Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study

Wang, Xuefei; Shi, Qiuyin; Mo, Yongzhen; Liu, Jing; Yuan, Yingying

doi:10.1016/j.ijnss.2022.09.015

Cited by 7 publications

(7 citation statements)

References 48 publications

(57 reference statements)

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“…The 36-item Self-control Scale (SCS) reported by Rosenbaum was used to measure resourcefulness.These programs are based on individuals' reports of the extent to which they are being evaluated on behalf of their own behavior.SCS uses a Likert-style rating scale ranging from -3(very un-me) to + 3(very me);The score ranges from -108 to + 108.SCS was translated into Chinese and the reliability of SCS in the Taiwan sample was reported to be 0.88.Eleven items were reversed, with possible ratings ranging from -108 to + 108.According to the report, the reliability and validity of SCS have been well confirmed.In this study, the Kronbach α value was 0.96 [9].…”

Section: Self-control Scale (Scs) Measures the Degree Of Resourcefulnessmentioning

confidence: 57%

“…Depressive symptoms were measured using CES-D.CES-D is a list of 20 items with four Likert scales (0 = little or no time to 3 = most or all time) used to assess how often a person experienced certain symptoms or feelings in the previous week.The total score is the sum of ordered responses to 20 items, with higher scores indicating more severe depression.A score of 16 or above is considered a risk for clinical depression.For the classification of depression level, a score below 16 indicates stable emotional status and no depression;A score of 16 to 20 indicates a mild depressive state;A score of 21 to 26 indicates moderate depressive symptoms;A score of 27 to 60 indicates a mood state that has reached severe depressive symptoms.The α value in the study is 0.96 [9].…”

Section: Ces-d Measurement Of Depressive Symptomsmentioning

confidence: 99%

“…The global prevalence of chronic kidney disease (CKD) is 9.1% (697.5 million people), and China has 132.3 million CKD patients [1].End-stage renal disease (ESRD) is the final stage of CKD and can only be prolonged with kidney replacement therapy such as hemodialysis, peritoneal dialysis, or kidney transplant therapy.Maintenance hemodialysis (MHD) is the main treatment method in mainland China.According to the China National Renal Data System 2020, there are about 632,000 MHD patients [2].End-stage renal disease remains an incurable condition, although current treatments can extend survival.Compared with young patients, elderly patients are more likely to have complications during treatment and have shorter survival [3].One study indicated that the mortality rate of one year of dialysis was 54.5% in people over 65 years of age and 70.6% in people over 85 years of age [4]. Notably, older ESRD patients had higher rates of hospitalization, intensive care admissions, and other intensive care in the last month of life compared to patients with cancer, COPD, and heart failure [5,9].…”

Section: Introductionmentioning

confidence: 99%

“…Due to the dual effects of the disease itself and hemodialysis treatment, patients tend to have various symptoms, such as fatigue, dry skin, sleep disorders, muscle spasms, pruritus and other physical symptoms, as well as psychological symptoms such as anxiety, worry and depression, which cause a huge burden on patients' lives [6,7].Because elderly patients are prone to multiple chronic diseases and dysfunction, they have a heavier burden of symptoms and poorer health-related quality of life (HRQOL) than younger patients [8][9].Generally speaking, HRQOL is the embodiment of quality of life (PQOL) and psychological quality of life (MQOL).…”

Section: Introductionmentioning

confidence: 99%

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Explore the Mediating Effect of Health-Related Quality of Life in Patients with Maintenance Hemodialysis based on Resourcefulness

Zhong¹,

Zhou²

2023

HSET

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Objective: This study aimed to determine the determinants of depressive symptoms (DSS), sleep disorders, anxiety, and health-related quality of life (HRQOL) in maintenance hemodialysis patients. Methods: A descriptive, correlational design was used to evaluate 1330 maintenance hemodialysis patients. Participants were interviewed face-to-face to collect demographic information and disease characteristics, assess self-control schedules, and survey health status. Correlation analysis, t test, analysis of variance and regression analysis were used for analysis. Results: According to the recommended classification of DSS, 56.4% of the patients had mild (31.1%), moderate (18.9%) or severe (6.2%) depressive symptoms. The pain caused by illness was positively correlated with depression, and negatively correlated with resourcefulness (- 0.28), PQOL (-0.24) and MQOL (- 0.42). Education was negatively correlated with depression (-0.19), positively correlated with resourceiness (0.28), PQOL (0.16) and MQOL (0.28). Age was positively correlated with depression and resourceiness, and negatively correlated with PQOL (- 0.48) and MQOL (- 0.18). Highly educated participants were more likely to have better PQOL and MQOL. Lower DSS. Higher monthly household income is more likely to have better MQOL and lower DSS, and there is no correlation with PQOL. Higher education is associated with more sleep disturbances, resourcefulness, and anxiety; The higher the monthly income, the lower the anxiety and the higher the resourcefulness; Stage II patients have more sleep disorders, resourcefulness, anxiety; People with depression tend to have more sleep disturbances, resourcefulness, and anxiety. Conclusion: Nursing professionals need to spot mental illness and must be especially vigilant for those with mental retardation and sleep disorders. The impact of resourcefulness on health-related mental and physical quality of life was identified in maintenance hemodialysis patients, where resourcefulness played a beneficial role as a mediator of symptoms from pain to depression, PQOL, and MQOL, respectively. Resourcefulness has an effect on reducing depressive symptoms in maintenance hemodialysis patients.

