Sense of meaning influences mental functioning in chronic renal patients

2018 ◽  
Vol 25 (12) ◽  
pp. 1978-1988 ◽  
Author(s):  
Luca Iani ◽  
Marco Lauriola ◽  
Andrea-René Angeramo ◽  
Elena Malinconico ◽  
Piero Porcelli
Keyword(s):  
Mental Health ◽  
Renal Disease ◽  
Physical Health ◽  
End Stage Renal Disease ◽  
Well Being ◽  
Physical Symptoms ◽  
Poor Mental Health ◽  
Spiritual Well Being ◽  
Stage Renal Disease ◽  
End Stage

In this preliminary study, we examined whether aspects of spiritual well-being accounted for mental and physical health-related quality of life in 68 patients with end-stage renal disease, when controlling for age, type of treatment, physical symptoms, and worries. Hierarchical multiple regressions showed that meaning was associated with better mental health, while worry and physical symptoms also accounted for poor mental health. Faith and peace did not contribute to mental health. Older age, type of treatment (hemodialysis), and physical symptoms accounted for poor physical health. Our findings suggest that clinicians should include spiritual well-being in future interventions for end-stage renal disease patients.

scholarly journals Assessment of Quality of Life in Patients of End Stage Renal Disease on Different Modalities of Treatment

2008 ◽  
Vol 47 (169) ◽  
Author(s):  
Shailendra Shrestha ◽  
L R Ghotekar ◽  
S K Sharma ◽  
P M Shangwa ◽  
P Karki
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Renal Disease ◽  
Physical Health ◽  
End Stage Renal Disease ◽  
P Value ◽  
Stage Renal Disease ◽  
End Stage ◽  
Group 1

This study was conducted to measure quality of life of patients with end stage renal disease ondifferent modalities of treatment.A total of 30 diagnosed cases of end stage renal disease (ESRD) attending BPKIHS were includedin the study. Group 1 included 10 patients on regular maintenance hemodialysis, group 2 included10 patients on continuous ambulatory peritoneal dialysis (CAPD) and group 3 included 10 patientson regular conservative drugs. The inclusion criteria were all diagnosed cases of ESRD based on theguidelines given by K/DOQI, 2002. A detailed history relating to the disease condition as per thedesigned proforma was taken, which included demographic data and clinical characteristics of thepatients. For assessment of quality of life, KDQOL-SF questionnaire was used. Strata 8.0 softwareprogram was used for the analysis of collected data.Physical health was found to be the most severely affected domain of the KDQOL. The mean scorefor physical health was least in group 1 (33.36 ± 16.14). Mental health was better in group 2 (54.93± 9.92) than in group 1 (39.50 ± 14.27) ( “p” value 0.01). Variables like haemoglobin, hematocrit andadequacy of dialysis have positive correlation with all the four domains of the KDQOL. There wasa statistically signifi cant correlation of physical health with mental health (p value 0.001), physicalhealth with kidney disease issues (p value 0.001) and mental health with kidney disease issues (pvalue 0.007).Our study has shown that patients of ESRD have a poor quality of life despite being in some formof dialysis and the most affected domain of the KDQOL scale is physical health. Patients on CAPDhave better quality of life than patients on maintenance haemodialysis especially in terms of mentalhealth. Variables like haemoglobin, hematocrit and adequacy of dialysis have a positive correlationwith all the four domains of the KDQOL scale i.e. optimizing these variables improves the overallquality of life.Key Words: dialysis, end stage renal disease, quality of lifeCorrespondence:

Marriage and End-Stage Renal Disease: Implications for African Americans

2010 ◽  
Vol 31 (9) ◽  
pp. 1230-1249
Author(s):  
Emily F. Shortridge ◽  
Cara V. James
Keyword(s):  
African Americans ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Well Being ◽  
Lifestyle Changes ◽  
Treatment Modalities ◽  
Dialysis Facilities ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

African Americans are disproportionately represented among patients with end-stage renal disease (ESRD). ESRD is managed with a strict routine that might include regular dialysis as well as dietary, fluid intake, and other lifestyle changes. In a disease such as this, with such disruptive treatment modalities, marriage, specifically, and its ties to well-being have the potential to significantly affect adherence to medical treatment and lifestyle recommendations as well as downstream health outcomes such as disease progression and mortality. The authors used data from the Dialysis Morbidity and Mortality Study, Wave 2, of the U.S. Renal Data System Database, a prospective study of 4,000 ESRD patients selected from a random sample of 25% U.S. dialysis facilities, to investigate these research questions. They found that married African American ESRD patients had marginally better outcomes on several clinical and psychosocial measures, which they hypothesize may be attributable to the instrumental and emotional support conferred by marriage.

