Nursing
fateme biabani; Gholamhossein MahmudiRad; Hadi hassanhkani; Azad Rahmani
Volume 29, Issue 6 , January and February 2023, , Pages 769-784
Abstract
Introduction: Peritoneal dialysis is a convenient and cost-effective way to replace kidney function in patients with kidney failure. Nevertheless, in Iran, a very small percentage of patients with kidney failure use peritoneal dialysis, the reasons for which are less known. This study is to explain the ...
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Introduction: Peritoneal dialysis is a convenient and cost-effective way to replace kidney function in patients with kidney failure. Nevertheless, in Iran, a very small percentage of patients with kidney failure use peritoneal dialysis, the reasons for which are less known. This study is to explain the experiences of Iranian patients undergoing peritoneal dialysis regarding the decision to choose a kidney replacement treatment method.
Materials and Methods: 18 peritoneal dialysis patients living in four provinces of Iran participated in this qualitative study.
Results: The analysis of the text of the interviews led to the emergence of four main categories: the first category, under the title "Compulsion to choose", includes two sub-categories: "Lack of alternatives" and "Indifference to the patient's preferences", the second category is titled "Insufficient health literacy". It includes two subcategories of information poverty and limited access to reliable information, the "culture ruling the treatment system" category, which itself includes two subgroups of preference for the physician’s opinion and disregard for the patient's bill of rights, and finally the social support category, which includes family support, treatment staff assistance and the support was procedural.
Conclusion: Considering all the factors, the culture of the region and the treatment of the patient and if needed by his family, considering the chronic nature of the disease and the constant involvement of the patient's family in this process, providing sufficient and reliable information and creating access.
Nursing
fateme biabani; Manijeh Moghrrab; Marzieh Nasirizadeh
Volume 26, Issue 3 , September and October 2019, , Pages 303-309
Abstract
Aims:Hemodialysis patients experience in during the hemodialysis levels of nausea it’s affected on adequacy dialysis. This study performed with the aim assessing the effect of muscle relaxation on nausea and dialysis adequacy in hemodialysis patients.Methods:This two grouped experimental controlled ...
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Aims:Hemodialysis patients experience in during the hemodialysis levels of nausea it’s affected on adequacy dialysis. This study performed with the aim assessing the effect of muscle relaxation on nausea and dialysis adequacy in hemodialysis patients.Methods:This two grouped experimental controlled trial was conducted on 90 hemodialysis patients as the control case group from Gonabad and zahedan hospitals in 2015. For whom Benson muscle relaxation performed in their home after the initial training by the researcher, for 15-20 minutes, twice a day during one month. Nausea and dialysis adequacy evaluated before and after the intervention in both groups. The collected data were analyzed using independent t-test, chi-square and Mann-Whitney U tests through SPSS software version 21. The p-value was considered significant at 0.05 levels.Results: The mean scores of nausea and adequacy dialysis in case group, before the intervention, were 0.22±1.04 and 1.35±0.39 which nausea received to 0.02±0.15 and adequacy dialysis1.50±0.43 after the intervention. Wilcoxon test showed This difference was not significant in nausea (p=0.65), but result t paired showed it was significant in adequacy dialysis (p=0.003).Conclusion: Muscle Benson relaxation can be considered as a cost effective, simple and secure way to increase adequacy dialysis in the hemodialysis patients.