Application of Holistic Nursing in Uremic Patients with Hematodialysis Related Malnutrition
Abstract
Background: We aimed to observe the effect of holistic nursing on patients undergoing hematodialysis for uremia who simultaneously were suffering from moderate to severe malnutrition.
Methods: Eighty patients with uremia on maintenance hematodialysis with malnutrition between June 2014 and June 2015 from Yantaishan Hospital, Yantai, Shandong, China were included and equally and randomly were divided into the control group (n=43) and observation group (n=43). Routine nursing was used in the control group while holistic nursing was used in observation group (before, during and after dialysis) and the clinical effects in the two groups were compared after 3 months.
Results: At follow-up visits, serum creatinine and urea nitrogen levels of the patients in the two groups were decreased, whereas hemoglobin and albumin levels were increased. In addition, these improvements were greater in the observation group and the differences were statistically significant (P<0.05). Furthermore, during follow-up visits, MQSGA and MIS scores of the two groups were lower and the scores of the observation group were lower than those in the control group were, and the differences were statistically significant (P<0.05).
Conclusion: Holistic nursing is able to improve significantly malnutrition in patients with uremia on hematodialysis.
Hasheminejad N, Namdari M, Mahmoodi MR, Ba-hrampour A, Azmandian J (2016). Association of Handgrip Strength with Malnutrition-Inflammation Score as an Assessment of Nutri-tional Status in Hemodialysis Patients. Iran J Kidney Dis, 10 (1):30-5.
Kopple JD (2001). National Kidney Foundation K/DOQI clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis, 37(1 Suppl 2):S66-70.
Xie LM, Ge YY, Huang X, Zhang YQ, Li JX (2015). Effects of fermentable dietary fiber sup-plementation on oxidative and inflammatory sta-tus inhemodialysis patients. Int J Clin Exp Med, 8(1):1363-9.
Kaysen GA (2000). Malnutrition and the acute-phase reaction in dialysis patients-how to measure and how to distinguish. Nephrol Dial Transplant, 15(10):1521-1524.
Karavetian M, Elzein H, Rizk R, Jibai R, de Vries N (2016). Nutritional education for management of osteodystrophy: Impact on serum phosphorus, quality of life, and malnutrition. Hemodial Int, 20(3):432-40.
Kargar JM, Javadpour S, Taheri L, Poorgholami F (2015). Effect of Nurse-Led Telephone Follow ups (Tele-Nursing) on Depression, Anxiety and Stress in Hemodialysis Patients. Glob J Health Sci, 8(3):168-73.
Formica M, Marazzi F, Tamagnone M et al (2014). Chronic uremia and palliative care. G Ital Nefrol, 31(2): gin/31.2.4.
Kovesdy CP, Kalantar-Zadeh K (2016). Back to the future: restricted protein intake for conservative management of CKD, triple goals of renoprotec-tion, uremia mitigation, and nutritional health. Int Urol Nephrol, 48(5):725-9.
Reid A (2015). Holistic Nursing, Reiki, & the Centle Art of Beekeeping. Beginnings, 35(6):22-4.
Koithan M (2015). The Promise of Integrative Nurs-ing. Creat Nurs, 21(4):193-9.
Santos PR, Silveira Monteiro DL, de Paula PH et al (2015). Dyspepsia is Associated with Low Protein and Caloric Intake among End-Stage Renal Dis-ease Patients. Int J Vitam Nutr Res, 85(3-4):112-8.
Ren H, Gong D,Jia F,Xu B, Liu Z (2016). Sarcopenia in patients undergoing maintenance hemodialysis: incidence rate, risk factors and its effect on survival risk. Ren Fail, 38(3):364-71.
Rocco MV, Paranandi L, Burrowes JD et al (2002). Nutritional status in the HEMD study cohort at baseline. Hemodialysis. Am J Kidney Dis, 39(2): 245-256.
Li W, Zhang S (2015). Risk Factors of Parathyroid Dysfunction in Elderly Patients with Chronic Kidney Disease Undergoing Hemodialysis. Adv Clin Exp Med, 24(6):1007-12.
Finkelstein FO, Wuerth D, Finkelstein SH (2010). An approach to addressing depression in patients with chronic kidney disease. Blood Purif, 29: 121-4.
Shah A, Bross R, Shapiro BB, Morrison G, Kopple JD (2016). Dietary energy requirements in relatively healthy maintenance hemodialysis patients estimated from long-term metabolic studies. Am J Clin Nutr, 103(3):757-65.
Beto JA, Schury KA, Bansal VK (2016). Strategies to promote adherence to nutritional advice in pa-tients with chronic kidney disease: a narrative re-view and commentary. Int J Nephrol Renovasc Dis, 2;9:21-33.
Yilmaz S, Yildirim Y, Taylan M et al (2016). The rela-tionship of fluid overload as assessed by bioelec-trical impedance analysis with pulmonary arterial hypertension in hemodialysis patients. Med Sci Monit, 22:488-494.
Haras MS (2015). Does hemodialysis dialysate potas-sium composition matter? Nephrol Nurs J, 42:577-580.
Files | ||
Issue | Vol 46 No 4 (2017) | |
Section | Original Article(s) | |
Keywords | ||
Holistic nursing Uremia Hematodialysis Moderate and severe malnutrition |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |