Impact of a Nurse-Led Chronic Disease Management Intervention Model on Quality of Care and Satisfaction of Maintenance Hemodialysis Patients

Journal of Clinical and Nursing Research, Journal Year: 2024, Volume and Issue: 8(5), P. 322 - 328

Published: June 24, 2024

Objective: To explore the impact of a nurse-led chronic disease management model on quality care and satisfaction maintenance hemodialysis patients. Methods: 72 patients who received (MHD) from June 2021 to March 2022 were selected undergo model. The indexes, nutritional status, occurrence adverse events assessed after 24 weeks intervention, patients’ was investigated analyzed. Results: Comparing pre-intervention urea reduction rate clearance improved but not statistically different (P > 0.05), β2-microglobulin significantly reduced compared with < 0.05); effect decreasing blood calcium, parathyroid hormone, potassium levels obvious level phosphorus decreased 0.01), albumin hemoglobin increased better than before intervention incidence intradialytic hypotension hypertension lower total complications 0.01); there no significant difference in Self-Depression Scale scores Self-Anxiety 0.01). Patient greatly improved, 0.05). Conclusion: led by specialized nurses is conducive improving psychological state status dialysis patients, enhancing adequacy for reducing related complications, ultimately achieving purpose life which has clinical value.

Language: Английский

Cardiovascular Events and Related Factors in Routine Hemodialysis Patients with Chronic Kidney Disease (CKD) at a Tertiary Care Hospital in Pakistan

Pakistan Journal of Health Sciences, Journal Year: 2024, Volume and Issue: unknown, P. 39 - 43

Published: Aug. 31, 2024

Cardiovascular-related events were a significant problem in patients receiving dialysis. These at higher risk due to the complex interplay of factors such as hypertension, anemia, and other comorbid conditions. Objective: To find cardiovascular related routine hemodialysis with Chronic Kidney Disease (CKD) tertiary care hospital Pakistan. Methods: This Cross-sectional retrospective study conducted dialysis hospital, from October 2022 December 2023. Patients that experienced included study, those not experiencing any event excluded research. Informed consent was taken collect data. Results: The 255 (mean age 60.5 years ±10.2), 128 males (50.1%) 127 females (49.8%). Heart failure most common event, followed by pleural effusion, while sudden cardiac death one least frequent but significant. Hypertension anemia major for end-stage renal disease, thyroid function issues being associated. Conclusions: Managing CKD risks Peritoneal Dialysis (PD) Hemodialysis (HD) requires strict control blood pressure, lipids, glucose, careful monitoring volume status. Lifestyle changes advancements equipment show promise, more research is needed optimize treatment improve outcomes. Clinicians can reduce enhance life expectancy quality addressing these factors.

Language: Английский