Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis
Background: Dialysis patients manage not only the demand of dialysis but also other complex chronic conditions. These individuals may draw upon personal and social resources to cope with the demands of self-management and care coordination. This study was designed to describe social networks for sel...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-05-01
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| Series: | Kidney Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590059519300317 |
| _version_ | 1811277342969954304 |
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| author | Mi-Kyung Song Sudeshna Paul Laura Plantinga Carrie Henry Linda Turberville-Trujillo |
| author_facet | Mi-Kyung Song Sudeshna Paul Laura Plantinga Carrie Henry Linda Turberville-Trujillo |
| author_sort | Mi-Kyung Song |
| collection | DOAJ |
| description | Background: Dialysis patients manage not only the demand of dialysis but also other complex chronic conditions. These individuals may draw upon personal and social resources to cope with the demands of self-management and care coordination. This study was designed to describe social networks for self-management and care coordination among hemodialysis patients and explore the association between network characteristics and perceived treatment burden. Study Design: A cross-sectional study using social network analysis. Setting & Participants: 20 patients from an outpatient dialysis center. Factors: Social network characteristics (eg, size and connectivity) and perceived treatment burden. Measurements/Outcomes: Participants completed a battery of questionnaires, including the Patient Experience With Treatment and Self-management Questionnaire (measuring perceived treatment burden) and a social network survey asking the respondent to name up to 5 people to whom he or she turned for help with self-care and care coordination tasks and their characteristics and relationships. Results: Participants were aged 53.4 years on average, half were women, and 18 were African Americans. On average, network size was 3.1 members, most of whom were women and family members. 7 patient networks included at least 1 health care provider. The clustering coefficient (the overall connection between members) was 0.54, suggesting that not all members within the patient’s network were connected with each other. Multimorbidity was not associated with treatment burden domain scores, but greater network connectivity was associated with lower treatment-related financial burden (r = −0.61). Limitations: The small sample was racially homogeneous and precluded controlling for potential confounding factors. Conclusions: Dialysis patients used networks of people to manage self-care and coordination tasks, but interconnectedness between members of individual patients’ networks was limited, which might negatively affect their perceived treatment burden. The social context of dialysis patients could play an important role in their illness management and treatment burden and calls for future research. Index Words: Chronic illness management, kidney failure, dialysis, social network, care coordination |
| first_indexed | 2024-04-13T00:13:59Z |
| format | Article |
| id | doaj.art-c408b28585b54c95b472106e5f375fb5 |
| institution | Directory Open Access Journal |
| issn | 2590-0595 |
| language | English |
| last_indexed | 2024-04-13T00:13:59Z |
| publishDate | 2019-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Kidney Medicine |
| spelling | doaj.art-c408b28585b54c95b472106e5f375fb52022-12-22T03:11:00ZengElsevierKidney Medicine2590-05952019-05-011397103Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center HemodialysisMi-Kyung Song0Sudeshna Paul1Laura Plantinga2Carrie Henry3Linda Turberville-Trujillo4Center for Nursing Excellence in Palliative Care, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA; Address for Correspondence: Mi-Kyung Song, PhD, RN, Center for Nursing Excellence in Palliative Care, Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd NE, Atlanta, GA 30322.Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GADepartment of Medicine, School of Medicine, Emory University, Atlanta, GACenter for Nursing Excellence in Palliative Care, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GAEmory Dialysis, Emory HealthCare, Atlanta, GABackground: Dialysis patients manage not only the demand of dialysis but also other complex chronic conditions. These individuals may draw upon personal and social resources to cope with the demands of self-management and care coordination. This study was designed to describe social networks for self-management and care coordination among hemodialysis patients and explore the association between network characteristics and perceived treatment burden. Study Design: A cross-sectional study using social network analysis. Setting & Participants: 20 patients from an outpatient dialysis center. Factors: Social network characteristics (eg, size and connectivity) and perceived treatment burden. Measurements/Outcomes: Participants completed a battery of questionnaires, including the Patient Experience With Treatment and Self-management Questionnaire (measuring perceived treatment burden) and a social network survey asking the respondent to name up to 5 people to whom he or she turned for help with self-care and care coordination tasks and their characteristics and relationships. Results: Participants were aged 53.4 years on average, half were women, and 18 were African Americans. On average, network size was 3.1 members, most of whom were women and family members. 7 patient networks included at least 1 health care provider. The clustering coefficient (the overall connection between members) was 0.54, suggesting that not all members within the patient’s network were connected with each other. Multimorbidity was not associated with treatment burden domain scores, but greater network connectivity was associated with lower treatment-related financial burden (r = −0.61). Limitations: The small sample was racially homogeneous and precluded controlling for potential confounding factors. Conclusions: Dialysis patients used networks of people to manage self-care and coordination tasks, but interconnectedness between members of individual patients’ networks was limited, which might negatively affect their perceived treatment burden. The social context of dialysis patients could play an important role in their illness management and treatment burden and calls for future research. Index Words: Chronic illness management, kidney failure, dialysis, social network, care coordinationhttp://www.sciencedirect.com/science/article/pii/S2590059519300317 |
| spellingShingle | Mi-Kyung Song Sudeshna Paul Laura Plantinga Carrie Henry Linda Turberville-Trujillo Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis Kidney Medicine |
| title | Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis |
| title_full | Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis |
| title_fullStr | Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis |
| title_full_unstemmed | Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis |
| title_short | Social Networks of Self-care and Perceived Treatment Burden Among Patients on In-Center Hemodialysis |
| title_sort | social networks of self care and perceived treatment burden among patients on in center hemodialysis |
| url | http://www.sciencedirect.com/science/article/pii/S2590059519300317 |
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