Journal of Rafsanjan University of Medical Sciences

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Evaluation the Affecting Factors in Lipid Peroxidation of Hemodialysis and Renal Transplanted Patients GR. Moshtaghi Kashanian PhD , N. Rashtchi PhD , H. Ardakani MD , A. Ghorbani Haghjoo PhD2 Received: 23/07/05 Sent for Revision: 25/09/06 Received Revised Manuscript: 21/01/07 Accepted: 26/02/07 Background and Objective: Atherosclerosis is the most important cause of death in hemodialysis and renal transplanted patients while hyperlipidemia and lipid peroxidation are considered major risk factors of it. For this reason, the most important goals of therapy are elimination of risk factors of atherosclerosis among these patients. Since peroxidation of lipids are a multifactorial process and all factors have not been investigated in one study, we decided to investigate, serum concentrations of total cholesterol, triglycerides, cholesterol contained of high density lipoprotein (HDL-c), concentration of albumin, total magnesium (Mg), malondialdehyde (MDA) and total antioxidant of these patients and compare the results with corresponding data obtained for age and sex matched control group. Materials and Methods: In this cross-sectional study, 30 patients who were on hemodialysis and 30 renal transplanted patients were participated. Parameters mentioned above were measured using sera separated from the fasting blood collected from the patients. Evaluation of these parameters were done by following protocols provided by the manufactures of the kits, The results obtained were compared with the corresponding data of 30 healthy persons who served as control group. In addition, the cholesterol contained of low density lipoprotein (LDL-c) was calculated and plasma level of cyclosporine was measured for renal transplanted patients. Results: Evaluated data showed elevation in the serum levels of triglycerides (p<0.05), MDA (p<0.001) and decrease in the serum levels of total antioxidant among hemodialysis and renal transplanted patients (p<0.001). In addition, the serum levels of magnesium in hemodialysis patients were higher than control group (p<0.01), while it was lower in renal transplant patients (p<0.01). Finally, Serum albumin levels were significantly lower in the patient groups, when compared with control group (p<0.01). Pearson regression analysis showed a positive and significant correlation between triglycerides level and MDA (r= -0.47, p<0.001) and negative correlation with total antioxidant (r=-0.42, p<0.001). In addition, there was a negative and significant correlation between Mg and cyclosporine level (r=-0.44, p<0.01) among renal transplanted patients. Conclusion: In conclusion, present results demonstrated that cyclosporine is the most important cause of hypomagnesaemia in renal transplanted patients. Therefore, oral magnesium supplement should be used for these patients, when cyclosporine recommended. In addition, low levels of antioxidant detected among the patient groups suggest that prescription of oral antioxidant such as vitamin C and E could reduce the risk of atherosclerosis in these patients. Key words: Renal Transplant, Hemodialysis, Antioxidant, MDA, Magnesium, Lipid Profile

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Background and Objectives: Hemodialysis as the most common treatment method for kidney replacement in patients with kidney disease, causes various physical and psychological problems and on the other hand, some studies indicated that Acceptance and Commitment Therapy (ACT) has been effective in improving quality of life and adjustment in patients. Therefore, the present study aimed to investigate the effectiveness of ACT on quality of life in patients undergoing hemodialysis.
Materials and Methods: The current study was a randomized educational trial which conducted on 22 patients undergoing hemodialysis on Kosar Hospital of Semnan in 2016. First, the samples were selected by convenient sampling and randomly divided into two experimental and control groups. Then, the experimental group  received ACT for eight weeks continuously. Data was collected by two questionnaires of demographic features and Kidney Disease Quality of Life (KDQOL), and was analyzed by using two-way repeated measures ANOVA statistical method.
Results: The mean and standard deviation of the age of the control group was 52.27 ± 13.22 and the experimental group 47.90 ± 14.57 years (p=0.620). There were significant differences in the subscales of physical and emotional problems, General health, Mental health, Energy, Effects of kidney disease, Burden of kidney disease, Work status, and Quality of social interaction between the two experimental and control groups (p<0.05).
Conclusion: According to the obtained results, it’s recommended to use ACT as an effective and complementary psychological intervention in hemodialysis patients to improve their quality of life .
Key words: Hemodialysis, Acceptance and commitment therapy, Quality of life
 
Funding: This article did not have any Funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Semnan University of Medical Sciences approved the study (IR SEMUMS. REC.1395. 6).
 
How to cite this article: Sarizadeh MS, Rafienia P, Sabahi P, Tamaddon MR. The Effectiveness of Acceptance and Commitment Therapy on Hemodialysis Patients’ Quality of Life: A Randomized Educational Trial Study. Univ Med Sci 2018; 17 (3): 241-52. [Farsi]
 

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Background and Objectives: kidney diseases threaten mental and physical health. Acceptance and commitment therapy is a third generation treatment that affects life quality of patients. The present research aimed at determining the effect of acceptance and commitment based therapy on life quality of homodialized and kidney transplant patients in Zanjan city.
Materials and Methods: This was a randomized clinical trial study. Statistics of the research includes all homodialized and kidney transplant patients admitted in kidney patients association in 2017. Eighty out of them were chosen and randomly grouped in control (two) and experimental (two) groups. The experimental group of acceptance and commitment based therapy were treated for 8 sessions (a 1.5 hour session per week) and the control groups received no intervention. Posttest was accomplished in both groups at end of the experiment. Data were analyzed using multiple analysis of covariance (MANCOVA) and one-way analysis of covariance (ANCOVA).
Results:: Mean and standard deviation of the experimental group age was 41.95±8.98 and 10.39±8.89 years for kidney transplantation and hemodialyzed groups, respectively and in the control group 42.20±9.12 and 45.35±6.47 years for kidney transplantation and hemodialyzed groups, respectively (p=0.148).There was a significant differencein life quality and its dimensions including mental health and perception of life environment between kidney transplantation and hemodialysis groups (p<0.001)
Conclusion: According to the findings, using acceptance and commitment based therapy is suggested as an effective and complementary psychological intervention in kidney and homodialyzed patients to improve their life quality.
Key words: Kidney transplantation, Hemodialysis, Acceptance and commitment based therapy, Quality of life
 
