Perception of illness by patients treated with haemodialysis
, 1, 2, 3, , 4
Abstract
Introduction: Perception of illness is the way in which a condition is perceived, which reflects the patient’s attitude towards illness and treatment.
Aim: The aim of the research was to understand the perception of illness among patients treated with haemodialysis. The specific goal was to determine the factors affecting the perception of the illness and their interrelationships.
Material and methods: The study included 98 people treated with haemodialysis as part of the international project “Health, coping, and quality of life in people with chronic kidney disease and in their families”. As research tools the following were used: the Barthel Index, Instrumental Activities of Daily Living Scale (IADL), Edmonton Symptom Assessment Scale – Revised (ESAS – R), and the Brief Illness Perception Questionnaire (Brief IPQ) Scoring Instructions.
Results: The perception of illness in the study group was significantly influenced by the intensity of physical symptoms (p = 0.007), especially dyspnoea or fatigue. Whereas, the following areas of the perception of illness: Consequences, Treatment control, Timeline, Illness concern, and Comprehensibility were mainly affected by functional efficiency, age, and education level. A worse perception of illness was observed with the increase in IADL dependency, younger age, and lower education level.
Conclusions:
1. Perception of illness in the study group was at a moderate level.
2. Perception of illness in the study group was most strongly influenced by the intensity of symptoms,
especially dyspnoea and fatigue.
3. Functional efficiency, age, and education significantly affected the perception of illness.
Keywords: perception of illnesshemodialysis
References
- Jassal SV, Karaboyas A, Comment LA, et al. Functional Dependence and Mortality in the International Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2016; 67(2): 283–292.
- Ramondt S, Tiemensma J, Cameron LD, et al. Drawings of Blood Cells Reveal People's Perception of Their Blood Disorder: A Pilot Study. PLoS One. 2016; 11(4): e0154348.
- Moss-Morris R, Weinman J, Petrie K, et al. The Revised Illness Perception Questionnaire (IPQ-R). Psychology & Health. 2002; 17(1): 1–16.
- Petrie KJ, Weinman J. Why illness perceptions matter. Clin Med (Lond). 2006; 6(6): 536–539.
- Broadbent E, Wilkes C, Koschwanez H, et al. The brief illness perception questionnaire. J Psychosom Res. 2006; 60(6): 631–637.
- Md Yusop NB, Yoke Mun C, Shariff ZM, et al. Factors associated with quality of life among hemodialysis patients in Malaysia. PLoS One. 2013; 8(12): e84152.
- Aghakhani N, Sharif Nia H, Samad Zadeh S, et al. Quality of life during hemodialysis and study dialysis treatment in patients referred to teaching hospitals in Urmia-Iran in 2007. Caspian J Intern Med. 2011; 2(1): 183–188.
- Hedayati S, Bosworth H, Briley L, et al. Death or hospitalization of patients on chronic hemodialysis is associated with a physician-based diagnosis of depression. Kidney International. 2008; 74(7): 930–936.
- Abdel-Kader K, Unruh M, Weisbord S. Symptom Burden, Depression, and Quality of Life in Chronic and End-Stage Kidney Disease. Clinical Journal of the American Society of Nephrology. 2009; 4(6): 1057–1064.
- Carmichael P, Popoola J, John I, et al. Assessment of quality of life in a single centre dialysis population using the KDQOL-SF questionnaire. Qual Life Res. 2000; 9(2): 195–205.
- Marc M, Saad MM, Douaihy YE, et al. et al.. Predictors of quality of life in patients with end-stage renal disease on hemodialysis Int J Nephrol Renovasc Dis. 2015; 8: 119–123.
- Kurella Tamura M, Covinsky KE, Chertow GM, et al. Functional status of elderly adults before and after initiation of dialysis. N Engl J Med. 2009; 361(16): 1539–1547.
- O'Lone E, Connors M, Masson P, et al. Cognition in People With End-Stage Kidney Disease Treated With Hemodialysis: A Systematic Review and Meta-analysis. Am J Kidney Dis. 2016; 67(6): 925–935.
- Stewart AL, Hays RD, Ware JE. Methods of validating MOS health Measures. In Measuring functioning and well-being: the medical outcomes study approach. Edited by:, Durham. NC: Duke University Press. ; 1992: 309–324.
