://dx.doi.org/10.57267/jisym.v11i2.112.
Full textAbstract:
The Indonesian Society of Nephrology survey there are 18 million people in Indonesia suffering from chronic kidney disease. Chronic kidney disease is a progressive disorder of renal function and requires treatment in the form of kidney transplantation, peritoneal dialysis, hemodialysis and long-term outpatient treatment. Patients undergoing hemodialysis experience various problems arising from kidney malfunction. Anxiety is a psychological impact that hemodialysis patients often complain about. Coping mechanism is one of the factors that affect the patient's anxiety. This study aims to determine the relationship of coping mechanism with anxiety level in chronic renal failure patients in Hemodialisa Unit of NTB Provincial Hospital. This type of research is quantitative research with correlational research design using cross sectional approach. The selection of samples was conducted by purposive sampling method with a sample count of 69 respondents. The research instruments used HARS questionnaire, and Jalowiec Coping Scale questionnaire. Analyze the data in this study using Chi-Square test analysis. The results showed that there was a link between coping mechanisms and anxiety levels in chronic renal failure patients in the Hemodialysis Unit of NTB Provincial Hospital with a significance value of 0.009 (p<0.05). With the results of this study, it is expected that the family can provide support to patients to use adaptive coping so as to lower the level of anxiety of patients.
Dissertations / Theses on the topic "Chronic renal failure Patients Family relationships"
1
OLIVAS, GUADALUPE SOTO. "HEALTH MOTIVATION: ITS COMPONENTS AND THEIR RELATIONSHIPS WITH COMPLIANCE AMONG HEMODIALYSIS PATIENTS." Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183778.
Full textAbstract:
This descriptive, correlational designed study was concerned with noncompliance with therapeutic regimens, a pervasive clinical problem which is confounded with the lack of a strong link among theory, research and practice. The focus was on one of the constructs included the Reciprocal Interaction Model of Compliance Behaviors, which was derived using a modified grounded theory methodology and following various theory building prescriptions. The overall purpose was to begin to evaluate the goodness-of-fit of this empirically, qualitatively and retroductively generated explanation of compliance behaviors. The specific aims were to develop, refine and test a 6-point response, 64-item Likert-type instrument, Olivas' Health Motivation Scale - OHMS, that adequately measures the construct, Health Motivation: the force within the patient which is developed as he/she gains experience with his/her illness as a function of time. It has two major dimensions: expectations and values. Health Motivation as indexed by an expectations/values interaction was predicted to impact compliance as measured by dietary and medication measures, both objective and subjective estimates. Using trait and nomological construct perspectives, the OHMS was systematically evaluated by internal and external association criteria and therefore validity and reliability estimates, with a purposive sample of 84 heterogeneous hemodialysis patients who represented two cultures (Anglo and Hispanic), varying in gender, age and length in hemodialysis. Internal consistency reliability and trait construct validity were derived through Cronbach's alpha and principal components factor analysis. Refined OHMS Scales had alphas and thetas ranging from .58 to .89. Explained scale variance ranged from .54 to .84. Epistemic coefficients, the validity links between concept and operational measures, ranged from .76 to .94. Internal validity of the design, estimated through multiple regression, was concluded to be satisfactory. External association assessment via multiple regression produced mixed findings. Select expectations, in linear combination with select values, explained varying degrees of the variance, in select compliance measures, R² = .11 to .44. Through empirical modeling via path analysis, select subject characteristics (ethnicity, length on dialysis, age) were found to have direct or indirect relationships with compliance. Theory, research, and practice based limitations and recommendations were made from the results of the study. (Abstract shortened with permission of author.)
2
Mphuthi, Ditaba David. "Coping behaviours of haemodialysed patients families in a private clinic in Gauteng / Ditaba David Mphuthi." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4645.
Full textAbstract:
INTRODUCTION AND AIM: Chronic renal failure patients are confronted with many challenges and often express feelings of being a burden to their families. Since the inception of haemodialysis in 1913, limited research has been conducted to explore the coping behaviours of the families of haemodialysed patients, especially in the South African context. The family’s inability to cope with the condition and treatment, may impact on their wellness as well as that of the family member on haemodialysis. In light of the limited research available on the coping behaviours of families of haemodialysed patients, this study set out to describe the coping behaviours using the mixed method.
