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      Déficit de actividades recreativas en hemodiálisis. Satisfacción y coste económico ante un proyecto lúdico terapéutico Translated title: Lack of leisure activities in hemodialysis. Satisfaction and economic cost before a therapeutic play project

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          Abstract

          Resumen Introducción: Se ha documentado que implementar programas de actividades recreativas durante las sesiones de diálisis es una buena alternativa para mejorar no solo la percepción hacia el tratamiento, sino también otras alteraciones presentes en las personas con enfermedad renal crónica en tratamiento con hemodiálisis. Objetivos: Analizar la satisfacción de los pacientes con el Proyecto Déficit de Actividades Recreativas, así como cuantificar el coste económico del mismo. Material y método: Estudio descriptivo transversal realizado en 2019. Se recogieron datos clínicos. Se valoró la satisfacción con el proyecto de actividades propuesto. Se recogieron datos de autopercepción sobre el estado de salud y el tratamiento. Se cuantificó el coste económico del proyecto. Resultados: Evaluados 37 pacientes. La puntuación mediana de satisfacción para las actividades fue: Programa Pallapupas 8/10 (P25:6; P75:10), Celebraciones mensuales 10/10 (P25:8; P75:10), Ejercicio físico intradiálisis 7/10 (P25:5; P75:10), Conciertos en directo 7/10 (P25:5,5; P75:9,5). En la autopercepción, un 37,84% (n=14) percibía negativamente el tratamiento y un 29,73% (n=11) no estar satisfecho con la inversión de tiempo. El 91,89% (n=34) desea continuar participando en las actividades organizadas. El coste total teórico de las 4 actividades evaluadas es de 33.715,22 euros al año. Conclusiones: Se ha hallado una alta satisfacción de los pacientes con el Proyecto déficit de actividades recreativas en hemodiálisis, pudiendo ser el coste anual de dicho proyecto asumible.

          Translated abstract

          Abstract Introduction: It has been documented that implementing leisure activity programs during dialysis sessions is a good alternative to improve not only the perception towards treatment, but also other alterations present in people with chronic kidney disease on hemodialysis. Objectives: To analyse patient satisfaction with the Lack of Leisure Activities Project, as well as quantify its economic cost. Material and Method. Descriptive cross-sectional study conducted in 2019. Clinical data were collected. Satisfaction with the proposed activity project was assessed. Self-perception data on health status and treatment were collected. The economic cost of the project was quantified. Results: 37 patients were evaluated. The median satisfaction score for the activities was: "Pallapupas" Program 8/10 (P25:6; P75:10), Monthly celebrations 10/10 (P25:8; P75:10), 7/10 intradialytic exercise (P25:5; P75:10), live concerts 7/10 (P25:5.5; P75:9.5). Regarding to self-perception, 37.84% (n=14) perceived the treatment negatively and 29.73% (n=11) were not satisfied with the time invested. 91.89% (n=34) wish to continue participating in organized activities. The total theoretical cost of the 4 activities evaluated is 33,715.22 euros per year. Conclusions: A high satisfaction of the patients with the Lack of Leisure Activities in hemodialysis Project was found, being the annual cost of the project acceptable.

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          On Translation of LD, IL and SFC Given According to IEC-61131 for Hardware Synthesis of Reconfigurable Logic Controller

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            The prevalence of depression and the association between depression and kidney function and health-related quality of life in elderly patients with chronic kidney disease: a multicenter cross-sectional study