Knowledge of Disease and Dietary Compliance in Patients with End-Stage Renal Disease

1998 ◽  
Vol 82 (1) ◽  
pp. 331-336 ◽  
Author(s):  
Roger C. Katz ◽  
Jay Ashmore ◽  
El Via Barboa ◽  
Karen Trueblood ◽  
Veronica McLaughlin ◽  
...  
Keyword(s):  
Kidney Disease ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Well Being ◽  
Dialysis Patients ◽  
Dietary Compliance ◽  
Interdialytic Weight Gain ◽  
Stage Renal Disease ◽  
End Stage ◽  
The Relationship

Noncompliance is a common problem in patients with end-stage renal disease. In this study, we assessed the relationship between knowledge of disease and dietary compliance in a cohort of 56 dialysis patients. Based on a health belief model of adherence, we predicted that dialysis patients who knew more about kidney disease and its treatment would be more compliant than those who knew less about these matters. We also examined the relationship between dietary compliance and patients' emotional well-being. We used a composite measure of compliance consisting of serum K, P, and interdialytic weight gain. A 30-item “Kidney Disease Questionnaire” was used to assess patients' knowledge of their illness. Contrary to prediction, compilers did not score higher on the knowledge questionnaire; in fact, the observed correlation of .32 was in the opposite direction. In the same vein, we found no relationship between compliance and emotional well-being. These results, although somewhat surprising, add to a growing body of research which indicates that medical compliance involves more than educating patients about the mechanisms and treatment of their illness.

scholarly journals An Observational Study on Depressive Illness in Hemodialysis Recipients: A Review on its Association and Prognostication

2020 ◽  
Vol 8 (1) ◽  
pp. 41-47
Author(s):  
Umme Salma Talukder ◽  
Hossain Tameem Bin Anayet ◽  
Samjhana Mandal ◽  
MM Jalal Uddin ◽  
Fahmida Ahmed ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Physical Symptoms ◽  
Diabetic Patients ◽  
Dialysis Patients ◽  
Major Depressive ◽  
Stage Renal Disease ◽  
End Stage

Major Depressive Disorder (MDD) is one of the most common psychiatric illnesses. The effect of depression on one’s physical health is well-known, which can include anything from weight gain or loss to chronic illnesses such as heart disease, kidney or gastrointestinal problems. Provided the increasing prevalence of patients suffering from End Stage Renal Disease (ESRD) and receiving hemodialysis treatment, it is important to investigate how MDD affects the outcome of their treatment. The incidence of depression in dialysis patients ranges from 10% to 66% in various studies, with prevalence reaching as high as 100%. The purpose of this article is to find the prevalence and severity of major depressive disorder in dialysis patients as well as to describe the possible pathways MDD worsens the dialysis outcome. Our study population consisted of 51 End Stage Renal Disease (ESRD) patients sampled from the Department of Nephrology at BIRDEM General Hospital. Neurocognitive, physical symptoms, the severity of MDD and presence of comorbid conditions including diabetics and hypertension, were measured in our study. The ESRD patient sample consisted 47.7% moderately depressed patients, 34% severely depressed, 11.4% mild and 6.8% with minimal MDD patients. Analogous to Hypertension and Diabetic patients with depression, the number of Chronic Kidney Disease (CKD) patients with mostly moderate severe depression increased with the duration of the disease. The article explains a myriad of biologic, behavioral, genetic and social factors underlying the association of depression and adverse medical outcomes in patients with CKD and ESRD. Moreover, neuroimaging data is required for further discussion on relationship between Depression and CKD. The implication of this study is to emphasize the importance of dialysis patients’ overall health and to serve as a pretext for further research into depression in dialysis patients. Bangladesh Crit Care J March 2020; 8(1): 41-47

Quality of Life in Children with End-Stage Renal Disease: Does Treatment Modality Matter?

