[Show abstract][Hide abstract] ABSTRACT: An important dimension that influences the quality of life of hemodialysis patients is the pain they experience. Quality of life and selfefficacy in pain can play an important role in chronic kidney disease and treatment outcomes. The purpose of the study was to examine self-efficacy in pain and quality of life among patients with end stage renal disease undergoing hemodialysis. Between April 2013 and June
2013, 224 hemodialysis patients completed the Missoula-VITAS Quality of Life Index-15 and the Pain Self-Efficacy Questionnaire. The study was conducted in four dialysis units in hospitals of the Peloponnese
region. Sociodemographic data of patients and their individual medical history were recorded. Statistical analysis was performed using SPSS version 19. The more effective the self-efficacy in pain, the lower
the quality of life enjoyed by hemodialysis patients. The majority of respondents described the overall quality of life as ‘‘moderate,’’ while the self-efficacy in pain depended on comorbidity or complications
that accompany the process of hemodialysis. The findings of this study can be used in the development and improvement of health services for the management of patients. Healthcare professionals should understand the concerns and treat the symptoms of patients that affect quality of life, providing thereby holistic health care.
� 2015 by the American Society for Pain Management Nursing
Pain management nursing: official journal of the American Society of Pain Management Nurses 07/2015; · 1.53 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Purpose:
This study was to explore the impact of anxiety and depression on the quality of life of hemodialysis patients.
Material & methods:
The sample studied consisted of 395 hemodialysis patients. Data was collected by the completion of a specially designed questionnaire for the needs of the present study which apart from socio-demographic and clinical, it also included HADS scale to assess the level of anxiety and depression as well as the scale Missoula-VITAS Quality of Life Index (MVQOLI) to assess patients' quality of life.
The results of this study showed that 47.8% had high anxiety levels and 38.2% had high levels of depression. The average total score of quality of life was found to be 17.14. It was also shown that the total score of quality of life presented statistically significant association with family status (p=0.007), educational level (p<0.001), the number of children (p=0.001), patients' adherence to doctors' orders (p=0.003) and proposed diet (p=0.002) and the relations of patients with healthcare professionals and the other patients (p<0.001). The multiple linear regression showed that the overall quality of life score was statistically associated with the levels of depression after adjusted for possible confounders. More specifically, it was found that total score of quality of life was 2.5 and 4.4 points lower for patients with moderate and high levels of depression, respectively, compared to patients with low levels of depression (p<0.001).
Evaluation of anxiety and depression in conjunction with quality of life in hemodialysis patients should be an integral part of the therapeutic regimen.
Global journal of health science 05/2015; 8(1). DOI:10.5539/gjhs.v8n1p45
[Show abstract][Hide abstract] ABSTRACT: There is clear evidence of a link between dialysis adequacy (as measured by urea kinetic modelling or urea reduction ratio) and such important clinical outcomes as morbidity and mortality. Evidence regarding the relationship between dialysis adequacy and quality of life (QOL) outcomes as well as adherence is less clear. The present paper is a study protocol which is planning to answer the following research question: What is the impact of dialysis adequacy on QOL and adherence in a sample of haemodialysis (HD) patients? The final sample size will be around 100 patients undergoing HD. Each subject’s QOL and adherence will be measured using the following instruments: a. The Missoula - VITAS Quality of Life Index - 25 (MVQOLI-25), b. The Multidimensional Scale of Perceived Social Support (MSPSS) and c. The Simplified Medication Adherence Questionnaire (SMAQ). Dialysis adequacy is expected to be related to QOL and adherence scores.
[Show abstract][Hide abstract] ABSTRACT: Recently, there is a surge of interest in the use of the Multidimensional Scale of Perceived Social Support (MSPSS) to measure perceived social support across cultures. The objective of this study was to translate and make the cultural adaptation of the Greek version of the MSPSS. The study counted with a sample of 10 patients diagnosed with multiple sclerosis. The process involved the following steps of translation back translation and semantic evaluation. The former revealed good acceptance of the translated version of the instrument, which participants considered having items of easy understanding. After completing the process of validation in the country, the instrument will become available to Greek researchers to measure social support, as well as to compare results from Greece to that of other cultures in which the instrument has already been validated.
