Premium
Nephrology pre‐dialysis care affects the psychological adjustment, not only blood pressure, anemia, and phosphorus control
Author(s) -
Furusho Masahide,
Kawazu Minami,
Takeda Kazuhito,
Kurachi Emiko,
Nakashima Takafumi,
Sagara Rikako,
Hara Takashi,
Mukai Hideyuki,
Miura Shuhei,
Sugawara Koji
Publication year - 2015
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12345
Subject(s) - medicine , nephrology , hemodialysis , dialysis , anemia , phosphorus , intensive care medicine , blood pressure , metallurgy , materials science
Several studies have suggested that pre‐dialysis care is associated with clinical outcomes. However, little has been reported on the influence of pre‐dialysis care on the psychological adjustment to dialysis. The purpose of this study was to evaluate the impact of pre‐dialysis care on psychological adjustment to dialysis and clinical characteristics. In this cross‐sectional study, we enrolled 52 patients who started hemodialysis at our hospital. They were divided into two groups according to the time of referral to our hospital: the early referral group (over 1 year prior to first dialysis: 19 patients, mean age 69.3 ± 11.1) and the late referral group (within 1 year prior to first dialysis: 33 patients, mean age 72.3 ± 8.9). We measured the clinical characteristics and evaluated the psychological adjustment to dialysis by S hontz's stage theory. Compared with the late referral group, the early referral group had a significantly better clinical characteristics concerning blood pressure (140.2 ± 23.7 vs. 156.9 ± 23.3 mmHg, P = 0.0150), hemoglobin (10.3 ± 1.5 vs. 9.4 ± 1.0 g/dL, P = 0.0078), and phosphorus (4.5 ± 1.5 vs. 5.5 ± 1.3 mg/dL, P = 0.0166). In addition, psychological adjustment to dialysis evaluated by Shontz's stage theory was significantly better in the early referral group (P = 0.017). Our results indicate that nephrology pre‐dialysis care affects not only blood pressure, anemia, and phosphorus control but also the psychological adjustment to dialysis.