Background:Patients undergoing hemodialysis suffer from deteriorating physical health,impaired physical function,and have a low quality of life,that explained by insufficient metabolic clearance.To overcome these obst...Background:Patients undergoing hemodialysis suffer from deteriorating physical health,impaired physical function,and have a low quality of life,that explained by insufficient metabolic clearance.To overcome these obstacles,cost-effective strategies must be developed,including exercise as a complement to hemodialysis therapy.Objective:To determine the effectiveness of exercise therapy on functional balance,physical performance,and quality of life among patients undergoing hemodialysis:a randomized controlled trial.Methods:This randomized controlled trial study was carried out on 68 patients with chronic kidney disease undergoing hemodialysis for at least six months and had a medically stable condition who were randomly divided into training(n=32)exercise therapy and(n=31)control,groups.The training group participated in 8-week(3 sessions per week)resistance exercise therapy in three sets of 10 repetitions of knee extension,hip flexion,and hip abduction with the use of an elastic band under the supervision of a training physiotherapist and researcher during the first hour of the three routine hemodialysis treatment session per week.But the control group did not experience any intervention.To analyze the data,two-way analysis of variance and Bonferroni statistical tests were used at the significant level of(P=0.05).Results:6 Minute-Walk Test(6MWT)(0.013),and in the Physical Activity Scale for the Elderly(PASE)(0.014),and Short Survey Form 36(SF-36)questionnaires and health-related quality of life(HRQOL)(0.001)had significant improvements in the training group in comparison to the control group from pre to post-test,also physical performance(0.001)was improving as compared with control group(0.89)at(P=0.05).Conclusion:Resistance exercise therapy interventions for eight weeks effectively improve the physical function and performance,activity levels,and health-related quality of life of patients with chronic kidney disease and undergoing regular hemodialysis compared with a control group.展开更多
Background:Renal rehabilitation is a process that consists of a series of activities that are intended to improve the health of people with chronic kidney disease.A person with chronic kidney disease requires intensiv...Background:Renal rehabilitation is a process that consists of a series of activities that are intended to improve the health of people with chronic kidney disease.A person with chronic kidney disease requires intensive nursing care,support from other healthcare providers,and an interdisciplinary team of professionals.Objective:This article aims to teach these aspects of renal nursing rehabilitation,highlight the effect of rehabilitation in patients with chronic kidney disease to avoid renal complications,and improve self-care activities.Conclusion:Rehabilitation of renal patients is a multidisciplinary task that the medical team must perform.Physiotherapy teams are crucial to the development of patients’exercise programs.Support from family and renal nurses and care teams is of great importance.All parties play an important role,and integrated team approaches can make rehabilitation very effective.Recommendation:Clinicians should counsel patients with chronic kidney disease;increasing physical activity levels in vulnerable older people,including older people,promotes health through regular physical activity,including exercise and endurance.展开更多
Background:Nurses are usually the first to identify and initiate cardiopulmonary resuscitation(CPR)for cardiac arrest in hospitalized patients.Consequently,the assessment of nurses’knowledge of CPR is very important ...Background:Nurses are usually the first to identify and initiate cardiopulmonary resuscitation(CPR)for cardiac arrest in hospitalized patients.Consequently,the assessment of nurses’knowledge of CPR is very important for improving training programs.Basic life support will be designed to achieve this goal.However,when received by adequately trained healthcare professionals,basic life support has been shown to reduce in-hospital deaths.Aims:The study aims to assess the knowledge and attitude of nurses when facing cardiac arrest regarding basic life support/cardiopulmonary resuscitation among nursing professionals and to design a proposed training program for nurses working in Al-Najaf Teaching Hospital in their training needs.Methodology:This descriptive and exploratory cross-sectional study will be conducted at Al-Najaf city in the southern region of Iraq in Al-Najaf teaching hospital to assess the nurses’knowledge concerning cardiopulmonary resuscitation.The methodological strategies for data collection will be using assessment questionnaire survey,participative observation,and questionnaires to evaluate the need to learn,the educational practices,and their methodology,allowing for grouping the results in nurses’expectations.Data collection will be from July to August of 2022 by the application of a semi-structured questionnaire developed by the authors,to be used toward 250 nurses who work at a hospital in Al Najaf city;those on sick leave or vacations will be excluded.The project was approved by the Committee of Ethics in Research from Al-Najaf health direction.Expected results:To know how CPR is performed and to check whether the actions taken differ from the knowledge and practice approved by nurses in their professional activities.Subsequently,to plan educational interventions associated with the practice if necessary.展开更多
