Factors affecting the quality of life of chronic dialysis patients

Jankowska-Polańska, Beata; Uchmanowicz, Izabella; Wysocka, Agata; Uchmanowicz, Bartosz; Lomper, Katarzyna; Wandalsen, Gustavo Falbo

doi:10.1093/eurpub/ckw193

Cited by 27 publications

(34 citation statements)

References 5 publications

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“…It might be that frailty was the most significant limitation in taking up physical activity, and therefore it weakened the effect of adequate coping. However, this observation should be treated cautiously, since several authors observed that acceptance of the disease and treatment methods is necessary for patients to continue with therapy and comply with the doctor’s recommendations [71,72,73]. Other authors point out that disease acceptance is an independent factor positively correlated with quality of life (QoL) [74,75].…”

Section: Discussionmentioning

confidence: 99%

Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients

Hornik

Duława

2019

IJERPH

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Hemodialysis patients perform little physical activity. We formulated a hypothesis that some factors, i.e., frailty, medical and functional factors, psychological factors, quality of life, awareness of recommendations, and sociodemographic factors influence the decisions of taking up physical activity. This prospective study comprised 72 dialysis patients aged 57.8 ± 16.0 ( x ¯ ± SD; in the range of 19–87 years of age). The following research tools were used: an interview about awareness of the physical activity recommendations, the Canadian Study of Health and Aging Scale (CSHA-CFS), scales for the assessment of functional status, State-Trait Anxiety Inventory (STAI), Acceptance of Illness Scale (AIS), and the questionnaire of Kidney Disease Quality of Life (KDQOL-SF 1.3). The majority of patients diagnosed with frailty did not follow the physical activity recommendations (79.3%). Quality of life was better in active patients compared to inactive patients, especially in the domains of sleep and physical performance. The severity of trait anxiety was significantly higher in patients who did not follow the recommendations compared to patients who adhered to physical activity recommendations (46.0 ± 10.5 vs. 40.0 ± 8.2; p = 0.021 ). The likelihood of adherence decreased by 1% after each subsequent month of dialysis (odds ratio = 0.99; 95% confidence interval = 0.972–0.999; p = 0.047 ). Adherence was most limited by frailty. Adherence to recommendations on physical activity was affected by: motivation, lower levels of trait anxiety, and better quality of life. Age modified the effect of awareness and acceptance of the disease on adherence to physical activity recommendations.

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Section: Discussionmentioning

confidence: 99%

Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients

Hornik

Duława

2019

IJERPH

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“…Another reason may be the degree of illness acceptance. Jankowska-Polanska et al [19] proposed the concept of illness acceptance: the higher the degree of illness acceptance, the greater the QOL. Although their study mainly focused on HD patients, we can further infer that patients with high degrees of illness acceptance will actively seek quality medical care and cooperate with medical instructions or health education.…”

Section: Socioeconomicmentioning

confidence: 99%

A comparison of quality of life between patients treated with different dialysis modalities in Taiwan

et al. 2020

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This study compared the quality of life (QOL) of hemodialysis (HD) and peritoneal dialysis (PD) patients in Taiwan. Methods This cross-sectional study recruited end-stage renal disease patients from 34 Taiwanese hospitals or clinics. Patient characteristics, diagnoses, and laboratory data were extracted from charts. The Chinese version of the Quality of Life Index-Dialysis version (QLI-D) was used. Multiple linear regression analysis showed the effects of dialysis modality on QOL. P<0.05 indicated statistical significance. Results In total, 600 HD and 387 PD patients were included. The mean health and functioning, social and economic, psychological/spiritual, and family subscale scores and total QOL scores were significantly lower in HD patients than PD patients. After adjusting for region, hospital level, age, education level, marital status, and Karnofsky Performance Scale, the total QOL was 2.81 points higher for PD patients than for HD patients visiting medical centers (p<0.001). The total QOL was 2.53 points lower in PD patients than in HD patients for those visiting clinics.

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“…19 The QoL of patients should be a focus during HD treatment and assisting patients in accepting their illness is proposed as a way to achieve this goal. 21 Few studies have highlighted the importance of the role of patients' acceptance of their illness as a factor in their QoL, 22 depression and anxiety, 10 or physical and mental health-related QoL in HD patients. 21 Studies have agreed that acceptance is responsible for lower anxiety and depression as well as a better QoL.…”

Section: Introductionmentioning

confidence: 99%

Quality of life, depression, and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness

Marthoenis

Syukri

Abdullah

et al. 2020

Int J Psychiatry Med

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Objective Routine dialysis is stressful. It has the possibility of leading to depression and anxiety and also reducing patients’ quality of life. Despite these significant consequences, these comorbidities have been rarely studied among Indonesian patients. This study aims to examine the rate of depression, anxiety, and the role of acceptance of their illness on patients’ quality of life. Method A total of 213 patients undergoing hemodialysis in three general hospitals in Aceh, Indonesia, were included in the study. The presence of depression, anxiety, and the quality of life of each patient was assessed using the hospital anxiety and depression scale and WHO quality of life-BREF questionnaires. Results The prevalence of depression and anxiety was 46% and 30.5%, respectively. Depression was only associated with the presence of anxiety and the duration of hemodialysis. Anxiety was negatively associated with quality of life but positively associated with depression and the prescription of an anxiolytic. Overall quality of life was associated with age, body mass index, the presence of anxiety, and acceptance of the illness. Acceptance of the illness was also independently associated with almost every domain of patients’ quality of life. Conclusions The rates of depression and anxiety among patients undergoing hemodialysis in the current study setting are relatively similar to the rates in other settings. Patients’ acceptance of their illnesses is significantly associated with the occurrence of anxiety and quality of life. Therefore, health practitioners should help patients accept their illnesses and the administration of regular hemodialysis.

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Factors affecting the quality of life of chronic dialysis patients

Abstract: Patients on dialysis have moderate-to-low AI. AI is an independent predictor positively correlated with QoL in all domains except for social relationships. The social and psychological support for dialyzed patient might improve their HRQoL and illness acceptance.

Cited by 27 publications

References 5 publications

Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients

Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients

A comparison of quality of life between patients treated with different dialysis modalities in Taiwan

Quality of life, depression, and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness

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