Comparing Quality of Life Related Health in Peritoneal Dialysis and Hemodialysis Based on a Multidisciplinary Cooperation

2.50
Hdl Handle:
http://hdl.handle.net/10755/155179
Type:
Presentation
Title:
Comparing Quality of Life Related Health in Peritoneal Dialysis and Hemodialysis Based on a Multidisciplinary Cooperation
Abstract:
Comparing Quality of Life Related Health in Peritoneal Dialysis and Hemodialysis Based on a Multidisciplinary Cooperation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Chen, Shu-Ya, MS, RN
P.I. Institution Name:Changhua Christian Hospital
Title:Nurse
Co-Authors:Yu Yang, ; Chih-Ying Huang, BA; Shu-Chen Chang, MA, RN; Chia-Chu Chang, MD; Ping-Fang Chiu, MD
[Research Presentation] Purpose:  In Taiwan, 92.2% of end-stage-renal-diseases(ESRD) patients chose hemodialysis (HD), and only 7.6% patients underwent peritoneal dialysis(PD). Promotion PD is important and with advantages, including lower modality-rated stress, better cost effectiveness, and higher employment. Due to long term dialysis , patients perhaps suffered from emotional disturbance and cardiovascular complications, and are not able to achieve optimum function in quality of life(QOL). This study was to examine QOL, depression mood, ischaemia intermittent claudication and index of blood biochemical data in treatment, and to compare those elements between peritoneal dialysis and hemodialysis patients. Methods: This is a cross- sectional study.  Before data collection, the institutional boards approved this protocol.  Structured questionnaires used in this study were as follows: the World Health Organization QOL questionnaire(WHOQOL-BREF), Taiwan Depression Questionnaire(TDQ), Edinburgh Claudication Questionnaire(ECQ)and blood biochemical laboratory data. Results: (1)The characteristics of participants were different in age, education, original disease, exercise behavior, life time, and so on. (2)PD patients had significant lower WHOQOL-BREF scores(55.72. vs 59.22) and higher TDQ scores(16.07 vs. 10.72)(P<0.05).  ECQ scores were not significantly different. (3)Blood biochemical data showed some significant differences between both , including normalized protein catabolic rate (nPCR) and dynamic urea kinetic clearance volume(Kt/V)(P<0.05).  Conclusion: ESRD patients should be informed about choice of renal replacement modality.  To enhance QOL of PD patients, it requires multidisciplinary cooperation. Nurses as coordinators have an essential task to guide patients how to continue self-care in adapting to adverse life circumstances.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparing Quality of Life Related Health in Peritoneal Dialysis and Hemodialysis Based on a Multidisciplinary Cooperationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155179-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparing Quality of Life Related Health in Peritoneal Dialysis and Hemodialysis Based on a Multidisciplinary Cooperation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Shu-Ya, MS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Changhua Christian Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">greetshu@yahoo.com.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yu Yang, ; Chih-Ying Huang, BA; Shu-Chen Chang, MA, RN; Chia-Chu Chang, MD; Ping-Fang Chiu, MD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: &nbsp;In Taiwan, 92.2% of end-stage-renal-diseases(ESRD) patients chose hemodialysis (HD), and only 7.6%&nbsp;patients underwent peritoneal dialysis(PD).&nbsp;Promotion PD is important and with advantages, including lower modality-rated stress, better cost effectiveness, and higher employment. Due to long term dialysis , patients perhaps suffered from emotional disturbance and cardiovascular complications, and are not able to achieve optimum function in quality of life(QOL). This study was to examine QOL, depression mood, ischaemia intermittent claudication and index of blood biochemical data in treatment, and to compare those elements between peritoneal dialysis and hemodialysis patients.&nbsp;Methods: This is a cross- sectional study. &nbsp;Before data collection, the institutional boards approved this protocol. &nbsp;Structured questionnaires used in this study were as follows: the World Health Organization QOL questionnaire(WHOQOL-BREF), Taiwan Depression Questionnaire(TDQ), Edinburgh Claudication Questionnaire(ECQ)and blood biochemical laboratory data.&nbsp;Results: (1)The characteristics of participants were different in age, education, original disease, exercise behavior, life time, and so on. (2)PD patients had significant lower WHOQOL-BREF scores(55.72. vs 59.22) and higher TDQ scores(16.07 vs. 10.72)(P&lt;0.05). &nbsp;ECQ scores were not significantly different. (3)Blood biochemical data showed some significant differences between both , including normalized protein catabolic rate (nPCR) and dynamic urea kinetic clearance volume(Kt/V)(P&lt;0.05).&nbsp;&nbsp;Conclusion:&nbsp;ESRD patients should be informed about choice of renal replacement modality. &nbsp;To enhance QOL of PD patients, it requires multidisciplinary cooperation. Nurses as coordinators have an essential task to guide patients how to continue self-care in adapting to adverse life circumstances.</td></tr></table>en_GB
dc.date.available2011-10-26T13:36:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:36:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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