[Show abstract][Hide abstract] ABSTRACT: The examination of the perception of pain and fatigue in patients with various health problems has received increased research attention in recent years. The aim of the present study is to examine levels of pain self - efficacy and fatigue in a sample of Greek patients suffering from multiple sclerosis. The association of years and severity of diagnosis with the perception of pain self - efficacy and fatigue is also investigated. Forty patients from the 3nd Neurological Department, Aristotle University of Thessaloniki will participate in this study. The measurement tools include a. the FATIGUE ASSESSMENT SCALE (FAS), b. the PAIN SELF EFFICACY QUESTIONNAIRE (PSEQ) and c. the Expanded Disability Status Scale (EDSS). Test - retest reliability of the first two questionnaires will be assessed with the same patients rating their situation in a 10 days interval from the first examination in order to examine consistency over time.
[Show abstract][Hide abstract] ABSTRACT: Introduction: In recent years the interest of the scientific community to investigate the management of pain in patients with Chronic Kidney Disease (CKD) undergoing hemodialysis, is particularly strong.
Purpose: The purpose of this study was to test the psychometric properties of the Greek version of the questionnaire Pain Self - Efficacy Questionnaire (PSEQ) in a sample of patients undergoing hemodialysis.
Material and Methods: The sample of the population was 50 patients with CKD undergoing hemodialysis program in two Dialysis Units of the Peloponnese Region. Patients completed a questionnaire given to them twice within one month. The Greek version includes 10 questions of English originals.
Results: The analysis indicated that the scale has very good variability. The internal validity of the questionnaire was excellent with a total value Cronbach's alpha 0,977 after first completing the questionnaire and 0,976 after the second completion. The correlation coefficient r of Pearson and coefficient ICC revealed extremely high correlation between the two administrations of the questionnaire (r = 0,997; p <0,001 and ICC = 0,997; p <0,001, respectively).
Conclusions: The questionnaire PSEQ is a reliable and valid assessment tool for pain management in patients undergoing dialysis program and can be used in other patient groups.
Key words: pain, kidney disease, hemodialysis, quality of life
Εισαγωγή: Τα τελευταία χρόνια είναι ιδιαίτερα έντονο το ενδιαφέρον της επιστη-μονικής κοινότητας για τη διερεύνηση της διαχείρισης του πόνου σε ασθενείς με χρόνια νεφρική νόσο (ΧΝΝ) που υποβάλλονται σε αιμοκάθαρση. Σκοπός: Ο έλεγχος των ψυχομετρικών ιδιοτήτων της ελληνικής εκδοχής του ερωτηματολογίου Pain Self-Efficacy Questionnaire σε ασθενείς υπό αιμοκάθαρση. Υλικό και Μέθοδος: Το δείγμα του πληθυσμού αποτέλεσαν 50 ασθενείς (δείγμα ευκολίας) με ΧΝΝ που υποβάλλονταν σε πρόγραμμα αιμοκάθαρσης σε δύο Μονάδες Τεχνητού Νεφρού της Περιφέρειας Πελοποννήσου. Τα δεδομένα συλλέχθηκαν κατά το χρονικό διάστημα Μαΐου έως Ιουνίου του 2013, ενώ το ποσοστό ανταπόκρισης των ασθενών ήταν 100%. Για την ανάλυση των δεδομένων χρησιμοποιήθηκε το στατιστικό πρόγραμμα Statistical Package for Social Sciences (SPSS), έκδοση 13.0. Οι ασθενείς συμπλήρωσαν το ερωτηματολόγιο που τους δόθηκε δύο φορές, σε χρονικό διάστημα ενός μήνα. Η ελληνική εκδοχή περιλαμβάνει τις 10 ερωτήσεις του αγγλικού πρωτοτύπου. Αποτελέσματα: Η αξιοπιστία του ερωτηματολογίου ήταν εξαιρετική (Cronbach's alpha=0,98 και τις δύο φορές). Ο συντελεστής συ-σχέτισης Pearson και ο συντελεστής ICC έδειξαν εξαιρετικά υψηλή συσχέτιση μεταξύ των δύο συμπληρώσεων του ερωτηματολογίου διαχείρισης του πόνου (r=0,997, p<0,001 και ICC=0,997, p<0,001). Συμπεράσματα: Το ερωτηματολόγιο Pain Self-Efficacy Questionnaire αποτελεί ένα αξιόπιστο εργαλείο εκτίμησης της διαχείρισης του πόνου στους ασθενείς που υποβάλλονται σε πρόγραμμα αιμοκάθαρσης, ενώ μπορεί να χρησιμοποιηθεί και σε άλλες ομάδες ασθενών. Επιπρόσθετα, η χρήση του συγκεκριμένου ερωτηματολογίου σε μεγαλύτερο δείγμα ασθενών υπό αιμοκάθαρση, καθώς και σε ασθενείς με νεφρική νόσο που υποβάλλονται σε διαφορετικό πρόγραμμα θεραπείας (π.χ. περιτοναϊκή κάθαρση) αξιολογείται ως απαραίτητη. Λέξεις ευρετηρίου: Αιμοκάθαρση, νεφρική νόσος, ποιότητα ζωής, πόνος
