Top

Quality of Life Research

Gepubliceerd in:

21-07-2015

Quality of life and emotional distress in patients and burden in caregivers: a comparison between assisted peritoneal dialysis and self-care peritoneal dialysis

Auteurs: K. Griva, C. S. Goh, W. C. A. Kang, Z. L. Yu, M. C. Chan, S. Y. Wu, T. Krishnasamy, M. Foo

Gepubliceerd in: Quality of Life Research | Uitgave 2/2016

Abstract

Purpose

Assisted peritoneal dialysis (PD) involving caregivers allows more patients to get started on home-based dialysis with good clinical outcomes, but evidence on patient-reported and caregiver-reported outcomes is lacking. This study aimed to compare assisted PD versus self-care PD on quality of life (QoL) and psychosocial outcomes for patients and caregivers. The effect of PD modality [automated PD (APD); continuous ambulatory PD (CAPD)] in relation to self-care or assisted care was also examined.

Methods

A cross-sectional sample of 231 PD patients [142 self-care (57 APD/85 CAPD) and 89 assisted care PD (45 APD/44 CAPD)], 72 caregivers of assisted PD patients and 39 family members of self-care PD patients completed the Kidney Disease Quality of Life Short Form (KDQOL-SF), World Health Organisation Quality of Life Instrument-brief and the Hospital Anxiety and Depression Scale. Caregivers and family members completed the Lay Care-Giving for Adults Receiving Dialysis questionnaire and Zarit Burden Interview.

Results

Case-mix-adjusted comparisons indicated comparable QoL in all dimensions with the exception of physical SF-12 (p = .001) and the KDQOL effects of kidney disease in favour of self-care PD. Levels of anxiety (9.72 ± 4.90; 8.25 ± 5.22) and depression (8.63 ± 3.80; 6.35 ± 4.76) were equivalent in assisted PD and self-care PD, respectively. Assisted PD caregivers reported more task-orientated duties (p = .007), yet levels of perceived burden were equal to those reported by family members of self-care PD.

Conclusion

Our findings of mostly comparable patient and caregiver outcomes in assisted PD and self-care PD suggest that caregiver burden and QoL should not be a barrier to using assisted PD.

vorige artikel Baseline overall health-related quality of life predicts the 10-year incidence of cardiovascular events in a Chinese population

volgende artikel A brief psychological intervention to protect subjective well-being in a community sample

Choong, H. L. (2012). Eighth report of the Singapore Renal Registry. Singapore: Health Promotion Board.

Perico, N., & Remuzzi, G. (2012). Chronic kidney disease: a research and public health priority. Nephrology, Dialysis, Transplantation, 27(Suppl 3), iii19–iii26.CrossRefPubMed

ESRD Patients in 2011: A Global Perspective. (2012). Fresenius Medical Care.

ERA-EDTA Registry Annual Report 2007. (2009). Netherlands: European Renal Association—European Dialysis and Transplantation Association.

Dimkovic, N., Aggarwal, V., Khan, S., Chu, M., Bargman, J., & Oreopoulos, D. G. (2009). Assisted peritoneal dialysis: What is it and who does it involve? Advances in peritoneal dialysis. Conference on Peritoneal Dialysis, 25, 165–170.

Li, P. K.-T., Law, M. C., Chow, K. M., Leung, C.-B., Kwan, B. C.-H., Chung, K. Y., & Szeto, C.-C. (2007). Good patient and technique survival in elderly patients on continuous ambulatory peritoneal dialysis. Peritoneal Dialysis International, 27(Supplement 2), S196–S201.PubMed

Laplante, S., Krepel, H., Simons, B., Nijhoff, A., van Liere, R., & Simons, M. (2013). Offering assisted peritoneal dialysis is a cost-effective alternative to the current care pathway in frail elderly Dutch patients. International Journal of Healthcare Management, 6(1), 27–36.PubMedCentralCrossRefPubMed

Pang, M. (2013, 8 April). NKF steps up home-dialysis drive. The Straits Times, p. B1.

Oliver, M., Quinn, R., Richardson, E., Kiss, A., Lamping, D., & Manns, B. (2007). Home care assistance and the utilization of peritoneal dialysis. Kidney International, 71(7), 673–678.CrossRefPubMed

10.

Jofre, R., López-Gómez, J. M., & Valderrábano, F. (2000). Quality of life for patient groups. Kidney International, 57, S121–S130.CrossRef

11.

Bakewell, A. B., Higgins, R. M., & Edmunds, M. E. (2002). Quality of life in peritoneal dialysis patients: Decline over time and association with clinical outcomes. Kidney International, 61(1), 239–248.CrossRefPubMed

12.

Lowrie, E. G., Curtin, R. B., LePain, N., & Schatell, D. (2003). Medical outcomes study short form-36: A consistent and powerful predictor of morbidity and mortality in dialysis patients. American Journal of Kidney Diseases, 41(6), 1286–1292.CrossRefPubMed

13.

Brownbridge, G., & Fielding, D. M. (1994). Psychosocial adjustment and adherence to dialysis treatment regimes. Pediatric Nephrology, 8(6), 744–749.CrossRefPubMed

14.

