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Compliance, quality of life, and contributing factors in renal transplantation waiting list patients
Author(s) -
Akman B.,
Colak T.,
Ibis A.,
Arat Z.,
Ozdemir F.N,
Haberal M.
Publication year - 2005
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/j.1492-7535.2005.1121bq.x
Subject(s) - medicine , dialysis , transplantation , depression (economics) , hemodialysis , kidney transplantation , beck depression inventory , quality of life (healthcare) , creatinine , psychiatry , anxiety , nursing , economics , macroeconomics
Poor patient compliance is common during dialysis therapy. We aimed to study incidence of noncompliance, contributing factors, and effects on quality of life (QOL) among cadaveric renal transplantation waiting list patients. We included 86 renal transplantation waiting list patients (56M/30F). Dialysis duration, previous renal transplantation history, comorbid conditions, interdialytic weight gain, predialysis BUN, creatinine, potassium, and phosphate were recorded. Noncompliance criteria were skipping >1 dialysis session or shortening a dialysis session>10 min in 1 month, interdialytic weight gain>5.7% of body weight, predialysis serum potassium >6 mEq/L, and phosphate level >7.5 mg/dl. There were 49 noncompliant (age: 46.8 ± 21.8 years, HD duration: 83.9 ± 48.7 months) and 37 compliant (age: 42.8 ± 12.1 years, HD duration: 96.5 ± 45.2 months) patients. QOL was evaluated by short form 36 and depression levels by Beck Depression Inventory. Previous renal transplantation was present in 24.4% and comorbid diseases in 31.3% of all patients. In depressed patients, 77.8% had comorbid diseases. No difference was found between the groups considering age, gender, dialysis duration, previous transplantation history, and comorbid diseases (p > 0.05). Noncompliant patients had lower QOL (p < 0.04). Noncompliant patients had higher degree of depression (p = 0.01). QOL and Beck scores were negatively correlated (p = 0.001, r = −0.561). Noncompliance to diet and dialysis therapy is associated with depression, which further decreases QOL in renal transplantation waiting list patients. Early diagnosis of depression, is possible by monitoring noncompliance, and therapeutic intervention may benefit during the transplantation‐waiting period.