Longitudinal associations of depressive symptoms and pain with quality of life in patients receiving chronic hemodialysis

Belayev, Linda; Mor, Maria K.; Sevick, Mary Ann; Shields, Andrew; Rollman, Bruce L.; Palevsky, Paul M.; Arnold, Robert M.; Fine, Michael J.; Weisbord, Steven D.

doi:10.1111/hdi.12247

Cited by 51 publications

(45 citation statements)

References 56 publications

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“…As doenças associadas à DRC, como Hipertensão Arterial, dé-ficit visual, diabetes Mellitus, catarata, infarto do miocárdio e insuficiência cardíaca também confirmam como esses pacientes, maioria adultos, homens e hipertensos são mais propensos a essas comorbidades, podendo ou não estarem relacionadas à sua afecção de base renal (18) . As complicações mais comuns da hemodiálise encontradas na literatura foram em ordem decrescente de frequência: hipotensão, cãibras, náuseas e vômitos, cefaleia, dor torácica, dor lombar, prurido, febre e calafrios (19)(20) . (21) .…”

Section: Methodsunclassified

Avaliação Da Dor Torácica, Sono E Qualidade De Vida De Pacientes Com Doença Renal Crônica

Miyahira¹,

Martins²,

Ribeiro³

et al. 2016

ACS

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Conflito de interesses: NãoAbstract Introduction: Chronic kidney disease (CKD) is a worldwide public health problem because it presents a high mortality rate, mainly due to cardiovascular complications. Objective: Assess the impact on quality of life and sleep in chronic renal patients with hypertension undergoing hemodialysis and those who reported chest pain. Patients and Methods: This is a descriptive, exploratory, and cross-sectional study, which involved 46 patients with chronic kidney disease and cardiovascular disease, who reported chest pain during the hemodialysis treatment. The World Health Organization Quality of Life-BREF questionnaire was used to assess the quality of life and the Pittsburg Sleep Quality Index were applied to asses sleep quality. In order to evaluate pain, we used the McGill Pain Questionnaire and the Brief Pain Inventory. We used statistical analysis with 5% significance level to analyze data. Results: Among the patients, there were more men (67.4%), mean age of 61.9 ± 15.8 years. The most prevalent type of pain was sensitive pain (24.5%). Impairment on the sleep quality was observed. There was evidence of impairment in quality of life, showing lower scores in physical and psychological domains, and moderate pain intensity. Conclusion: Factors such as pain, sleep, and quality of life are important aspects of people with severe and disabling diseases, which undergo prolonged and painful treatments, so they should be systematically evaluated.

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Section: Methodsunclassified

Avaliação Da Dor Torácica, Sono E Qualidade De Vida De Pacientes Com Doença Renal Crônica

Miyahira¹,

Martins²,

Ribeiro³

et al. 2016

ACS

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“…The international, prospective, observational study with more than 10,000 patients demonstrated that nearly 20% of the cohort had depression [20] while in study by Weisbord et al [21] , pain is present in about 50% of the dialysis patients. Belayev et al [19] also showed that pain and depressive symptoms are independently associated with HRQOL after assessing the pain and depressive symptoms monthly and HRQOL quarterly for 24 months. Both DOPPS [20] and the study by Weisbord et al [21] demonstrated that depression is associated with increased hospitalization and mortality.…”

Section: Symptoms Associated With Poor Hrqolmentioning

confidence: 97%

“…Depressive symptoms and pain are commonly reported by patients undergoing dialysis [19][20][21] . The international, prospective, observational study with more than 10,000 patients demonstrated that nearly 20% of the cohort had depression [20] while in study by Weisbord et al [21] , pain is present in about 50% of the dialysis patients.…”

Section: Symptoms Associated With Poor Hrqolmentioning

confidence: 99%

Health-Related Quality of Life in End-Stage Renal Disease Patients: How Often Should We Ask and What Do We Do with the Answer?

Chen

Mawed²,

Unruh³

2016

Blood Purif

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Background: End-stage renal disease (ESRD) patients have poor health-related quality of life (HRQOL) comparing to general population and comparable HRQOL to patients with other major chronic diseases. Poor HRQOL is associated with shorter survival. There is a limited threshold to which dialysis dose and parameters management can improve HRQOL in ESRD patients. Numerous studies have sought to find interventions to improve HRQOL. This article is to review the symptoms associated with poor HRQOL and how frequent the quality of life (QOL) should be evaluated to improve the outcome. Summary: It is required by the Center for Medicare and Medicaid Services to evaluate HRQOL of dialysis patients annually. KDIGO recommends the symptoms to be assessed regularly and the treatment is redirected toward a patient-centered care model. Studies have shown that measuring patient-reported outcomes frequently, from 4 times a day to every 3-6 months, without intervention did not improve the HRQOL significantly. Appropriate intervention of the symptoms may improve the quality of life (QOL). Studies in oncology have also showed a similar result. The commonly used tools to evaluate the HRQOL in dialysis patients take up to 30 min for completion. Therefore, frequent assessment of all the symptoms can provide more burden than benefit to the patients. In addition to the annual HRQOL measurements, more frequent evaluation of targeted symptoms can be helpful. For appropriate intervention of the symptoms, effective communication between providers, as well as a multidisciplinary approach, is essential to improve HRQOL and outcomes in dialysis patients. Key Messages: Measurement of patient-reported outcomes may provide an opportunity to improve outcomes in ESRD. The frequent measurement of symptoms and QOL may be burdensome. Consider targeted measurement of symptoms to complement HRQOL measurement. Improved communication and the use of a multidisciplinary team provide mechanisms to improve HRQOL in ESRD.

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“…Depressive symptoms in people with CKD are associated with decreased quality of life [36] and decreased wellbeing [17]. Dialysis nurses should therefore be encouraged to increase people with CKD's happiness through the integration of laughter yoga [37], the Fordyce's happiness program [38], and the visualization of humor ilms [39], during dialysis sessions.…”

Section: Implications For Practicementioning

confidence: 99%

Subjective Wellbeing Assessment in People with Chronic Kidney Disease Undergoing Hemodialysis

Sousa¹,

Antunes²,

Baixinho³

et al. 2018

Chronic Kidney Disease - From Pathophysiology to Clinical Improvements

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The aim of this study was to analyze the relationship between satisfaction with life in general and the sociodemographic and emotional factors and components of quality of life in people with chronic kidney disease undergoing hemodialysis. A cross-sectional and correlational study was performed on a sample of 171 people with chronic kidney disease in two hemodialysis units at a Clinic in Lisbon between May and June 2015. Subjective wellbeing (personal wellbeing index) is positively related with subjective happiness, positive afect, and quality of life and is negatively associated with negative afect. Subjective happiness, negative afect, and the physical component of quality of life inluence subjective wellbeing. These conclusions can assist us in understanding that people with chronic kidney disease (CKD) encounter greater feelings of wellbeing, mainly related to pleasant afect (subjective happiness and positive afect).

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Longitudinal associations of depressive symptoms and pain with quality of life in patients receiving chronic hemodialysis

Cited by 51 publications

References 56 publications

Avaliação Da Dor Torácica, Sono E Qualidade De Vida De Pacientes Com Doença Renal Crônica

Avaliação Da Dor Torácica, Sono E Qualidade De Vida De Pacientes Com Doença Renal Crônica

Health-Related Quality of Life in End-Stage Renal Disease Patients: How Often Should We Ask and What Do We Do with the Answer?

Subjective Wellbeing Assessment in People with Chronic Kidney Disease Undergoing Hemodialysis

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