Cukor, D., Rosenthal, D. S., Jindal, R. M., Brown, C. D., & Kimmel, P. L. (2009). Depression is an important contributor to low medication adherence in hemodialyzed patients and transplant recipients. Kidney International, 75(11), 1223–1229.CrossRefPubMed

15.

Lopes, A. A., Bragg, J., Young, E., Goodkin, D., Mapes, D., Combe, C., et al. (2002). Depression as a predictor of mortality and hospitalization among hemodialysis patients in the United States and Europe. Kidney International, 62(1), 199–207.CrossRefPubMed

16.

Einwohner, R., Bernardini, J., Fried, L., & Piraino, B. (2004). The effect of depressive symptoms on survival in peritoneal dialysis patients. Peritoneal Dialysis International, 24(3), 256–263.PubMed

17.

Cukor, D., Ver Halen, N., & Fruchter, Y. (2013). Anxiety and quality of life in ESRD. Seminars in Dialysis, 26(3), 265–268.CrossRefPubMed

18.

Belasco, A., Barbosa, D., Bettencourt, A. R., Diccini, S., & Sesso, R. (2006). Quality of life of family caregivers of elderly patients on hemodialysis and peritoneal dialysis. American Journal of Kidney Diseases, 48(6), 955–963.CrossRefPubMed

19.

Belasco, A. G., & Sesso, R. (2002). Burden and quality of life of caregivers for hemodialysis patients. American Journal of Kidney Diseases, 39(4), 805–812.CrossRefPubMed

20.

Dimkovic, N., & Oreopoulos, D. G. (2008). Assisted peritoneal dialysis as a method of choice for elderly with end-stage renal disease. International Urology and Nephrology, 40(4), 1143–1150.CrossRefPubMed

21.

Yu, Z. L., Yeoh, L. Y., Seow, Y. Y., Luo, X. C., & Griva, K. (2012). Evaluation of adherence and depression among patients on peritoneal dialysis. Singapore Medical Journal, 53(7), 474–480.PubMed

22.

Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of chronic diseases, 40(5), 373–383.CrossRefPubMed

23.

Beddhu, S., Zeidel, M. L., Saul, M., Seddon, P., Samore, M. H., Stoddard, G. J., & Bruns, F. J. (2002). The effects of comorbid conditions on the outcomes of patients undergoing peritoneal dialysis. The American journal of medicine, 112(9), 696–701.CrossRefPubMed

24.

Hays, R. D., Kallich, J. D., Mapes, D. L., Coons, S. J., Amin, N., Carter, W., & Kamberg, C. (1997). Kidney Disease Quality of Life Short Form (KDQOL-SFTM), Version 1. 2: A manual for use and scoring. Santa Monica, CA: Rand.

25.

Thumboo, J., Fong, K.-Y., Machin, D., Chan, S.-P., Leong, K.-H., Feng, P.-H., et al. (2001). A community-based study of scaling assumptions and construct validity of the English (UK) and Chinese (HK) SF-36 in Singapore. Quality of Life Research, 10(2), 175–188.CrossRefPubMed

26.

Joshi, V. D., Mooppil, N., & Lim, J. F. (2010). Validation of the kidney disease quality of life-short form: A cross-sectional study of a dialysis-targeted health measure in Singapore. BMC Nephrology, 11, 36.PubMedCentralCrossRefPubMed

27.

Jenkinson, C., Layte, R., Jenkinson, D., Lawrence, K., Petersen, S., Paice, C., & Stradling, J. (1997). A shorter form health survey: Can the SF-12 replicate results from the SF-36 in longitudinal studies? Journal of Public Health, 19(2), 179–186.CrossRef

28.

Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13(2), 299–310.CrossRefPubMed

29.

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed

30.

Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale—A review of validation data and clinical results. Journal of Psychosomatic Research, 42(1), 17–41.CrossRefPubMed

31.

Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.CrossRefPubMed

32.

Snaith, R. P. (2003). The hospital anxiety and depression scale. Health Qual Life Outcomes, 1(1), 29.PubMedCentralCrossRefPubMed

33.

Horsburgh, M. E., Laing, G. P., Beanlands, H. J., Meng, A. X., & Harwood, L. (2008). A new measure of ‘lay’ care-giver activities. Kidney International, 74(2), 230–236.CrossRefPubMed

34.

Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20(6), 649–655.CrossRefPubMed

35.

Seng, B. K., Luo, N., Ng, W. Y., Lim, J., Chionh, H. L., Goh, J., & Yap, P. (2010). Validity and reliability of the Zarit Burden Interview in assessing caregiving burden. Annals of the Academy of Medicine, Singapore, 39, 758–763.PubMed

36.

Hébert, R., Bravo, G., & Préville, M. (2000). Reliability, validity and reference values of the Zarit Burden Interview for assessing informal caregivers of community-dwelling older persons with dementia. Canadian Journal on Aging/La Revue canadienne du vieillissement, 19(04), 494–507.CrossRef

37.

