血液透析患者的视力障碍 - 一个IVIS研究
Leszek Sułkowski1, Mateusz Rubinkiewicz2, Andrzej Matyja2
1Department of General Surgery, Regional Specialist Hospital, 42-218 Częstochowa, Poland.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
在老年血液透析患者中,尤其是那些带有导管的患者中,视力障碍很常见. 这种损伤显著降低了生活质量和生活满意度,突出了综合护理的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 眼科医生 眼科 眼科
- 生活质量研究 研究 生命质量研究
背景情况:
- 血液透析人口老龄化带来了复杂的健康挑战,包括视力障碍.
- 视力障碍对血液透析患者的生活质量和生活满意度产生负面影响.
- 目前的治疗评估必须包括改善生活质量以及疾病缓解.
研究的目的:
- 为了评估血液透析患者的视力障碍.
- 为了将视力障碍与生活质量和生活满意度相关联.
- 检查血液透析患者视力障碍和临床结果之间的关系.
主要方法:
- 一个单中心的横截面研究,涉及70名血液透析患者 (年龄≥18岁).
- 使用视力障碍量表 (IVIS) 的影响,WHOQOL-BREF和Cantril梯子问卷.
- 评估社会人口统计和临床变量,包括透析和移植状态.
主要成果:
- 年龄和中央静脉导管的使用与视力障碍正相关 (IVIS分数).
- 动脉静脉和接受脏移植的意愿与视力障碍有负相关性.
- 严重的视力障碍在透析导管患者和那些不符合条件/不愿意进行移植的患者中更为普遍,可能是由于年龄.
结论:
- 老年血液透析患者更容易出现视力障碍.
- 患有动脉静脉囊和意图进行移植的患者的视力障碍较小.
- 视力障碍显著降低了生活质量和生活满意度的所有领域,严重程度与影响更大相关.
相关概念视频
Hemodialysis II: Procedure and Complications
42
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
42
Hemodialysis I: Introduction
65
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
65
Hemodialysis III: Nursing Management
50
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
50
Acute Kidney Injury IV: Diagnostic Studies and Prevention
40
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
40
Dialysis
387
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
387
Chronic Kidney Disease II: Clinical Manifestations
40
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...
40