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Section: Self-control Scale (Scs) Measures the Degree Of Resourcefulnessmentioning

confidence: 57%

Section: Ces-d Measurement Of Depressive Symptomsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Explore the Mediating Effect of Health-Related Quality of Life in Patients with Maintenance Hemodialysis based on Resourcefulness

Zhong¹,

Zhou²

2023

HSET

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“…In particular, needs assessment is the first step in implementing palliative care [ 9 ]. Previous original studies on the palliative care needs of ESRD patients mainly focused on the content assessment of needs, which showed that the unmet palliative needs of ESRD patients were mainly reflected in physical, emotional, psychosocial, spiritual, informational and practical issues [ 14 , 15 ]. However, it is not clear what factors influence the unmet need of patients.…”

Section: Introductionmentioning

confidence: 99%

Exploring the influencing factors of unmet palliative care needs in Chinese patients with end-stage renal disease undergoing maintenance hemodialysis: a cross-sectional study

Wang,

Mo,

Yuan

et al. 2023

BMC Palliat Care

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Background The role of palliative care for end-stage renal disease (ESRD) patients have been proven in some developed countries, but it is still unclear in the mainland of China. In fact, patients with ESRD experience many unmet palliative care needs, such as physical, psychological, social and spiritual needs, but the factors influencing these needs have not investigated. Methods A cross-sectional study was conducted at two hemodialysis centers in the mainland of China from January to September 2022. Convenience sampling was used to collect data on the participants' socio-demographics, clinical characteristics, the Palliative Care Outcome Scale (POS), the Dialysis Symptom Index (DSI), the Karnofsky Performance Status Scale (KPS), the Patient Health Questionnaire-9 item (PHQ-9), and the Social Support Rate Scale (SSRS). Data were analyzed using latent profile analysis, Kruskal–Wallis test, one-way analysis of variance (ANOVA), the chi-square test and multinomial logistic regression analysis. Results Three hundred five participants were included in this study, and divided palliative care needs into three categories: Class 1, mild palliative care needs (n = 154, 50.5%); Class 2, moderate palliative care needs (n = 89, 29.2%); Class 3, severe palliative care needs (n = 62, 20.3%). Based on the analysis of three profiles, the influencing factors of unmet needs were further analyzed. Compared with Class 3, senior high school education, the household per capita monthly income < 2,000, low KPS scores, high PHQ-9 scores, and low SSRS scores were less likely to be in Class 1 (OR = 0.03, P = 0.012; OR = 0.003, P < 0.001; OR = 1.15, P < 0.001; OR = 0.55, P < 0.001; OR = 1.35, P = 0.002; respectively) and Class 2 (OR = 0.03, P = 0.007; OR = 0.05, P = 0.011; OR = 1.10, P = 0.001; OR = 0.60, P = 0.001; OR = 1.32, P = 0.003; respectively), and high symptom severity were less likely to be in Class 1 (OR = 0.82, P = 0.001). Moreover, compared with Class 1, the household per capita monthly income < 2,000 (OR = 16.41, P < 0.001), high symptom severity scores (OR = 1.12, P = 0.002) and low KPS scores (OR = 0.95, P = 0.002) were more likely to be in Class 2. Conclusions This study showed that almost half of ESRD patients receiving MHD presented moderate to severe palliative care needs, and the unmet needs were mainly affected by education level, financial pressure, functional status, symptom burden and social support. In the future, it is important to identify the populations with the greatest need for palliative care and consider the influencing factors of unmet needs from a comprehensive perspective, so as to help them improve health-related quality of life.

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Efficacy of Rational Emotive Behavior Therapy for the Alleviation of Psychological Distress and Amelioration of Psychological Well-Being Among End-Stage Renal Disease Patients

Aurooj,

Zia,

Nadeem Kirmani

et al. 2023

J Contemp Psychother

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Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study

Cited by 7 publications

References 48 publications

Explore the Mediating Effect of Health-Related Quality of Life in Patients with Maintenance Hemodialysis based on Resourcefulness

Explore the Mediating Effect of Health-Related Quality of Life in Patients with Maintenance Hemodialysis based on Resourcefulness

Exploring the influencing factors of unmet palliative care needs in Chinese patients with end-stage renal disease undergoing maintenance hemodialysis: a cross-sectional study

Efficacy of Rational Emotive Behavior Therapy for the Alleviation of Psychological Distress and Amelioration of Psychological Well-Being Among End-Stage Renal Disease Patients

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