Assessment of Cognitive function and Complications in Patients Undergoing Hemodialysis

Vishnupriya R (1) , Mridu Mariam Daniel (2) , Robin Jacob Abraham (3) , Anand Kumar Shah (4) , Sheethal Kuriakose (5) , Dinesh Kumar Anand (6)
(1) Department of Pharmacy Practice, Acharya and BM Reddy College of Pharmacy, Bengaluru-560090, Karnataka, India, India ,
(2) Department of Pharmacy Practice, Acharya and BM Reddy College of Pharmacy, Bengaluru-560090, Karnataka, India, India ,
(3) Department of Pharmacy Practice, Acharya and BM Reddy College of Pharmacy, Bengaluru-560090, Karnataka, India, India ,
(4) Department of Pharmacy Practice, Acharya and BM Reddy College of Pharmacy, Bengaluru-560090, Karnataka, India, India ,
(5) Department of Pharmacy Practice, Acharya and BM Reddy College of Pharmacy, Bengaluru-560090, Karnataka, India, India ,
(6) Department of Nephrology, ESIC-MC PGIMSR Nephroplus Dialysis Unit, Rajajinagar, Bengaluru- 560010, Karnataka, India, India

Abstract

ESRD causes changes within the daily lives of patients, creates limitations to perform activities and features a great impact on emotions and quality of life. Cognitive Impairment is common in individuals with CKD, particularly among those treated with dialysis. The aim of the study was to assess the cognitive function, complications, adherence and psychological distress in patients undergoing hemodialysis. The psychological distress was measured using Kessler psychological distress scale K10 and 19(21.12%) subjects had mild distress, 9(10%) subjects with moderate distress and 6(6.66%) had severe psychological distress. Adherence was assessed using the End Stage Renal Disease Adherence Questionnaire (ESRD-AQ). It was found that all the 90(100%) subjects were adherent to hemodialysis attendance and medication. Hemodialysis related acute complications were assessed and it was shown that 84(93.33%) subjects had cardiovascular complications, 86(95.55%) subjects had neuromuscular complications, 72(80%) subjects had electrolyte imbalance, and 83(92.23%) subjects experienced complications like itching, sleep disorders, back pain etc. It was concluded that there would be an improvement in the QOL of subjects if there were necessary interventions & patient education in the early stages of CKD that can help in improving self-management skills of the individual subjects and prevent progression from staging 5-CKD.

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Authors

Vishnupriya R
Mridu Mariam Daniel
Robin Jacob Abraham
Anand Kumar Shah
Sheethal Kuriakose
sheethalkuriakose@acharya.ac.in (Primary Contact)
Dinesh Kumar Anand
Vishnupriya R, Mridu Mariam Daniel, Robin Jacob Abraham, Anand Kumar Shah, Sheethal Kuriakose, & Dinesh Kumar Anand. (2021). Assessment of Cognitive function and Complications in Patients Undergoing Hemodialysis. International Journal of Research in Pharmaceutical Sciences, 12(4), 2361–2365. Retrieved from https://ijrps.com/home/article/view/371

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