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Статті в журналах з теми "Program hemodialysis"
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Yuan, Christina M., James D. Oliver, Dustin J. Little, Rajeev Narayan, Lisa K. Prince, Rajeev Raghavan, and Robert Nee. "Survey of non-tunneled temporary hemodialysis catheter clinical practice and training." Journal of Vascular Access 20, no. 5 (December 28, 2018): 507–15. http://dx.doi.org/10.1177/1129729818820231.
Повний текст джерелаАнотація:
Background:Nephrologists are placing fewer non-tunneled temporary hemodialysis catheters. Requiring competence for nephrology fellow graduation is controversial.Methods:Anonymous, online survey of all graduates from a single, military nephrology training program (n = 81; 1985–2017) and all US Nephrology program directors (n = 150).Results:Graduate response and completion rates were 59% and 100%, respectively; 93% agreed they had been adequately trained; 58% (26/45) place non-tunneled temporary hemodialysis catheters, independent of academic practice or time in practice, but 12/26 did ⩽5/year and 23/26 referred some or all. The most common reason for continuing non-tunneled temporary hemodialysis catheter placement was that it is an essential emergency procedure (92%). The single most significant barrier was time to do the procedure (49%). Program director response and completion rates were 50% and 79%, respectively. The single most important barrier to fellow competence was busyness of the service (36%), followed by disinterest (21%); 55% believed that non-tunneled temporary hemodialysis catheter insertion competence should be required, with 81% indicating it was an essential emergency procedure. The majority of graduates and program directors agreed that simulation training was valuable; 76% of programs employ simulation. Graduates who had simulation training and program directors with ⩽20 years of practice were significantly more likely to agree that simulation training was necessary.Conclusion:Of the graduate respondents from a single training program, 58% continue to place non-tunneled temporary hemodialysis catheters; 55% of program directors believe non-tunneled temporary hemodialysis catheter procedural competence should be required. Graduates who had non-tunneled temporary hemodialysis catheter simulation training and younger program directors consider simulation training necessary. These findings should be considered in the discussion of non-tunneled temporary hemodialysis catheter curriculum requirements.
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Moran, John, and Michael Kraus. "Starting a Home Hemodialysis Program." Seminars in Dialysis 20, no. 1 (January 22, 2007): 35–39. http://dx.doi.org/10.1111/j.1525-139x.2007.00239.x.
Повний текст джерела
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Khosi’in, Khosi’in, and Dewi Purnamawati. "Analysis of Factors Related to Self-Care In Terminal Renal Failure Patients Those Who Are Taking Hemodialysis." Muhammadiyah International Public Health and Medicine Proceeding 1, no. 1 (November 1, 2021): 269–82. http://dx.doi.org/10.53947/miphmp.v1i1.55.
Повний текст джерелаАнотація:
This study aimed to examine factors related to self-care in end-stage renal disease (ESRD) patients undergoing hemodialysis. This study design is a comparative categorical analysis by cross-sectional. Was done to 92 hemodialyses this study was conducted at the hemodialysis unit of Dr. Muhamad Yunus hospital Bengkulul. Data was collected by a self-care measurement scale modified questionnaire. self-care level was 50% desirable. No correlation between age, sex, education level, HD duration, family income, and depression to self-care, there is a correlation between self-efficacy and social support to self-care. Self-efficacy is the most influential factor in self-care, it is important to increase self-efficacy by education program about ERSD and hemodialysis.
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Lenggogeni, Devia Putri, Hema Malini, and Boby Febri Krisdianto. "Manajemen Komplikasi dan Keluhan pada Pasien yang Menjalani Hemodialisis." Jurnal Warta Pengabdian Andalas 27, no. 4 (December 31, 2020): 245–53. http://dx.doi.org/10.25077/jwa.27.4.245-253.2020.
Повний текст джерелаАнотація:
Hemodialysis is one of the renal replacement therapies used by many patients with terminal renal failure. Hemodialysis is an effective renal replacement therapy and is the most commonly used in managing terminal renal failure. However, hemodialysis is a complicated and uncomfortable therapy with several complications. Hemodialysis complications need to be prevented and controlled so that the patient's life remains optimal, and the worse condition does not occur. This program provides knowledge and information to patients undergoing hemodialysis. It used to handle complications and problems caused by terminal renal failure and hemodialysis. This program is an education program to 32 patients undergoing hemodialysis at the hemodialysis unit RSUP. Dr. M. Djamil Padang. The program was carried out by using videos and giving booklet to patients. It showed an increase in patient's knowledge to manage complications and problems caused by hemodialysis. It provides information related to the management of complications and problems in patients undergoing hemodialysis, which can be done by the patient. It is aimed at patients to improve skills in managing complications and problems caused by hemodialysis.
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Silva-Filho, Antonio, Luana Azoubel, Rodrigo Barroso, Erika Carneiro, Carlos Dias-Filho, Rachel Ribeiro, Alessandra Garcia, Carlos Dias, Bruno Rodrigues, and Cristiano Mostarda. "A Case-control Study of Exercise and Kidney Disease: Hemodialysis and Transplantation." International Journal of Sports Medicine 40, no. 03 (January 31, 2019): 209–17. http://dx.doi.org/10.1055/a-0810-8583.
Повний текст джерелаАнотація:
AbstractWe aimed to analyze the effect of an exercise training program in autonomic modulation, and exercise tolerance of hemodialysis and kidney-transplanted patients. 4 groups of exercised and non-exercised patients undergoing hemodialysis and kidney-transplanted subjects had their biochemical tests, and heart rate variability evaluations analyzed. Also, sleep quality, anxiety and depression questionnaires were evaluated. Both exercised groups showed improvements in cardiovascular autonomic modulation, biochemical markers, and exercise tolerance after the exercise training program. The exercised kidney-transplanted patients group showed better improvements in cardiovascular autonomic modulation, biochemical markers, and exercise tolerance when compared to the exercised hemodialysis patients group. Both groups showed improvements in sleep quality, anxiety, and depression. The group of kidney-transplanted patients show better results in the cardiovascular autonomic modulation than subjects undergoing hemodialysis. However, the patients undergoing hemodialysis showed improvements in blood pressure, HDL, hemoglobin and phosphorus, changes not observed in the kidney-transplanted group. Exercise is beneficial for both hemodialysis and kidney-transplanted patients groups. However, exercise programs should be focused mainly in improving cardiovascular risk factors in the HD patients.
