We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The relationships between clinical, socio-demographic and selt-management: factors and complications in Thai peritoneal dialysis patients.
- Authors
Varitsakul, Rotsukon; Sindhu, Siriorn; Sriyuktasuth, Aurawamon; Viwatwongkasem, Chukiat; Himmelfarb, Cheryl R. Dennison
- Abstract
Background: Peritoneal dialysis (PD) complications are known to be substantial during treatment. Complications may lead to PD failure. One way to reduce complications is to identify patients at risk early. Objective: The study sought to describe complications and investigate the independent associations among the number of complications and age, distance, comorbidity, level of activity in daily living, and PD self-management. Design, participants and setting: A cross-sectional descriptive study was conducted in 364 patients recruited from June to December 2010 who had undergone PD for at least one year. Methods: Data were collected through self-reported questionnaires and reviewing medical records. Multiple regression analysis was used to identify the independent associations among a number of complications and independent variables. Results: A high prevalence of complications was observed in each of three categories: PD inadequacy - electrolyte imbalance (90.7%); PD-related complications - dyslipidaemia (63.8%); and end-stage renal disease-related complications - mineral and bone disorder (90.7%), anaemia (89.3%), and malnutrition (81%). In multiple regression analysis, comorbidity, PD self- management, level of activity in daily living, and age were independently associated with the number of complications (R2 = .231, p<.001) (F435g. = 26.816, p<.001). Comorbidity was the strongest factor in predicting complications. Conclusion: There was a high prevalence of PD complications occurring in one year period before recruiting to the study in this sample. Patients with higher comorbidity, lower self-management, lower level of activity in daily living, and younger age were more likely to have higher a number of complications. These factors should be specified for PD suitability. Promoting self- management will help them to undertake PD safely.
- Subjects
THAILAND; TREATMENT of chronic kidney failure; CHRONIC kidney failure complications; ADVERSE health care events; MALNUTRITION; ANEMIA; BONE diseases; CHRONIC kidney failure; EMPLOYMENT; HEMODIALYSIS patients; HEMODIALYSIS facilities; HYPERLIPIDEMIA; INCOME; HEALTH insurance; LIFE skills; RESEARCH methodology; NEPHROLOGY; NURSING; PATIENT compliance; PERITONEAL dialysis; QUESTIONNAIRES; RESEARCH evaluation; RESEARCH funding; STATISTICAL sampling; SCALE analysis (Psychology); HEALTH self-care; SELF-evaluation; WATER-electrolyte imbalances; COMORBIDITY; ACTIVITIES of daily living; MULTIPLE regression analysis; EDUCATIONAL attainment; INTER-observer reliability; CROSS-sectional method; DATA analysis software; FUNCTIONAL assessment; DESCRIPTIVE statistics
- Publication
Renal Society of Australasia Journal, 2013, Vol 9, Issue 2, p85
- ISSN
1832-3804
- Publication type
Article