Psychosocial characteristics and self-reported functional status in patients on maintenance dialysis in Hungary

K. Polner, L. Szeifert, E. P. Vámos, C. Ambrus, M. Molnár, E. Ladányi, I. Kiss, É Kiss, M. Török, M. Kopp, M. Novák, L. Rosivall, I. Mucsi, S. Túri

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aims: This survey was conducted to assess psychosocial problems and functional status among patients on maintenance dialysis in Hungary. Methods: All adult patients (n = 4,321) receiving maintenance dialysis in the 56 dialysis centers in Hungary in 2006 were approached to participate in a national, cross-sectional survey. Patients completed a brief self-reported questionnaire. Socio-demographic parameters, disease-related information and data about functional status were collected. Self-rated health and depressive symptoms were also assessed. Results: Mean age was 62 ± 14 y; 52% were males. The prevalence of diabetes was 30%. 46% of participants reported having depressive symptoms. Significant functional limitation was frequent. In multivariable regression models, female gender, poor self-reported finances, less education, history of acute myocardial infarction (AMI) or cerebrovascular disease, the presence of visual or hearing impairment and difficulties with basic activities of daily living were independently associated with the presence of depressive symptoms. In a separate model, age, dialysis vintage, history of AMI or cerebrovascular disease, the presence of visual or hearing impairments, difficulties with basic activities of daily living and also having depressive symptoms were independently associated with self-rated health score. Conclusions: Chronic dialysis patients in Hungary have disadvantaged socioeconomic status, frequent depressive symptoms and many functional limitations. Professional psychosocial help would be particularly important for this underprivileged patient population in addition to high quality dialysis to optimize outcomes.

Original languageEnglish
Pages (from-to)455-463
Number of pages9
JournalClinical Nephrology
Volume76
Issue number6
DOIs
Publication statusPublished - Dec 2011

Fingerprint

Hungary
Dialysis
Maintenance
Depression
Cerebrovascular Disorders
Vision Disorders
Activities of Daily Living
Cardiomyopathies
Hearing Loss
Myocardial Infarction
Health
Vulnerable Populations
Social Class
Cross-Sectional Studies
Demography
Education
Population

Keywords

  • Depression self-rated
  • Health dialysis social
  • Work rehabilitation

ASJC Scopus subject areas

  • Nephrology

Cite this

Psychosocial characteristics and self-reported functional status in patients on maintenance dialysis in Hungary. / Polner, K.; Szeifert, L.; Vámos, E. P.; Ambrus, C.; Molnár, M.; Ladányi, E.; Kiss, I.; Kiss, É; Török, M.; Kopp, M.; Novák, M.; Rosivall, L.; Mucsi, I.; Túri, S.

In: Clinical Nephrology, Vol. 76, No. 6, 12.2011, p. 455-463.

Research output: Contribution to journalArticle

@article{338b071ab2934c3bbd9be2e10fd46487,
title = "Psychosocial characteristics and self-reported functional status in patients on maintenance dialysis in Hungary",
abstract = "Aims: This survey was conducted to assess psychosocial problems and functional status among patients on maintenance dialysis in Hungary. Methods: All adult patients (n = 4,321) receiving maintenance dialysis in the 56 dialysis centers in Hungary in 2006 were approached to participate in a national, cross-sectional survey. Patients completed a brief self-reported questionnaire. Socio-demographic parameters, disease-related information and data about functional status were collected. Self-rated health and depressive symptoms were also assessed. Results: Mean age was 62 ± 14 y; 52{\%} were males. The prevalence of diabetes was 30{\%}. 46{\%} of participants reported having depressive symptoms. Significant functional limitation was frequent. In multivariable regression models, female gender, poor self-reported finances, less education, history of acute myocardial infarction (AMI) or cerebrovascular disease, the presence of visual or hearing impairment and difficulties with basic activities of daily living were independently associated with the presence of depressive symptoms. In a separate model, age, dialysis vintage, history of AMI or cerebrovascular disease, the presence of visual or hearing impairments, difficulties with basic activities of daily living and also having depressive symptoms were independently associated with self-rated health score. Conclusions: Chronic dialysis patients in Hungary have disadvantaged socioeconomic status, frequent depressive symptoms and many functional limitations. Professional psychosocial help would be particularly important for this underprivileged patient population in addition to high quality dialysis to optimize outcomes.",
keywords = "Depression self-rated, Health dialysis social, Work rehabilitation",
author = "K. Polner and L. Szeifert and V{\'a}mos, {E. P.} and C. Ambrus and M. Moln{\'a}r and E. Lad{\'a}nyi and I. Kiss and {\'E} Kiss and M. T{\"o}r{\"o}k and M. Kopp and M. Nov{\'a}k and L. Rosivall and I. Mucsi and S. T{\'u}ri",
year = "2011",
month = "12",
doi = "10.5414/CN107035",
language = "English",
volume = "76",
pages = "455--463",
journal = "Clinical Nephrology",
issn = "0301-0430",
publisher = "Dustri-Verlag Dr. Karl Feistle",
number = "6",