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Hernandez, Rosalba, Brett Burrows, Matthew H. E. M. Browning, Killivalavan Solai, Drew Fast, Natalia O. Litbarg, Kenneth R. Wilund, and Judith T. Moskowitz. "Mindfulness-based Virtual Reality Intervention in Hemodialysis Patients: A Pilot Study on End-user Perceptions and Safety." Kidney360 2, no. 3 (January 8, 2021): 435–44. http://dx.doi.org/10.34067/kid.0005522020.
Повний текст джерелаАнотація:
BackgroundVirtual reality (VR) is an evolving technology that is becoming a common treatment for pain management and psychologic phobias. Although nonimmersive devices (e.g., the Nintendo Wii) have been previously tested with patients on hemodialysis, no studies to date have used fully immersive VR as a tool for intervention delivery. This pilot trial tests the initial safety, acceptability, and utility of VR during maintenance hemodialysis treatment sessions—particularly, whether VR triggers motion sickness that mimics or negatively effects treatment-related symptoms (e.g., nausea).MethodsPatients on hemodialysis (n=20) were enrolled in a phase 1 single-arm proof-of-concept trial. While undergoing hemodialysis, participants were exposed to our new Joviality VR program. This 25-minute program delivers mindfulness training and guided meditation using the Oculus Rift head-mounted display. Participants experienced the program on two separate occasions. Before and immediately after exposure, participants recorded motion-related symptoms and related discomfort on the Simulator Sickness Questionnaire. Utility measures included the end-user’s ability to be fully immersed in the virtual space, interact with virtual objects, find hardware user friendly, and easily navigate the Joviality program with the System Usability Scale.ResultsMean age was 55.3 (±13.1) years; 80% male; 60% Black; and mean dialysis vintage was 3.56 (±3.75) years. At the first session, there were significant decreases in treatment and/or motion-related symptoms after VR exposure (22.6 versus 11.2; P=0.03); scores >20 indicate problematic immersion. Hemodialysis end-users reported high levels of immersion in the VR environment and rated the software easy to operate, with average System Usability Scale scores of 82.8 out of 100.ConclusionsPatients on hemodialysis routinely suffer from fatigue, nausea, lightheadedness, and headaches that often manifest during their dialysis sessions. Our Joviality VR program decreased symptom severity without adverse effects. VR programs may be a safe platform to improve the experience of patients on dialysis.
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Kalinin, R. E., I. A. Suchkov, A. A. Egorov, and E. A. Klimentova. "Endothelial dysfunction in patients on program hemodialysis." Regional blood circulation and microcirculation 19, no. 1 (April 6, 2020): 17–21. http://dx.doi.org/10.24884/1682-6655-2020-19-1-17-21.
Повний текст джерела
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Kalinin, R. E., I. A. Suchkov, A. A. Egorov, N. N. Nikulina, and A. A. Nikiforov. "ENDOTHELIAL DYSFUNCTION IN PROGRAM HEMODIALYSIS-DEPENDENT PATIENTS." Nauka molodykh (Eruditio Juvenium) 7, no. 1 (March 30, 2019): 79–85. http://dx.doi.org/10.23888/hmj20197179-85.
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Bennett, Paul N., Leo Breugelmans, Robert Barnard, Megan Agius, Danwin Chan, Doug Fraser, Liz McNeill, and Lauren Potter. "Sustaining a Hemodialysis Exercise Program: A Review." Seminars in Dialysis 23, no. 1 (January 2010): 62–73. http://dx.doi.org/10.1111/j.1525-139x.2009.00652.x.
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Rezaei, Jahangir, Alireza Abdi, Mansour Rezaei, Jafar Heydarnezhadian, and Rostam Jalali. "Effect of Regular Exercise Program on Depression in Hemodialysis Patients." International Scholarly Research Notices 2015 (January 6, 2015): 1–6. http://dx.doi.org/10.1155/2015/182030.
Повний текст джерелаАнотація:
Background and Aim. Depression is the most common psychological disorder in hemodialysis patients which decreases their quality of life and increases the mortality. This study was conducted to assess the effect of regular exercise on depression in hemodialysis patients. Methods. In a randomized clinical trial, 51 hemodialysis patients were allocated in two groups. Beck Depression Inventory (BDI) scale was used to assessing depression rate in participants. Designed program was educated using poster and face-to-face methods for case group. Intervention was carried out three times a week for ten weeks. At the beginning and the end of the study, depression rate of the subjects was assessed. Data was analyzed by SPSS16 software and descriptive and inferential statistics. Findings. According to the results of this study, there were no differences between case and control groups in depression rate at the beginning of the study, but there was significant difference after intervention P=0.016. In the beginning of the study, the mean and SD of depression in case group were 23.8±9.29 and reduced to 11.07±12.64 at the end P<0.001. Conclusion. The regular exercise program could reduce the depression in hemodialysis patients; therefore it is suggested for training this program for hemodialysis patients. This trial is registered with Iranian Registry of Clinical Trial (IRCT) number IRCT201205159763N1.
Дисертації з теми "Program hemodialysis"
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Lau, Wai-kwan, and 劉慧君. "An evidence-based nurse-led fluid and dietary control program for haemodialysis patient." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193072.
Повний текст джерелаАнотація:
End stage renal failure refers to an irreversible kidney dysfunction in which the kidneys fail to remove toxins from the blood stream. Haemodialysis is an effective treatment modality to sustain the lives of patients with end stage renal failure by removing waste products like urea, creatinine, and excess fluid. It involves a challenging regimen including dietary restrictions to ensure long-term survival. Failure to adhere with the regimen can result in fatal consequences.
