Original Investigations: Dialysis TherapiesPatient satisfaction with care and behavioral compliance in end-stage renal disease patients treated with hemodialysis
Section snippets
Methods
We previously conducted a cross-sectional multicenter study of the psychosocial status of urban HD patients.18 All patients enrolled in chronic ESRD HD programs for more than 3 months at the George Washington University Medical Center, Howard University Medical Center, and Washington Veteran's Administration Medical Center dialysis units in Washington, DC, with the exception of human immunodeficiency virus-infected patients, those with a psychiatric diagnosis of psychosis, and those who failed
Results
The sample was composed of 32 women (40.5%) and 47 men (59.5%); 93.7% of patients were African-American. Patient demographics are listed in Table 1.Mean age of the population was 52.8 ± 16.0 years (range, 20 to 85 years). Patients had been treated for ESRD for a mean of 57.7 ± 56.7 months (range, 4 to 244 months), and 30.8% of patients had diabetes mellitus. Mean Karnofsky score was 69.8 ± 17.1 (range, 40 to 100).
We assessed whether patients who consented to participate in this study were
Discussion
Psychosocial factors in patients with ESRD have received little, but increasing interest.1, 2 For psychosocial factors to have importance for the nephrologist, they must be related to important clinical outcomes and patient well-being. There has been little evaluation of renal patients' perception of satisfaction with care and caregivers4 and the relationships between these and outcomes. Harris et al4 showed that decreased satisfaction with care in a group of patients with chronic renal
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A simulated patient experience to improve pharmacy student empathy for patients on hemodialysis
2020, Currents in Pharmacy Teaching and LearningCitation Excerpt :Patients on hemodialysis have to maintain a strict lifestyle, and these requirements often cause significant emotional, physical, and mental stress, resulting in a loss of autonomy, independence, and function.2–4 In a study completed by Kovac and colleagues5 in 2002, the authors found that patient perception of caring demonstrated by ancillary staff at a dialysis center correlated with improved attendance to hemodialysis sessions. Shortened and missed dialysis sessions have been associated with an increased number of hospitalizations as well as an increase in patient mortality.6
Measuring and improving quality of life
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Address reprint requests to Paul L. Kimmel, MD, Division of Renal Diseases and Hypertension, Department of Medicine, George Washington University Medical Center, 2150 Pennsylvania Ave NW, Washington DC 20037. E-mail: [email protected]
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