Nursing Care and Quality of Life for Patients with End Stage Renal Disease on Hemodialysis
Main Article Content
Keywords
end-stage renal disease, hemodialysis, quality of life, nursing care, nursing interventions
Abstract
Nursing care plays a pivotal role in optimizing quality of life for patients with end-stage renal disease requiring hemodialysis treatment. Hemodialysis poses significant physical, psychological and social challenges that profoundly impact patients' well-being. This paper examines the effect of hemodialysis on quality of life domains and outlines common self-care needs and nursing diagnoses involved. Evidence-based nursing interventions shown to enhance outcomes are discussed, including patient education, cognitive behavioral therapy, exercise training, and coordinated multi-disciplinary care. Targeted nursing assessments allow individualized care plans addressing each patient's unique needs and promoting self-management. Overall, a team-based approach led by nephrology nurses is critical to improving clinical outcomes and quality of life for this vulnerable patient population.
References
Aguiar, R., Pei, M., Qureshi, A. R., & Lindholm, B. (2018). Health-related quality of life in peritoneal dialysis patients: a narrative review. Seminars in Dialysis, 31(6), 558-568.
Alshraifeen, A., McCreaddie, M., & Evans, J. M. (2020). Health related quality of life and associated factors in Jordanian patients with chronic kidney disease. Health and Quality of Life Outcomes, 18(1).
Bonner, A., Wellard, S., & Caltabiano, M. (2010). The impact of fatigue on daily activity in people with chronic kidney disease. Journal of Clinical Nursing, 19(21-22), 3006–3015.
Burrai, F., Lupi, R., Luppi, M., Micheluzzi, V., Donati, G., Lamanna, G., & Raghavan, R. (2019). Effects of listening to live singing in patients undergoing hemodialysis: a randomized controlled crossover study. Biological Research for Nursing, 21(1), 30-38.
Chen, C. C., Chen, Y., Liu, X., Wen, Y., Ma, D. Y., Huang, Y. Y., ... & Yang, K. (2016). The efficacy of a nurse-led disease management program in improving the quality of life for patients with chronic kidney disease: a meta-analysis. PloS One, 11(5), e0155890.
China Blood Purification. (2010). China is facing a rapidly growing burden of end-stage renal disease treatment. China Blood Purification, 1, 47-49.
Coffey, A., Mulcahy, H., Savage, E., Fitzgerald, S., Bradley, C., Benefield, L., & Leahy-Warren, P. (2017). Transitional care interventions: Relevance for nursing in the community. Public Health Nursing, 34(5), 454-460.
Cohen, S. D., Cukor, D., & Kimmel, P. L. (2016). Anxiety in patients treated with hemodialysis. Clinical Journal of the American Society of Nephrology, 11(12), 2250-2255.
Connolly, S. B., Kotseva, K., Jennings, C., Atrey, A., Jones, J., Brown, A., ... & Wood, D. A. (2017). Outcomes of an integrated community-based nurse-led cardiovascular disease prevention programme. Heart, 103(12), 840-847.
Cope, D. G. (2015). Nursing intervention research. Oncology Nursing Forum, 42(4), 409-411.
Cukor, D., Ver Halen, N., Asher, D. R., Coplan, J. D., Weedon, J., Wyka, K. E., ... & Kimmel, P. L. (2014). Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. Journal of the American Society of Nephrology, 25(1), 196-206.
Duong, C. V., Swinkels, D. W., Weerd, N. V. D., Caljouw, M. A., & Ven, W. V. D. (2017). Effects of Cognitive Behavioral Therapy for Depression and Anxiety in Patients With Chronic Renal Failure: Systematic Review and Meta-analysis. Clinical Nephrology, 88(7), 59–71.
Ganu, V. J., Boima, V., Adjei, D. N., Yendork, J. S., Dey, I. D., Yorke, E., ... & Mate-Kole, M. O. (2018). Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: a cross-sectional study. Ghana Medical Journal, 52(1), 22-28.
Gordeeva, O., Chlysta, A., Menshikov, V., & Deev, A. (2017). Kidney function, quality of life and exercise tolerance in end-stage renal disease: A longitudinal study. Saudi Journal of Kidney Diseases and Transplantation, 28(4), 881.
