Quality of Life of Family Caregivers of Elderly Patients on Hemodialysis and Peritoneal Dialysis

Objective Recent studies have found that patients with chronic renal failure suffer from depression and other symptoms of decreased mental health. However, little is know about caregiver burden and mental health among patients’ families. In the present study, we examined the relationship in Japan between peritoneal dialysis (PD) patients and caregivers with regard to health-related quality of life (HRQOL) and caregiver burden. Method In March of 2002, we recruited 60 subjects—26 patients on continuous ambulatory peritoneal dialysis (CAPD), and 34 caregivers—from a PD patient support group in southern Japan. We used the Kidney Disease Quality of Life Short Form (KDQOL-SF) and the Medical Outcomes Study Short Form 36 (SF-36) to measure HRQOL. We used the Zarit Burden Interview (ZBI) to measure caregiver burden. Data was also collected on each patient's duration of illness, treatment modality, age, sex, and medical history. All data were collected by mail surveys. Results Mean age of the PD patients was 48.2; mean age of the caregivers was 46.6. Mean caregiver burden on the ZBI was 14.1, which is considerably lower than that reported among caregivers for patients with dementia or stroke. Caregivers and patients both rated their general health and vitality among the lowest of the eight dimensions on the KDQOL-SF. In addition, patients scored lower than a normative population in all dimensions and significantly lower than caregivers in the dimensions of role physical functioning, role emotional functioning, and social functioning. Compared to national normative data for their age group, caregivers scored substantially lower in general health, vitality, and mental health. Conclusions Patients on CAPD are at risk for social role dysfunction, and their caregivers are at risk for decreased mental health. Further research is needed to identify interventions that can improve the HRQOL of CAPD patients and their family caregivers.

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Quality of Life of Elderly Patients Undergoing Continuous Ambulatory Peritoneal Dialysis

Peritoneal Dialysis International ◽

10.1177/089686080102103s53 ◽

2001 ◽

Vol 21 (3_suppl) ◽

pp. 300-303 ◽

Cited By ~ 9

Author(s):

Jasna B. Trbojevic ◽

Vidosava B. Nesic ◽

Biljana B. Stojimirovic

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Elderly Patients ◽

Marital Status ◽

Older Adult ◽

Continuous Ambulatory Peritoneal Dialysis ◽

Adult Patients ◽

Fisher Test ◽

Age Range

Objective The aim of the present study was to evaluate the impact of continuous ambulatory peritoneal dialysis (CAPD) on the lifestyle of elderly patients. Patients and Methods Aspects of health-related quality of life (QL) were studied in 48 patients (16 men, 32 women) in end-stage chronic renal failure (ESRF) undergoing CAPD at the Clinic of Nephrology, Clinical Centre of Serbia. The first group comprised 20 adult patients (8 men, 12 women; age range: 35 – 59 years). The second group consisted of 28 older adult patients (8 men, 20 women; age range: 65 – 75 years). Mean length of CAPD treatment was 5.2 years in the first group and 3.67 years in the second group. Fifteen QL variables were investigated: marital status, family relationships, working ability, sleep, tiredness, appetite, wound healing, hobby, sports, friendships, sexual activity, mood, travel, self management, and happiness. Results The results showed that, in the examined groups, marital status and relationships with family members weren't influenced at all by dialysis. In both groups, CAPD had a negative influence on ability to bear cold and to travel, but other life functions were not significantly affected. Elderly patients had a significantly worse appetite ( p = 0.03, Fisher test) and mood ( p = 0.045, Fisher test) than did younger adults. In other examined variables, no statistically significant differences were found between the groups. Conclusions Lack of large, statistically significant differences between the groups suggests that CAPD has an equal influence on quality of life in younger and older adult patients.

