LACK OF MOTIVATION: A NEW MODIFIABLE RISK FACTOR FOR PERITONITIS IN PATIENTS UNDERGOING PERITONEAL DIALYSIS?
Aim: Can we identify modifiable risk factors for peritonitis in patients undergoing peritoneal dialysis (PD)? We aimed to determine whether housing standard, PD exchange technique or patient motivation might be modifiable risks for peritonitis. We also explored the relationship between lack of motiv...
| Publicado en: | Journal of Renal Care Vol. 41; no. 1; pp. 33 - 43 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103791571&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103791571 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17556678 56RH jtl: Journal of Renal Care issn: 17556678 maglogo: Y pubinfo: dt: Mar2015 vid: 41 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103791571 102210445 10.1111/jorc.12101 NLM25410720 103791571 ppf: 33 ppct: 10 formats: fmt: @attributes: type: P tig: atl: LACK OF MOTIVATION: A NEW MODIFIABLE RISK FACTOR FOR PERITONITIS IN PATIENTS UNDERGOING PERITONEAL DIALYSIS? aug: au: Paudel, Klara Namagondlu, Girish Samad, Nasreen McKitty, Khadija Fan, Stanley L. affil: Department of Renal Medicine and Transplantation, Barts Health NHS Trust, London, UK sug: subj: Motivation Peritonitis Risk Factors Peritoneal Dialysis Depression Human Inpatients Univariate Statistics Kaplan-Meier Estimator Survival Analysis Cox Proportional Hazards Model Data Analysis Software ab: Aim: Can we identify modifiable risk factors for peritonitis in patients undergoing peritoneal dialysis (PD)? We aimed to determine whether housing standard, PD exchange technique or patient motivation might be modifiable risks for peritonitis. We also explored the relationship between lack of motivation and depression. Methods: Nurse home visits assessed PD exchange technique, environment and patient motivation. Motivation scores were correlated separately with an Apathy Evaluation Score and a depression score using PHQ-9 questionnaires. Results: Home hygiene, exchange technique and motivation were above average in 53%, 56% and 60%, respectively in 104 patients undergoing PD. After 15 months, 25.9% patients developed peritonitis but nurses' ratings of homes and exchange techniques were not predictive. Low patient motivation was predictive. Patients rated to have above or below median motivation had significantly different Apathy Scores (p=0.0002). Unmotivated depressed patients were significantly more likely to develop peritonitis compared to motivated depressed patients. Conclusion: Lack of motivation predicted peritonitis particularly if associated with depression. Further studies are required focusing on specific motivation scoring schemes and the psychosocial support that might lead to better outcomes. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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