Document Detail

Adherence to treatment, emotional state and quality of life in patients with end-stage renal disease undergoing dialysis.
MedLine Citation:
PMID:  23336548     Owner:  NLM     Status:  In-Data-Review    
Background: A low rate of adherence to treatment is a widespread problem of great clinical relevance among dialysis patients. The objective of the present study is to determine the relationship between adherence, emotional state (depression, anxiety, and perceived stress), and health-related quality of life (HRQOL) in renal patients undergoing dialysis. Method: Two patient groups (30 in hemodialysis and 31 in peritoneal dialysis) participated in this study. We evaluated aspects of adherence, depression, anxiety, perceived stress, and HRQOL with self-report and standardized instruments. Results: Peritoneal dialysis patients reported significantly higher levels of adherence to treatment and better HRQOL in Physical Function and Bodily Pain domains. Depression level is associated with HRQOL indicators. We did not find any differences regarding specific adherence to antihypertensive and phosphate binder drugs or in psychological variables depending on the modality of dialysis. Patients with adherence to antihypertensive drugs show better physical HRQOL. The predictors of HRQOL in dialysis patients were: work, gender and depression. Conclusions: Our results suggest that the modality of dialysis does not differentially affect the emotional state or specific adherence to drugs, but it is nevertheless related to their overall adherence to treatment and to their HRQOL.
Helena García-Llana; Eduardo Remor; Rafael Selgas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psicothema     Volume:  25     ISSN:  1886-144X     ISO Abbreviation:  Psicothema     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101189384     Medline TA:  Psicothema     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  79-86     Citation Subset:  IM    
Hospital Universitario La Paz.
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