Renal patient discomfort related to non-adherence is commonly seen in clinical settings; however, there is currently no evidence-based fluid or dietary education program available to haemodialysis patients. This dissertation aims to identify and evaluate current evidence for the effectiveness of dietary and fluid control programs in the treatment of haemodialysis patients, to assess the transferability and feasibility of implementing a nurse-led education program regarding dietary and fluid control in haemodialysis patients, and to develop an evidence-based, nurse-led fluid and dietary control program for haemodialysis patients.
Four electronic bibliographical databases including PubMed, Cochrane library, PsycInfo and CINAHL and two searching engines including Google scholar and ProQuest were used to identify studies that examined the effectiveness of educational programs or interventions on fluid or dietary control for patients on haemodialysis. Forty-five unique studies were identified as potentially relevant. Eleven of those studies met the selection criteria and were evaluated in this dissertation. Appraisal instrument was used to evaluate the quality of the selected studies. Six studies and three studies showed statistically significant in reduction of serum phosphate level and interdialytic weight gain respectively after educational intervention. Critical evaluation of the available studies led to an evidence-based, nurse-led, fluid and dietary control program for haemodialysis patients that followed the guideline development process of the Scottish Intercollegiate Guideline Network.
Comparison on the similarity of patient characteristics, staff competence, and organizational settings of the evaluated studies were similar to those of the target unit. Therefore, the proposed program may be transferable and feasible. Furthermore, a cost-benefit analysis showed that the benefit of the fluid and dietary control program to patients outweighs the cost needed to implement the program.
This dissertation outlines a proposed twenty-week program including marketing of the program, training of staff in the targeted renal unit, pilot testing, and application of the proposed program. Evaluation of the program will focus on three categories: patient outcome, health care provider outcome, and organization outcome. Clinical effectiveness of the program is defined by an overall reduction in patients’ mean interdialytic weight gain and mean serum phosphate level, improvement in knowledge test scores by patients, satisfactory nurses’ attendance rate in the renal training sessions, high nurse satisfaction with the educational program, and reduction of admission rate related to non-adherence.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Miller, Jonathan Blair. "On-patient medical information encoding : image guided fistula cannulation assistant for hemodialysis." Thesis, Massachusetts Institute of Technology, 2019. https://hdl.handle.net/1721.1/121794.
Повний текст джерелаАнотація:
Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2019Cataloged from PDF version of thesis.
Includes bibliographical references (pages 75-77).
This thesis documents the process of invention and design of on-patient encoding of medical information. The work is demonstrated through the development of a prototype medical device system that addresses clinically observed issues associated with dialysis treatment for patients afflicted with kidney failure. Implemented as a temporary tattoo, the medical system is intended to be widely deployable in a variety of settings for a myriad of populations, including developed and emerging medical communities, in-clinic or at-home, and across a spectrum of human skin tones. Addressing hemodialysis challenges is important because, if one's kidneys fail, the ideal option is to receive a transplant, though for many patients (millions globally), the short-term and often long-term solution must be hemodialysis. Through this treatment, a patient regularly has large needles inserted into his or her arm through which the blood is pumped into an artificial kidney machine.
This must be done several times each week for four to eight hours at a time, often in a clinic though ideally (albeit uncommonly) at patients' homes. Presented is the development process of problem identification, concept generation, testing, and prototyping of image guidance systems for hemodialysis needle insertion. This serves to curb fear so patients and caregivers experience improved key performance indicators including: -- Less Pain - Fewer needle 'mis-sticks' -- Quicker Learning - Shortened treatment training time -- Simpler Treatment - Reduced dependence on one or more caregivers when cannulating -- Improved Access to Care - Designed for a broad range of patients. The project involves infrared illumination of hemoglobin, undistortion and mapping of vein images, and special ink chemistry based on temporary tattoos. The results of this project are intended to lay the engineering, business, and design groundwork for a Class 11 product and service suite consisting of: --
A vein mapper: a device consisting of an infrared vein illuminator (hardware) and real-time optical enhancement (software). -- An indelible dye: a mixture that stains immediately, resists clinical washing, and persists for days -- A cannulation key: a process by which an inkjet printer is used to produce a vein map guide that is then transferred onto a patient's arm.
by Jonathan Blair Miller.
S.M. in Engineering and Management
S.M.inEngineeringandManagement Massachusetts Institute of Technology, System Design and Management Program
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Švecova, Svetlana. "Hemodializuojamų pacientų mokymo programos sukūrimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070816_144803-98499.
Повний текст джерелаАнотація:
Darbo tema – hemodializuojamų pacientų mokymo programos sukūrimas. Hemodializuojami pacientai turėtų būti mokomi taisyklingos mitybos, arterinio kraujo spaudimo (AKS) reguliavimo principų ir teisingos arterio – veninės (A-V) fistulės priežiūros. Sergantiesiems būtina suteikti psichologinę pagalbą, išmokyti juos pasinaudoti artimųjų parama. Galima daryti prielaidą, kad pradėjus mokyti hemodializuojamus pacientus, gydymo ir slaugos rezultatai bus geresni. Teiginį, kad pacientų mokymas yra nepakankamas, pagrindžia tai, kad nėra sukurtos mokymo programos.
Darbo tikslas–ištirti hemodializuojamų pacientų mokymo poreikį ir sukurti hemodializuojamų pacientų mokymo programą. Tyrimo metodai: Mokslinės literatūros analizė; Anketinė apklausa; Statistinė duomenų analizė.