Guan, Y., & He, Y. X. (2019). Effect of advanced care on psychological condition in patients with chronic renal failure undergoing hemodialysis: a protocol of a systematic review. Medicine, 98(5), e14738.
Herdman, T. H., & Kamitsuru, S. (2018). NANDA international nursing diagnoses: Definitions and classification 2018–2020. Thieme.
Himmelfarb, J., & Ikizler, T. A. (2019). Hemodialysis. New England Journal of Medicine, 380(19), 1837-1846.
Huang, J. P. (2017). Analysis of the effect of continuous nursing on quality of life and curative effect of hemodialysis patients with renal failure. China Rural Health, 25, 58-59.
Kargar Jahromi, M., Javadpour, S., Taheri, L., & Poorgholami, F. (2015). Effect of nurse-led telephone follow ups (tele-nursing) on depression, anxiety and stress in hemodialysis patients. Global Journal of Health Science, 8(3), 168-173.
Kimmel, P. L., & Cukor, D. (2019). Anxiety symptoms in patients treated with hemodialysis: measurement and meaning. American Journal of Kidney Diseases, 74(2), 145-147.
Lerma, A., Perez-Grovas, H., Bermudez, L., Peralta-Pedrero, M. L., Robles-Garcia, R., & Lerma, C. (2017). Brief cognitive behavioural intervention for depression and anxiety symptoms improves quality of life in chronic haemodialysis patients. Psychology and Psychotherapy: Theory, Research and Practice, 90(1), 105-123.
Liu, T., Li, J. R., Song, W. W., & Wang, Y. (2017). The influence of continuous nursing intervention on negative emotion and self-management ability of hemodialysis patients with chronic renal failure. International Journal of Psychiatry, 2, 374-378.
Long, Y., Zhou, X. J., Liu, Y., & Wang, A. J. (2019). Meta-analysis of the effect of continuous nursing on the quality of life of hemodialysis patients. Laboratory Medicine and Clinic, 4, 482-486, 489.
Lopez-Vargas, P. A., Tong, A., Phoon, R. K., Chadban, S. J., Shen, Y., & Craig, J. C. (2011). Knowledge deficit of patients with stage 1–4 CKD: A focus group study. Nephrology, 17(3), 234–243.
Ma, R., Song, Y., Zhao, N., Zhang, N. N., & Shen, H. Y. (2018). Meta-analysis of the effect of comprehensive nursing intervention on anxiety and depression in maintenance hemodialysis patients. Journal of Shenyang Medical College, 3, 240-243.
Rebollo Rubio, A., Morales Asencio, J. M., & Eugenia Pons Raventos, M. (2017). Depression, anxiety and health-related quality of life amongst patients who are starting dialysis treatment. Journal of Renal Care, 43(2), 73-82.
Schouten, R. W., Haverkamp, G. L., Loosman, W. L., Chandie Shaw, P. K., van Ittersum, F. J., Smets, Y. F., ... & Siegert, C. E. (2019). Anxiety symptoms, mortality, and hospitalization in patients receiving maintenance dialysis: a cohort study. American Journal of Kidney Diseases, 74(2), 158-166.
Sheng, K., Zhang, P., Chen, L., Cheng, J., Wu, C., & Chen, J. (2014). Intradialytic exercise in hemodialysis patients: A systematic review and meta-analysis. American Journal of Nephrology, 40(5), 478–490.
Shirazian, S., Smaldone, A., Rao, M. K., Silberzweig, J., Jacobson, A. M., Fazzari, M., & Weinger, K. (2018). A protocol for a pilot randomized controlled trial to assess the feasibility and effect of a cognitive behavioral intervention on quality of life for patients on hemodialysis. Contemporary Clinical Trials, 73, 51-60.
Tao, X., Chow, S. K., & Wong, F. K. (2014). Determining the validity and reliability of the Chinese version of the Kidney Disease Quality of Life Questionnaire (KDQOL-36). BMC Nephrology, 15(1), 115.
Theofilou, P. (2013). Quality of life: Definition and measurement. Europe's Journal of Psychology, 7(1), 150–162.
van Zuilen, A. D., Bots, M. L., Dulger, A., van der Tweel, I., van Buren, M., Ten Dam, M. A., ... & Wetzels, J. F. (2012). Multifactorial intervention with nurse practitioners does not change cardiovascular outcomes in patients with chronic kidney disease. Kidney International, 82(6), 710-717.
