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http://dx.doi.org/10.4040/jkan.2012.42.5.699

Structural Equation Modeling on Quality of Life in Pre-dialysis Patients with Chronic Kidney Disease  

Kim, Hye Won (Department of Nursing, Konyang University)
ChoiKwon, Smi (College of Nursing, Seoul National University.Research Institute of Nursing Science)
Publication Information
Journal of Korean Academy of Nursing / v.42, no.5, 2012 , pp. 699-708 More about this Journal
Abstract
Purpose: This study was designed to test structural equation modeling of the quality of life of pre-dialysis patients, in order to provide guidelines for the development of interventions and strategies to improve the quality of life of patients with Chronic Kidney Disease (CKD). Methods: Participants were patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic factors, social support, nutritional status, physical factors and biobehavioral factors and quality of life were collected between March 4 and March 31, 2011. Results: In the final analysis 208 patients were included. Of the patients 42% were in a malnourished state. Anxious or depressed patients accounted for 62.0%, 72.6%, respectively. Model fit indices for the hypothetical model were in good agreement with the recommended levels (GFI=.94 and CFI=.99). Quality of life in pre-dialysis patients with CKD was significantly affected by demographic factors, social support, nutritional status, physical factors and biobehavioral factors. Biobehavioral factors had the strongest and most direct influence on quality of life of patients with CKD. Conclusion: In order to improve the quality of life in pre-dialysis patients with CKD, comprehensive interventions are necessary to assess and manage biobehavioral factors, physical factors and nutritional status.
Keywords
Chronic kidney disease; Quality of life; Nutritional status; Biobehavioral factors;
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1 Frank, A., Auslander, G. K., & Weissqarten, J. (2003). Quality of life of patients with end-stage renal disease at various stages of the illness. Social Work in Health Care, 38(2), 1-27.
2 Hoth, K. F., Christensen, A. J., Ehlers, S. L., Raichle, K. A., & Lawto, W. J. (2007). A longitudinal examination of social support, agreeableness and depressive symptoms in chronic kidney disease. Journal of Behavioral Medicine, 30(1), 69-76. http://dx.doi.org/10.1007/s10865-006-9083-2   DOI
3 Kalender, B., Ozdemir, A. C., Dervisoglu, E., & Ozdemir, O. (2007). Quality of life in chronic kidney disease: Effects of treatment modality, depression, malnutrition and inflammation. International Journal of Clinical Practice, 61, 569-576. http://dx.doi.org/10.1111/j.1742-1241.2006.01251.x   DOI
4 Kim, H. W., & Choi-Kwon, S. (2010). Study on knowledge levels of pre-dialysis, chronic renal failure patients at glomerular filtration rates and their educational demands. Journal of Korean Biological Nursing Science, 12(2), 114-126.
5 Kim, J. M. (2009). Comparison quality of life and the factors affecting on QOL between hemodialysis and peritoneal dialysis patients. Unpublished master's degree dissertation, Seoul National University, Seoul.
6 Kim, Y. H. (2000). Clinical nutrition guide for health-provider. Seoul: Gwangmungag.
7 Kohatsu, W. (2005). Nutrition and depression. Explore, 1, 474-476. http://dx.doi.org/10.1016/j.explore.2005.08.017   DOI
8 Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46, 1121-1123. http://dx.doi.org/10.1001/archneur.1989.00520460115022   DOI
9 Lee, H. M., Ryu, S. A., Kim, E. A., & Jang, K. S. (2009). Factors influencing sleep disorders in patients on hemodialysis. The Korean Journal of Fundamentals of Nursing, 16(2), 190-199.
10 Lee, Y. P. (2006). Relationship between depression and quality of sleep in peritoneal dialysis patients. Unpublished master's thesis, Kosin University, Busan.