Tyrimas buvo atliktas 2006m. gruodžio - balandžio mėnesiais. Tiriamųjų apklausa atlikta Klaipėdos Jūrininkų ligoninės nefrologijos ir hemodializių skyriuje ir UAB „Nefrida“ hemodializių skyriuje. Išvados: Hemodializuojamų pacientų mitybos mokymo poreikis yra didelis. Hemodializuojami pacientai informaciją mitybos apribojimų klausimais gavo, ta�����iau pavėluotai t. y. 29 pacientai (51 proc.) informaciją gavo mažiau nei pusė metų iki pirmos hemodializės procedūros. Dauguma pacientų net 47 pacientai (82 proc.) negavo iš šeimos gydytojo informacijos mitybos apribojimų klausimais. Iš dializės skyriaus slaugytojos daugiau nei pusė pacientų t. y. 34 pacientai (60 proc.) gavo informacijos mitybos apribojimų klausimais... [toliau žr. visą tekstą]It is necessary to teach haemodialysed patients how to take health nourishment,how to regulate blood pressure (BP),how to take appropriate care about arterial-venal fistula. Patients need psychological help,to take family support. Possibly,this teaching will improve rezults of treatment and medical care.Statement,that teaching of such patients is insufficient, is based on the fact ,that there is no training program nowadays. Aims-to examine haemodialysed patient‘s demand of teaching,and to create training program.Methods- analysis of science terature,questionnaire,statistic data evaluation. Questionnaire took place in nefrology and haemodialysis department of Klaipeda Seamen hospital and in haemodialysis department of private clinic „Nefrida“. Conclusions-almost all patients (95 per cent)with chronic renal insufficiency were informed about nutrition limitation.More than half of them (51 per cent)were informed too late-less tan 6 month before first haemodialysis.The vast majority of patients(96,5)state that information about nutrition limitation they get mostly from nephrologist.17,5 of respondents state that such information they get from family doctor. The most of patients (92 per cent) were informed about A-V fistula imprtance and medical care during haemodialysis.Training program of haemodialysed patients was prepared.It consist of flyer,CD record,booklet about limitation in nutrition and A-V fistula care.The training program for haemodialysed patients are based... [to full text]
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Ткачук, Богдан Владимирович. "Определение уровня гидратации пациентов, получающих лечение методом программного гемодиализа". Thesis, НТУ "ХПИ", 2017. http://repository.kpi.kharkov.ua/handle/KhPI-Press/29316.
Повний текст джерелаАнотація:
Диссертация на соискание ученой степени кандидата технических наук по специальности 05.11.17 – биологические и медицинские приборы и системы. – Национальный технический университет "Харьковский политехнический институт", Харьков, 2017.
Диссертационная работа посвящена решению одной из актуальных научно-технических задач современного гемодиализа – контроля состояния гидратации пациента и разработке метода для своевременной остановки процедуры ультрафильтрации при достижении пациентом "сухого веса". В работе проведено анализ современных биофизических представлений про распределение и перемещение жидкостей в организме пациента, что позволило выявить высокий уровень сложности и многофакторности гидравлических процессов и установить необходимость создания математических моделей перемещения жидкостей и критерия остановки процедуры при достижении пациентом "сухого веса". Впервые получена математическая модель перемещения жидкости в организме пациента при ультрафильтрации, на основании теории неравновесной термодинамики, что позволило выявить взаимную функциональную зависимость наполнения жидкостных секторов при процедуре программного гемодиализа. Усовершенствована электрофизическая модель процессов в организме пациента при ультрафильтрации для метода биоимпедансометрии, за счет разделения жидкостных секторов, что позволило использовать его для определения состояния гидратации пациента при процедуре программного гемодиализа. По результатам теоретических исследований выбран параметр гематокрита, который характеризует состояние наполнения сосудистого русла, что дало возможность разделить объем внеклеточной жидкости на составляющие. Разработан метод определения "сухого веса", критерием в котором является распределение объема внеклеточной жидкости на две составляющие интерстициальную жидкость и плазму крови и сравнении значений объемов удаленного ультрафильтрата в этих составляющих во время гемодиализа. Разработанный на основе результатов моделирования метод определения "сухого веса" пациентов, позволил повысить достоверность определения момента достижения уровня нормогидратации пациентов при программном гемодиализе на (11-16) %. Разработана структурная схема системы для определения "сухого веса", которая позволяет объединить воедино серийно выпускаемые аппарат "искусственная почка", прибор биоимпедансометр и ПК, что дает возможность реализовать алгоритмические решения и обеспечить работу системы, без разработки дополнительных аппаратных средств. На основе клинических исследований и испытаний разработаны основные медико-технические требования для выбора или проектирования приборов биоимпедансометров, а также созданы практические рекомендации для применения метода определения "сухого веса" пациентов в гемодиализных клиниках. Сопоставление результатов проведенных клинических исследований с данными полученными с помощью традиционных методик, при ультрафильтрации, подтвердили эффективность разработанных моделей и метода для определения "сухого веса" пациента при программном гемодиализе. Основные результаты работы нашли внедрение в лечебный процесс отделения амбулаторного хронического гемодиализа №10, Харьковского областного клинического центра урологии и нефрологии им. В.И. Шаповала; в учебный процесс на кафедре промышленной и биомедицинской электроники НТУ "ХПИ"; при разработке нового варианта измерителя биоимпеданса человека в НТУ Украины "КПИ им. Игоря Сикорского".The thesis for the degree of candidate of technical sciences, specialty 05.11.17 – biological and medical devices and systems. – National Technical University "Kharkiv Polytechnic Institute", Kharkiv, 2017. The thesis is devoted to one of actual scientific and technical problems of modern hemodialysis - monitoring of patient hydration and developing methods for timely stopping ultrafiltration procedure when reaching the patient "dry weight". The method of determining the "dry weight" criterion which is the distribution of extracellular fluid volume into two components interstitial fluid and blood plasma volume and value compared to the removed ultrafiltrate in these components during hemodialysis developed. The mathematical model of fluid movement in the patient received the first time. electro and model processes in the patient with ultrafiltration method for bioimpedancemetry improved. Based on simulation method for determining the "dry weight" patients developed first. It is possible to determine authenticity hung reaching state normohidratotsiyi at program hemodialysis. Also practical guidelines for the application of this method in clinics created.
