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Comparison of the rehabilitation status of continuous ambulatory peritoneal dialysis and in‐centre haemodialysis in Chinese patients
Author(s) -
LAW MC,
HUI YH,
CHEUNG Amy LC,
LAM YH,
POON MY,
LEUNG KP,
CHAN Amy LK,
LI Philip KT
Publication year - 1996
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/j.1440-1797.1996.tb00086.x
Subject(s) - medicine , continuous ambulatory peritoneal dialysis , dialysis , peritoneal dialysis , rehabilitation , population , ambulatory , hemodialysis , physical therapy , intensive care medicine , environmental health
Summary: In Hong Kong, dialysis treatment has become more accessible in recent years. Due to a shortage of kidney donors patients are required to stay on dialysis for longer periods. the rehabilitation status of 181 end‐stage renal failure (ESRF) patients on dialysis, 34 on in‐centre haemodialysis (ICHD) and 147 on continuous ambulatory peritoneal dialysis (CAPD), at the Prince of Wales Hospital was studied. There was no statistically significant difference in physical functioning due to treatment type; however, CAPD patients were shown to be more socially active and had a better family life than ICHD patients ( P < 0.01). There were no statistically significant correlations between physical functioning, social life or family life and the duration of dialysis in both ICHD and CAPD patients. In both groups of patients 52.9% of ICHD and 52.4% of CAPD patients had decreased employment status. All the patients were assessed by doctors‐in‐charge on their physical fitness for employment, 85.7% ( n = 6) of the unemployed ICHD patients and 71% ( n = 44) of the unemployed CAPD patients were considered to be physically fit to work. Due to the ageing of the general population and greater availability of dialysis treatment and higher survival rate of the chronically ill have led to an increase in the number of elderly patients on dialysis (aged 60 years and over). the proportion of elderly dialysis patients in our renal centre increased from 7–23% in the past 5 years. Continuous ambulatory peritoneal dialysis patients aged less than 60 years were found to be significantly more physically active and socially active than CAPD patients aged over 60 years ( P < 0.01). In the aspect of a better family life for these patients, no statistically significant difference was found between the two groups. Rehabilitation of ESRF patients can be achieved by renal replacement therapy. It is concluded that CAPD patients have better adaptation in social life and family life than ICHD patients.