Wang, F., Yang, C., Long, J., Zhao, X., Dong, Z., Ding, X., ... & CKNET: The China Kidney Disease Network. (2019). Executive summary for the 2015 Annual Data Report of the China Kidney Disease Network (CK-NET). Kidney International, 95(3), 501-505.
Wang, K. M. (2018). The effect of cognitive behavioral nursing intervention on renal function and quality of life in patients with chronic renal failure undergoing hemodialysis. Electronic Journal of Clinical Medical Literature, 46, 97-102.
Wu, X. Y., Bai, Y., Li, Y. J., Wei, X. Y., & Wang, J. (2017). Effect of cognitive behavioral nursing intervention on renal function and quality of life in patients with chronic renal failure undergoing hemodialysis. Hainan Medicine, 6, 1023-1025.
Xing, L., Chen, R., Diao, Y., Qian, J., You, C., & Jiang, X. (2016). Do psychological interventions reduce depression in hemodialysis patients?: A meta-analysis of randomized controlled trials following PRISMA. Medicine, 95(34), e4675.
Zhang, L., Long, J., Jiang, W., Shi, Y., He, X., Zhou, Z., ... & Wang, H. (2016). Trends in chronic kidney disease in China. New England Journal of Medicine, 375(9), 905-906.
Zhang, L., Wang, F., Wang, L., Wang, W., Liu, B., Liu, J., ... & Wang, H. (2012). Prevalence of chronic kidney disease in China: a cross-sectional survey. The Lancet, 379(9818), 815-822.
Zhou, G. F. (2018). The influence of cognitive behavioral nursing intervention on renal function, anxiety and depression and quality of life in patients with chronic renal failure undergoing hemodialysis. China Modern Medicine, 35, 203-205.
Zung, W. W. (1965). A self-rating depression scale. Archives of General Psychiatry, 12(1), 63-70.
Zung, W. W. (1971). A rating instrument for anxiety disorders. Psychosomatics, 12(6), 371-379.
Alshraifeen, A., McCreaddie, M., & Evans, J. M. (2020). Health related quality of life and associated factors in Jordanian patients with chronic kidney disease. Health and Quality of Life Outcomes, 18(1).
Bonner, A., Wellard, S., & Caltabiano, M. (2010). The impact of fatigue on daily activity in people with chronic kidney disease. Journal of Clinical Nursing, 19(21-22), 3006–3015.
Burrai, F., Lupi, R., Luppi, M., Micheluzzi, V., Donati, G., Lamanna, G., & Raghavan, R. (2019). Effects of listening to live singing in patients undergoing hemodialysis: a randomized controlled crossover study. Biological Research for Nursing, 21(1), 30-38.
Chen, C. C., Chen, Y., Liu, X., Wen, Y., Ma, D. Y., Huang, Y. Y., ... & Yang, K. (2016). The efficacy of a nurse-led disease management program in improving the quality of life for patients with chronic kidney disease: a meta-analysis. PloS One, 11(5), e0155890.
China Blood Purification. (2010). China is facing a rapidly growing burden of end-stage renal disease treatment. China Blood Purification, 1, 47-49.
Coffey, A., Mulcahy, H., Savage, E., Fitzgerald, S., Bradley, C., Benefield, L., & Leahy-Warren, P. (2017). Transitional care interventions: Relevance for nursing in the community. Public Health Nursing, 34(5), 454-460.
Cohen, S. D., Cukor, D., & Kimmel, P. L. (2016). Anxiety in patients treated with hemodialysis. Clinical Journal of the American Society of Nephrology, 11(12), 2250-2255.
Connolly, S. B., Kotseva, K., Jennings, C., Atrey, A., Jones, J., Brown, A., ... & Wood, D. A. (2017). Outcomes of an integrated community-based nurse-led cardiovascular disease prevention programme. Heart, 103(12), 840-847.
Cope, D. G. (2015). Nursing intervention research. Oncology Nursing Forum, 42(4), 409-411.