Funding: This article did not have any Funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Azad University of Zanjan approved the study (IR.IAUZ.REC.1396.63).
 
How to cite this article: Azari S, Kiani Gh, Hejazi M. The Effect of Acceptance and Commitment Based Group Therapy on Increasing the Quality of Life in Kidney Transplant and Hemodialysis Patients in Zanjan City: A Randomized Clinical Trial Study. J Rafsanjan Univ Med Sci 2020; 19 (5): 555-68. [Farsi]

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Background and Objectives: Inadequate nutritional status is one of the most common problems in hemodialysis patients and is associated with increased mortality in these patients. Therefore, the present study was performed to determine the nutritional status of hemodialysis patients referred to Imam Reza Hospital in Kermanshah in 2019.
Materials and Methods: This descriptive study was performed on 114 hemodialysis patients. Demographic information form and food frequency questionnaire (FFQ) were used for data collection. The questionnaires were applied in one stage in hemodialysis ward of Imam Reza Hospital in Kermanshah. Data were analyzed using non-parametric Mann-Whitney U, Kruskal-Wallis H, and chi-square tests.
Results: Out of 114 patients undergoing hemodialysis, 65 (57.02%) were male and 49 (42.98%) were female. Mean and standard deviation of patients’ age were 58.05± 13.98 years. The median consumption of bread and cereals, meat and beans, fruits and vegetables, fat and oil, and dairy products decreased with the increase of patients’ age (p˂0.001). Patients who underwent dialysis three times a week consumed more bread and cereals, meat and legumes, dairy products, and fruits and vegetables (p<0.001), but consumed less pickles and condiments than patients who underwent dialysis twice a week (p˂0.001).
Conclusion: The results of this study showed that in hemodialysis patients the consumption of bread and cereals and fruits and vegetables is less than the standard amount, but the consumption of dairy products, pickles, and condiments is more than the standard amount, which can be considered by policy makers and experts in this field.
Key words: Nutritional status, Hemodialysis, Kermanshah, Iran
 
Funding: This study was funded by Kermanshah University of Medical Sciences, Kermanshah, Iran
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Kermanshah University of Medical Sciences approved the study (IR.KUMS.REC.1398.027).
 
 
 
 
How to cite this article: Kazeminia M, Karimi S, Khas Shirzadi L. Nutritional Status of Hemodialysis Patients Referred to Imam Reza Hospital of Kermanshah in 2019: A Descriptive Study. J Rafsanjan Univ Med Sci 2021; 20 (8): 851-64. [Farsi]

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Background and Objectives: Hemodialysis patients are exposed to psychological risks related to health. Cognitive behavioral therapy can play an effective role in improving psychological characteristics related to health. Therefore, this research was conducted with the aim of determining the effect of cognitive behavioral therapy on self-awareness, emotional regulation, and quality of life of hemodialysis patients in Kerman.
Materials and Methods: The present study is a quasi-experimental one with a pre-test, post-test, and follow-up design and a control group. The statistical population of this research was the patients of Shafa Hospital and Javad Al-Aima Clinic in Kerman in 2022. For this research 30 hemodialysis patients were selected using convenience sampling based on inclusion criteria, and randomly assigned into experimental and control groups of 15 subjects. The experimental group went under 8 sessions of 75 minutes twice a week, while the control group was held back on training. The evaluations of the participants were conducted using questionnaires of self-awareness, emotion regulation, and quality of life. The collected data were analyzed using two-way repeated measures ANOVA.
Results: The mean scores of coherent self-knowledge, emotion regulation, and quality of life before the intervention were 26.68, 37.93, 60.27 in the cognitive behavioral therapy group and 26.67, 37.95, 59.60 in the control group (p>0.05), respectively. After the intervention, a significant increase was observed in the mean score of the investigated psychological characteristics in the cognitive behavioral therapy group compared to the control group (p<0.001).
Conclusion: The results of the study showed the effect of cognitive behavioral therapy intervention in the improvement of psychological characteristics in the experimental group. Therefore, this intervention can be used as a complementary treatment in hemodialysis patients.
Key words: Cognitive behavioral therapy, Coherent self-knowledge, Emotion regulation, Quality of life, Hemodialysis patients
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Azad University of Kerman approved the study (IR.IAU.KERMAN.REC.1401.020).
How to cite this article:  Rouhi Mojgan, Manzari Tavakoli Alireza, Tajrobehkar Mahshid. The Effectiveness of Cognitive Behavioral Therapy on Coherent Self- Knowledge, Emotion Regulation, and Quality of Life of Hemodialysis Patients: A Quasi-Experimental Study. J Rafsanjan Univ Med Sci 2023; 21 (10): 1055-70. [Farsi]