| Theme | Disorder of central nerve system in dialysis patients | |
|---|---|---|
| Title | Nursing-care for hemodialysis (HD) patients with cerebrovascular disorder (CVD) | |
| Publish Date | 2013/09 | |
| Author | Masatoshi Hayashida | Blood Purification Center, Nagasaki Renal Center |
| Author | Mayumi Iwamoto | Department of Nursing, Nagasaki Renal Center |
| Author | Yuko Maruyama | Department of Nursing, Nagasaki Renal Center |
| Author | Satoshi Funakoshi | Blood Purification Center, Nagasaki Renal Center |
| [ Summary ] | The risk of cerebrovascular disorders (CVD) in hemodialysis (HD) patients is much higher than in healthy subjects. We examine the utilization profile of nursing-care insurance (NCI) and other factors affecting HD patients who have successfully returned to normal social activities after CVD, and investigate the keys for their rehabilitation. The utilization rate of NCI is significantly higher for those who experience CVD. Interestingly, HD patients with a history of CVD require NCI at level 2 or 3, not 1 or > 4, suggesting those levels match their social rehabilitation. Measurements conducted using the KDQOL-SFTM version 1.3, provided scores of "role physical" and "role emotional". These scores well being immediately after CVD episodes significantly improved from 2010 to 2012. At the present time, there are indications of improved duration of physical activity for these patients, presumably due to rehabilitative training programs. In conclusion, we need to offer ; (1) earlier applications of NCI, (2) NCI level 2 and 3 recommended. (3) building trusting relationships with HD patients and their families who have experienced CVD. |
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