Effects of Virtual Reality in Patients Undergoing Dialysis: Study Protocol

Dialysis is often considered slow, repetitive, and with programmed intervals. Patients often perceive it as time taken from their lives with a sense of ineluctability and emptiness, engendering a negative emotional and cognitive perception of the world and one's place in it. Today, it is possible to improve the quality of life of patients during hemodialysis using virtual reality (VR). This creation of a true multisensory experience may absorb the patient's perceptions during hemodialysis, improving his/her quality of life. An Italian multicenter, longitudinal experimental study will be conducted with a randomized, pre-post test design, with balanced allocation 1:1, in parallel groups with a control group in the standard care of patients diagnosed with chronic renal failure who are, undergoing hemodialysis treatment. A sample of 186 patients calculated with sample size (power = 80%, β = 0.2, α = 0.05) will be randomized into an experimental group exposed to VR, and a control group in standard care. The 2 groups will be studied over a period of 1 month, with 12 applications of VR and with measurements of the following outcomes: anxiety, fatigue, pruritus, arterial pressure, heart rate, respiration rate, and duration of the session at each hemodialysis session. This is the first international experimental protocol that examines the application of VR in patients undergoing hemodialysis. If the results show statistically and clinically significant differences, the VR c...
Source: Holistic Nursing Practice - Category: Nursing Tags: FEATURES Source Type: research

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The aim of this study was to examine the effect of the application of lavender oil on fatigue and anxiety levels in patients undergoing hemodialysis treatment. This randomized controlled study was conducted with 60 patients (30 patients in intervention group, 30 patients in control group) in a province located in southeastern Turkey. After the patients in both groups were informed about the study, a questionnaire, the Fatigue Severity Scale, and the Beck Anxiety Inventory were applied to the patients. In the intervention group, a statistically significant difference was found between pretest and posttest scores of the Fati...
Source: Holistic Nursing Practice - Category: Nursing Tags: FEATURES Source Type: research
Wei Li1†, Wei-Min Xiao1†, Yang-Kun Chen1*, Jian-Feng Qu1, Yong-Lin Liu1, Xue-Wen Fang2, Han-Yu Weng1 and Gen-Pei Luo11Department of Neurology, Dongguan People’s Hospital, Dongguan, China2Department of Radiology, Dongguan People’s Hospital, Dongguan, ChinaBackground: Anxiety is prevalent after a stroke. The pathophysiological mechanisms underlying the development of poststroke anxiety (PSA) remain unclear. The aim of this study was to investigate the clinical and neuroimaging risk factors for development of PSA and examine the effects of PSA on activities of daily living (ADL) and quality of life (...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion: The findings of this systematic review will summarize the latest evidence of AC on psychological condition in patients with CRF undergoing hemodialysis. Ethics and dissemination: All data used in this systematic review will be collected from previous published clinical studies. Thus, no ethic approval is required for this study. The findings of this study will be published at a peer-reviewed journal. PROSPERO registration number: PROSPERO CRD42019122275.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
Publication date: Available online 28 October 2018Source: Journal of Clinical NeuroscienceAuthor(s): Aaron Desai, Yazan Kherallah, Cheryl Szabo, Rohit MarawarAbstractGabapentin (GBP) and pregabalin (PGB) are FDA approved for adjunctive treatment of partial seizures and for treatment of post-herpetic neuralgia. Both drugs are primarily eliminated by renal excretion. However, PGB or GBP induced myoclonus has only been reported infrequently in case reports/series. It is not discussed with patients and its sudden occurrence can lead to anxiety because of “seizure-like” nature. In addition, first-contact physicians ...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
Authors: Bolat MS, Özer İ, Cinar O, Akdeniz E, Aşcı R Abstract BACKGROUND: Erectile dysfunction (ED) is a disorder that is frequently observed in people with chronic kidney disease who undergo hemodialysis (HD). In the context of evidence-based medicine, we aimed to investigate the effect of low-dose tadalafil on sexual function in patients undergoing HD. METHODS: The medical records of 30 males (aged 29-65 years) with end-stage renal disease (ESRD) on a HD program, and who had received 5 mg tadalafil twice weekly, were retrospectively evaluated. Changes in erectile and ejaculatory functio...
Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research
In conclusion, there is a negative correlation between depression and anxiety and the health-related quality of life of chronic renal failure patients on hemodialysis.RESUMEN Analizar la relaci ón entre ansiedad y depresión con la calidad de vida de los pacientes renales crónicos en hemodiálisis. Estudio correlacional, transversal, con un enfoque cuantitativo, realizado con 100 pacientes renales en tratamiento en una Unidad de Terapia de Reemplazo Renal en el estado de São Paulo. Los datos fueron obtenidos a partir del cuestionario de variables sociodemográficas, Hospital Anxiety a...
Source: Texto e Contexto - Enfermagem - Category: Global & Universal Source Type: research
CONCLUSIONS: HD patients commonly have RLS and insomnia. Insomnia and diabetes mellitus seem to be major factors underlying RLS in HD patients. Furthermore, depression and RLS seem to be closely related to insomnia in these patients. Treatment of depression, insomnia, and RLS may be beneficial to improve quality of life in HD patients. PMID: 26554439 [PubMed - in process]
Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research
Conclusions Progressive renal failure in rats is accompanied by a marked increase of ADMA and a decrease in BDNF. 5/6 nephrectomy leads to significantly decreased exploratory behaviour and locomotion. Both behaviours could be reproduced by ADMA infusion alone. Indicators of anxiety were more pronounced in ADMA-infused animals when compared with 5/6 nephrectomized rats. Furthermore, an inverse relationship of BDNF and BDI in 11 CKD5D patients was shown.
Source: Nephrology Dialysis Transplantation - Category: Urology & Nephrology Authors: Tags: Chronic Kidney Disease Source Type: research
This study aimed to apprehend the social representations elaborated by nephrology patients on hemodialysis treatment and their relatives about depression and chronic renal failure (CRF). The sample was non-probabilistic and comprised 52 participants, of whom 26 were patients. They answered a socio-demographic questionnaire, the hospital anxiety and depression scale, and a semi structured interview. Data were collected in three hospitals and processed by the SPSS 19.0 and Alceste programs and analyzed using descriptive statistics and lexical analysis. It was found that the social representation of depression was anchored on...
Source: Psicologia e Sociedade - Category: Psychiatry & Psychology Source Type: research
This study aimed to apprehend the social representations elaborated by nephrology patients on hemodialysis treatment and their relatives about depression and chronic renal failure (CRF). The sample was non-probabilistic and comprised 52 participants, of whom 26 were patients. They answered a socio-demographic questionnaire, the hospital anxiety and depression scale, and a semi structured interview. Data were collected in three hospitals and processed by the SPSS 19.0 and Alceste programs and analyzed using descriptive statistics and lexical analysis. It was found that the social representation of depression was anchored on...
Source: Psicologia e Sociedade - Category: Psychiatry & Psychology Source Type: research
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