            Purpose: The prevalence of depression and the relationship between depression and kidney function and health-related quality of life (HRQOL) are not well understood in elderly patients with predialysis chronic kidney disease (CKD). This study aimed to evaluate the prevalence of depression and the association between depression and kidney function and HRQOL. Patients and methods: In this cross-sectional study, 1079 elderly participants with CKD were recruited at 32 clinical centers located within 26 cities throughout 24 provinces in China. Demographic information and laboratory analyses were collected. Symptoms of depression were assessed using the 15-item Geriatric Depression Scale (GDS-15). HRQOL was evaluated using the Kidney Disease Quality of Life-36 (KDQOL-36) instrument. Results: The prevalence of depression was 23.0%. The estimated glomerular filtration rate (eGFR) was negatively correlated with the GDS score whether it was treated as a categorical variable (r=−0.097, P=0.001) or as a continuous variable (r=−0.100, P=0.001). Marital status, education level, history of CVD and diabetes, CKD stage and proteinuria confirmed to be independent and significant predictors of depression in patients with CKD. Compared with CKD 1–2 patients, we observed an increase of 0.541 and 4.171 in the odds for developing depression in patients CKD 4 (odds ratio [OR] =1.541; P=0.031) and CKD 5 (odds ratio [OR] =5.171; P<0.001), respectively. We observed negative and significant correlations with the GDS score for the following components: PCS (r=−0.370, P<0.001), MCS (r=−0.412, P<0.001), burden of kidney disease (r=−0.403, P<0.001), symptoms and problems of kidney disease (r=−0.360, P<0.001) and effects of kidney disease (r=−0.355, P<0.001). Depression was an independent and significant predictor of all the subcomponents of the HRQOL. Conclusions: The prevalence of depression in elderly patients with CKD was high and was negatively correlated with kidney function. Depression had a major negative impact on HRQOL.
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              Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol

              Background End-stage kidney disease is a life-changing illness. Many patients require haemodialysis, a treatment that impacts profoundly on quality of life and mental health. Arts-based interventions have been used in other healthcare settings to improve mental health and quality of life; therefore, they may help address the impact of haemodialysis by improving these outcomes. However, there is a lack of evidence assessing their effectiveness in this population and few randomised controlled trials (RCTs) evaluating the effectiveness of complex arts-based interventions. Methods The aims of this study are to establish the feasibility of a cluster RCT of an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis through a cluster randomised pilot study, explore the acceptability of the intervention with a process evaluation and explore the feasibility of an economic evaluation. The study will have three phases. The first phase consists of a cluster randomised pilot study to establish recruitment, participation and retention rates. This will involve the recruitment of 30 participants who will be randomly allocated through cluster randomisation according to shift pattern to experimental and control group. The second phase will be a qualitative process evaluation to establish the acceptability of the intervention within a clinical setting. This will involve semi-structured interviews with 13 patients and three focus groups with healthcare professionals. The third phase will be a feasibility economic evaluation to establish the best methods for data collection within a future cluster RCT. Discussion Arts-based interventions have been shown to improve quality of life in healthcare settings, but there is a lack of evidence evaluating arts-based interventions for patients receiving haemodialysis. This study aims to assess the feasibility of a future cluster RCT assessing the impact of an arts-based intervention on the wellbeing and mental health of patients receiving haemodialysis and identify the key factors leading to successful implementation. The hope is this study will inform a trial that can influence future healthcare policy by providing robust evidence for arts-based interventions within the haemodialysis setting. Trial registration The trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496. Electronic supplementary material The online version of this article (10.1186/s40814-018-0389-y) contains supplementary material, which is available to authorized users.
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                Author and article information

                Journal
                enefro
                Enfermería Nefrológica
                Enferm Nefrol
                Sociedad Española de Enfermería Nefrológica (Madrid, Madrid, Spain )
                2254-2884
                2255-3517
                March 2020
                : 23
                : 1
                : 83-92
                Affiliations
                [1] orgnameHospital del Mar orgdiv1Servicio de Nefrología Spain
                Article
                S2254-28842020000100083 S2254-2884(20)02300100083
                10.37551/s2254-28842020010
                25677eb0-2f2e-4d86-8ea3-936358c2e515

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 10 February 2020
                : 25 November 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 10
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                SciELO Spain

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                perception,enfermedad renal crónica,hemodiálisis,satisfacción,percepción,análisis económico,necesidades,chronic kidney disease,hemodialysis,satisfaction,economic analysis,needs

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