Cukor, D., Ver Halen, N., Asher, D. R., Coplan, J. D., Weedon, J., Wyka, K. E., ... & Kimmel, P. L. (2014). Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. Journal of the American Society of Nephrology, 25(1), 196-206.
Duong, C. V., Swinkels, D. W., Weerd, N. V. D., Caljouw, M. A., & Ven, W. V. D. (2017). Effects of Cognitive Behavioral Therapy for Depression and Anxiety in Patients With Chronic Renal Failure: Systematic Review and Meta-analysis. Clinical Nephrology, 88(7), 59–71.
Ganu, V. J., Boima, V., Adjei, D. N., Yendork, J. S., Dey, I. D., Yorke, E., ... & Mate-Kole, M. O. (2018). Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: a cross-sectional study. Ghana Medical Journal, 52(1), 22-28.
Gordeeva, O., Chlysta, A., Menshikov, V., & Deev, A. (2017). Kidney function, quality of life and exercise tolerance in end-stage renal disease: A longitudinal study. Saudi Journal of Kidney Diseases and Transplantation, 28(4), 881.
Guan, Y., & He, Y. X. (2019). Effect of advanced care on psychological condition in patients with chronic renal failure undergoing hemodialysis: a protocol of a systematic review. Medicine, 98(5), e14738.
Herdman, T. H., & Kamitsuru, S. (2018). NANDA international nursing diagnoses: Definitions and classification 2018–2020. Thieme.
Himmelfarb, J., & Ikizler, T. A. (2019). Hemodialysis. New England Journal of Medicine, 380(19), 1837-1846.
Huang, J. P. (2017). Analysis of the effect of continuous nursing on quality of life and curative effect of hemodialysis patients with renal failure. China Rural Health, 25, 58-59.
Kargar Jahromi, M., Javadpour, S., Taheri, L., & Poorgholami, F. (2015). Effect of nurse-led telephone follow ups (tele-nursing) on depression, anxiety and stress in hemodialysis patients. Global Journal of Health Science, 8(3), 168-173.
Kimmel, P. L., & Cukor, D. (2019). Anxiety symptoms in patients treated with hemodialysis: measurement and meaning. American Journal of Kidney Diseases, 74(2), 145-147.
Lerma, A., Perez-Grovas, H., Bermudez, L., Peralta-Pedrero, M. L., Robles-Garcia, R., & Lerma, C. (2017). Brief cognitive behavioural intervention for depression and anxiety symptoms improves quality of life in chronic haemodialysis patients. Psychology and Psychotherapy: Theory, Research and Practice, 90(1), 105-123.
Liu, T., Li, J. R., Song, W. W., & Wang, Y. (2017). The influence of continuous nursing intervention on negative emotion and self-management ability of hemodialysis patients with chronic renal failure. International Journal of Psychiatry, 2, 374-378.
Long, Y., Zhou, X. J., Liu, Y., & Wang, A. J. (2019). Meta-analysis of the effect of continuous nursing on the quality of life of hemodialysis patients. Laboratory Medicine and Clinic, 4, 482-486, 489.
Lopez-Vargas, P. A., Tong, A., Phoon, R. K., Chadban, S. J., Shen, Y., & Craig, J. C. (2011). Knowledge deficit of patients with stage 1–4 CKD: A focus group study. Nephrology, 17(3), 234–243.
Ma, R., Song, Y., Zhao, N., Zhang, N. N., & Shen, H. Y. (2018). Meta-analysis of the effect of comprehensive nursing intervention on anxiety and depression in maintenance hemodialysis patients. Journal of Shenyang Medical College, 3, 240-243.
Rebollo Rubio, A., Morales Asencio, J. M., & Eugenia Pons Raventos, M. (2017). Depression, anxiety and health-related quality of life amongst patients who are starting dialysis treatment. Journal of Renal Care, 43(2), 73-82.
Schouten, R. W., Haverkamp, G. L., Loosman, W. L., Chandie Shaw, P. K., van Ittersum, F. J., Smets, Y. F., ... & Siegert, C. E. (2019). Anxiety symptoms, mortality, and hospitalization in patients receiving maintenance dialysis: a cohort study. American Journal of Kidney Diseases, 74(2), 158-166.
