A systematic review regarding the association of illness perception and survival among end-stage renal disease patients (original) (raw)
Related papers
Patients' representations of their end-stage renal disease: relation with mortality
Nephrology Dialysis Transplantation, 2009
Background. Self-regulation theory explains how patients' illness perceptions influence self-management behaviour (e.g. via adherence to treatment). Following these assumptions, we explored whether illness perceptions of ESRDpatients are related to mortality rates. Methods. Illness perceptions of 182 patients participating in the NECOSAD-2 study in the period between December 2004 and June 2005 were assessed. Cox proportional hazard models were used to estimate whether subsequent all-cause mortality could be attributed to illness perception dimensions. Results. One-third of the participants had died at the end of the follow-up. Mortality rates were higher among patients who believed that their treatment was less effective in controlling their disease (perceived treatment control; RR = 0.71, P = 0.028). This effect remained stable after adjusting for sociodemographic and clinical variables (RR = 0.65, P = 0.015). Conclusions. If we consider risk factors for mortality, we tend to rely on clinical parameters rather than on patients' representations of their illness. Nevertheless, results from the current exploration may suggest that addressing patients' personal beliefs regarding the effectiveness of treatment can provide a powerful tool for predicting and perhaps even enhancing survival.
A longitudinal study on illness perceptions in hemodialysis patients: changes over time
Archives of Medical Science, 2013
A b s t r a c t I In nt tr ro od du uc ct ti io on n: : Self-regulatory theory explains how patients' illness representations influence self-management behavior. The aim of this study was to examine the changes that occur in disease perceptions after 6 years in hemodialysis patients. M Ma at te er ri ia al l a an nd d m me et th ho od ds s: : A total of 81 clinically stable patients (53.6% males, meanage 54 ±12.54 years, mean hemoglobin level 11 ±1.52 g/dl, mean Kt/V 1.49 ±0.21) who were treated with hemodialysis three times weekly completed questionnaires on illness representations in 2005, and then at follow-up, in December 2011, 47 patients. IPQ-R (Illness Perceptions Questionnaire-Revised) was used to assess patients' illness perceptions. R Re es su ul lt ts s: : After a long period of years (6 years), patients had a stronger perception of a chronic course of the disease (timeline; p < 0.001), considered hemodialysis more efficient in controlling end stage renal disease (ESRD) (treatment control; p < 0.05), considered that their disease had less serious consequences for their life (consequences; p < 0.05), and also registered a less intense emotional response to their illness (emotional representation; p < 0.05). Two of the seven components of illness representations (personal control, cyclical symptoms) remained unchanged. Treatment control perceptions were also predictive of mortality after controlling for covariates (age, gender, dialysis vintage, blood hemoglobin level and Kt/V) (HR = 0.13, 95% CI: 0.02-0.75, p = 0.022). C Co on nc cl lu us si io on ns s: : Our results show that patients' illness perceptions vary over a significantly long follow-up period, in the sense of having more optimistic views towards their illness perceptions.
BMC Nephrology
Background Illness perceptions have been shown to predict a range of psychosocial and clinical outcomes in kidney disease; including quality of life, distress, treatment adherence and even survival in end-stage renal disease patients on dialysis. The aim of this study was to evaluate whether illness perceptions impact mortality in incident predialysis Chronic Kidney Disease (CKD) patients. Methods Over the study period between September 2015 and June 2019, a total of 200 participants with predialysis CKD were recruited from the Nephrology Outpatient’s clinics at Mater Dei Hospital, Malta. The participants were followed up until June 2019, and the mortality information was collected. Cox proportional hazards models were used to examine the association between illness perceptions, and mortality risk, after adjustment for covariates including distress, kidney function, co-morbidity and psychological distress. Results Of the 200 cases available for analysis, there were 43 deaths. The me...