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Ткачук, Богдан Володимирович. "Визначення рівня гідратації пацієнтів, які отримують лікування методом програмного гемодіалізу". Thesis, НТУ "ХПІ", 2017. http://repository.kpi.kharkov.ua/handle/KhPI-Press/29298.
Повний текст джерелаАнотація:
Дисертація на здобуття наукового ступеня кандидата технічних наук за спеціальністю 05.11.17 – біологічні та медичні прилади і системи. – Національний технічний університет "Харківський політехнічний інститут", Харків, 2017.
Дисертаційну роботу присвячено вирішенню однієї з актуальних науково-технічних задач сучасного гемодіалізу – контролю стану гідратації пацієнта та розробці методу для своєчасної зупинки процедури ультрафільтрації при досягненні пацієнтом "сухої ваги". Розроблено метод визначення "сухої ваги", критерієм у якому є розподіл об’єму позаклітинної рідини на дві складові інтерстиціальну рідину і плазму крові та порівнянні значень об'ємів видаленого ультрафільтрату у цих складових під час гемодіалізу. Вперше отримано математичну модель переміщення рідини в організмі пацієнта та удосконалено електрофізичну модель процесів в організмі пацієнта при ультрафільтрації для методу біоімпедансометрії. Вперше розроблено на основі результатів моделювання метод визначення "сухої ваги" пацієнтів, що дозволило підвищити достовірність визначення моменту досягнення стану нормогідратоції при програмному гемодіалізі на (11-16) %. Також створено практичні рекомендації для застосування даного методу у гемодіалізних клініках.The thesis for the degree of candidate of technical sciences, specialty 05.11.17 – biological and medical devices and systems. – National Technical University "Kharkiv Polytechnic Institute", Kharkiv, 2017. The thesis is devoted to one of actual scientific and technical problems of modern hemodialysis - monitoring of patient hydration and developing methods for timely stopping ultrafiltration procedure when reaching the patient "dry weight". The method of determining the "dry weight" criterion which is the distribution of extracellular fluid volume into two components interstitial fluid and blood plasma volume and value compared to the removed ultrafiltrate in these components during hemodialysis developed. The mathematical model of fluid movement in the patient received the first time. electro and model processes in the patient with ultrafiltration method for bioimpedancemetry improved. Based on simulation method for determining the "dry weight" patients developed first. It is possible to determine authenticity hung reaching state normohidratotsiyi at program hemodialysis. Also practical guidelines for the application of this method in clinics created.
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Silva, Rute Isabel Gafaniz da. "Efeito de um programa de exercício físico em pacientes em hemodialise." Master's thesis, Universidade de Évora, 2019. http://hdl.handle.net/10174/26642.
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Objetivo: Estudar os efeitos de um programa de exercício comunitário de 16 semanas na composição corporal e aptidão física em indivíduos com doença renal crónica em hemodiálise.
Metodologia: A amostra era composta por um grupo indivíduos do sexo masculino (n=3), com doença renal crónica em hemodiálise que realizou o programa de exercício físico durante 16 semanas, nos dias em que não realizavam sessões de hemodiálise. Avaliou-se a massa corporal, a altura, a capacidade aeróbia, agilidade, força muscular de membros inferiores, controlo postural, eletromiografia e a qualidade de vida.
Resultados: Não se registaram diferenças significativas, mas houve melhorias em alguns domínios da qualidade de vida, no equilíbrio, no teste de caminhada de 6 minutos, no teste de levantar, caminhar e sentar. Na composição corporal e na força muscular de membros inferiores verificou-se melhorias apenas em algumas variáveis
Conclusão: O programa de exercício físico teve impacto positivo na aptidão física funcional dos doentes renais crónicos em hemodiálise; ABSTRACT:
Effect of a Physical Exercise Program on Hemodialysis Patients
Objetive: To study the effects of a 16-week community exercise program on body composition and physical fitness in individuals with chronic kidney disease on hemodialysis.
Methodology: The sample consisted of a group of male individuals (n = 3) with chronic kidney disease on hemodialysis who underwent the physical exercise program for 16 weeks, on days when they did not have hemodialysis sessions. Body mass, height, aerobic capacity, agility, lower limb muscle strength, postural control, electromyography and quality of life were evaluated.
Results: There were no significant differences, but there were improvements in some domains of quality of life, balance, the 6-minute walk test, the stand up, walk and sit test. In body composition and muscle strength of the lower limbs there were improvements only in some variables.
Conclusion: The exercise program had a positive impact on the functional fitness of chronic renal patients on hemodialysis.
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Garcia, Rodrigo Schinniger Assun. "Sobrecarga e qualidade de vida nos cuidadores familiares de pacientes em hemodiálise submetidos a um programa de exercícios." Universidade Federal de Juiz de Fora (UFJF), 2018. https://repositorio.ufjf.br/jspui/handle/ufjf/7898.
