Abstract
This study describes and analyses how 38 predialytic uremic patients perceived their sense of well-being, functional ability, level of anxiety and sense of coherence. The patients in this study reported decreased sense of well-being, considerable functional disabilities, and a high level of anxiety when compared to a healthy reference group. These observations were independent of laboratory data with the exception of hemoglobin concentration which showed a significant negative correlation to the SIP scale work. There was a significant negative correlation between the scores of sense of coherence and anxiety. Patients with a weak sense of coherence and a high level of anxiety perceived their well-being as being worse than those with higher scores in the sense of coherence test and lower scores in the level of anxiety test. Sense of well-being in turn influenced functional ability in daily life. Social and marital status also affected the results. These results indicate that the investigated group of predialytic patients have a decrease in quality of life. The results obtained provide a useful instrument showing in which areas care should be concentrated and in what way patients' own resources need to be strengthened while preparing for dialysis treatment.
Similar content being viewed by others
References
Janes G. A better life than before. Quality of life in people with renal failure. Prof Nurse 1990; October: 26–28.
Smith Baldree K, Pelletier Murphy S, Powers M. Stress identification and coping patterns in patients on hemodialysis. Nurs. Res 1982; 31: 107–112.
Gurklies JA, Menke EM. Identification of stressors and use of coping methods in chronic hemodialysis patients. Nurs Res 1988; 37: 236–248.
Björvell H, Hylander B. Functional status and personality in patients on chronic dialysis. J Int Med 1989; 226: 319–324.
Painter P, Messer-Rehak D, Hanson P, Zimmerman SW, Glass NR. Exercise capacity in hemodialysis, CAPD and renal transplant patients. Nephron 1986; 41: 47–51.
Gutman RA, Stead WW, Robinson RR. Physical activity and employment status of patients on maintenance dialysis. NEJM 1981; 304: 309–313.
Killingworth A. Psychosocial impact of end-stage renal disease. Brit J Nurs 1993; 2: 905–908.
Evans RW, Rader B, Manningen D. The quality of life of hernodialysis recipients treated with recombinant human Erythropoietin. JAMA 1990; 263: 825–830.
Dimond M. Patient strategies for managing maintenance hernodialysis. Western J Nurs Res 1980; 2: 555–574.
Clyne N, Jogestrand T, Lins L-E, Pehrsson SK, Ekelund L-G. Factors limiting physical working capacity in predialytic uremic patients. Acta Med Scand 1987; 222: 183–190.
Clyne N, Ekholm J, Jogestrand T, Lins L-E, Pehrsson SK. Effects of exercise training in predialytic uraemic patients. Nephron 1991; 59: 84–89.
Clyne N, Jogestrand T. The effect of erythropoietin treatment on physical exercise capacity and on renal function in predialytic uremic patients. Nephron 1992; 60: 390–396.
Klang B, Björvell H, Clyne N. Sense of well-being in predialytic uremic patients 1994. ANNA Journal 1995.
Patrick D, Erickson P. Assessing health-related quality of life for clinical decision-making. In: Walker S, Rosser R, eds. Quality of life assessment Dordrecht: Kluwer Academic Publisher. 1993: 11–63.
Ware J Jr. Measures for a new era of health assessment. In: Stewart A, Ware J Jr, eds. Measuring functioning and well-being Durham and London: Duke University Press. 1992: 3–11.
Flanagan JC. Measurement of quality of life. Current state of heart. Arch Phys Med Rehabil 1982; 63: 56–59.
Antonovsky A. Health, Stress and Coping. San Fransisco: Jossey-Bass Publishers. 1979.
Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci 1993; 36: 725–733.
Forsberg C, Björvell H. Swedish population norms for the GHRI, HI and STAI-state. Qual Life Res 1993; 2: 349–356.
Langius A, Björvell H. Coping ability and functional status in a Swedish population sample. Scand J Caring Sci 1992; 7: 3–10.
Hansagi H, Rosenquist U. Health Index. Department of Social Medicine. Huddinge hospital 1982: Unpublished data.
Nordström G, M. Nyman GR, Theorell T. Psychosocial adjustment and general state of health in patients with ileal conduit urinary diversion. Scand J Urol Nephrol 1992; 26: 139–147.
Langius A, Björvell H, Lind M. Oral- and pharyngealcancer patients' perceived symptoms and health. Cancer Nurs 1993; 16 (3): 214–221.
Bergner M, Bobitt RA. The Sickness Impact Profile. Development and final revision of health status measure. Med Care 1981; 19: 787–805.
Sullivan M. The Sickness Impact Profile (SIP): an instrument for overall health assessment; a basic evaluation. J Drugther Res 1988; 13: 167–169.
Sullivan M, Ahlmén M, Archenholtz B, Svensson G. Measuring health in rheumatic disorders by means of a Swedish version of the Sickness Impact Profile. Scand J Rheumatology 1986; 15: 193–200.
Langius A, Björvell H, Lind M. Functional status and coping in patients with oral and pharyngeal cancer before and after surgery. Head and Neck 1994; Nov/Dec: 559–568.
Langius A, Björvell H, Antonovsky A. The sense of coherence concept and its relation to personality traits in Swedish samples. Scand J Caring Sci 1992; 6: 165–171.
Spielberger CD, Gorsuch RL, Lushene RE. STAI manual for the STATE TRAIT anxiety inventory. Palo Alto, CA: Consulting Psychologists Press, 1970.
Jagenberg R, Attman P-O, Aurell M, Bucht H. Determination of glomerular filtration rate in advanced renal insufficiency. Scand J Urol Nephrol 1978; No 12: 133–137.
Bohrnstedt GW, Knoke D. Statistics for Social Data Analysis. Illinois: F.E. Peacock Publisher Inc. 1988.
Gokal R. Quality of life in patients undergoing renal replacement therapy. Kidney Int 1993; 43 (Supp 40): 23–27.
Brunier G, Greydon J. The influence of physical activity on fatigue in patients with ESRD on hemodialysis. ANNA Journal 1993; 20: 457–461.
Piper B. Fatigue. In: Carieri VK, Lindsey AM, West CM, eds. Pathophysiological phenomena in nursing. Human responses to illness. Philadelphia: WB Saunders Company. 1986: 219–232.
Spinowitz BS. The impact of long-term Epoetin Beta therapy on ESRD patient quality of life. Nephrology News & Issues 1990; June: 35–37.
Mayer G, thum J, Cada EM, Stummvoll HK, Graf H. Working capacity is increased following recombinant human erythropoietin treatment. Kidney Int 1988; 34: 525–528.
Author information
Authors and Affiliations
Additional information
This study was supported by grants from the Karolinska Hospital, Karolinska Institute and Swedish National Federation of Kidney Patients.
Rights and permissions
About this article
Cite this article
Klang, B., Björvell, H. & Clyne, N. Quality of life in predialytic uremic patients. Qual Life Res 5, 109–116 (1996). https://doi.org/10.1007/BF00435975
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00435975