The Relationship Between Illness Perception and Disability in Hemodialysis Patients
Turkiye Klinikleri Journal of Nursing, 2016
End-stage renal disease is a chronic situation requiring lifelong dialysis or kidney transplantation. The objective of this study is to determine the relationship between illness perception and disability in hemodialysis due to chronic kidney failure. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This is a descriptive study. The sample group is comprised of 86 hemodialysis patients who were in compliance with the study criteria and who could be reached throughout the duration of the study. Study data were collected using Questionnaire on Sociodemographic and Illness Characteristics, Illness Perception Questionnaire and Brief Disability Questionnaire. Necessary permissions were obtained beforehand. Data collection was carried out between September, 2-November, 29, 2013. The data were analyzed by using percentage, t test, Kruskall Wallis Variance analysis, Mann Whitney-U test, and pearson correlation analysis. R Re es su ul lt ts s: : According to the results of the study, it was found that 53.5% of the patients were female, 77.9% were married. As for other demographic data, 73.2% of the patients had primary education or were illiterate, 86.0% were covered under social insurance. Participants with a high level of disability also had high perceptions of consequences (r=0.425, p=0.000), timeline (r=0.145, p=0.184), emotional representations (r=0.312, p=0.003), and psychological references (r=0.297, p=0.006); they cannot explain (r=-0.210, p=0.022) or control the illness (r=-0.288, p=0.007) and they also had a high illness identity perception (r=0.339, p=0.001). C Co on nc cl lu us si io on n: : Relationship was identified between the patients' negative perception of illness and disability. K Ke ey y W Wo or rd ds s: : Hemodialysis units, hospital; outpatients Ö ÖZ ZE ET T A Am ma aç ç: : Kronik bir hastalık olan son dönem böbrek hastalığı, tedavi seçenekleri yaşam boyu diyaliz ya da böbrek transplantasyonu olan bir hastalıktır. Çalışmanın amacı kronik böbrek yetmezliği nedeniyle hemodiyaliz uygulanan hastaların hastalık algısı düzeyi ile yeti yitimi arasındaki ilişkinin belirlenmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışma tanımlayıcı niteliktedir. Çalışmaya dahil edilme kriterlerine uyan ve çalışma süresince ulaşılabilen 86 hemodiyaliz hastası çalışmanın örneklemini oluşturmuştur. Veriler Sosyo-demografik ve Hastalık Özelliklerine İlişkin Anket Formu, Hastalık Algısı Ölçeği ve Kısa Yeti Yitimi Anketi kullanılarak gerekli izinler alındıktan sonra 2 Eylül-29 Kasım 2013 tarihleri arasında toplanmıştır. Verilerin analizinde yüzdelik, t testi, Kruskall Wallis Varyans analizi, Mann Whitney-U testi, pearson korelasyon analizi kullanılmıştır. B Bu ul lg gu ul la ar r: : Araştırma kapsamına alınan hastaların %53,5'i kadın ve %77,9'u evliydi. Hastaların %30,2'si okur yazar değil, %43,0'ı ilkokul mezunu olup, %86,0'ının sosyal güvencesi vardı. Yeti yitimi derecesi yüksek olan hastaların, sonuçlar (r=0,425, p=0,000), süre (akut/kronik) (r=0,145, p=0,184), duygusal temsiller (r=0,312, p=0,003), psikolojik atıflar algısının yüksek olduğu (r=0,297, p=0,006), hastalığını anlamlandıramadığı (r=-0,210, p=0,022) ve hastalığı kontrol edemediği (r=-0,288, p=0,007), ayrıca hastalık tipi algısının (r=0,339, p=0,001) yüksek olduğu saptanmıştır. S So on nu uç ç: : Hastaların hastalıklarını olumsuz algılamaları ile yeti yitimi arasında ilişki olduğu görülmüştür.