2009 ◽  
Vol 29 (2_suppl) ◽  
pp. 190-191 ◽  
Author(s):  
Wai-Ming Lai
Keyword(s):  
Quality Of Life ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Well Being ◽  
Kidney Graft ◽  
Healthy Children ◽  
Specific Instrument ◽  
Stage Renal Disease ◽  
End Stage

In children with end-stage renal disease (ESRD), health-related quality of life (HRQOL) is a useful and important clinical measure for monitoring the child's well-being and functional status. One of the commonly used generic HRQOL instruments in children is the Pediatric Quality of Life Inventory, because an ESRD-specific instrument for children is still lacking. In the limited studies of HRQOL in children with ESRD, a significant effect of ESRD is seen, with significantly lower HRQOL scores than are seen in healthy children. In future, a pediatric ESRD-specific instrument is needed to address differences in HRQOL between children on hemodialysis, on peritoneal dialysis, and with a kidney graft.

Policies Regarding Treatment of End-Stage Renal Disease in the United States and United Kingdom

1986 ◽  
Vol 2 (2) ◽  
pp. 253-274 ◽  
Author(s):  
Susan Klein Marine ◽  
Roberta G. Simmons
Keyword(s):  
United States ◽  
Kidney Transplantation ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Well Being ◽  
The United States ◽  
The Body ◽  
Stage Renal Disease ◽  
End Stage ◽  
The U.S

The treatment of End-Stage Renal Disease (ESRD) represents a victory for medical technology. Dialysis and kidney transplantation, developed in the early 1960s, offer alternative treatments to patients whose own kidneys no longer function; before, these patients faced a terminal diagnosis. Dialysis is a mechanical treatment in which the patient is connected to a machine that cleanses the blood of impurities and returns it to the body. Although recent innovations (e.g., continuous ambulatory peritoneal dialysis—CAPD) facilitate patient independence from a machine, replacement of the diseased kidneys is the most desirable and least expensive treatment for many patients (33;39). Kidney transplantation remains the most effective and common type of transplantation, and a new kidney (from a living-related or cadaver donor) often dramatically improves the recipient's health and general well-being (20;39). Now, in the mid-1980s, these technologies are no longer new and innovative. Further analysis of these established but costly technologies provides a perspective on the long-range implications of innovations in patient care: while some new issues have emerged, many problems originally associated with these treatments seem to have intensified. Access to treatment remains a central issue, closely linked to the dilemma of equity versus cost. The contrast in the access provided by the United States and Great Britain is dramatic (40); in 1982, the rate of ESRD treatment within the U.S. was twice that of the U.K. (353 versus 160 patients per million) (37). The U.S. policy is basically one of unlimited access, whereas the U.K. has restricted access.

scholarly journals Chronic Kidney Disease and Its Relationship with Mental Health: Allostatic Load Perspective for Integrated Care

2021 ◽  
Vol 11 (12) ◽  
pp. 1367
Author(s):  
Federica Guerra ◽  
Dina Di Giacomo ◽  
Jessica Ranieri ◽  
Marilena Tunno ◽  
Luca Piscitani ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Renal Disease ◽  
Personality Traits ◽  
End Stage Renal Disease ◽  
Allostatic Load ◽  
Individual Factors ◽  
Stage Renal Disease ◽  
End Stage ◽  
Psychological Dimensions

Background: Chronic renal failure is a chronic medical condition characterized by a progressive and irreversible loss of kidney function. Up to 50% of patients undergoing dialysis experience symptoms of depression and anxiety: what is the impact of individual factors and medical conditions on the mental health issue? The present study was carried out to investigate the individual factors (biomarkers and psychological dimensions) of end-stage renal disease patients dealing with dialysis, analyzing their predictor values for developing negative disease adaptations by an allostatic paradigm. Methods: We conducted an observational study on 35 patients affected by end-stage renal disease; biological and psychological markers have been detected. We conducted descriptive statistical analyses (t-tests) and performed a hierarchical regression analysis to investigate the relationship between pathological medical conditions and psychological dimensions. Results: The findings showed a positive correlation between creatinine levels and psychological distress as well as stress index. No significant effect of “time of dialysis”, “time from diagnosis”, “age” and “personality traits” was found. Conclusion: Our findings showed that personality traits did not represent a protective factor by moderating positive emotional adaptations; conversely, creatinine levels appeared predictive for negative emotional adaptations. High levels of creatinine were found to be positively associated with high stress levels as well psychological distress. According to the allostatic paradigm, end-stage renal disease patients could experience an allostatic load and more overload towards poor health outcomes; integrated biological and psychological measurements could prevent increased negative mental health through a patient-centered approach.

Sign in / Sign up

Export Citation Format

Share Document