RESEARCH DESIGN AND METHOD: The study followed an explanatory mixed method approach with sequential design and was divided into two phases. Phase one addressed the first objective in identifying and describing the coping behaviours of the families using the Family Crisis Orientated Personal Scale (F–COPES) developed by McCubbin, Larsen and Olson. During phase two, the researcher conducted interviews to explore the coping behaviour identified in phase one.
RESULTS: The mean scores of the subscales of the F–COPES scale ranged from 3.05 to 4.16 with reliability indices found to be within the normal range. The average mean score for the subscale “seeking spiritual support” measured highest at 4.16, followed by “mobilising the family to acquire and accept help” (M=3.94). “Acquiring social support” measured lowest at 3.05. Four categories emanated from the thematic analysis of the data from the second phase namely, challenges, coordinated care, support structures and beliefs about disease.
CONCLUSION: The subscales “seeking spiritual support, mobilising the family to acquire and accept help, reframing and acquiring social support” showed concordance with the categories derived from the qualitative data analysis. Supporting evidence for “passive appraisal” as a sub–scale from the first phase and “challenges” as a category from the second phase could not be found.Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2011.
3
Ziegert, Kristina. "Everyday Life among Next of Kin of Haemodialysis Patients." Doctoral thesis, Linköping : Halmstad : Dept. of Medicine and Care, Linköping University ; Scool of Social and Health Sciences, Halmstad University, 2005. http://www.bibl.liu.se/liupubl/disp/disp2005/med926s.pdf.
Full textBooks on the topic "Chronic renal failure Patients Family relationships"
1
Coping with kidney failure: A guide to living with kidney failure for you and your family. Wayne, N.J: Avery Pub. Group, 1987.
Find full text
2
Phillips, Robert H. Coping with Kidney Failure (Coping with Chronic Conditions: Guides to Living with Chronic Illnesses for You & Your Family). Avery, 1987.
Find full text
3
Dhaun, Neeraj, and David J. Webb. Endothelins and their antagonists in chronic kidney disease. Edited by David J. Goldsmith. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199592548.003.0114_update_001.
Full textAbstract:
The endothelins (ETs) are a family of related peptides of which ET-1 is the most powerful endogenous vasoconstrictor and the predominant isoform in the cardiovascular and renal systems. The ET system has been widely implicated in both cardiovascular disease and chronic kidney disease (CKD). ET-1 contributes to the pathogenesis and maintenance of hypertension and arterial stiffness, as well endothelial dysfunction and atherosclerosis. By reversal of these effects, ET antagonists, particularly those that block ETA receptors, may reduce cardiovascular risk. In CKD patients, antagonism of the ET system may be of benefit in improving renal haemodynamics and reducing proteinuria, effects seen both in animal models and in some human studies. Data suggest a synergistic role for ET receptor antagonists with angiotensin-converting enzyme inhibitors in lowering blood pressure, reducing proteinuria, and in animal models in slowing CKD progression. However, in clinical trials, fluid retention or cardiac failure has caused concern and these agents are not yet ready for general use for risk reduction in CKD.
4
Vester, Udo, and Stefanie Weber. Townes–Brocks syndrome. Edited by Adrian Woolf. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0359.
Full textAbstract:
Townes–Brocks syndrome (TBS) is an autosomal dominant disease with variable expression. Classical features are imperforate anus, dysplastic ears with congenital hearing deficit, and triphalangeal thumbs in most cases. A variety of other malformations (renal, genitourinary, heart, central nervous system, eyes) or hypothyroidism has been described. Mutations in SALL1 have been identified in patients with TBS and genetic testing allows confirmation of the diagnosis. Familiar and sporadic forms (caused by de novo mutations) seem to be equally distributed. Renal involvement in TBS is not uncommon and includes renal agenesis, hypo-/dysplasia, and renal cysts and may eventually lead to chronic renal failure. As renal function may not deteriorate before adulthood, renal function should be monitored in all patients. As cases with TBS can be oligosymptomatic, TBS should be suspected in every case with unexplained renal failure, minor abnormalities, or indicative family history. Genetic counselling is mandatory in identified cases.
5
Haymann, Jean-Philippe, and Francois Lionnet. The patient with sickle cell anaemia. Edited by Giuseppe Remuzzi. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0167.