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Introdução: As complicações da doença renal crônica e do próprio processo de diálise são condições que aumentam o grau de dependência nesses pacientes e podem gerar um maior nível de sobrecarga em seus cuidadores. Objetivo: Comparar os níveis de sobrecarga, qualidade de vida, ansiedade e depressão de cuidadores familiares de pacientes dependentes de hemodiálise submetidos a um programa de exercícios com os cuidadores de pacientes submetidos ao tratamento usual de hemodiálise sem exercício. Métodos: Foram estudados cuidadores familiares de pacientes em hemodiálise da Clínica Pró-Renal-Barbacena-MG que participavam regularmente de um programa de exercícios durante as sessões de hemodiálise e cuidadores familiares de pacientes da Clínica RenalClin-São João Del Rey-MG submetidos ao tratamento de hemodiálise usual. Inicialmente, 60 pacientes foram recrutados em cada clínica para avaliar o grau de dependência pela escala de Lawton e Brody. Quando foram classificados como dependentes, 30 pacientes foram selecionados aleatoriamente em cada clínica e seus cuidadores familiares foram avaliados. Os cuidadores foram submetidos a uma entrevista para avaliar a sobrecarga dos cuidadores (CB escala), qualidade de vida e níveis de ansiedade e depressão. O projeto foi aprovado pelo Comitê de Ética e Pesquisa da FHEMIG-MG (CAEE nº 62917516.7.0000.5119). Os dados foram expressos como média ± desvio padrão ou mediana (intervalo interquartil), quando apropriado. Resultados: O escore geral [1,2 (0,2) vs. 1,9 (0,7)] e todas as dimensões da escala de sobrecarga de cuidadores foram significativamente menores nos cuidadores do grupo exercício quando comparados aos do grupo tratamento usual (p<0,05), exceto a dimensão envolvimento emocional. Os cuidadores do grupo exercício, quando comparados aos do grupo tratamento usual, apresentaram maiores escores do questionário de qualidade de vida nos domínios capacidade funcional [100,0 (11,3) vs. 85,0 (30,0)], limitação por aspectos físicos [100,0 (31,3) vs. 62,5 (75,0)], dor [72,0 (32,0) vs. 61,5 (41,3)], estado geral de saúde (77,3 ± 16,9 vs. 63,9 ± 19,0), vitalidade (75,4 ± 15,1 vs. 58,5 ± 23,0), aspectos sociais [100,0 (25,0) vs. 62,5 (37,5)], limitação por aspectos emocionais [100,0 (33,3) vs. 33,3 (100,0)] e saúde mental [80,0 (26,0) vs. 66,0 (41,0)], respectivamente, e menores índices de ansiedade e depressão (p<0,05). Conclusão: Os familiares cuidadores de pacientes em hemodiálise submetidos a um programa de exercícios apresentaram menor sobrecarga do cuidador, melhor qualidade de vida e menores níveis de ansiedade e depressão quando comparados aos cuidadores do grupo de tratamento usual.
Introduction: The complications of chronic kidney disease and the dialysis process itself are conditions that increase the level of dependence in these patients and may generate greater overload in their caregivers. Objective: Compare the burden, quality of life, anxiety and depression levels of family caregivers of dependent hemodialysis patients submitted to an exercise program with the caregivers of patients undergoing usual hemodialysis treatment without exercise. Methods: We studied family caregivers of patients undergoing hemodialysis at the Pró-Renal-Barbacena-MG Clinic who regularly participated in an exercise program during hemodialysis sessions and family caregivers of patients at the RenalClin-São João Del Rey-MG Clinic receiving hemodialysis treatment usual. Initially, 60 patients were recruited at each clinic to assess the degree of dependence by the Lawton and Brody scale. When they were classified as dependents, 30 patients were randomly selected at each clinic and their family caregivers were evaluated. Caregivers were submitted to an interview to assess the overload in caregivers (CB scale), quality of life and levels of anxiety and depression. The project was approved by the Ethics and Research Committee of FHEMIG-MG (CAEE no 62917516.7.0000.5119). Data were expressed as mean ± standard deviation or median (interquartile range), where appropriate. Results: The global score [1.2 (0.2) vs. 1.9 (0.7)] and all dimensions of the CBS were significantly lower in caregivers from the exercise group in relation to those in the usual treatment group (p<0.05), except for the emotional involvement dimension. When compared to caregivers from the usual treatment group, those from the exercise group exhibited higher scores in the quality of life questionnaire for the domains physical functioning [100.0 (11.3) vs. 85.0 (30.0)], role physical [100.0 (31.3) vs. 62.5 (75.0)], pain [72.0 (32.0) vs. 61.5 (41.3)], general health (77.3 ± 16.9 vs. 63.9 ± 19.0), vitality (75.4 ± 15.1 vs. 58.5 ± 23.0), social functioning [100.0 (25.0) vs. 62.5 (37.5)], role emotional [100.0 (33.3) vs. 33.3 (100.0)] and mental health [80.0 (26.0) vs. 66.0 (41.0)], respectively, in addition to lower anxiety and depression levels (p<0.05). Conclusion: The family caregivers of hemodialysis patients submitted to an exercise program showed less caregiver burden, better quality of life and lower levels of anxiety and depression when compared to caregivers from the usual treatment group.
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Marchesan, Moane. "Efeitos de um programa de exercícios físicos sobre a qualidade de vida e a reabilitação física de pacientes submetidos à hemodiálise." Universidade Federal de Pelotas, 2010. http://repositorio.ufpel.edu.br/handle/ri/1833.
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Previous issue date: 2010-03-30patients in hemodialysis (HD) present low exercise capacity, low perception of quality of life (QOL), and reduction of daily activities. These facts can be softened through a regular practice of physical exercises. Objective: To analyze the effects of cardiovascular and muscle training on the physical fitness and perception of QOL of patients in HD. Methodology: This study is characterized as randomized clinical trial. The population will be determined from 72 patients included the treatment of HD. The patients will be divided into control group (CG) and experimental group (GE) and evaluated through a questionnaire for the demographic variables (gender, age, skin color), socioeconomic variables (civil status, schooling and socioeconomic level) and the time of HD. To evaluate the physical fitness, it were used, for T6 sub max effort; The test seat and stand, for RML of MU; the abdominal test, for RML abdominal; the test inspiratory and pressure test and maximal expiratory, respiratory muscle strength; and the test seat and reach, for flexibility. The perception of QOL was evaluated through the SF-36. The program of physical exercises will be carried out during the HD, three times a week, consisting of stretching active, aerobic resistance, muscle resistance located and liabilities stretching. Key-words: Hemodialysis, Physical Training. Quality of life. Physical
Pacientes em hemodiálise (HD) apresentam baixa capacidade de exercício, baixa percepção de qualidade de vida (QV), e diminuição das suas atividades cotidianas. Estes fatos podem ser amenizados através de uma prática regular de exercícios fisco. Objetivo: Analisar os efeitos do treinamento diovascular e muscular sobre a aptidão física e a percepção da QV de pacientes em HD. Metodologia: Esse estudo se caracterizará como ensaio clínico randomizado. A população será determinada a partir de 72 pacientes inseridos ao tratamento de HD. Os pacientes serão divididos em grupo controle (GC) e grupo experimental (GE) e avaliados através de um questionário para as variáveis demográficas (gênero, idade, cor da pele), socioeconômicas (estado civil, escolaridade e nível socioeconômico) e tempo de HD. Para avaliar a aptidão física, foram utilizados o T6, para esforço submáximo; o teste de sentar e levantar, para RML de MI; o teste de abdominal, para RML de abdome; o teste de pressão inspiratória e expiratória máxima, para força muscular respiratória; e o teste de sentar e alcançar, para flexibilidade. A percepção de QV foi avaliada através do SF-36. O programa de exercícios físicos será realizado durante a HD, três vezes na semana, sendo constituído por alongamentos ativos, resistência aeróbia, resistência muscular localizada e alongamentos passivos.