Background:Chronic kidney disease(CKD)patients undergo hemodialysis to treat their condition.But this treatment comes with its own set of problems like psychiatric and mental disorders.Many of these patients experienc...Background:Chronic kidney disease(CKD)patients undergo hemodialysis to treat their condition.But this treatment comes with its own set of problems like psychiatric and mental disorders.Many of these patients experience low self-esteem,stress,depression,and anxiety,making it difficult to cope with their disease.CKD is a global general medical issue.Psychiatric disorders have been reported in more than 50% of end-stage kidney disease patients undergoing hemodialysis.Unfortunately,their attending doctors and nurses often overlook these psychological problems.Furthermore,the non-psychiatric medication prescribed may not help alleviate the symptoms of emotional distress.Objective:The article aimed to explore and review the literature concerning the psychological impact of CKD and hemodialysis on patients with CKD.Method:A literature review based on previous studies and assessments derived from international databases(PubMed,Medline and Scopus)related to people's psychological problems with CKD.The data collection was conducted from 24 November 2021 to 10 February 2022.Also,was used keywords such as hemodialysis,kidney failure,psychological disorders or factors,economic status,social status,and quality of life.Conclusion:Psychiatric disorders in patients with CKD and undergoing hemodialysis are ignored,negatively impacting their quality of life.Awareness of CKD is lacking among physicians and general public health because the worldwide burden increases.The disease's complexity and chronic nature affect patients'quality of life with CKD and their health.Therefore,nephrology nurses play an essential role in ensuring effective nursing intervention and psychological support of patients with CKD during hemodialysis therapy.展开更多
Background:Hemodialysis is the major treatment option for patients with chronic kidney disease.With the increase in the number of maintenance hemodialysis patients,debilitating conditions of muscle willing and atrophy...Background:Hemodialysis is the major treatment option for patients with chronic kidney disease.With the increase in the number of maintenance hemodialysis patients,debilitating conditions of muscle willing and atrophy and numerous health problems associated with chronic kidney disease and hemodialysis have become the most significant concerns.Methods:This randomized controlled trial study design will be conducted at Al-Najaf city in the southern region of Iraq and carried out on 68 patients with chronic kidney disease undergoing hemodialysis for at least six months and who had a medically stable condition,which will be randomly divided into training group;exercise therapy and control,groups.The training group participated in 8-week(3 sessions per week)resistance exercise therapy in three sets of 10 repetitions of knee extension,hip flexion,and hip abduction with the use of an elastic band under the supervision of a training physiotherapist and researcher during the first hour of the three routine hemodialysis treatment session per week.But the control group did not experience any intervention.To analyze the data,two-way analysis of variance and Bonferroni statistical tests will be used at the significant level of(P=0.05).Discussion:Important features of this study include the randomization procedures,double-blind,large sample size,and a standardized protocol for resistance exercise training on the physical performance of hemodialysis patients.This study aims to determine the effectiveness of resistance exercise for the patient with chronic kidney disease and undergoing hemodialysis.Therefore,our results will be useful for patients with chronic kidney diseases,medical staff,and healthcare decision-makers.展开更多
Dear editors The worldwide burden of cancer is rising,leading to significant premature deaths and productive life-long loss.Cancer-related mortality is disproportionately higher in low-income and middle-income countri...Dear editors The worldwide burden of cancer is rising,leading to significant premature deaths and productive life-long loss.Cancer-related mortality is disproportionately higher in low-income and middle-income countries(LMICs;estimated at 72%–75%)than in high-income countries(HICs;estimated at 46%).The nursing workforce is essential to cancer control.展开更多
Dear editor:In today’s healthcare system,the delivery process includes many interfaces and patient handouts between several health professionals with further education and professional training levels.As a health car...Dear editor:In today’s healthcare system,the delivery process includes many interfaces and patient handouts between several health professionals with further education and professional training levels.As a health care science,nursing focuses on serving the needs of humans as biopsychosocial and spiritual beings.Its practice requires scientific knowledge and interpersonal,intellectual,and technical abilities and skills.This means a composition of knowledge,clinical work,and interpersonal communication.Communication is an essential element of nursing in all fields of activity,including prevention,treatment,therapy,rehabilitation,education,and health promotion.Moreover,the nursing process as a scientific method of exercise and implementation of nursing is achieved through dialogue,interpersonal environment,and specific verbal communication skills.展开更多
