| Aspects of quality of life in hemodialysis patients. | |
| | |
MedLine Citation:
|
PMID: 8589317 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The proper means of measuring quality of life in chronically ill patients is unclear. Because different measures may assess varied aspects of patients' experience and because they may be interrelated in different ways, the relationship between several of these quality-of-life measures, including indices of psychological well-being, social support, and severity of illness in ESRD patients treated with hemodialysis (HD), was prospectively assessed. In addition, it was determined whether patients' assessment of quality of life, along any dimension, was related to patient compliance in three urban HD units, in a population largely composed of African-American patients. Severity of illness scores correlated with both attendance and compliance with the dialysis prescription. Karnofsky scores correlated inversely with age, depression, social environment, and level of severity of illness, as expected, but not with behavioral compliance measures. Social support scores correlated with perception of illness, depression, satisfaction with life, and adjustment to illness scores, but not with behavioral or standard compliance measures. Perception of illness scores correlated with depression, social support, adjustment to illness, and satisfaction with life scores, but not with Karnofsky ratings, severity scores, or standard and/or behavioral compliance measures. Social environment scores correlated with almost all assessed variables, with the exception of anthropometric measurements, predialysis phosphorus levels, and behavioral compliance measures. Satisfaction with life scores (a global, subjective measure of quality of life) correlated with advancing age, level of social support, severity of illness, and the presence of a relationship, but were not correlated with Karnofsky scores. These data suggest that quality of life in patients treated with HD must be measured in several ways. The Psychological Adjustment to Illness Scale Social Environment score may be a useful, generalizable adjunct measure of quality of life in HD patients, in addition to the Satisfaction With Life Scale. Quality of life and perception of the effects of illness are not necessarily associated with functional ability in HD patients. These findings must be considered where making decisions about the discontinuation of HD treatment. |
| | |
Authors:
|
P L Kimmel; R A Peterson; K L Weihs; S J Simmens; D H Boyle; I Cruz; W O Umana; S Alleyne; J H Veis |
Related Documents
:
|
138707 - Scaling of life changes: differences between three diagnostic groups and between recent... 15854937 - Patient-reported outcome after randomization to on-pump versus off-pump coronary artery... 9409097 - Symptom prevalence in the last week of life. 12791557 - Pilot evaluation of a mindfulness-based intervention to improve quality of life among i... 3925477 - Effect of desipramine on control of ventilation and depression scores in patients with ... 19559747 - Deep brain stimulation in neurological diseases and experimental models: from molecule ... |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Journal of the American Society of Nephrology : JASN Volume: 6 ISSN: 1046-6673 ISO Abbreviation: J. Am. Soc. Nephrol. Publication Date: 1995 Nov |
Date Detail:
|
Created Date: 1996-03-27 Completed Date: 1996-03-27 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 9013836 Medline TA: J Am Soc Nephrol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1418-26 Citation Subset: IM |
Affiliation:
|
Department of Medicine, George Washington University Medical Center, Washington, DC 20037, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Aged Aged, 80 and over Female Humans Male Middle Aged Patient Compliance Quality of Life* Questionnaires Renal Dialysis / psychology* Retrospective Studies Severity of Illness Index Social Support |
| Grant Support | |
ID/Acronym/Agency:
|
1-RO1-DK-45578/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Life-sustaining treatment preferences of hemodialysis patients: implications for advance directives.
Next Document: Insulin-like growth factor-1 and its binding proteins during a low-protein diet in chronic renal fai...