Schreiner, A. S., Morimoto, T., Arai, Y., & Zarit, S. (2006). Assessing family caregiver’s mental health using a statistically derived cut-off score for the Zarit Burden Interview. Aging Ment Health, 10(2), 107–111.CrossRefPubMed

38.

Corp, I. (2012). IBM SPSS Statistics for Windows (Version 21.0). Armonk, NY: IBM Corp.

39.

Oliver, M., & Quinn, R. (2009). Assisted peritoneal dialysis in elderly persons, introduction to the American Society of Nephrology Geriatric Nephrology curriculum (Vol. Chapter 23): American Society of Nephrology.

40.

Wellard, S. J., & Street, A. F. (1999). Family issues in home-based care. International Journal of Nursing practice, 5(3), 132–136.CrossRefPubMed

41.

Cousineau, N., McDowell, I., Hotz, S., & Hébert, P. (2003). Measuring chronic patients’ feelings of being a burden to their caregivers: Development and preliminary validation of a scale. Medical Care, 41(1), 110–118.CrossRefPubMed

42.

Yokoyama, Y., Suzukamo, Y., Hotta, O., Yamazaki, S., Kawaguchi, T., Hasegawa, T., et al. (2008). Dialysis staff encouragement and fluid control adherence in patients on hemodialysis. Nephrology Nursing Journal: Journal of the American Nephrology Nurses’ Association, 36(3), 289–297.

43.

Fan, S. L.-S., Sathick, I., McKitty, K., & Punzalan, S. (2008). Quality of life of caregivers and patients on peritoneal dialysis. Nephrology, Dialysis, Transplantation, 23(5), 1713–1719.CrossRefPubMed

44.

Mehta, K. K. (2006). A critical review of Singapore’s policies aimed at supporting families caring for older members. Journal of Aging & Social Policy, 18(3–4), 43–57.CrossRef

45.

Guney, I., Solak, Y., Atalay, H., Yazici, R., Altintepe, L., Kara, F., et al. (2010). Comparison of effects of automated peritoneal dialysis and continuous ambulatory peritoneal dialysis on health-related quality of life, sleep quality, and depression. Hemodialysis International, 14(4), 515–522.CrossRefPubMed

46.

Michels, W. M., van Dijk, S., Verduijn, M., le Cessie, S., Boeschoten, E. W., Dekker, F. W., & Krediet, R. T. (2011). Quality of life in automated and continuous ambulatory peritoneal dialysis. Peritoneal Dialysis International, 31(2), 138–147.PubMed

47.

Bieber, S. D., Burkart, J., Golper, T. A., Teitelbaum, I., & Mehrotra, R. (2014). Comparative outcomes between continuous ambulatory and automated peritoneal dialysis: A narrative review. American Journal of Kidney Diseases, 63(6), 1027–1037.PubMedCentralCrossRefPubMed

48.

Povlsen, J. V., & Ivarsen, P. (2005). Assisted automated peritoneal dialysis (AAPD) for the functionally dependent and elderly patient. Peritoneal Dialysis International, 25(Suppl 3), S60–S63.PubMed

49.

Verger, C., Duman, M., Durand, P.-Y., Veniez, G., Fabre, E., & Ryckelynck, J.-P. (2007). Influence of autonomy and type of home assistance on the prevention of peritonitis in assisted automated peritoneal dialysis patients. An analysis of data from the French Language Peritoneal Dialysis Registry. Nephrology, Dialysis, Transplantation, 22(4), 1218–1223.CrossRefPubMed

50.

Griva, K., Li, Z. H., Lai, A. Y., Choong, M. C., & Foo, M. W. Y. (2013). Perspectives of patients, families, and health care professionals on decision-making about dialysis modality—The good, the bad, and the misunderstandings! Peritoneal Dialysis International, 33(3), 280–289.PubMedCentralCrossRefPubMed

51.

Li, P. K.-T., Lui, S. L., Leung, C. B., Yu, A. W.-Y., Lee, E., Just, P. M., et al. (2007). Increased utilization of peritoneal dialysis to cope with mounting demand for renal replacement therapy—Perspectives from Asian countries. Peritoneal Dialysis International, 27(Supplement 2), S59–S61.PubMed

Titel: Quality of life and emotional distress in patients and burden in caregivers: a comparison between assisted peritoneal dialysis and self-care peritoneal dialysis
Auteurs: K. Griva
C. S. Goh
W. C. A. Kang
Z. L. Yu
M. C. Chan
S. Y. Wu
T. Krishnasamy
M. Foo
Publicatiedatum: 21-07-2015
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 2/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-015-1074-8

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusion

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2016

Erratum to: An EQ-5D-5L value set based on Uruguayan population preferences

Pain acts through fatigue to affect participation in individuals with multiple sclerosis

International Society for Quality of Life Research commentary on the draft European Medicines Agency reflection paper on the use of patient-reported outcome (PRO) measures in oncology studies

Test–retest reliability of HeartQoL and its comparability to the MacNew heart disease health-related quality of life questionnaire

Burden of caregivers of adult patients with schizophrenia in a predominantly African ancestry population

Quality of life in women with lipoedema: a contextual behavioral approach