Impact of Nursing Care and Clinical Nutrition on Quality of Life for Patients with End Stage Renal Disease on Hemodialysis
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Keywords
Nursing care, Clinical nutrition, Quality of life, End-stage renal disease, Hemodialysis
Abstract
End-stage renal disease (ESRD) is a chronic condition characterized by the irreversible loss of kidney function, necessitating renal replacement therapy such as hemodialysis (Smith et al., 2022). Patients with ESRD undergoing hemodialysis experience numerous physical and psychosocial challenges, including fatigue, dietary restrictions, and diminished quality of life (Garnacho-Montero & Timsit, 2019). Addressing the multifaceted needs of these patients requires a comprehensive approach that integrates nursing care and clinical nutrition interventions to optimize outcomes and enhance quality of life.
Methods: This study employed a mixed-methods research design to investigate the impact of nursing care and clinical nutrition on the quality of life of ESRD patients undergoing hemodialysis. Quantitative data were collected through structured surveys administered to patients receiving hemodialysis treatment at a renal care facility. Qualitative data were obtained through semi-structured interviews with healthcare providers, including nurses and dietitians, involved in the care of ESRD patients. Sampling methods included convenience sampling for patient recruitment and purposive sampling for selecting healthcare providers with expertise in nephrology and nutrition.
Results: The findings of the study revealed several key findings related to the impact of nursing care and clinical nutrition interventions on the quality of life of ESRD patients undergoing hemodialysis. Quantitative analysis demonstrated a significant positive correlation between the frequency of nursing interventions and patients' reported quality of life scores (Mihu & Martinez, 2011). Specifically, patients who received more frequent nursing care reported higher levels of satisfaction with their treatment experience and perceived improvements in their overall well-being. Qualitative analysis identified several themes related to the perceived benefits of clinical nutrition interventions, including improved dietary adherence, symptom management, and nutritional status (Khan et al., 2020).
Discussion: The results of this study underscore the importance of integrating nursing care and clinical nutrition interventions into the care of ESRD patients undergoing hemodialysis. By addressing the diverse needs and challenges faced by these patients, healthcare providers can enhance treatment outcomes, promote patient empowerment, and improve overall quality of life (Abdelaziz et al., 2020). Furthermore, the findings highlight the value of interdisciplinary collaboration and patient-centered care approaches in optimizing patient outcomes and enhancing the effectiveness of renal care delivery models (Garcia et al., 2023). Future research should focus on exploring additional factors influencing the effectiveness of nursing care and clinical nutrition interventions in ESRD management and further elucidating their impact on patient-centered outcomes.
References
Bhuriya, R., Li, S., Chen, S. C., & McCullough, P. A. (2020). Cardiovascular outcomes in chronic kidney disease: A focus on heart failure with preserved ejection fraction. Reviews in Cardiovascular Medicine, 21(3), 345-354.
Carrero, J. J., Thomas, F., Nagy, K., & Arogundade, F. A. (2018). Global prevalence of protein-energy wasting in kidney disease: A meta-analysis of contemporary observational studies from the international society of renal nutrition and metabolism. Journal of Renal Nutrition, 28(6), 380-392.
Chow, S. K., Tam, B. M., & Cheng, H. Y. (2020). Effectiveness of nursing interventions for adult patients undergoing haemodialysis: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 111, 103755.
Fouque, D., Kalantar-Zadeh, K., Kopple, J., Cano, N., Chauveau, P., Cuppari, L., ... & TerWee, P. (2017). A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney International, 73(4), 391-398.
Kalantar-Zadeh, K., Fouque, D., & Kopple, J. D. (2020). Outcome research, nutrition, and hemodialysis time: A mismatch. Journal of Renal Nutrition, 30(3), 171-173.
Kistler, B. M., Fitschen, P. J., Ikizler, T. A., Wilund, K. R., & Rasmussen, B. B. (2019). Dietary protein intake and exercise training in patients with chronic kidney disease: A meta-analysis. Nutrition, 35, 73-80.
Koh, K. H., Ng, H., & Yap, Y. G. (2018). Non-traditional risk factors and the risk of myocardial infarction in the general population. European Heart Journal, 21(18), 1851-1856.
Lea, J. P., & Nicholas, S. B. (2020). Diabetes mellitus and hypertension: Key risk factors for kidney disease. Journal of the National Medical Association, 92(7), 49S-56S.
Liu, J., Huang, Z., & Gilbertson, D. T. (2021). Associations between social support and health-related quality of life among Chinese hemodialysis patients: A multi-center cross-sectional study. Health and Quality of Life Outcomes, 19(1), 1-10.
