CARE OF PATIENTS WITH CHRONIC KIDNEY DISEASE-NURSING PERSPECTIVES

Abstract

Globally, chronic kidney disease (CKD) is a booming health challenge. High prevalence of diabetes mellitus and hypertension appears to be the main threat for this. CKD would probably be the fifth leading cause of mortality by 2040. Without adequate treatment, CKD progresses to end stage renal disease (ESRD), which needs costly renal replacement therapies. CKD affects physical, psychological and financial aspects of patients as well as family members’ life. The treatment lead to considerable hike in expenditure on healthcare. Nurses play a vital role by addressing those issues mainly by coordinating between patients, health care providers and family members. They initiate patient-centered care and encourage effective communication on CKD management. By initiating patient involvement and creating family-focused care plans nurses can amplify better outcomes. In conclusion, nurses play the vital role to render holistic care of individuals with CKD. Organizations should develop clear policies and protocols, ensure supply of resources and provide continual training for nephrology nurses. Health policies must encourage collaborative care and nursing research to enhance the quality of life among people living with CKD. 

Keywords:

Health Policy, Nurse's Role, Patient Satisfaction, Patient Advocacy, Patient Care, Patient Participation, Quality of Life, Renal Insufficiency, Chronic, chronic kidney disease, patient education, virtual care, patient engagement

References

Takeuchi M, Shinkawa K, Yanagita M, Kawakami K. Prevalence, recognition and management of chronic kidney disease in Japan: population-based estimate using a healthcare database with routine health checkup data. Clin Kidney J. 2021;14(10):2197-2202. https://doi.org/10.1093/ckj/sfab016

Li PK, Garcia-Garcia G, Lui SF, et al. Kidney health for everyone everywhere - From prevention to detection and equitable access to care. IJN. 2020; 30(2):63-71. https://doi.org/10.4103/ijn.IJN_50_20

Kalantar-Zadeh K, Bellizzi V, Piccoli GB, et al. Caring for patients with advanced chronic kidney disease: Dietary options and conservative care instead of maintenance dialysis. J Ren Nutr. 2023; 33(4):508-19. https://doi.org/10.1053/j.jrn.2023.02.002

Ulasi II, Awobusuyi O , Nayak S, et al. Chronic kidney disease burden in low-resource settings: Regional perspectives. Semin Nephrol. 2022;42(5):151336. https://doi.org/10.1016/j.semnephrol.2023.151336.

Ramakrishnan C, Tan NC, Yoon S, et al. Healthcare professionals' perspectives on facilitators of and barriers to CKD management in primary care: a qualitative study in Singapore clinics. BMC Health Serv Res. 2022;22(1):560. .https://doi.org/10.1186/s12913-022-07949-9

Bello AK, Johnson DW. Educating primary healthcare providers about kidney disease. Nat Rev Nephrol. 2022;18(3):133-4. https://doi.org/10.1038/s41581-021-00527-y

Riaz P, Caskey F, McIsaac M, et al. Workforce capacity for the care of patients with kidney failure across world countries and regions. BMJ Glob Health. 2021;6(1):e004014. https://doi.org/10.1136/bmjgh-2020-004014

Bulathwatta DT, Borchet J, Rudnik A, Bidzan M. Psychosocial well-being among individuals with chronic kidney disease undergoing hemodialysis treatment and their caregivers: a protocol of a mixed method study in Sri Lanka and Poland. Front Psychol. 2023;14:1194991. https://doi.org/10.3389/fpsyg.2023.1194991

Senanayake S, Gunawardena N, Palihawadana P, et al. Health related quality of life in chronic kidney disease; a descriptive study in a rural Sri Lankan community affected by chronic kidney disease. Health Qual Life Outcomes. 2020; 18(1):106. https://doi.org/10.1186/s12955-020-01369-1

Geese F, Schmitt K-U. Interprofessional Collaboration in Complex Patient Care Transition: A qualitative multi-perspective analysis. Healthcare. 2023; 11(3):359. https://doi.org/10.3390/healthcare11030359

Dahlawi HH, Al Obaidellah MM, Rashid NA, et al. Defining Physician–Nurse Efforts toward Collaboration as Perceived by Medical Students. Healthcare. 2023;11(13):1919. https://doi.org/10.3390/healthcare11131919

Gapira BE, Chironda G, Ndahayo D, Theos MPM, Tuyisenge MJ, Rajeswaran L. Knowledge related to chronic kidney disease (CKD) and perceptions on inpatient management practices among nurses at selected referral hospitals in Rwanda: a non-experimental descriptive correlational study. Int J Afr Nurs Sci. 2020;13:100203 https://doi.org/10.1016/j.ijans.2020.100203

Coronado-Vázquez V, Canet-Fajas C, Delgado-Marroquín MT, Magallón-Botaya R, Romero-Martín M, Gómez-Salgado J. Interventions to facilitate shared decision-making using decision aids with patients in primary health care: a systematic review. Medicine (Baltimore). 2020;99(32): e21389

https://doi.org/10.1097/MD.0000000000021389

Cloyd B, Thompson JA. Virtual care nursing. Nurse Leader. 2020; 18(2):147-50. https://doi.org/10.1016/j.mnl.2019.12.006

Ania-González N, Martín-Martín J, Amezqueta-Goñi P, Vázquez-Calatayudm M. The needs of families who care for individuals with kidney failure on comprehensive conservative care: A qualitative systematic review. J Ren Care. 2022; 48(4):230-42. https://doi.org/10.1111/jorc.12415

Barbecho MN, Campo RV, Yáñez OA, Suazo VS. Nursing intervention in health promotion for people on hemodialysis, disciplinary perspective: integrative review. Enfermería: Cuidados Humanizados. 2020; 9(1): 54-64. https://doi.org/10.22235/ech.v9i1.2166

Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney International. 2024; 105(4S):S117–S314.