}

TY - JOUR

T1 - Psychosocial characteristics and self-reported functional status in patients on maintenance dialysis in Hungary

AU - Polner, K.

AU - Szeifert, L.

AU - Vámos, E. P.

AU - Ambrus, C.

AU - Molnár, M.

AU - Ladányi, E.

AU - Kiss, I.

AU - Kiss, É

AU - Török, M.

AU - Kopp, M.

AU - Novák, M.

AU - Rosivall, L.

AU - Mucsi, I.

AU - Túri, S.

PY - 2011/12

Y1 - 2011/12

N2 - Aims: This survey was conducted to assess psychosocial problems and functional status among patients on maintenance dialysis in Hungary. Methods: All adult patients (n = 4,321) receiving maintenance dialysis in the 56 dialysis centers in Hungary in 2006 were approached to participate in a national, cross-sectional survey. Patients completed a brief self-reported questionnaire. Socio-demographic parameters, disease-related information and data about functional status were collected. Self-rated health and depressive symptoms were also assessed. Results: Mean age was 62 ± 14 y; 52% were males. The prevalence of diabetes was 30%. 46% of participants reported having depressive symptoms. Significant functional limitation was frequent. In multivariable regression models, female gender, poor self-reported finances, less education, history of acute myocardial infarction (AMI) or cerebrovascular disease, the presence of visual or hearing impairment and difficulties with basic activities of daily living were independently associated with the presence of depressive symptoms. In a separate model, age, dialysis vintage, history of AMI or cerebrovascular disease, the presence of visual or hearing impairments, difficulties with basic activities of daily living and also having depressive symptoms were independently associated with self-rated health score. Conclusions: Chronic dialysis patients in Hungary have disadvantaged socioeconomic status, frequent depressive symptoms and many functional limitations. Professional psychosocial help would be particularly important for this underprivileged patient population in addition to high quality dialysis to optimize outcomes.

AB - Aims: This survey was conducted to assess psychosocial problems and functional status among patients on maintenance dialysis in Hungary. Methods: All adult patients (n = 4,321) receiving maintenance dialysis in the 56 dialysis centers in Hungary in 2006 were approached to participate in a national, cross-sectional survey. Patients completed a brief self-reported questionnaire. Socio-demographic parameters, disease-related information and data about functional status were collected. Self-rated health and depressive symptoms were also assessed. Results: Mean age was 62 ± 14 y; 52% were males. The prevalence of diabetes was 30%. 46% of participants reported having depressive symptoms. Significant functional limitation was frequent. In multivariable regression models, female gender, poor self-reported finances, less education, history of acute myocardial infarction (AMI) or cerebrovascular disease, the presence of visual or hearing impairment and difficulties with basic activities of daily living were independently associated with the presence of depressive symptoms. In a separate model, age, dialysis vintage, history of AMI or cerebrovascular disease, the presence of visual or hearing impairments, difficulties with basic activities of daily living and also having depressive symptoms were independently associated with self-rated health score. Conclusions: Chronic dialysis patients in Hungary have disadvantaged socioeconomic status, frequent depressive symptoms and many functional limitations. Professional psychosocial help would be particularly important for this underprivileged patient population in addition to high quality dialysis to optimize outcomes.

KW - Depression self-rated

KW - Health dialysis social

KW - Work rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84855423074&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84855423074&partnerID=8YFLogxK

U2 - 10.5414/CN107035

DO - 10.5414/CN107035

M3 - Article

VL - 76

SP - 455

EP - 463

JO - Clinical Nephrology

JF - Clinical Nephrology

SN - 0301-0430

IS - 6

ER -