- Saby A, Miller LS. Functional Assessment in End-Stage Renal Disease: Enhancing Quality of Life. Semin Dial. 2016; 29(2): 170–172.
- Leventhal H, Brissette I, Leventhal EA. The common-sense model of self-regulation of health and illness In: Cameron LD, , editors. The self-regulation of health and illness behaviour. London. : Routledge.
- Petrie KJ, Jago LA, Devcich DA. The role of illness perceptions in patients with medical conditions. Curr Opin Psychiatry. 2007; 20(2): 163–167.
- Vogel JJ, Godefroy WP, van der Mey AGL, et al. Illness perceptions, coping, and quality of life in vestibular schwannoma patients at diagnosis. Otol Neurotol. 2008; 29(6): 839–845.
- Weisbord SD, Fried LF, Mor MK, et al. Renal provider recognition of symptoms in patients on maintenance hemodialysis. Clin J Am Soc Nephrol. 2007; 2(5): 960–967.
- Boini S, Frimat L, Kessler M, et al. Predialysis therapeutic care and health-related quality of life at dialysis onset (The pharmacoepidemiologic AVENIR study). Health Qual Life Outcomes. 2011; 9: 7.
- Palmer BF, Clegg DJ, Palmer BF, et al. Sexual dysfunction in men and women with chronic kidney disease and end-stage kidney disease. Adv Ren Replace Ther. 2003; 10(1): 48–60.
- Kim Y, Evangelista LS, Phillips LR, et al. The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): testing the psychometric properties in patients receiving in-center hemodialysis. Nephrol Nurs J. 2010; 37(4): 377–393.
- Fowler C, Baas LS. Illness representations in patients with chronic kidney disease on maintenance hemodialysis. Nephrol Nurs J. 2006; 33(2): 173–4, 179.
- Cohen SD, Cukor D, Kimmel PL. Anxiety in Patients Treated with Hemodialysis. Clin J Am Soc Nephrol. 2016; 11(12): 2250–2255.
- Gonzalez K, Ulloa JG, Moreno G, et al. Intensive procedure preferences at the end of life (EOL) in older Latino adults with end stage renal disease (ESRD) on dialysis. BMC Nephrol. 2017; 18(1): 319.
- M. Sue McManus. Illness representation and medication adherence of patients with chronic kidney disease. Faculty of Indiana University, 2011. . https://scholarworks.iupui.edu/bitstream/handle/1805/2751/dissdftsubmitscholarworks?sequence=1.
- Boudreau JE, Dubé A. Quality of life in end stage renal disease: a concept analysis. CANNT J. 2014; 24(1): 12–20.
- Gentile S, Jouve E, Dussol B, et al. Development and validation of a French patient-based health-related quality of life instrument in kidney transplant: the ReTransQoL. Health Qual Life Outcomes. 2008; 6: 78.
- Gentile S. [Principal determinants of quality of life]. Soins. 2004(688 Suppl): 4.
- von der Lippe N, Waldum B, Brekke FB, et al. From dialysis to transplantation: a 5-year longitudinal study on self-reported quality of life. BMC Nephrol. 2014; 15: 191.
- Kusztal M, Nowak K, Magott-Procelewska M, et al. [Evaluation of health-related quality of life in dialysis patients. Personal experience using questionnaire SF-36]. Pol Merkur Lekarski. 2003; 14(80): 113–117.
- Bapat U, Kedlya PG. Gokulnath. Perceived illness intrusions among continuous ambulatory peritoneal dialysis patients. Saudi J Kidney Dis Transpl. 2012; 23(5): 958–964.
- Jaar BG, Chang A, Plantinga L. Can we improve quality of life of patients on dialysis? Clin J Am Soc Nephrol. 2013; 8(1): 1–4.
- Pagels AA, Söderkvist BK, Medin C, et al. Health-related quality of life in different stages of chronic kidney disease and at initiation of dialysis treatment. Health Qual Life Outcomes. 2012; 10: 71.
- Feroze U, Noori N, Kovesdy C, et al. Quality-of-Life and Mortality in Hemodialysis Patients: Roles of Race and Nutritional Status. Clinical Journal of the American Society of Nephrology. 2011; 6(5): 1100–1111.