Effects of acceptance of disability on death or dialysis in chronic kidney disease patients: a 3-year prospective cohort study.
Background: Acceptance of disability (AOD) is a useful construct that assesses the ability of a patient to psychologically cope with chronic diseases, but its effect on long-term outcomes of patients with chronic kidney disease (CKD) remains unclear. This study aimed to evaluate the relation between...
| Publicado en: | BMC Nephrology Vol. 16; pp. 1 - 8 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
12/5/2015
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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=111413024&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 111413024 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712369 1CI6 jtl: BMC Nephrology issn: 14712369 maglogo: N pubinfo: dt: 12/5/2015 vid: 16 pid: 24147 pub: BioMed Central artinfo: ui: 111413024 111413024 NLM26637344 111413024 10.1186/s12882-015-0197-z NLM26637344 PMC4670522 111413024 ppf: 1 ppct: 7 formats: tig: atl: Effects of acceptance of disability on death or dialysis in chronic kidney disease patients: a 3-year prospective cohort study. aug: au: Hsin-Hung Chiang Livneh, Hanoch How-Ran Guo Mei-Ling Yen Tzung-Yi Tsai Chiang, Hsin-Hung Guo, How-Ran Yen, Mei-Ling Tsai, Tzung-Yi affil: Department of Nursing, Dalin Tzuchi Hospital, The Buddhist Tzuchi Medical Foundation, Chiayi, Taiwan sug: subj: Attitude to Death Renal Insufficiency, Chronic Psychosocial Factors Hemodialysis Psychosocial Factors Persons with Disabilities Psychosocial Factors Renal Insufficiency, Chronic Therapy Patient Attitudes Persons with Disabilities Statistics and Numerical Data Prospective Studies Human Adaptation, Psychological Male Hemodialysis Statistics and Numerical Data Risk Assessment Methods Hemodialysis Mortality Taiwan Female Middle Age Renal Insufficiency, Chronic Mortality Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales Middle Aged: 45-64 years Male Female ab: Background: Acceptance of disability (AOD) is a useful construct that assesses the ability of a patient to psychologically cope with chronic diseases, but its effect on long-term outcomes of patients with chronic kidney disease (CKD) remains unclear. This study aimed to evaluate the relation between AOD level and clinical outcomes in a cohort of CKD patients in Taiwan.Methods: 262 CKD patients without dialysis at a hospital in Taiwan were consecutively recruited, from 2010 to 2011, and followed up for 3 years. At enrollment, demographic and clinical data were obtained, including baseline level measurement of AOD, using the Acceptance of Disability Scale-Revised (AODS-R). During follow-up, the authors assessed the effect of AOD on progression to dialysis and all-cause mortality by using Cox proportional hazard regression analysis.Results: Of the patients included in the analyses, 145 (55.3 %) whose total scores of AOD were below the median (86.00) were regarded as having low AOD at enrollment. At the end of 3-year follow-up, 25 have died and 57 initiated dialysis. Participants with low AOD were more likely to have the composite end-point of progression to dialysis or death (adjusted hazard ratios [AHR] = 1.89, 95 % confidence interval [CI]: 1.18-3.20). In addition, CKD stage at IV or above and hemoglobin level were found to be associated with the occurrence of the composite end-point.Conclusion: AOD was associated with an increased risk for poor clinical outcomes, thus suggesting that prompt awareness and management of the psychological reactions may improve clinical outcomes of patients with CKD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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