Full textAbstract:
In sickle cell anaemia (SCA) a single mutation in the haemoglobin beta-globin gene is responsible for a pleomorphic phenotype leading to acute and chronic life-threatening complications. Healthcare management programmes, patient and family education, infection prophylaxis (especially in childhood), and long-term treatment for some patients (such as hydroxyurea) have significantly improved survival, giving rise to some new long-term issues.Sickle cell-associated nephropathy (SCAN) leads in some cases to chronic renal failure with a significant impact on survival. SCAN is characterized by an increased effective plasma renal flow and glomerular filtration rate, glomerular hypertrophy, and damaged vasa recta system leading to albuminuria and impaired urinary concentration.Early onset of hyperfiltration occurs in 60% of SCA patients often associated with microalbuminuria. SCAN risk factors are still under investigation, but may be related to chronic haemolysis at an early time point. Other lesions in patients with sickle cell anaemia include papillary necrosis, and recurrent acute kidney injury in association with crises or infections.ACEI are recommended if there is proteinuria. There is no current agreement on whether angiotensin-converting enzyme inhibitors (ACEI) should be introduced earlier, but systematic screening for microalbuminuria and hypertension, and avoidance of nephrotoxic agents are strongly advised.Patients with sickle cell trait (carriers for sickle cell anaemia) are prone to microscopic haematuria and abnormalities of the vasa recta have been described. A very rare tumour, renal medullary carcinoma, is largely restricted to this group (in whom it is still extremely rare). Increased risk of other renal problems is still largely hypothetical rather than proven.The prevalence of nephropathies in other sickle cell diseases (in particular haemoglobin SC disease) is much lower.
6
Lee, Olivia T., Jennifer N. Wu, Frederick J. Meyers, and Christopher P. Evans. Genitourinary aspects of palliative care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0084.
Full textAbstract:
Genitourinary tract diseases in the palliative care setting most commonly involve urinary tract obstruction, intractable bleeding, fistulae, and bladder-associated pain. Sources of obstruction in the lower urinary tract include benign prostatic hyperplasia, invasive prostate or bladder cancer, urethral stricture, or bladder neck contracture. Upper tract obstruction includes intraluminal or extraluminal blockage of the renal collecting system and ureters, such as transitional cell carcinoma, fibroepithelial polyps, stricture, stones, pelvic or retroperitoneal malignancy, fibrosis, or prior radiation. Untreated, obstructive uropathy leads to elevated bladder, ureter, and kidney pressures, bladder dysfunction, urolithiasis, renal failure, pyelonephritis, or urosepsis. Intractable haematuria can cause problematic anaemia, frequent transfusions, clot retention, haemorrhagic shock, and death. In addition, urinary tract fistulae such as vesicovaginal and vesicoenteric fistulae are common in patients who have had prior pelvic surgery or radiation especially in the setting of immunocompromise, poor nutrition, and infection. Untreated, these symptoms lead to rash, skin breakdown, ulcers, chronic infection, and sepsis. Lastly, pelvic and bladder pain, depending on aetiology can be treated with oral medications, intravesical therapies, or surgical therapies such as palliative resection or urinary diversion. Selection of tests and treatment modalities in the palliative care setting should be based on using the least invasive means to achieve the most relief in suffering. Some genitourinary conditions are potentially fatal, and in the acute or subacute setting, require re-evaluation of the end-of-life goals and wishes of the patient and family.
Conference papers on the topic "Chronic renal failure Patients Family relationships"
1
Winata, Leo Chandra Wisnu Pandu, Wachid Putranto, and Mohammad Fanani. "ASSOCIATION BETWEEN HEMODIALYSIS ADEQUACY, FAMILY SUPPORT, AND QUALITY OF LIFE IN CHRONIC RENAL FAILURE PATIENTS." In THE 2ND INTERNATIONAL CONFERENCE ON PUBLIC HEALTH. Masters Program in Public Health, Sebelas Maret University, 2017. http://dx.doi.org/10.26911/theicph.2017.154.
Full text
2
Yulianti, Dwi, Adiratna Sekar Siwi, and Maria Paulina Irma Susanti. "Correlations Between Family Support with Coping Mechanisms in Patients with Chronic Renal Failure Undergoing Hemodialysis in Wijayakusuma Military Hospital, Purwokerto." In 1st International Conference on Community Health (ICCH 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200204.073.
Full text