[Show abstract][Hide abstract] ABSTRACT: Purpose: To examine the impacts of burnout that has in health-related quality of life (QOL) in nursing staff in Greece. The association of social support with burnout and QOL is also investigated. Materials and methods: Individuals working in Mental and General Hospitals in the broader area of Athens participated in this study (N.139). The measurement tools include a) the Maslach Burnout Inventory (MBI), b) the SF-36 Health Survey and c. the Multidimensional Scale of Perceived Social Support. Burnout and QOL are expected to be
related to the evaluation of social environment. Results: The results indicated the impacts that burnout has on quality of life and the positive effect of social support for nursing professionals in the levels of burnout. Conclusions: There is an association between burnout, quality of life and social support. Social support and socio-demographic factors appear to affect the levels of burnout to Psychiatric and General Hospital.
Key words: Burnout; quality of life; social support; nursing staff.
[Show abstract][Hide abstract] ABSTRACT: Diabetes is a major health problem with many social and economic consequences in general population. The importance of educa-tion in the diabetic patient and his family, led to the development of diabetes clinical nurse specialist. The role of diabetes clinical nurse specialist is essential and crucial to the hospi-tals and the community, in order to form a rela-tionship with the diabetic patient and his/her family. In this way health is promoted to the maximum extent possible. In conclusion edu-cational programs help patients with diabetes to obtain information about their condition and improve their self-care skills.
[Show abstract][Hide abstract] ABSTRACT: Patients suffering from end-stage kidney disease often complain about pain. It is also known that the presence of chronic pain greatly impacts upon patients’ quality of life (QOL) and can play a crucial role in the co-morbidity of mental health symptoms such as depression and anxiety. The main aim of this study protocol is the investigation of pain self-efficacy, QOL as well as their relation in patients undergoing hemodialysis treatment. The final sample size will be around 70-80 patients. Each subject’s QOL and pain self-efficacy will be measured using the following instruments: i) the Missoula-ITAS Quality of Life Index-15 and ii) the Pain Self-Efficacy Questionnaire. QOL is expected to be related to pain self-efficacy scores. This probable association will be indicated performing regression as well as correlation analysis after controlling for gender, age, education and marital status.
[Show abstract][Hide abstract] ABSTRACT: Depression, a mental disorder with a high personal, societal, and economic impact, affects at least 20-30% of patients receiving hemodialysis therapy. It is associated with a high mortality rate, low adherence to medication, and a low perceived quality of life. Exercise training is a promising nonpharmacological intervention that can be safely applied to these patients. Beyond the well-publicized physiological benefits of exercise training, a number of studies have focused on the effects of exercise training on mental factors and quality of life parameters including its less appreciated effects on depression symptoms. This evidence-based review article reviews and discusses the effects of exercise training on depression in end-stage renal disease patients.