11 Oliveira, C. M., Kubrusly, M., Mota, R. S., Silva, C. A., & Oliveira, V. N. (2010). Malnutrition in chronic kidney failure: What is the best diagnostic method to assess? Brazilian Journal of Nephrology, 32(1), 55-68. http://dx.doi.org/10.1590/S0101-28002010000100011
12 Park, J. S. (2003). Literature review for biobehavioral nursing research. Journal of Nursing Query, 12(2), 41-57.
13 Pugh-Clarke, K., Naish, P. F., & Mercer, T. M. (2006). Quality of life in chronic kidney disease. Journal of Renal Care, 32, 156-159.   DOI
14 Rodrigue, J. R., Mandelbrot, D. A., Hanto, D. W., Johnson, S. R., Karp, S. J., & Pavlakis, M. (2011). A cross-sectional study of fatigue and sleep quality before and after kidney transplantation. Clinical Transplant, 25(1), E13-E21. http://dx.doi.org/10.1111/j.1399-0012.2010.01326.x   DOI
15 Snyder-Halpern, R., & Verran, J. A. (1987). Instrumentation to describe subjective sleep characteristics in healthy subjects. Research in Nursing & Health, 10, 155-163. http://dx.doi.org/10.1002/nur.4770100307   DOI
16 The Korean Society of Nephrology. (2010). Renal replacement therapy in Korea. The Korean Journal of Nephrology, 25, 381-404.
17 Tong, A., Sainsbury, P., Chadban, S., Walker, R. G., Harris, D. C., Carter, S. M., et al. (2009). Patients' experiences and perspectives of living with chronic kidney disease. American Journal of Kidney Diseases, 53, 689-700. http://dx.doi.org/10.1053/j.ajkd.2008.10.050   DOI
18 Wood, B. L., Klebba, K. B., & Miller, B. D. (2000). Evolving the biobehavioral family model: The fit of attachment. Family Process, 39, 319-344. http://dx.doi.org/10.1111/j.1545-5300.2000.39305.x   DOI
19 Alvarez-Ude Cotera, F., & Rebollo Alvarez, P. (2008). Psychological disturbances and deterioration of health-related quality of life of patients with stage 3-5 chronic kidney disease not on dialysis. Nefrologia, 28(3), 57-62.
20 Al Saran, K., Elsayed, S., Molhem, A., Aldrees, A., & Alzara, H. (2011). Nutritional assessment of patients on hemodialysis in a large dialysis center. Saudi Journal of Kidney Diseases and Transplantation, 22, 675-681.
21 Basok, E. K., Atsu, N., Rifaioglu, M. M., Kantarci, G., Yildirim, A., & Tokuc, R. (2009). Assessment of female sexual function and quality of life in predialysis, peritoneal dialysis, hemodialysis, and renal transplant patients. International Urology and Nephrology, 41, 473-481. http://dx.doi.org/10.1007/s11255-008-9475-z   DOI
22 Bae, B. R. (2009). Structural Equation Modeling with AMOS 17.0. Seoul: Chungram.
23 Campbell, K. L., Ash, S., & Bauer, J. D. (2008). The impact of nutrition intervention on quality of life in pre-dialysis chronic kidney disease patients. Clinical Nutrition, 27, 537-544. http://dx.doi.org/10.1016/j.clnu.2008.05.002   DOI
24 Cohen, S. D., Patel, S. S., Khetpal, P., Peterson, R. A., & Kimmel, P. L. (2007). Pain, sleep disturbance, and quality of life in patients with chronic kidney disease. Clinical Journal of the American Society Nephrology, 2, 919-925. http://dx.doi.org/10.2215/CJN.00820207   DOI
25 Devins, G. M., Mendelssohn, D. C., Barre, P. E., & Binik, Y. M. (2003). Predialysis psychoeducational intervention and coping styles influence time to dialysis in chronic kidney disease. American Journal of Kidney Disease, 42, 693-703. http://dx.doi.org/10.1016/S0272-6386(03)00835-7   DOI
26 Dinwiddie, L. C., Burrows-Hudson, S., & Peacock, E. J. (2006). Stage 4 chronic kidney disease: Preserving kidney function and preparing patients for stage 5 kidney disease. American Journal of Nursing, 106(9), 40-51.
27 Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. http://dx.doi.org/10.1207/s15327752jpa5201_2   DOI
28 Yang, H. J. (2001). A model for quality of life in hemodialysis patients. Unpublished doctoral dissertation, Keimyung University, Daegu.
29 Yoon, S. J., Yang, C. K., & Han, H. M. (1999). Depression, anxiety and sleep disturbance in patients with hemodialysis. Journal of the Korean Neuropsychiatric Association, 38, 997-1005.
30 Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370. http://dx.doi.org/10.1111/1600-0447.1983.tb09716.x   DOI