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Chuang, Li-Ching, and 莊莉菁. "The effectiveness of exercise program during hemodialysis on fatigue,physical activity and physical capacity in hemodialysis patients." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/89816490478003219164.
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碩士國立陽明大學
臨床護理研究所
94
The purpose of this study was to examine the effects of exercise program during hemodialysis on fatigue, physical activity and physical capacity in hemodialysis patient. This research is a quasi-experimental design. 45 Patients were selected using purposive sampling at hemodialysis unit of a major medical center in northern Taiwan. They were assigned 19 patients into the experimental group and 26 patients into the control group. For 8weeks ,the experimental group received exercise program during hemodialysis three times a week and 30 minutes each times, the control group didn’t receive any instruction related to exercise。Before and after 4weeks、8weeks of exercise program ,each subject was required to complete the questionnaire of fatigue and scale of physical activity. Seven patients of experimental group also received graded exercise tolerance test. The data were coded and analyzed by using the SPSS for Windows 11.5 version software. The statistical methods included frequency distribution, percentage, mean, standard deviation, chi-square, t-test,Mann-Whitney U test、Wilcoxon signed ranks test、Spearman Rank-order correlation. The results of this study demonstrated that patients in the experimental group significantly improved their levels of fatigue(p<.05),physical activity(p<.05)and exercise capacity(p<.05)more than patients in the control group. Fatigue was significantly and negatively associated with physical activity. The findings may serve as a reference for clinical care and providing suggestions for the exercise training therapy for hemodialysis patients. It is hope that the intervention can enhance patient’s motivate to perform and improve quality of life.
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Yan, Huey Yuh, and 顏惠玉. "Comparison of Quantitative Theory and Development of Software Program for Prescribing Adequate Hemodialysis." Thesis, 1994. http://ndltd.ncl.edu.tw/handle/88630916790381564600.
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碩士中原大學
醫學工程學系
82
Since hemodialysis has applied to chronic renal failure patients,it is still a goal to assess the completeness and adequacy of hemodialysis.This paper is to develop software program to evaluate urea kinetics for quantifying hemodialysis therapy. In the software program system, one-pool model and two- pool model are used for analysis of urea kinetics. Both constant and variable volumes dialysis are also considered; model para- meters can be determined with a two BUN or a three BUN methods; during dialysis, the operation mode can follow a conventional or a optimal schemes; the dialysis frequency of the patient can be taken with a two times or a three times per week. The optimal dialysis is the main feature of the program system. The time-average blood urea nitrogen (TAC) and the protein catabolic rate (PCR) are selected as the measures of prescription effectiveness. The TAC was suggested by the National Cooperative Dialysis Study (NCDS,USA) as the major outcome parameter.The pro- gram estabilished in the paper can provide the clinicians pre- scribing dialysis to achieve ideal TAC and ideal PCR for improve- ment of patient care. The results of theoretical calculation and clinical data applications depict that the system developed in this paper is available clinically. Besides talking above,we can find the correlation coefficients are very high for useing one- pool model and two-pool model、a two BUN and a three BUN methods to calculate any one of these parameters, which are production rate of BUN (G), BUN distribution volume V and TAC by statistical analysis. It means that these methods are consistency. In the beta-2-microglobulin(β2-M) simulation, we can calcul- ate the production rate of β2-M (Gb) by a two BUN method or a three BUN method. The Gb not only include production rate of cellular catabolism (Gc), but also include production rate of immunological response (Gi).
Книги з теми "Program hemodialysis"
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Federal-Provincial Advisory Committee on Institutional and Medical Services (Canada). Subcommittee on Institutional Program Guidelines. End-stage renal disease program: Report. Ottawa: Health and Welfare Canada, 1986.
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Dor, Avi. Administered prices and suboptimal prevention: Evidence from the Medicare dialysis program. Cambridge, MA: National Bureau of Economic Research, 2001.
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United States. Congress. House. A bill to amend title XVIII of the Social Security Act to pay for parenteral nutrients as part of renal dialysis services as part of payment for renal dialysis services under the Medicare program. [Washington, D.C.?]: [United States Government Printing Office], 1996.
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The price of access: The story of life and death and money and the first national health care program and the three doctors who changed medicine in America forever. Nashua, N.H: MDL Press, 2001.
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United States. Congress. House. Committee on Ways and Means. Subcommittee on Health. Medicare End-Stage Renal Disease (kidney failure) Program: Hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Fourth Congress, first session, April 3, 1995. Washington: U.S. G.P.O., 1996.
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Office, General Accounting. Medicare: Program designed to inform beneficiaries and promote choice faces challenges : report to Congressional Committees. Washington, D.C: The Office, 2001.
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Office, General Accounting. Medicare: Modest eligibility expansion for critical access hospital program should be considered : report to congressional committees. Washington, D.C: United States General Accounting Office, 2003.
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Office, General Accounting. Medicare: Laboratory fee schedules produced large beneficiary savings but no program savings : report to Congressional committees. Washington, D.C: The Office, 1987.
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Office, General Accounting. Medicare: Changes to HMO rate setting method are needed to reduce program costs : report to Congressional committees. Washington, D.C: The Office, 1994.