Sheng, K., Zhang, P., Chen, L., Cheng, J., Wu, C., & Chen, J. (2014). Intradialytic exercise in hemodialysis patients: A systematic review and meta-analysis. American Journal of Nephrology, 40(5), 478–490.
Shirazian, S., Smaldone, A., Rao, M. K., Silberzweig, J., Jacobson, A. M., Fazzari, M., & Weinger, K. (2018). A protocol for a pilot randomized controlled trial to assess the feasibility and effect of a cognitive behavioral intervention on quality of life for patients on hemodialysis. Contemporary Clinical Trials, 73, 51-60.
Tao, X., Chow, S. K., & Wong, F. K. (2014). Determining the validity and reliability of the Chinese version of the Kidney Disease Quality of Life Questionnaire (KDQOL-36). BMC Nephrology, 15(1), 115.
Theofilou, P. (2013). Quality of life: Definition and measurement. Europe's Journal of Psychology, 7(1), 150–162.
van Zuilen, A. D., Bots, M. L., Dulger, A., van der Tweel, I., van Buren, M., Ten Dam, M. A., ... & Wetzels, J. F. (2012). Multifactorial intervention with nurse practitioners does not change cardiovascular outcomes in patients with chronic kidney disease. Kidney International, 82(6), 710-717.
Wang, F., Yang, C., Long, J., Zhao, X., Dong, Z., Ding, X., ... & CKNET: The China Kidney Disease Network. (2019). Executive summary for the 2015 Annual Data Report of the China Kidney Disease Network (CK-NET). Kidney International, 95(3), 501-505.
Wang, K. M. (2018). The effect of cognitive behavioral nursing intervention on renal function and quality of life in patients with chronic renal failure undergoing hemodialysis. Electronic Journal of Clinical Medical Literature, 46, 97-102.
Wu, X. Y., Bai, Y., Li, Y. J., Wei, X. Y., & Wang, J. (2017). Effect of cognitive behavioral nursing intervention on renal function and quality of life in patients with chronic renal failure undergoing hemodialysis. Hainan Medicine, 6, 1023-1025.
Xing, L., Chen, R., Diao, Y., Qian, J., You, C., & Jiang, X. (2016). Do psychological interventions reduce depression in hemodialysis patients?: A meta-analysis of randomized controlled trials following PRISMA. Medicine, 95(34), e4675.
Zhang, L., Long, J., Jiang, W., Shi, Y., He, X., Zhou, Z., ... & Wang, H. (2016). Trends in chronic kidney disease in China. New England Journal of Medicine, 375(9), 905-906.
Zhang, L., Wang, F., Wang, L., Wang, W., Liu, B., Liu, J., ... & Wang, H. (2012). Prevalence of chronic kidney disease in China: a cross-sectional survey. The Lancet, 379(9818), 815-822.
Zhou, G. F. (2018). The influence of cognitive behavioral nursing intervention on renal function, anxiety and depression and quality of life in patients with chronic renal failure undergoing hemodialysis. China Modern Medicine, 35, 203-205.
Zung, W. W. (1965). A self-rating depression scale. Archives of General Psychiatry, 12(1), 63-70.
Zung, W. W. (1971). A rating instrument for anxiety disorders. Psychosomatics, 12(6), 371-379.
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Apr 27, 2022
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Abdullah Messad Almotairi, Mohammed Abdulkarim Mohammed Alalyan, Naif Amsefar Al Motery, Dalal Musayfir Almutairi , Abdullah Hamdan Almutairi, Sultan Nasser Almutairi, H. M. N. A. M. F. A. B. B. A. A. M. O. A. J. N. A. A. M. M. A. (2022). Nursing Care and Quality of Life for Patients with End Stage Renal Disease on Hemodialysis. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 638-647. https://doi.org/10.53555/jptcp.v29i04.5505
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Abdullah Messad Almotairi, Mohammed Abdulkarim Mohammed Alalyan, Naif Amsefar Al Motery, Dalal Musayfir Almutairi , Abdullah Hamdan Almutairi, Sultan Nasser Almutairi, H. M. N. A. M. F. A. B. B. A. A. M. O. A. J. N. A. A. M. M. A. (2022). Nursing Care and Quality of Life for Patients with End Stage Renal Disease on Hemodialysis. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 638-647. https://doi.org/10.53555/jptcp.v29i04.5505
