Spiritual well‐being and its relationship with patient characteristics and other patient‐reported outcomes in peritoneal dialysis patients: Findings from the PDOPPS

Cheawchanwattana, Areewan; Kanjanabuch, Talerngsak; Puapatanakul, Pongpratch; Narenpitak, Surapong; Halue, Guttiga; Tungsanga, Kriang; Tatiyanupanwong, Sajja; Lorvinitnun, Pichet; Sritippayawan, Suchai; Chieochanthanakij, Rutchanee; Tungsanga, Somkanya; Thamcharoen, Natanong; Pongpirul, M. D. Krit; Shen, Jenny I.; Johnson, David W.; Davies, Simon; Finkelstein, Fredric O.; Perl, Jeffrey; Robinson, Bruce M.

doi:10.1111/nep.14034

Cited by 4 publications

(6 citation statements)

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“…A random sample of prevalent and incident adult patients older than 18 years, who were receiving chronic PD, were enrolled within each randomly selected PD centre. The objectives, design, methodology, and outcomes of the international and Thailand PDOPPS have been previously documented 6–10 …”

Section: Methodsmentioning

confidence: 99%

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Enhancing healthcare quality and outcomes for peritoneal dialysis patients in Thailand: An evaluation of key performance indicators and PDOPPS cohort representativeness

et al. 2023

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AimTo assess whether the peritoneal dialysis (PD) centres included in the Peritoneal Dialysis Outcomes and Practise Patterns Study (PDOPPS) in Thailand are representative of other PD centres in the country, based on 8 key performance indicators (KPIs 1–8).MethodsA retrospective analysis was conducted comparing PD‐related clinical outcomes between PD centres included in the PDOPPS (the PDOPPS group) and those not included (the non‐PDOPPS group) from January 2018 to December 2019. Logistic regression analysis was used to identify predictors associated with achieving the target KPIs.ResultsOf 181 PD centres, 22 (12%) were included in the PDOPPS. PD centres in the PDOPPS group were larger and tended to serve more PD patients than those in the non‐PDOPPS group. However, the process and outcome KPIs (KPIs 1–8) were comparable between the 2 groups. Large hospitals (≥120 beds), providing care to ≥100 PD cases and having experience for >10 years were independent predictors of achieving the peritonitis rate target of <0.5 episodes/year. Most PD centres in Thailand showed weaknesses in off‐target haemoglobin levels and culture‐negative peritonitis rate.ConclusionsThe PD centres included in Thai PDOPPS were found to be representative of other PD centres in Thailand in terms of clinical outcomes. Thus, Thai PDOPPS findings may apply to the broader PD population in Thailand.

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Section: Methodsmentioning

confidence: 99%

“…This cohort provides comprehensive and high‐quality data using standardised clinical tools and validated processes to ensure research‐level data quality. Since May 2016, Thailand has actively participated in the PDOPPS (Thai PDOPPS), and data collection is ongoing, and the results are flourishing 6–10 …”

Section: Introductionmentioning

confidence: 99%

Enhancing healthcare quality and outcomes for peritoneal dialysis patients in Thailand: An evaluation of key performance indicators and PDOPPS cohort representativeness

et al. 2023

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“…23 The technique survival rate is analogous to the previous reports, including China (1-year, 95% and 5-year, 86%), and Australia (1-year, 70% and 5-year, 10%). 24,25 Moreover, Thai patients have a slightly high health-related quality of life (HRQoL) by the European Quality of Life-5 Dimensions (EQ-5D) questionnaire and 12-item Short-Form (SF-12) of the original 36-item Kidney Disease Quality of Life (KDQOL-36) 26,27 and have moderate to high spiritual well-being score. 27…”

Section: Pd Practices and Outcomesmentioning

confidence: 99%

“…24,25 Moreover, Thai patients have a slightly high health-related quality of life (HRQoL) by the European Quality of Life-5 Dimensions (EQ-5D) questionnaire and 12-item Short-Form (SF-12) of the original 36-item Kidney Disease Quality of Life (KDQOL-36) 26,27 and have moderate to high spiritual well-being score. 27…”

Section: Pd Practices and Outcomesmentioning

confidence: 99%

Dialysis and kidney transplant practices and challenges in Thailand

et al. 2023

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“…Greater existential well-being has been linked with a lower rate of depression and better-preserved health. In patients with chronic renal disease undergoing peritoneal dialysis, fewer health-related role limitations in the physical and mental subdomains, as well as milder depressive symptoms, were correlated with a stronger sense of meaning and purpose in life 47 . Conversely, a diagnosis of stroke and/or depression at baseline appeared to contribute to a weaker sense of purpose 4 years later 46 .…”

Section: Introductionmentioning

confidence: 95%

Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: a network approach

Yun

2023

Sci Rep

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The association between health-related role limitations in the mental and physical subdomains and clinical status (i.e., chronic disease and comorbid depressive symptoms) is mediated by health-promoting behaviors. To enhance health-promoting behaviors in adults with chronic disease, it is necessary to identify item-level associations among targets of health-related monitoring and management. Therefore, the current study used a network approach to examine associations among health-related role limitations, depressive symptoms, existential well-being, socioeconomic position, and health-promoting behavior in adults with chronic disease. A total of 535 adults (mean ± SD age = 62.9 ± 11.9 years; males, n = 231, females, n = 304) who were regularly visiting an outpatient clinic for chronic disease treatment participated in this cross-sectional study. Data on participant demographics, chronic disease diagnoses, socioeconomic status, health-related role limitations (12-item short form survey scores), depressive symptoms (patient health questionnaire-9 scores), existential well-being (scores for four items of the McGill quality of life questionnaire-Revised), and health-promoting behavior (Healthy Habits Questionnaire scores) were acquired. “Undirected regularized partial correlations” and “directional joint probability distributions” among these variables were calculated using a mixed graphical model (MGM) and directed acyclic graph (DAG). In the MGM, the most influential nodes were emotional well-being, feelings of failure, and health-related limitations affecting usual role and physical activities. According to both the MGM and DAG, the relationship between emotional well-being and feelings of failure mediated the relationships of health-related role limitations with concentration difficulty and suicidal ideation. A positive mindset was dependent on the probability distributions of suicidal ideation, controllability of life, and positive self-image. Both the meaning of life and a positive mindset had direct associations with proactive living. Specifically, proactive living was associated with a balanced diet, regular exercise, volunteering in the community, and nurturing intimacy in social interactions. The meaning and controllability of life in individuals with chronic diseases could mediate the relationships of health-promoting behavior with health-related limitations related to usual role activities, physical activities, and depressive symptoms. Thus, interventions targeting health-promoting behaviors should aim to enhance the meaning and controllability of life (as it pertains to limitations in usual role and physical activities), as well as promote proactive screening and timely psychiatric treatment of depressive symptoms including feelings of failure, concentration difficulties, and suicidal ideation.

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Spiritual well‐being and its relationship with patient characteristics and other patient‐reported outcomes in peritoneal dialysis patients: Findings from the PDOPPS

Cited by 4 publications

References 34 publications

Enhancing healthcare quality and outcomes for peritoneal dialysis patients in Thailand: An evaluation of key performance indicators and PDOPPS cohort representativeness

Enhancing healthcare quality and outcomes for peritoneal dialysis patients in Thailand: An evaluation of key performance indicators and PDOPPS cohort representativeness

Dialysis and kidney transplant practices and challenges in Thailand

Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: a network approach

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