Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis
Abstract Background: Peritoneal dialysis (PD) is gaining track as an efficient/affordable therapy in poor settings. Yet, there is little data regarding differences in quality of life (QoL) of primary caregivers (PCG) of patients in PD and hemodialysis (HD). Aim: To compare the QoL of PCG of patien...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Nefrologia
2021-06-01
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| Series: | Brazilian Journal of Nephrology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000400486&tlng=en |
| _version_ | 1818955317472395264 |
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| author | Joel Monárrez-Espino José Alberto Delgado-Valles Gastón Ramírez-García |
| author_facet | Joel Monárrez-Espino José Alberto Delgado-Valles Gastón Ramírez-García |
| author_sort | Joel Monárrez-Espino |
| collection | DOAJ |
| description | Abstract Background: Peritoneal dialysis (PD) is gaining track as an efficient/affordable therapy in poor settings. Yet, there is little data regarding differences in quality of life (QoL) of primary caregivers (PCG) of patients in PD and hemodialysis (HD). Aim: To compare the QoL of PCG of patients in PD and HD from an upper middle-income population in a Mexican city. Methods: Cross-sectional study was carried out with PCG of patients in PD (n=42) and HD (n=95) from 4 hospitals (response rate=70.2%). The SF 36-item QoL questionnaire, the Zarit burden interview, and the Goldberg anxiety/depression scale were used. Mean normalized scores for each QoL domain were compared by dialysis type. Adjusted odds were computed using logistic regression to determine the probability of low QoL (<70% of maximum possible score resulting from the added scores of the 8 dimensions). Results: The PD group had higher mean scores for emotional role functioning (+10.6; p=0.04), physical functioning (+9.2; p=0.002), bodily pain (+9.2; p=0.07), social functioning (+5.7; p=0.25), and mental health (+1.3; p=0.71); the HD group had higher scores for physical role functioning (+7.9, p=0.14), general health perception (+6.1; p=0.05), and vitality (+3.3; p=0.36). A non-significant OR was seen in multivariate regression (1.51; 95% CI 0.43-5.31). Zarit scores were similar, but workload levels were lower in the PD group (medium/high: PD 7.2%, HD 14.8%). Anxiety (HD 50.5%, PD 19%; p<0.01) and depression (HD 49.5%, PD 16.7%; p<0.01) were also lower in the PD group. Conclusion: Adjusted analysis showed no differences in the probability of low QoL between the groups. These findings add to the value of PD, and strengthen its importance in resource-limited settings. |
| first_indexed | 2024-12-20T10:36:08Z |
| format | Article |
| id | doaj.art-e1e1fc38d764460babfb3939b4075881 |
| institution | Directory Open Access Journal |
| issn | 2175-8239 |
| language | English |
| last_indexed | 2024-12-20T10:36:08Z |
| publishDate | 2021-06-01 |
| publisher | Sociedade Brasileira de Nefrologia |
| record_format | Article |
| series | Brazilian Journal of Nephrology |
| spelling | doaj.art-e1e1fc38d764460babfb3939b40758812022-12-21T19:43:37ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392021-06-0143448649410.1590/2175-8239-jbn-2020-0229Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysisJoel Monárrez-Espinohttps://orcid.org/0000-0002-0695-5356José Alberto Delgado-Valleshttps://orcid.org/0000-0002-7687-579XGastón Ramírez-Garcíahttps://orcid.org/0000-0002-9163-1021Abstract Background: Peritoneal dialysis (PD) is gaining track as an efficient/affordable therapy in poor settings. Yet, there is little data regarding differences in quality of life (QoL) of primary caregivers (PCG) of patients in PD and hemodialysis (HD). Aim: To compare the QoL of PCG of patients in PD and HD from an upper middle-income population in a Mexican city. Methods: Cross-sectional study was carried out with PCG of patients in PD (n=42) and HD (n=95) from 4 hospitals (response rate=70.2%). The SF 36-item QoL questionnaire, the Zarit burden interview, and the Goldberg anxiety/depression scale were used. Mean normalized scores for each QoL domain were compared by dialysis type. Adjusted odds were computed using logistic regression to determine the probability of low QoL (<70% of maximum possible score resulting from the added scores of the 8 dimensions). Results: The PD group had higher mean scores for emotional role functioning (+10.6; p=0.04), physical functioning (+9.2; p=0.002), bodily pain (+9.2; p=0.07), social functioning (+5.7; p=0.25), and mental health (+1.3; p=0.71); the HD group had higher scores for physical role functioning (+7.9, p=0.14), general health perception (+6.1; p=0.05), and vitality (+3.3; p=0.36). A non-significant OR was seen in multivariate regression (1.51; 95% CI 0.43-5.31). Zarit scores were similar, but workload levels were lower in the PD group (medium/high: PD 7.2%, HD 14.8%). Anxiety (HD 50.5%, PD 19%; p<0.01) and depression (HD 49.5%, PD 16.7%; p<0.01) were also lower in the PD group. Conclusion: Adjusted analysis showed no differences in the probability of low QoL between the groups. These findings add to the value of PD, and strengthen its importance in resource-limited settings.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000400486&tlng=enRenal DialysisQuality of LifeMexicoPeritoneal DialysisCaregivers |
| spellingShingle | Joel Monárrez-Espino José Alberto Delgado-Valles Gastón Ramírez-García Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis Brazilian Journal of Nephrology Renal Dialysis Quality of Life Mexico Peritoneal Dialysis Caregivers |
| title | Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis |
| title_full | Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis |
| title_fullStr | Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis |
| title_full_unstemmed | Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis |
| title_short | Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis |
| title_sort | quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis |
| topic | Renal Dialysis Quality of Life Mexico Peritoneal Dialysis Caregivers |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000400486&tlng=en |
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