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The Relationship between Health-Related Quality of Life and Burden among Family Caregivers of Elderly Patients Undergoing Hemodialysis in Saudi Arabia

International Journal of Nursing Research ◽

10.31690/ijnr/96 ◽

2020 ◽

Vol 6 (1) ◽

pp. 40-48

Author(s):

Faiza A. Abou El-Soud ◽

Manar Nasser Alotaibi ◽

Enas Majed Bin Suhaim ◽

Nwader Aziz Alotaibi

Keyword(s):

Quality Of Life ◽

Saudi Arabia ◽

Elderly Patients ◽

Family Caregivers ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Relationship

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Perceived quality of life of elderly patients with dementia and family caregivers: evaluation and correlation

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692009000200008 ◽

2009 ◽

Vol 17 (2) ◽

pp. 187-193 ◽

Cited By ~ 21

Author(s):

Keika Inouye ◽

Elisete Silva Pedrazzani ◽

Sofia Cristina Iost Pavarini ◽

Cristina Yoshie Toyoda

Keyword(s):

Quality Of Life ◽

Elderly Patients ◽

Family Caregivers ◽

Descriptive Analysis ◽

Perceived Quality ◽

Life Assessment ◽

Average Score ◽

Perceived Quality Of Life ◽

Statistical Program

This study aimed to evaluate the perceived quality of life of elderly patients with dementia and their respective family caregivers and identify correlations between variables. Participants (n=106) were elderly patients with Alzheimer attended by the Exceptional Medication Program in a city in the interior of Sao Paulo, and their respective caregivers. Measures of quality of life were obtained through the Quality of Life Assessment Scale on Alzheimer's disease. Data were entered into a database in the Statistical Program for Social Sciences for descriptive analysis and Spearman's correlation. The total average score for patients and caregivers was 29.32 (sd=±6.27, x min=16, x max=42) and 38.83 points (sd=±5.62, x min=29, x max=49). The associated rho coefficient was (+)0.406 (p<0.005). This result indicates moderate correlation between quality of life of caregivers and elderly patients with dementia.

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Quality of Life in Elderly Continuous Ambulatory Peritoneal Dialysis Patients

Peritoneal Dialysis International ◽

10.1177/089686080302302s20 ◽

2003 ◽

Vol 23 (2_suppl) ◽

pp. 95-98 ◽

Cited By ~ 6

Author(s):

Ai-wu Lin ◽

Jia-qi Qian ◽

Qi-ang Yao ◽

Ai-ping Gu

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Elderly Patients ◽

Serum Albumin ◽

Lipid Profile ◽

Short Form ◽

Sf 36 ◽

Group A ◽

Group B

Objective In the present study, we determined the characteristic of quality of life (QOL) in elderly peritoneal dialysis (PD) patients by using the Medical Outcomes Study Short Form 36 (SF-36) to compare QOL between two age groups of continuous ambulatory PD patients. Patients and Methods Patients were allocated to one of two groups according to age: patients in group A were ≥65 years of age, and patients in group B were <65 years of age. We compared SF-36 scores, serum albumin, prealbumin, hemoglobin, lipid profile, normalized protein catabolic rate (nPCR), dialysis adequacy (Kt/V), creatinine clearance (CCr), and glomerular filtration rate (GFR) between the two groups. Results Group A contained 25 patients, and group B, 53 patients. Mean age in the two groups was 68.6 ± 3.3 years and 47.7 ± 10.2 years respectively. Elderly patients showed lower QOL scores with regard to physical problems. Quality-of-life scores with regard to psychological problems were similar in the two groups. Duration of PD, body mass index, serum albumin, prealbumin, hemoglobin, and lipid profile were not different between the two groups. However, nPCR, GFR, and total solute clearance were lower in group A than in group B (nPCR: 0.70 ± 0.13 g/kg daily vs 0.95 ± 0.21 g/kg daily, p < 0.001; GFR: 1.03 ± 1.21 mL/min vs 3.19 ± 2.22 mL/min, p < 0.001). Conclusions In elderly patients, QOL scores were lower, mainly because of a perception of being more physically impaired. Nutritional indices and QOL scores reflecting psychological processes were similar between the two groups. These descriptive data show that PD is an ideal choice in elderly patients with end-stage renal disease. More attention needs to be paid to “healthy start” dialysis and maintenance of nutritional status in elderly patients because of lower GFR and nPCR.