Dear editor,Hospital accidental falls are serious incidents relating to patient safety.Thus falls are very common among older adults who are cared for in-hospital health care facilities,rehabilitation facilities or ac...Dear editor,Hospital accidental falls are serious incidents relating to patient safety.Thus falls are very common among older adults who are cared for in-hospital health care facilities,rehabilitation facilities or acute hospitals.In the world,the death rate of the elderly is one of the most serious health problems of this period due to the increased morbidity and mortality related to the death rate of the aging population.The World Health Organization defines falls as“inadvertently coming to rest on the ground,floor or other lower level,excluding intentional change in position to rest in furniture,wall or other objects”.Fall rates in long-term institutions for older people are high and contribute to hospitalized older people’s physical and mental deterioration.Falls occur commonly and are major factors threatening the independence of older people.Like many geriatric syndromes,falls usually occur when impairment in several areas hampers a person’s compensation capability.More than 80 per cent of falls related to injuries occur in low and middle-income countries,and 60 per cent of these deaths occur in the West Pacific and Southeast Asia regions.The death rate among adults over 60 years of age is the highest in all regions of the world.Falls are the most common cause of accidents,and there are serious consequences such as fear of falling,fractures,independence losses,and even death[1].展开更多
Dear editor:Scientific knowledge is increasingly important today,and healthcare applications are changing rapidly.As the ageing population progresses,chronic treatment for acute disease depends on the treatment applic...Dear editor:Scientific knowledge is increasingly important today,and healthcare applications are changing rapidly.As the ageing population progresses,chronic treatment for acute disease depends on the treatment application that has changed the perspective of patient care and the quality of maintenance.Innovation is an important tool for improving the quality of life of the community.In general,innovations inthe health sector,especially in nursing,new methods,technologies,and working methods,are described as development processes.Innovation is vital for improving the quality of nursing care and its sustainability.Planning nursing practice submitting and assessing innovative strategies is one of the main factors that directly affect the quality of services.Based on all the reasons and literature,the paper is preparing to provide innovative information on nursing practice.展开更多
Dear editor Health care workers are generally predisposed to injuries from sharps as a health hazard.This is more pronounced among waste handlers.Exposure to medical waste in hospitals and health facilities results in...Dear editor Health care workers are generally predisposed to injuries from sharps as a health hazard.This is more pronounced among waste handlers.Exposure to medical waste in hospitals and health facilities results in injuries and contagious diseases.Therefore,health workers,including nurses,doctors,technicians,and hospital cleaning workers,are always alerted to exercise the utmost caution and not to be exposed to the waste produced by the patient,especially through cuts or scrapes from the patient’s sharp injuries,touching or inhalation or exposure to spills or splashes of liquids from medical waste or any waste resulting from patient care or contact with his body fluids[1].展开更多
文摘Background:Patients undergoing hemodialysis suffer from deteriorating physical health,impaired physical function,and have a low quality of life,that explained by insufficient metabolic clearance.To overcome these obstacles,cost-effective strategies must be developed,including exercise as a complement to hemodialysis therapy.Objective:To determine the effectiveness of exercise therapy on functional balance,physical performance,and quality of life among patients undergoing hemodialysis:a randomized controlled trial.Methods:This randomized controlled trial study was carried out on 68 patients with chronic kidney disease undergoing hemodialysis for at least six months and had a medically stable condition who were randomly divided into training(n=32)exercise therapy and(n=31)control,groups.The training group participated in 8-week(3 sessions per week)resistance exercise therapy in three sets of 10 repetitions of knee extension,hip flexion,and hip abduction with the use of an elastic band under the supervision of a training physiotherapist and researcher during the first hour of the three routine hemodialysis treatment session per week.But the control group did not experience any intervention.To analyze the data,two-way analysis of variance and Bonferroni statistical tests were used at the significant level of(P=0.05).Results:6 Minute-Walk Test(6MWT)(0.013),and in the Physical Activity Scale for the Elderly(PASE)(0.014),and Short Survey Form 36(SF-36)questionnaires and health-related quality of life(HRQOL)(0.001)had significant improvements in the training group in comparison to the control group from pre to post-test,also physical performance(0.001)was improving as compared with control group(0.89)at(P=0.05).Conclusion:Resistance exercise therapy interventions for eight weeks effectively improve the physical function and performance,activity levels,and health-related quality of life of patients with chronic kidney disease and undergoing regular hemodialysis compared with a control group.
