The most frequent diagnosis on patients undergoing hemodialysis
DOI:
https://doi.org/10.18203/2320-6012.ijrms20163310Keywords:
Diagnosis, HemodialysisAbstract
Background: Hemodialysis is a routine medical intervention for patient with chronic renal failure. Patients may responds differently when they undergoing this procedure. Investigating nursing diagnosis and collaborative diagnoses during hemodialysis procedure need to be explored. The objective of this research is to determine the sequence of nursing diagnosis and the collaborative diagnosis identified among kidney disease patients who are undergoing hemodialysis.
Methods: This case study research involving 62 respondents. Research was conducted between June and July 2015. The respondents’ cases were studied to determine what nursing diagnoses and collaborative diagnoses, using a six-step diagnostic reasoning method.
Results: Result of this study showed 27 nursing diagnoses and 7 collaborative diagnoses experienced by the patients. The six most commonly experienced nursing diagnoses were: activity intolerance (100%), nausea (96.8%), risk for impaired skin integrity (91.9%), impaired urinary elimination (82.3%), insomnia (77.4%), and sexual dysfunction (58.1%).
Conclusions: There were 27 nursing diagnoses and 7 collaborative diagnoses that were experienced by patients who were undergoing hemodialysis.
References
Wyld M, Morton RL, Hayen A, Howard K, Claire A. A Systematic Review and Meta-Analysis of Utility-Based Quality of Life in Chronic Kidney Disease Treatments. PLOS Medicine. 2012;9(9):1-10.
Namawi Q. Populasi Penderita Gagal Ginjal Terus Meningkat di 2013. Available at: http://health.okezone.com/ read/ 2013/ 06/ 28/ 482/ 829210/ redirect. Accessed 22 October 2013
Kemenkes BRI. Riset Kesehatan Dasar: RISKESDAS. 2013.
Ignatavicius DG, Workman ML. Medical Surgical Nursing: patient-centered Collaborative care. United States America: Sounders Elsevier. 2009.
Smeltzer SC, Bare BG , Hinkle JL, Cheever KH. Textbook of Medical Surgical Nursing. ed, editor. Philadelphia: Lippincott Williams & Wilkins. 2008.
Nefrologi P. Indonesia (Penefri). Konsensus Dialisis Perhimpunan Nefrologi Indonesia. Penefri. 2003. Available at Www.pernefri-inasn.org. Accessed 5 January 2015
Headley CM, Wall B. Advanced practice nurses: Role in the hemodialysis unit. Nephrology Nursing Journal. 2000;27:177-87.
Kallenbac JZ, Gutch CF, Martha SH, Corca AL. Review of hemodialysis for nurses anf dialysis personal. 7th, editor. St Louis Elsevier Mosby. 2005.
Wilkinson JM. Nursing Process and Critical Thinking. 4rd, editor. New Jersey: Pearson Education. 2007.
Nurjannah I. Diagnostic reasoning dalam proses keperawatan. Yogyakarta 2012. Available at http://www.keperawatan.ugm.ac.id/ berita-psik-fk-ugm/ berita-psik-fk-ugm/ 19-update-diagnostic-reasoning-dalam-proses-keperawatan.html. Accessed 12 October 2014.
Nurjannah I. ISDA Intan's Screening Diagnoses Assessment. Available at http://www.nursediscovery.com/ publication-2/. Accessed 20 August 2013.
Pakpour AH, Saffari M, Yekaninnejad MS, Panahi D, Harrison AP. Health related quality of life in a sample of iranian patients on hemodialysis. Health related quality of life in a sample of iranian patients on hemodialysis. 2010;4:50-9.
Thomas N. Renal nursing. 2nd, editor. Philadelphia: Elsevier Science. 2003.
Yong D, Kwok A, Wong D. Health related quality of life in a sample of iranian patients on hemodialysis. Palliative Medicine Journal 2009;23:111-9.
Santos PB, Junior J, Cavalcanti JU, Vieira A, Rocha AR. Quality of life among women with seual dysfunction undergoing hemodialysis: a cross sectional observational study. Health and quality of life outcomes. 2012;10:1-5.
Stefanovic, Avramovic M. Health related quality of ife in different stage of renal failure. Artificial Organs. 2012;36(7):581-9.
Veerappan I, Arvind RM, Arvind V. Predictors of quality of life of hemodialysis patients in India. Indian Journal of Nephrology. 2012;22(01).
National Kidney Foundation. Guidelines for Hemodyalisis Adequacy. 2006; Available from: http://www.kidney.org/ Professionals/kdoqi/.
Carpenito LJM. Nursing Diagnoses Application to Clinical Practice. 12ed, editor. United States of America: Lippincot Williams & Wilkins. 2008.