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Chronic Peritoneal Dialysis in the Elderly: A Review

Peritoneal Dialysis International ◽

10.1177/089686080002000302 ◽

2000 ◽

Vol 20 (3) ◽

pp. 276-283 ◽

Cited By ~ 21

Author(s):

Nada Dimkovic ◽

Dimitrios G. Oreopoulos

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Elderly Patients ◽

Renal Disease ◽

Family Support ◽

End Stage Renal Disease ◽

Good Control ◽

Stage Renal Disease ◽

End Stage

During the past few decades, the pattern of end-stage renal disease has changed significantly with the emerging predominance of elderly patients. Because this heterogeneous population is characterized by a physiological decline in function of all organs, the nephrologist must contemplate the special needs of individual patients when they develop end-stage renal disease. Before the initiation of dialysis, these patients must be given detailed information to help them select the particular mode that will maximize their quality of life. According to available data, peritoneal dialysis offers some advantages for elderly patients, such as hemodynamic stability, steady-state metabolic control, good control of hypertension, independence from hospital, and avoidance of repeated vascular access. Early referral promotes the establishment of peritoneal access and minimizes the consequences of uremia, subsequent morbidity, and frequent hospitalization. Elderly patients are compliant and highly motivated to cooperate with their treatment. They have no higher modality-related complications than younger patients and their quality of life is satisfactory. Although most have comorbid conditions that interfere with self-performance of dialysis, such as impaired vision and reduced physical and mental activity, they can perform peritoneal dialysis successfully if they have a high level of family support. Patients who do not have family support may have successful peritoneal dialysis if they have access to a network of medical and social support, that is, private home nurses, rehabilitation and chronic care dialysis units, or nursing homes.

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Clinical outcomes and Quality of Life in Elderly Patients on Peritoneal Dialysis versus Hemodialysis

Peritoneal Dialysis International ◽

10.1177/089686080202200404 ◽

2002 ◽

Vol 22 (4) ◽

pp. 463-470 ◽

Cited By ~ 98

Author(s):

◽

Susan A.C. Harris ◽

Donna L. Lamping ◽

Edwina A. Brown ◽

Niculae Constantinovici

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Elderly Patients ◽

Clinical Outcomes ◽

Elderly People ◽

Life Questionnaire ◽

The North ◽

Relative Risks ◽

Sf 36

♦ Objective To compare clinical outcomes and quality of life (QOL) in elderly patients on peritoneal dialysis (PD) and hemodialysis (HD) in the North Thames Dialysis Study. ♦ Design A 12-month prospective cohort study. ♦ Setting Four hospital-based renal units in London, UK. ♦ Patients 174 patients that were 70 years or older at the start of dialysis, separated into two cohorts: 78 new patients (36 PD, 42 HD) that were recruited after 90 days of chronic dialysis; and 96 stock patients (42 PD, 54 HD) that were already on dialysis during the recruitment period. ♦ Main Outcome Measures 12-month survival and hospitalization rate, and QOL assessed at baseline and at 6 and 12 months by the SF-36 and the Symptoms/Problems scale of the Kidney Disease Quality of Life Questionnaire (KDQOL). ♦ Results Peritoneal dialysis and HD patients were similar for sociodemographic and clinical characteristics. Annual mortality and hospitalization rates in PD versus HD patients were 26.1 versus 26.4 deaths/100 person–years and 1.9 versus 2.0 admissions/person–year, respectively. Adjusted relative risks showed no effect of modality on clinical outcomes. Multiple linear regression analyses of QOL at baseline showed similar SF-36 scores between PD and HD patients, but higher KDQOL scores in PD patients (3.5 points higher, 95% confidence interval 0.3 – 6.6). There was, however, no effect of dialysis modality on QOL at 6 or 12 months. ♦ Conclusions Clinical outcomes and QOL are similar in elderly people on PD and HD. Peritoneal dialysis is a viable option for more than a carefully selected minority of elderly people requiring dialysis.

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Peritoneal Dialysis in Elderly Patients: Clinical Experience

Peritoneal Dialysis International ◽

10.1177/089686080502503s22 ◽

2005 ◽

Vol 25 (3_suppl) ◽

pp. 88-91 ◽

Cited By ~ 12

Author(s):

Edwina A. Brown

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Clinical Outcome ◽

Elderly Patients ◽

Older Patients ◽

Younger Patients ◽

The North ◽

A Prospective Study ◽

Better Than

Many older patients do not cope well with hemodialysis, yet the proportion of older patients on peritoneal dialysis (PD) is considerably lower than for younger patients. This is despite the fact that clinical outcome studies show that older patients cope as well as, if not better than, younger patients on PD. Furthermore, the North Thames Dialysis Study, a prospective study of patients ≥70 years old, has shown that survival, hospitalization, and quality of life were identical for patients on hemodialysis and patients on PD.

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