Ladin K, Rossi A. Person-centered kidney education: The path forward. Kidney Med. 2020; 2(5):511-3. https://doi.org/10.1016/j.xkme.2020.08.001.

Frandsen CE, Dieperink H, Trettin B, Agerskov H. Advance care planning to

patients with chronic kidney disease and their families: An intervention development study. Journal of Clinical Nursing. 2023; 32:8104-15. https://doi.org/10.1111/jocn.16875

Lightfoot CJ, Nair D, Bennett PN, et al. Patient activation: the cornerstone of effective self-management in chronic kidney disease. Kidney Dial. 2022; 2(1):91-105. https://doi.org/10.3390/kidneydial2010012

Kalantar-Zadeh K, Li PK, Tantisattamo E, et al. World Kidney Day Steering Committee. Living Well with Kidney Disease by patient and care-partner empowerment: Kidney Health for Everyone Everywhere. J Nephrol. 2021; 34(2):381-8. https://doi.org/10.1007/s40620-021-01000-6

Ahn JW, Lee SM, Seo YH. Factors associated with self-care behavior in patients with pre-dialysis or dialysis-dependent chronic kidney disease. PLoS ONE. 2022;17(10): e0274454.https://doi.org/10.1371/journal.pone.0274454

Forbes A, Gallagher H. Chronic kidney disease in adults: assessment and management. Clin Med (Lond). 2020; 20(2):128-32. https://doi.org/10.7861/clinmed.cg.20.2

Ng MSN, Brown EA, Cheung M, Figueiredo AE, Hurst H, King JM, et. al. The Role of Nephrology Nurses in Symptom Management - Reflections on the Kidney Disease: Improving Global Outcomes Controversies Conference on Symptom-Based Complications in Dialysis Care. Kidney Int Rep. 2023;8(10):1903-6. https://doi.org/10.1016/j.ekir.2023.08.025

Li R, Xu W, Yang P, Tan L, Ling Z, Gan X. The Nursing Effect of Individualized Management on Patients With Diabetes Mellitus Type 2 and Hypertension. Front Endocrinol (Lausanne). 2022; 13:846419. https://doi.org/10.3389/fendo.2022.846419.

Camedda C, Bici G, Magi CE, Guzzon A, Longobucco Y. The Therapeutic Nurse-Patient Relationship in Hemodialysis: A Pilot Mixed-Method Study on the Perceived Quality of Nurses' Attitudes and Caring Behaviors. Nurs Rep. 2023;13(3):990-1003. https://doi.org/103390/nursrep13030087

Agnihothri S, Cui L, Delasay M, Rajan B. The value of mHealth for managing chronic conditions. Health Care Manag Sci. 2020; 23(2):185-202. https://doi.org/10.1007/s10729-018-9458-2

Davis SM, Jones A, Jaynes ME, et al. Designing a multifaceted telehealth intervention for a rural population using a model for developing complex interventions in nursing. BMC Nurs. 2020;19:9. https://doi.org/10.1186/s12912-020-0400-9

Zhang Q, Zhang L, Yin R, Fu T, Chen H, Shen B. Effectiveness of telephone-based interventions on health-related quality of life and prognostic outcomes in breast cancer patients and survivors: a meta-analysis. Eur J Cancer Care (Engl). 2018; 27(1). 10.1111/ecc.12632.https://doi.org/10.1111/ecc.12632

He Q, Zhao X, Wang Y, Xie Q, Cheng L. Effectiveness of smartphone application-based self-management interventions in patients with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. J Adv Nurs. 2022;78(2):348-62. https://doi.org/10.1111/jan.14993

Zaslavsky O, Chu F, Renn BN. Patient digital health technologies to support primary care across clinical contexts: survey of primary care providers, behavioral health consultants, and nurses. JMIR Form Res. 2022;6(2): e32664. https://doi.org/10.2196/32664

Nygård HT, Nguyen L, Berg RC. Effect of remote patient monitoring for patients with chronic kidney disease who perform dialysis at home: a systematic review. BMJ Open. 2022;12(12):e061772. https://doi.org/10.1136/bmjopen-2022-061772.

Imanuel Tonapa S, Inayati A, Sithichoksakulchai S, Daryanti Saragih I, Efendi F, Chou FH. Outcomes of nurse-led telecoaching intervention for patients with heart failure: a systematic review and meta-analysis of randomized controlled trials. J Clin Nurs. 2022;31(9-10):1125-35. https://doi.org/10.1111/jocn.16025

Kwok C, Degen C, Moradi N, Stacey D. Nurse-led telehealth interventions for symptom management in patients with cancer receiving systemic or radiation therapy: a systematic review and meta-analysis. Support Care Cancer. 2022;30(9):7119-32. https://doi.org/10.1007/s00520-022-07052-z

Hwang M, Chang AK. The effect of nurse-led digital health interventions on blood pressure control for people with hypertension: a systematic review and meta-analysis. J Nurs Scholarsh. 2023.55(5):1020-35. https://doi.org/10.1111/jnu.12882

Kelepouris E, St Peter W, Neumiller JJ, Wright EE. Optimizing Multidisciplinary Care of Patients with Chronic Kidney Disease and Type 2 Diabetes Mellitus. Diabetes Therapy. 2023;14(7):1111-36. https://doi.org/10.1007/s13300-023-01416-2.

Gatlin B, Miller J, Chang S. Optimizing collaborative care of patients with chronic kidney disease associated with type 2 diabetes: An example practice model at a health care practice in Kentucky, United States. Diabetes Ther. 2024;15:1-11. https://doi.org/10.1007/s13300-023-01500-7