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Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research

Author

Listed:
  • Miquel Sitjar-Suñer

    (University Hospital Dr. Josep Trueta, Nephrology Service, 17007 Girona, Spain
    UVic-UCC, Barcelona, 08500 Vic, Spain)

  • Rosa Suñer-Soler

    (Department of Nursing, University of Girona, 17003 Girona, Spain
    Health and Health Care Research Group, University of Girona, 17003 Girona, Spain)

  • Afra Masià-Plana

    (Department of Nursing, University of Girona, 17003 Girona, Spain)

  • Emilia Chirveches-Pérez

    (Department of Nursing, UVic-UCC, 08500 Vic, Spain
    Research Group on Methodology, Methods, Models of Health and Social Outcome, UVic-UCC, 08500 Vic, Spain)

  • Carme Bertran-Noguer

    (Department of Nursing, University of Girona, 17003 Girona, Spain
    Health and Health Care Research Group, University of Girona, 17003 Girona, Spain)

  • Concepció Fuentes-Pumarola

    (Department of Nursing, University of Girona, 17003 Girona, Spain
    Health and Health Care Research Group, University of Girona, 17003 Girona, Spain)

Abstract

Although some study has been made into quality of life in patients with peritoneal dialysis, little is known about how this relates to social support. The aim of this paper was to study health-related quality of life, perceived social support and the experiences of people receiving peritoneal dialysis. A cross-sectional study was conducted using quantitative and qualitative methodologies, between June 2015 and March 2017. Fifty-five patients receiving peritoneal dialysis were studied. The most affected quality of life dimensions were the effects of the disease, the burden of the disease, occupational status, sleep and satisfaction. The physical component of the quality of life questionnaire was negatively associated with the number of hospital admissions over the previous year ( p = 0.027) and positively associated with social support ( p = 0.002). With regard to the mental component, age ( p = 0.010) and social support ( p = 0.041) were associated with a better quality of life. Peritoneal dialysis, while not a panacea, is experienced as being less aggressive than hemodialysis, allowing greater autonomy and improved perceived health. Greater symptomology corresponded to worse quality of life and to perceiving the disease as a burden. Patients had to adapt to the new situation despite their expectations. Social support was observed to be a key factor in perceived quality of life.

Suggested Citation

  • Miquel Sitjar-Suñer & Rosa Suñer-Soler & Afra Masià-Plana & Emilia Chirveches-Pérez & Carme Bertran-Noguer & Concepció Fuentes-Pumarola, 2020. "Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4240-:d:371233
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    References listed on IDEAS

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    1. Martin Howell & Rachael Walker & Kirsten Howard, 2019. "Authors’ Reply to Hussain et al.: “Cost Effectiveness of Dialysis Modalities: A Systematic Review of Economic Evaluations”," Applied Health Economics and Health Policy, Springer, vol. 17(4), pages 571-572, August.
    2. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
    3. Martin Howell & Rachael C. Walker & Kirsten Howard, 2019. "Cost Effectiveness of Dialysis Modalities: A Systematic Review of Economic Evaluations," Applied Health Economics and Health Policy, Springer, vol. 17(3), pages 315-330, June.
    4. Schroevers, Maya J. & Ranchor, Adelita V. & Sanderman, Robbert, 2003. "The role of social support and self-esteem in the presence and course of depressive symptoms: a comparison of cancer patients and individuals from the general population," Social Science & Medicine, Elsevier, vol. 57(2), pages 375-385, July.
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    1. Isabell Schellartz & Sunita Mettang & Arim Shukri & Nadine Scholten & Holger Pfaff & Thomas Mettang, 2021. "Early Referral to Nephrological Care and the Uptake of Peritoneal Dialysis. An Analysis of German Claims Data," IJERPH, MDPI, vol. 18(16), pages 1-10, August.

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