末期性腎疾患患者の神経認知および心理社会的負担:パイロット研究
Hayfa Ben Haj Hassen1, Amal Machfer1, Mohamed Amine Bouzid1
1Research Laboratory: Education, Sport et Santé, EM2S, LR19JS01, High Institute of Sport and Physical Education, University of Sfax, Sfax, Tunisia.
Applied neuropsychology. Adult
|February 22, 2026
まとめ
末期腎疾患 (ESRD) の患者で,血液透析を受けている患者は,著しい認知機能の欠陥と心理的苦痛を示しています. 彼らの生活の質は著しく低下し,総合的なケアが必要であることを強調しています.
科学分野:
- 腎臓病学と神経心理学について
- 臨床心理学と生活の質の研究 臨床心理学と生活の質の研究
背景:
- 末期腎疾患 (ESRD) は,患者の全体的な健康に重大な影響を及ぼします.
- 血液透析療法は,生命を維持する一方で,認知および心理的な課題に寄与する可能性があります.
研究 の 目的:
- 認知機能,心理的状態,および血液透析中のESRD患者の生活の質を評価する.
- これらのパラメータをESRD患者と健康な対照群の間で比較する.
主な方法:
- 認知テスト (反応時間,警戒心,Stroop,言語流暢度,RAVLT) を採用しました.
- 心理的評価のために,うつ,不安,ストレススケール (DASS-21) を利用しました.
- SF-36アンケートを使用して生活の質の評価.
主要な成果:
- ESRDの患者は,警戒力,言語流暢性,Stroopテストで劣ったパフォーマンスを示しました.
- Rey聴覚言語学習テストのスコアは,ESRD患者で著しく低下しました.
- 重度のストレス,うつ,不安の高い流行が報告され,複数の領域で生活の質のスコアが著しく低下しています.
結論:
- ヘモダイアリスを受けているESRD患者は,著しい認知障害と心理的苦痛を経験します.
- これらの患者の生活の質は著しく低下しています.
- 統合された医学的および心理学的介入は,ESRD患者の管理に不可欠です.
関連する概念動画
Nephrotic Syndrome III : Nursing Management
372
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
372
Chronic Kidney Disease IV: Nursing Management
447
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
447
Chronic Kidney Disease II: Clinical Manifestations
760
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
760
Kidney Transplant III: Nursing Management
433
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
433
Chronic Kidney Disease III: Interprofessional Care
503
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
503
Peritoneal Dialysis III: Nursing Management
1.1K
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
1.1K