文摘Background:Renal rehabilitation is a process that consists of a series of activities that are intended to improve the health of people with chronic kidney disease.A person with chronic kidney disease requires intensive nursing care,support from other healthcare providers,and an interdisciplinary team of professionals.Objective:This article aims to teach these aspects of renal nursing rehabilitation,highlight the effect of rehabilitation in patients with chronic kidney disease to avoid renal complications,and improve self-care activities.Conclusion:Rehabilitation of renal patients is a multidisciplinary task that the medical team must perform.Physiotherapy teams are crucial to the development of patients’exercise programs.Support from family and renal nurses and care teams is of great importance.All parties play an important role,and integrated team approaches can make rehabilitation very effective.Recommendation:Clinicians should counsel patients with chronic kidney disease;increasing physical activity levels in vulnerable older people,including older people,promotes health through regular physical activity,including exercise and endurance.
文摘Background:Nurses are usually the first to identify and initiate cardiopulmonary resuscitation(CPR)for cardiac arrest in hospitalized patients.Consequently,the assessment of nurses’knowledge of CPR is very important for improving training programs.Basic life support will be designed to achieve this goal.However,when received by adequately trained healthcare professionals,basic life support has been shown to reduce in-hospital deaths.Aims:The study aims to assess the knowledge and attitude of nurses when facing cardiac arrest regarding basic life support/cardiopulmonary resuscitation among nursing professionals and to design a proposed training program for nurses working in Al-Najaf Teaching Hospital in their training needs.Methodology:This descriptive and exploratory cross-sectional study will be conducted at Al-Najaf city in the southern region of Iraq in Al-Najaf teaching hospital to assess the nurses’knowledge concerning cardiopulmonary resuscitation.The methodological strategies for data collection will be using assessment questionnaire survey,participative observation,and questionnaires to evaluate the need to learn,the educational practices,and their methodology,allowing for grouping the results in nurses’expectations.Data collection will be from July to August of 2022 by the application of a semi-structured questionnaire developed by the authors,to be used toward 250 nurses who work at a hospital in Al Najaf city;those on sick leave or vacations will be excluded.The project was approved by the Committee of Ethics in Research from Al-Najaf health direction.Expected results:To know how CPR is performed and to check whether the actions taken differ from the knowledge and practice approved by nurses in their professional activities.Subsequently,to plan educational interventions associated with the practice if necessary.
文摘Background:Chronic kidney disease(CKD)patients undergo hemodialysis to treat their condition.But this treatment comes with its own set of problems like psychiatric and mental disorders.Many of these patients experience low self-esteem,stress,depression,and anxiety,making it difficult to cope with their disease.CKD is a global general medical issue.Psychiatric disorders have been reported in more than 50% of end-stage kidney disease patients undergoing hemodialysis.Unfortunately,their attending doctors and nurses often overlook these psychological problems.Furthermore,the non-psychiatric medication prescribed may not help alleviate the symptoms of emotional distress.Objective:The article aimed to explore and review the literature concerning the psychological impact of CKD and hemodialysis on patients with CKD.Method:A literature review based on previous studies and assessments derived from international databases(PubMed,Medline and Scopus)related to people's psychological problems with CKD.The data collection was conducted from 24 November 2021 to 10 February 2022.Also,was used keywords such as hemodialysis,kidney failure,psychological disorders or factors,economic status,social status,and quality of life.Conclusion:Psychiatric disorders in patients with CKD and undergoing hemodialysis are ignored,negatively impacting their quality of life.Awareness of CKD is lacking among physicians and general public health because the worldwide burden increases.The disease's complexity and chronic nature affect patients'quality of life with CKD and their health.Therefore,nephrology nurses play an essential role in ensuring effective nursing intervention and psychological support of patients with CKD during hemodialysis therapy.