Seminars in Dialysis 07/2013; 26(5). DOI:10.1111/sdi.12112 · 1.75 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Different measuring tools have been used to understand the outcomes of end-stage renal disease (ESRD) therapies. However, survival, cost-effectiveness and quality of life (QOL) are the main parameters to evaluate treatment of ESRD. The current study meant to assess the psychometric properties (reliability and validity) of the Missoula-VITAS Quality of Life Index (MVQOLI-15) translation to Greek in patients undergoing hemodialysis (HD). A total sample of 79 HD patients voluntarily participated in this pilot study. Domain analysis of MVQOLI-15-Greek was conducted based on the collected data at initial assessment. The reliability properties of the instrument were tested using the following measures; internal consistency, repeatability, test-retest reliability and convergent validity. Domain analysis demonstrated that all domains of the questionnaire had good variability. MVQOLI-15-Greek internal consistency was satisfactory with an overall Cronbach’s a at 0.74. Pearson’s r and intraclass correlation coefficient revealed strong correlations (ranging from 0.91 to 0.98) between initial assessment and reassessment. MVQOLI-15-Greek convergent validity analysis indicated that the domains were strongly related to the same construct. The findings of the study indicate that the Greek version of MVQOLI-15 provided satisfactory psychometric properties supporting its use within pathological populations and in the context of national QOL measurement.
[Show abstract][Hide abstract] ABSTRACT: Patients undergoing haemodialysis have to cope with many adversities, regarding physical symptoms, specific dietary regimes and changes in their body image. The present qualitative study aimed to investigate the lived experiences of haemodialysis patients in Greece. Topics relating to haemodialysis treatment were raised with 10 haemodialysis patients in the form of semi-structured interviews. A descriptive phenomenological research method was used to analyse narrated lived experiences of dialysis. Unemployment, functional disturbance, non-adherence to medication and diet schedule, social isolation, fatigue, psychological distress and sexual dysfunction emerged as main concerns following a critical review of themes. Our findings provide evidence which can be useful to health professionals and managers of health services offered to end-stage renal disease patients. Tailored interventions can be developed to support depressed, anxious, or those who endorse negative health beliefs, in an effort to address issues of compromised quality of life.
Europe's Journal of Psychology 02/2013; 9(1):19-32. DOI:10.5964/ejop.v9i1.338
[Show abstract][Hide abstract] ABSTRACT: Quality of life (QoL) can be defined in many ways, making its measurement and incorporation into scientific study difficult. This is a theoretical paper regarding the definition and measuring of quality of life. The search strategy included a combination of key words 'quality of life', 'definition of QoL' as well as 'measuring QoL' in titles using Medline and Google Scholar databases. Quality of life is a complex, multifaceted construct that requires multiple approaches from different theoretical angles. Scientists from the various disciplines of social science are encouraged to exploit the strengths of other's contributions in a collaborative effort. A thorough understanding of subjective well-being requires knowledge of how objective conditions influence people's evaluations of their lives. Similarly, a complete understanding of objective indicators and how to select them requires that we understand people's values, and have knowledge about how objective indicators influence people's experience of well-being.
Europe's Journal of Psychology 02/2013; 9(1):150-162. DOI:10.5964/ejop.v9i1.337
[Show abstract][Hide abstract] ABSTRACT: Functional status is an understudied, yet important, modifiable risk factor in a number of chronic illnesses. This topic has not yet been studied extensively for chronic kidney disease (CKD). This study investigates the relationship of functional status to mental health and health perceptions among patients undergoing hemodialysis and peritoneal dialysis. A sample of 144 patients was recruited, consisting of 84 patients undergoing hemodialysis (HD) and 60 patients in peritoneal dialysis (PD). Measurements were conducted with the following instruments: the World Health Organization Quality of Life instrument (WHOQOL-BREF), the General Health Questionnaire (GHQ-28), the State-Trait Anxiety Inventory (STAI 1/STAI 2), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Multidimensional Health Locus of Control (MHLC). Functional status was associated negatively with all subscales of the GHQ-28 (somatic symptoms, anxiety/insomnia, social dysfunction, severe depression) and the GHQ-28 total score. It was also related negatively to depression, as measured by CES-D scale, as well as to state and trait anxiety, and positively to internal health locus of control. The present study demonstrates the importance of functional status in understanding the health perceptions of patients with CKD and the contribution of functional status to mental health. (PsycINFO Database Record (c) 2013 APA, all rights reserved)
European Journal of Psychological Assessment 01/2013; 29(4):276. DOI:10.1027/1015-5759/a000155 · 2.53 Impact Factor