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Office, General Accounting. Medicare: Health Care Fraud and Abuse Control Program for fiscal years 2000 and 2001 : report to Congressional Committees. Washington, D.C: GAO, 2002.
Знайти повний текст джерелаЧастини книг з теми "Program hemodialysis"
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Morgan, Dale, Christian Schlaeper, and Robert S. Lockridge. "Technical Requirements of a Home Hemodialysis Program." In Contributions to Nephrology, 21–28. Basel: KARGER, 2004. http://dx.doi.org/10.1159/000081620.
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Ting, George O., Sharon White, and Robert M. Lindsay. "Requirements of an In-Center Daily Hemodialysis Program." In Contributions to Nephrology, 10–20. Basel: KARGER, 2004. http://dx.doi.org/10.1159/000081619.
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Buur, Tom. "An Advanced, User-Friendly Microcomputer Program for Hemodialysis Kinetics." In Advances in Experimental Medicine and Biology, 239–44. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4684-5445-1_37.
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Kliger, A. "Management of center hemodialysis programs." In Replacement of Renal Function by Dialysis, 1543–51. Dordrecht: Springer Netherlands, 2004. http://dx.doi.org/10.1007/978-1-4020-2275-3_67.
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Kirschenbaum, Daniel S. "Integration of Clinical Psychology into Hemodialysis Programs." In Handbook of Clinical Psychology in Medical Settings, 567–86. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4615-3792-2_30.
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Fox, Renée C., and Judith P. Swazey. "“To Give Life”: A Study of Seattle’s Hemodialysis Program." In The COURAGE to FAIL, 201–25. Routledge, 2017. http://dx.doi.org/10.4324/9781315131504-8.
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Seifter, Julian L. "Acid–Base Disturbances." In The Brigham Intensive Review of Internal Medicine, 594–602. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199358274.003.0059.
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According to projections from the United States Renal Data Service (USRDS), 〉600,000 individuals in the United States will have end-stage renal disease (ESRD) by 2010. The leading cause of ESRD in the United State is diabetes, followed by hypertension. As the care of diabetic patients has improved, particularly in the area of cardiovascular disease, they are living through their cardiovascular complications long enough to develop ESRD. As a consequence, since the inception of the Medicare ESRD program. the dialysis population has gradually become older with increasing numbers of comorbid conditions. Renal replacement therapy in the form of hemodialysis or peritoneal dialysis may serve as a bridge to the best form of renal replacement, renal transplantation. The demand for suitable kidneys for transplantation far exceeds the supply, leaving many patients on dialysis for extended periods of time.
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Heiwe, Susanne, Andrej Ekholm, and Ingela Fehrman-Ekholm. "The Importance of Exercise Programs in Haemodialysis Patients." In Progress in Hemodialysis - From Emergent Biotechnology to Clinical Practice. InTech, 2011. http://dx.doi.org/10.5772/22743.
Повний текст джерелаТези доповідей конференцій з теми "Program hemodialysis"
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Supriadi. "Comparison the Unit Cost of Hemodialysis Service with Dialysis Service’s Tariff in INA CBGs Universal Health Coverage Programe (JKN): Case Study Hemodialysis Clinic in Depok." In The International Conference of Vocational Higher Education (ICVHE) “Empowering Human Capital Towards Sustainable 4.0 Industry”. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0010168900002967.
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Santos, Alaides de Abreu, Talia Hahn Augusto, Geovane Barbosa da Silva, Tatiana Mugnol, Luiza Mariana Alvarez Elicker, Taila Brant, Ana Lidia Toebe, Kelly Silva Rodrigues, Janaina Coser, and Janice de Fátima Pavan Zanella. "Vírus da hepatite C em pacientes hemodialisados: uma breve revisão." In XIII Congresso da Sociedade Brasileira de DST - IX Congresso Brasileiro de AIDS - IV Congresso Latino Americano de IST/HIV/AIDS. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/dst-2177-8264-202133p250.
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Introdução: A hepatite C é um problema de saúde pública, com maior prevalência em pacientes com doença renal crônica. Objetivo: Conhecer a relação do vírus da hepatite C em pacientes hemodialisados. Métodos: Foi realizada uma revisão bibliográfica, com abordagem qualitativa. A busca artigos ocorreu em março de 2019. Foram selecionados artigos no idioma de português e inglês, extraídos de sites de coleção como LILACS, SciELO, PubMed, EBSCO e Ministério da Saúde, no período de 2009-19 e utilizados os seguintes descritores em português: HCV, hepatite C, hemodiálise, doença renal, diálise. E, em inglês: hepatitis c, hemodialysis, renal disease, dialysis. Ao todo, neste estudo foram incluídos oito artigos. Resultados: A hepatite C é causada por um vírus com genoma de fita simples ácido ribonucleico, envelopado, com um diâmetro que varia de 55 a 65 nm, da família Flaviviridae, do gênero Hepacivirus. O Brasil registrou 24.460 casos de hepatite C em 2017, sendo Porto Alegre (RS) a capital com as maiores taxas (90,7 casos/100 mil habitantes). A proporção de infecções por via sexual foi de 9,2%, relacionadas ao uso de drogas, 8,1%, e as infecções por via transfusional, 6,8%. Pacientes com a doença renal crônica são predispostos a contaminação pelo vírus. As principais formas de contágio de pacientes em hemodiálise têm sido as diversas transfusões sanguíneas, resultados falso-negativos, fazendo uma disseminação por equipamento, objetos compartilhados pelos pacientes e quebra de biossegurança dos próprios profissionais. O teste de hepatite C deve ser feito em todos os pacientes que iniciarem o programa de hemodiálise, com confirmação utilizando-se os testes moleculares. Conclusão: A infecção em pacientes com doença renal crônica em hemodiálise vem aumentando ao longo do tempo. Fazem-se necessários maiores cuidado e prevenção nos centros de hemodiálise para que haja redução da contaminação pelo vírus da hepatite C em pacientes com doença renal crônica.