Living with end-stage renal disease: Perceived impact of treatment in a Mexican hemodialysis clinic
View File(s)
- Author(s)
- Details
-
Luxana Reynaga-Ornelas, PhD, MSN, RN; Christian Rodriguez-Perez, RN; Karla Susana Vera-Delgado, MS, RN.; Carol M. Baldwin, PhD, RN, AHN-BC, FAAN; Michael Todd, PhD
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Reynaga-Ornelas, Luxana by View
Title | Page Views |
---|
Popular Works for Reynaga-Ornelas, Luxana by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Sunday, July 27, 2014:
Purpose: End-stage renal disease (ESRD) has great impact in patients' health-related quality of life (HR-QOL), which is globally considered as a reliable measure of health outcome. In Mexico, the prevalence of type 2 diabetes, the leading cause of ESRD, is 14.4%; it is predicted that 18% of the adult population in Mexico will have type 2 diabetes by 2025. In 2006, Mexico reported the prevalence and incidence rates of ESRD of 510.4 and 345.9 per million population, respectively. The lack of a formal national registry system in Mexico, however, could result in underestimation of these rates.
Methods: Sixty-nine Mexican patients attending a hemodialysis clinic in Central Mexico where interviewed about their HR-QOL and disease impact in their daily lives based on the MEI adaptation of ENH's Spanish KDQOL 1.3 version (Benjamin Arnold). The KDQOL-SF assesses the functioning and well-being of people with kidney disease and on dialysis. It consists of 80 items divided into 19 dimensions: SF-36 (8 dimensions/36 items; 1 health transition item), kidney-disease-targeted items (11 dimensions/43 items). Scores presented are the Physical Component Summary (PCS), the Mental Component Summary (MCS), the health transition item and the 11 kidney-disease-targeted. The scores range from 0 to 100, with higher scores reflecting better HR-QOL. Data were analyzed using SPSS software (V21).
Results: Demographic data showed participants to be 43 '19 years old, female (64%), married (49%), 5.'3 years of education, without monthly salary (40%), with health insurance (91%). Predominant comorbidity was diabetes (27%) and they attend to the clinic mostly mornings (45%) and evenings (43%), two-three (36%-62%) times a week, from three to four hours connected to the hemodialysis machine (96%) ; vascular access were a catheter (55%) and arterio-venous fistula (45%) installed less than a year (43%) or two (36%) ago. Forty-six percent of them reported at least one hospitalization during the last year from 1-3 days (43%); 71% referred to take hypertensive medications. Low scores showed impairment in both physical and mental dimensions (PCS=439.9'10, MCS=40.3'8), as well as when questioned about health status compared with last year (26'33). Work status (36'37), burden of kidney disease (39'34), quality of social interaction (49'15) and effects of kidney disease on daily life (59'20) were found to be the most affected dimensions of HR-QOL for this population. Interestedly, dialysis staff encouragement (88'22) and social support (85'24) were the best scored dimensions in contrast with the health status reported in PCS and MCS scores. Factors related to this phenomena in PCS were years of education (p<0.01), marital status (p<0.05), comorbidity (p<0.01) and age (p<0.001). Factors related with MCS scores were marital status (p<0.01), hospitalization (p<0.01), antihypertensive medication (p<0.05). The health transition item was related with factors as insurance (p<0.05), comorbidity (p<0.01) and hospitalization (p<0.05).'
Conclusion: In this population, there is a high impact of disease and treatment on HR-QOL of persons with ESRD treated with hemodialysis. It is imperative to structure evidence-based and holistic-oriented health care strategies based in order to address best health outcomes.
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Quality of Life; Hemodialysis; End-stage Renal Disease |
Name | 25th International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Hong Kong |
Date | 2014 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Quality of life, sleep disorders and serum orexin in persons with hemodialysis treatment
Reynaga-Ornelas, Luxana; Rodriguez-Perez, Christian F.; Vera-Delgado, Karla Susana; Jimenez-Garza, Octavio A.; Baldwin, Carol M. (2016-03-17)Purpose: The evaluation of the patients' health-related quality of life (HRQOL) represents the impact of the disease and its subsequent treatment on the perception of the their own wellness. The purpose of this study was ... -
Readiness for evidence-based practice implementation: A survey from Southern Mexico
Reynaga-Ornelas, Luxana; Baldwin, Carol M.; Andrade, Ma. Teresa Pratz Sr.The Nursing Permanent Commission of Mexico has recently published the Model of Nursing Care in which EBP is considered a key tool to improve nursing care. The purpose of this descriptive exploratory survey is to evaluate ... -
Factors predicting quality of life of Thai patients with end-stage renal disease depending on hemodialysis
Chonpimai, Geneva; Oumtanee, Areewan (2016-03-21)Session presented on Monday, November 9, 2015: Introduction: Quality of life is one of the indicators to identify whether a person could live in a society happily and be satisfied with life. In particularly, patients with ... -
Guiding end-stage renal disease patients to cope with peritoneal dialysis: Context and intervening conditions
Chen, Shui-Tao; Sun, Fan-KoThe purpose of this presentation is to inform an audience of nurses on the findings of a study that exploring the context and the intervening conditions affecting the End Stage Renal Disease (ESRD) Patients to adapt to ... -
Sodium-restricted diets and symptoms in end-stage renal disease: A randomized controlled trial
Clark-Cutaia, Maya Nicole (2017-07-27)Globally, two million patients are undergoing hemodialysis for end-stage renal disease. Hemodialysis patients have higher morbidity and mortality associated with adverse events and a complex treatment regimen. This symposium ...