Quality of life, clinical outcome, personality and coping in chronic hemodialysis patients

Abstract

Rational: Our aim was to investigate the quality of life (QoL) in 103 patients undergoing chronic hemodialysis (HD) in an integrated assessment of clinical, personological, and adaptation parameters, also in a non-urban context.Objectives: We collected data from all chronic HD patients attending four HD units. Clinical status was assessed by Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines and by Age-adjusted Charlson Comorbidity Index (ACCI). Patients completed the following questionnaires: Kidney Disease Quality of Life Short Form (KDQOL-SF), Pittsburgh Sleep Quality Index (PSQI). Personality profile and coping style were assessed by Temperament and Character Inventory (TCI) revised and Coping Inventory for Stressful Situation (CISS). Data were analyzed by conventional descriptive statistics. Multiple forward stepwise linear regression analyses were performed.Main findings: Variables significantly associated with physical and mental components of KDQOL-SF were: intact parathyroid hormone (iPTH) (p = .004; p = .0015), typology of cohabitant (family member or not) (p = .022; p = .007), years of dialysis (p = .022; p = .048). Variables associated with mental component of KDQOL-SF were: PSQI (p = .000), task-coping (p = .000), avoidance-coping (p = .003), work status (p = .021).Principle conclusions: Our results suggest the importance of an integrated and multidirectional management of patients chronically undergoing HD and living in a non-urban context.

Dyadic effects of coping strategies, time perspectives, and personality on the quality of life of cancer patients and their caregivers

“…Conversely, when they used the avoidance and social‐support coping strategies, their QoL was lower. These results have been previously described in different contexts: not only among patients with cancer, such as gliomas and breast cancer, but also among patients with noncancer‐related but severe diseases and disorders, such multiple sclerosis, kidney disease requiring hemodialysis, schizophrenia, and severe depression . This finding encourages a systematic assessment of patient and caregiver coping styles to identify individuals who do not adopt healthy coping strategies and to offer targeted psychological interventions .…”

Relationship between stress coping strategies, psychological distress, and quality of life among hemodialysis patients

“…Dialysis patients are exposed to intense stress as much as all patients with chronic diseases; sometimes even more. So, they use coping and compatibility strategies to go on with their lives which is a protective function, in return . Coping strategies are processes during which an individual faces daily life stresses and could be unconscious after some interventions; however, patients have different powers in this field and not all are the same.…”

“…So, they use coping and compatibility strategies to go on with their lives which is a protective function, in return. 6,7 Coping strategies are processes during which an individual faces daily life stresses and could be unconscious after some interventions; however, patients have different powers in this field and not all are the same. Based on evidences, these patients adopt various methods to cope with the stresses of the disease and treatment procedures.…”

Greetings to the readers

“…Over the last couple of years, we have seen the Journal publish highly impactful papers on a wealth of issues, including meta-analyses on the link between proton-pump inhibitors and hypomagnesemia [1], on the impact of overhydrated status and low lean tissue in end-stage renal disease (ESRD) patients [2], on uric acid lowering therapy and chronic kidney disease progression [3] and a systemic review and meta-analysis further confirming cinacalcet's lack of impact on survival in (ESRD) patients [4]. Single-center studies published in the Journal have explored the impact of AKI in donors on renal graft survival subsequent to renal transplantation [5], the risk of AKI after transcatheter aortic valve placement [6] and quality of life, as well as the correlation of personality profiles and coping styles with clinical outcomes in ESRD patients on maintenance hemodialysis [7]. Additional publications in the Journal have also explored the frequency and clinical characteristics of invasive fungal infections in renal transplant recipients [8], the value of combination biomarkers in predicting renal impairment after a cardiovascular bypass procedure [9], the clinical characteristics of sepsis-induced AKI from China [10], post-partum renal injury from India [11] outcomes and characteristics of AKI in hospitalized patients from sub-Saharan Africa.…”