文摘Background:Hemodialysis is the major treatment option for patients with chronic kidney disease.With the increase in the number of maintenance hemodialysis patients,debilitating conditions of muscle willing and atrophy and numerous health problems associated with chronic kidney disease and hemodialysis have become the most significant concerns.Methods:This randomized controlled trial study design will be conducted at Al-Najaf city in the southern region of Iraq and carried out on 68 patients with chronic kidney disease undergoing hemodialysis for at least six months and who had a medically stable condition,which will be randomly divided into training group;exercise therapy and control,groups.The training group participated in 8-week(3 sessions per week)resistance exercise therapy in three sets of 10 repetitions of knee extension,hip flexion,and hip abduction with the use of an elastic band under the supervision of a training physiotherapist and researcher during the first hour of the three routine hemodialysis treatment session per week.But the control group did not experience any intervention.To analyze the data,two-way analysis of variance and Bonferroni statistical tests will be used at the significant level of(P=0.05).Discussion:Important features of this study include the randomization procedures,double-blind,large sample size,and a standardized protocol for resistance exercise training on the physical performance of hemodialysis patients.This study aims to determine the effectiveness of resistance exercise for the patient with chronic kidney disease and undergoing hemodialysis.Therefore,our results will be useful for patients with chronic kidney diseases,medical staff,and healthcare decision-makers.
文摘Dear editors The worldwide burden of cancer is rising,leading to significant premature deaths and productive life-long loss.Cancer-related mortality is disproportionately higher in low-income and middle-income countries(LMICs;estimated at 72%–75%)than in high-income countries(HICs;estimated at 46%).The nursing workforce is essential to cancer control.
文摘Dear editor:In today’s healthcare system,the delivery process includes many interfaces and patient handouts between several health professionals with further education and professional training levels.As a health care science,nursing focuses on serving the needs of humans as biopsychosocial and spiritual beings.Its practice requires scientific knowledge and interpersonal,intellectual,and technical abilities and skills.This means a composition of knowledge,clinical work,and interpersonal communication.Communication is an essential element of nursing in all fields of activity,including prevention,treatment,therapy,rehabilitation,education,and health promotion.Moreover,the nursing process as a scientific method of exercise and implementation of nursing is achieved through dialogue,interpersonal environment,and specific verbal communication skills.
文摘Dear editor,Hospital accidental falls are serious incidents relating to patient safety.Thus falls are very common among older adults who are cared for in-hospital health care facilities,rehabilitation facilities or acute hospitals.In the world,the death rate of the elderly is one of the most serious health problems of this period due to the increased morbidity and mortality related to the death rate of the aging population.The World Health Organization defines falls as“inadvertently coming to rest on the ground,floor or other lower level,excluding intentional change in position to rest in furniture,wall or other objects”.Fall rates in long-term institutions for older people are high and contribute to hospitalized older people’s physical and mental deterioration.Falls occur commonly and are major factors threatening the independence of older people.Like many geriatric syndromes,falls usually occur when impairment in several areas hampers a person’s compensation capability.More than 80 per cent of falls related to injuries occur in low and middle-income countries,and 60 per cent of these deaths occur in the West Pacific and Southeast Asia regions.The death rate among adults over 60 years of age is the highest in all regions of the world.Falls are the most common cause of accidents,and there are serious consequences such as fear of falling,fractures,independence losses,and even death[1].
文摘Dear editor:Scientific knowledge is increasingly important today,and healthcare applications are changing rapidly.As the ageing population progresses,chronic treatment for acute disease depends on the treatment application that has changed the perspective of patient care and the quality of maintenance.Innovation is an important tool for improving the quality of life of the community.In general,innovations inthe health sector,especially in nursing,new methods,technologies,and working methods,are described as development processes.Innovation is vital for improving the quality of nursing care and its sustainability.Planning nursing practice submitting and assessing innovative strategies is one of the main factors that directly affect the quality of services.Based on all the reasons and literature,the paper is preparing to provide innovative information on nursing practice.
文摘Dear editor Health care workers are generally predisposed to injuries from sharps as a health hazard.This is more pronounced among waste handlers.Exposure to medical waste in hospitals and health facilities results in injuries and contagious diseases.Therefore,health workers,including nurses,doctors,technicians,and hospital cleaning workers,are always alerted to exercise the utmost caution and not to be exposed to the waste produced by the patient,especially through cuts or scrapes from the patient’s sharp injuries,touching or inhalation or exposure to spills or splashes of liquids from medical waste or any waste resulting from patient care or contact with his body fluids[1].
