Distance between residence and the dialysis unit does not impact self-perceived outcomes in hemodialysis patientsReport as inadecuate




Distance between residence and the dialysis unit does not impact self-perceived outcomes in hemodialysis patients - Download this document for free, or read online. Document in PDF available to download.

BMC Research Notes

, 5:458

First Online: 27 August 2012Received: 01 June 2012Accepted: 13 August 2012DOI: 10.1186-1756-0500-5-458

Cite this article as: Santos, P.R. & Arcanjo, F.P.N. BMC Res Notes 2012 5: 458. doi:10.1186-1756-0500-5-458

Abstract

BackgroundPatients have to travel long distances to undergo hemodialysis HD in some regions. We aimed to search for an association of the distance between patients’ residence and the dialysis unit with quality of life, depression and coping among end-stage renal disease ESRD patients undergoing maintenance HD.

MethodsWe studied 161 ESRD patients undergoing HD during April 2009. Quality of life, depression and coping were assessed by the SF-36, the 10-item CES-D and the Jalowiec Coping Scale, respectively. The sample was stratified in three groups: I-patients residing in Sobral where the dialysis unit is located; II-patients residing in towns up to 100 km from Sobral; and III-patients residing in towns distant greater than 100 km from Sobral. Analysis of variance was used to detect differences in quality of life and coping scores between the groups. Logistic regression was used to test distance as a predictor of depression.

ResultsThere were 47 29.2% patients residing in Sobral, 46 28.6% up to 100 km away and 68 42.2% greater than 100 km from Sobral. There were no differences related to quality of life and coping scores between the groups. Distance was not a predictor of depression.

ConclusionsSocial and cultural factors may explain the lack of differences. Studies from other regions are needed to clarify the distance effects on self-perceived outcomes among HD patients.

KeywordsCoping Depression End-stage renal disease Hemodialysis Quality of life Distance effects AbbreviationsCES-DCenter for Epidemiologic Studies Depression Scale

ESRDEnd-stage renal disease patients undergoing

DOPPSThe Dialysis Outcomes and Practice Patterns Study

HDHemodialysis

SF-36The Medical Outcomes Study 36-Item Short Form Health Questionnaire.

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Author: Paulo Roberto Santos - Francisco Plácido Nogueira Arcanjo

Source: https://link.springer.com/







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