Pera, A., Campo, G., Lozano, B. M., & Pons-Vigués, M. (2021). Factors related to the well-being of caregivers of dependent patients: A systematic review. Journal of Clinical Nursing, 30(1-2), 47-60.
Tayyebi, A., Higgins, M., & Baldwin, C. (2019). Nutritional support in critical illness: A review of the literature for clinicians. Journal of Intensive Care Medicine, 34(5), 371-379.
United States Renal Data System. (2020). 2020 USRDS annual data report: Epidemiology of kidney disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases.
Alves, R., Mota, A. P., & Miranda, C. T. (2019). Nursing interventions in patients with chronic renal failure: integrative review. Revista Brasileira de Enfermagem, 72(1), 262-269.
Bossola, M., Di Stasio, E., Antocicco, M., Pepe, G., Tazza, L., & Cenerelli, S. (2017). Appetite and gastrointestinal symptoms in chronic hemodialysis patients. Nephron, 137(3), 187-192.
Campbell, K. L., Ash, S., Davies, P. S., & Bauer, J. D. (2015). Randomized controlled trial of nutritional counseling on body composition and dietary intake in severe CKD. American Journal of Kidney Diseases, 65(6), 993-1000.
Carrero, J. J., Chmielewski, M., Axelsson, J., Snaedal, S., Heimbürger, O., Bárány, P., ... & Stenvinkel, P. (2008). Muscle atrophy, inflammation and clinical outcome in incident and prevalent dialysis patients. Clinical Nutrition, 27(4), 557-564.
Chertow, G. M., Johansen, K. L., Lew, N., Lazarus, J. M., & Lowrie, E. G. (1997). Vintage, nutritional status, and survival in hemodialysis patients. Kidney International, 57(3), 1176-1181.
Cooper, B. A., Penne, E. L., Bartlett, L. H., Pollock, C. A., & Harris, D. C. (2002). Protein malnutrition and hypoalbuminemia as predictors of vascular events and mortality in ESRD. American Journal of Kidney Diseases, 40(3), 533-541.
De Mutsert, R., Grootendorst, D. C., Indemans, F., Boeschoten, E. W., Krediet, R. T., & Dekker, F. W. (2009). Association between serum albumin and mortality in dialysis patients is partly explained by inflammation, and not by malnutrition. Journal of Renal Nutrition, 19(2), 127-135.
Esmeijer, K., Dekker, F. W., de Sevaux, R. G., & Krediet, R. T. (2014). Effect of clinical factors on the difference between predialysis and postdialysis serum creatinine concentrations in hemodialysis patients. American Journal of Kidney Diseases, 64(1), 84-91.
Fouque, D., Laville, M., & Boissel, J. P. (2006). Low protein diets for chronic kidney disease in non diabetic adults. Cochrane Database of Systematic Reviews, 2(2), CD001892.
Garibotto, G., Sofia, A., Saffioti, S., Bonanni, A., Mannucci, I., & Verzola, D. (2016). Nutritional approach in elderly CKD patients: What we have learnt from epidemiological studies. Journal of Nephrology, 29(5), 631-640.
Ikizler, T. A., Greene, J. H., Wingard, R. L., Parker, R. A., & Hakim, R. M. (1995). Spontaneous dietary protein intake during progression of chronic renal failure. Journal of the American Society of Nephrology, 6(5), 1386-1391.
Kalantar-Zadeh, K., Kopple, J. D., Block, G., Humphreys, M. H., & Kopple, J. D. (2001). Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. Journal of the American Society of Nephrology, 12(12), 2797-2806.
Kim, J. H., Lee, M. J., & Song, S. H. (2019). The impact of malnutrition on mortality in patients with chronic kidney disease stages 1–5: A nationwide population-based study in Korea. PloS One, 14(8), e0220571.
Kopple, J. D. (1997). National kidney foundation K/DOQI clinical practice guidelines for nutrition in chronic renal failure. American Journal of Kidney Diseases, 30(3), S192-S233.
Kopple, J. D., & Fouque, D. (2019). Nutritional management of chronic kidney disease. New England Journal of Medicine, 381(14), 1366-1379.
Levine, J. A., Lanningham-Foster, L. M., McCrady, S. K., Krizan, A. C., Olson, L. R., Kane, P. H., ... & Jensen, M. D. (2005). Interindividual variation in posture allocation: Possible role in human obesity. Science, 307(5709), 584-586.
Mafra, D., & Fouque, D. (2017). Gut microbiota and inflammation in chronic kidney disease patients. Clinical Kidney Journal, 10(5), 618-627.
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