Cureus, 2021
Background End-stage renal disease (ESRD) is a major health problem worldwide that is increasing in incidence, prevalence, and cost. Both the disease itself and negative illness perceptions negatively affect patients' health-related quality of life (HRQoL), morbidity, and mortality. This study assessed the relationship between illness perception and HRQoL. Methods This cross-sectional study was conducted among 342 patients at five dialysis centers in Jeddah, Saudi Arabia. We used a self-administered questionnaire that containing demographic questions, the Revised Illness Perception Questionnaire, and the Short Form 36 Health Survey Questionnaire. The data were analyzed using t-tests, analyses of variance, Pearson's correlation coefficients, and multiple linear regression analyses. Results The mean (SD) age was 46.1 (16.5) years and the majority were men (53.8%). Except for treatment control, all domains of illness perception were significantly correlated with HRQoL; however, the correlations were positive only for personal control and illness coherence. Identity, disease timeline (acute/chronic), consequences, illness coherence, and emotional representations were independent predictors of HRQoL; together explaining 35% of the variance. Lower emotional response was the only domain of illness perception significantly associated with better HRQoL in both dialysis modalities across all dialysis centers. Conclusion There were clear effects of illness perception on HRQoL, with emotional representations being the strongest predictor. As such, emotional representations should be targeted in interventions.
Journal of Psychosomatic Research, 2011
Objective: Research into the association between psychosocial factors and depression in End-Stage Renal Disease (ESRD) has expanded considerably in recent years identifying a range of factors that may act as important risk and protective factors of depression for this population. The present study provides the first systematic review and meta-analysis of this body of research. Methods: Published studies reporting associations between any psychosocial factor and depression were identified and retrieved from Medline, Embase, and PsycINFO, by applying optimised search strategies. Mean effect sizes were calculated for the associations across five psychosocial constructs (social support, personality attributes, cognitive appraisal, coping process, stress/stressor). Multiple hierarchical meta-regression analysis was applied to examine the moderating effects of methodological and substantive factors on the strength of the observed associations. Results: 57 studies covering 58 independent samples with 5956 participants were identified, resulting in 246 effect sizes of the association between a range of psychosocial factors and depression. The overall mean effect size (Pearsons correlation coefficient) of the association between psychosocial factor and depression was 0.36. The effect sizes between the five psychosocial constructs and depression ranged from medium (0.27) to large levels (0.46) with personality attributes (0.46) and cognitive appraisal (0.46) having the largest effect sizes. In the meta-regression analyses, identified demographic (gender, age, location of study) and treatment (type of dialysis) characteristics moderated the strength of the associations with depression. Conclusion: The current analysis documents a moderate to large association between the presence of psychosocial risk factors and depression in ESRD.
Perception of illness by patients treated with haemodialysis
Medical Research Journal, 2018
Introduction: Perception of illness is the way in which a condition is perceived, which reflects the patient's attitude towards illness and treatment. Aim: The aim of the research was to understand the perception of illness among patients treated with haemodialysis. The specific goal was to determine the factors affecting the perception of the illness and their interrelationships. Material and methods: The study included 98 people treated with haemodialysis as part of the international project "Health, coping, and quality of life in people with chronic kidney disease and in their families". As research tools the following were used: the Barthel Index, Instrumental Activities of Daily Living Scale (IADL), Edmonton Symptom Assessment Scale-Revised (ESAS-R), and the Brief Illness Perception Questionnaire (Brief IPQ) Scoring Instructions. Results: The perception of illness in the study group was significantly influenced by the intensity of physical symptoms (p = 0.007), especially dyspnoea or fatigue. Whereas, the following areas of the perception of illness: Consequences, Treatment control, Timeline, Illness concern, and Comprehensibility were mainly affected by functional efficiency, age, and education level. A worse perception of illness was observed with the increase in IADL dependency, younger age, and lower education level. Conclusions: 1. Perception of illness in the study group was at a moderate level. 2. Perception of illness in the study group was most strongly influenced by the intensity of symptoms, especially dyspnoea and fatigue. 3. Functional efficiency, age, and education significantly affected the perception of illness.