Associations Between Dialysis Type and Perceived General Health by Mexican Patients with End-Stage Renal Disease

Meza-García, Carlos Francisco

Tuesday, July 12, 2011: 10:30 AM

Luxana Reynaga-Ornelas, MN, RN
Departamento de Enfermería y Obstetricia sede León, Universidad de Guanajuato Campus León, Division de Ciencias de la Salud, Leon. Guanajuato, Mexico
Carlos Francisco Meza-García
Departamento de Enfermería y Obstetricia Sede León, Universidad de Guanajuato Campus León. División de Ciencias de la Salud, León Guanajuato, Mexico
Carol M. Baldwin, PhD, RN, AHN-BC, FAAN
College of Nursing & Health Innovation; Southwest Borderlands; Director, Center of World Health Promotion & Disease Prevention, Arizona State University, Phoenix, AZ
Cipriana Caudillo-Cisneros, RN, MS
Departamento de Enfermeria y Obstetricia de Leon, Universidad de Guanajuato Campus Leon, Leon, Guanajuato, Mexico
Adriana Dávalos-Pérez, MS, RN
Bulevard Puente del Milenio 1001. Fracción Predio San Carlos, Universidad de Guanajuato Campus León. División de Ciencias de la Salud, León, Guanajuato, Mexico
Octavio A. Jimenez-Garza, MS, RN
Nursing and Obstetrics, Universidad de Guanajuato Campus Leon, Leon GTO, Mexico

Learning Objective 1: Describe the SF-36 general health-related quality of life scores reported by Mexican patients with end-stage renal disease.

Learning Objective 2: Compare and contrast the perceived general health ratings of Mexican patients with end-stage renal disease by type of dialysis treatment.

Purpose: Change in general health perception from one year to the next can influence morbidity and mortality and provide an indicator of the success of treatment outcome. This study will describe perceived general health of Mexican patients with advanced chronic renal failure by type of dialysis treatment.

Methods: Patients residing in central Mexico receiving continuous ambulatory peritoneal dialysis (CAPD; n=10), automated peritoneal dialysis (APD; n=10) and hemodialysis (HD; n=10) provided demographic data and completed the Spanish validated SF-36 health-related quality of life (HR-QOL) questionnaire. The SF-36 item assessing general health compared to the year prior was analyzed using frequencies and chi-squared tests with PASWv18 to address the study aim.

Results: Demographics and health status showed participants (N=30) to be 37% women with a mean age of 59±12 years, an average of 10 years of education, 73% married, a mean BMI of 25±6 and 83% with diabetes. In general, better SF-36 HR-QOL scores were correlated with younger age and being married. Notably, 90% of patients on APD and 80% of patients on CAPD reported their current health to be the same or better than the year prior compared to only 40% of patients on HD(p‹0.05). Gender distribution between APD and CAPD types were equivalent; however, 80% of patients receiving HD were men.

Conclusion: Type of dialysis may influence general health perception over time. Reasons for this are not clear. That APD and CAPD are delivered at home, where there may be greater family support and reduced lifestyle disruption compared to patients on HD, who are required to attend an out-patient clinic for treatment, may be potential variables. HD and APD are considered to be the most expensive treatments, yet appear to have different HR-QOL outcomes. These preliminary results may inform health policy aimed at enhancing quality of life and cost-effectiveness.

See more of: Global Research in End-Stage Renal Disease
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