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Self-rated health and employment status in chronic haemodialysis patients.
Scand J Urol Nephrol. 2004; 38(2):174-8.SJ

Abstract

OBJECTIVE

Along with survival and other types of clinical outcome, physical, mental and social well-being are important indicators of the effectiveness of the medical care that haemodialysis (HD) patients receive. The present cross-sectional study was designed to assess self-rated health in HD patients from a large Danish HD centre compared to a Danish general population sample with similar sex and age distributions. Furthermore, employment status and associations between self-rated health and clinical, social and demographic factors were investigated.

MATERIAL AND METHODS

A total of 150 patients were included. They were asked to complete the Short Form 36 (SF-36) questionnaire and additional questions concerning education and employment status. The SF-36 consists of eight scales representing physical, social, mental and general health. Clinical, biochemical and dialysis adequacy data were obtained from hospital records.

RESULTS

A total of 112 patients completed the questionnaire, giving a response rate of 75%. Compared to the general population sample, HD patients scored significantly lower on all eight SF-36 scales (p < 0.01), with the greatest difference being observed for items concerning physical functioning. No correlation was found between any of the eight scales and estimates of dialysis adequacy. Of patients aged 18-60 years, 22% were in employment.

CONCLUSION

In a large group of Danish HD patients, self-rated health (and especially physical function) was found to be substantially impaired compared to the general population and only a small proportion of patients were employed. We believe that results obtained using the SF-36 questionnaire represent an independent marker of health status in HD patients and should be considered, together with common clinical outcome measures, when monitoring patients. Furthermore, we believe that self-rated health questionnaires are a useful tool for evaluating the need for and the effects of physical activity programmes in a dialysis unit.

Authors+Show Affiliations

Department of Medical Orthopaedic and Rehabilitation, University Hospital in Copenhagen, Rigshospitalet, Denmark. moelsted@ofir.dkNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15204389

Citation

Molsted, Stig, et al. "Self-rated Health and Employment Status in Chronic Haemodialysis Patients." Scandinavian Journal of Urology and Nephrology, vol. 38, no. 2, 2004, pp. 174-8.
Molsted S, Aadahl M, Schou L, et al. Self-rated health and employment status in chronic haemodialysis patients. Scand J Urol Nephrol. 2004;38(2):174-8.
Molsted, S., Aadahl, M., Schou, L., & Eidemak, I. (2004). Self-rated health and employment status in chronic haemodialysis patients. Scandinavian Journal of Urology and Nephrology, 38(2), 174-8.
Molsted S, et al. Self-rated Health and Employment Status in Chronic Haemodialysis Patients. Scand J Urol Nephrol. 2004;38(2):174-8. PubMed PMID: 15204389.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-rated health and employment status in chronic haemodialysis patients. AU - Molsted,Stig, AU - Aadahl,Mette, AU - Schou,Lone, AU - Eidemak,Inge, PY - 2004/6/19/pubmed PY - 2004/8/10/medline PY - 2004/6/19/entrez SP - 174 EP - 8 JF - Scandinavian journal of urology and nephrology JO - Scand J Urol Nephrol VL - 38 IS - 2 N2 - OBJECTIVE: Along with survival and other types of clinical outcome, physical, mental and social well-being are important indicators of the effectiveness of the medical care that haemodialysis (HD) patients receive. The present cross-sectional study was designed to assess self-rated health in HD patients from a large Danish HD centre compared to a Danish general population sample with similar sex and age distributions. Furthermore, employment status and associations between self-rated health and clinical, social and demographic factors were investigated. MATERIAL AND METHODS: A total of 150 patients were included. They were asked to complete the Short Form 36 (SF-36) questionnaire and additional questions concerning education and employment status. The SF-36 consists of eight scales representing physical, social, mental and general health. Clinical, biochemical and dialysis adequacy data were obtained from hospital records. RESULTS: A total of 112 patients completed the questionnaire, giving a response rate of 75%. Compared to the general population sample, HD patients scored significantly lower on all eight SF-36 scales (p < 0.01), with the greatest difference being observed for items concerning physical functioning. No correlation was found between any of the eight scales and estimates of dialysis adequacy. Of patients aged 18-60 years, 22% were in employment. CONCLUSION: In a large group of Danish HD patients, self-rated health (and especially physical function) was found to be substantially impaired compared to the general population and only a small proportion of patients were employed. We believe that results obtained using the SF-36 questionnaire represent an independent marker of health status in HD patients and should be considered, together with common clinical outcome measures, when monitoring patients. Furthermore, we believe that self-rated health questionnaires are a useful tool for evaluating the need for and the effects of physical activity programmes in a dialysis unit. SN - 0036-5599 UR - https://www.unboundmedicine.com/medline/citation/15204389/Self_rated_health_and_employment_status_in_chronic_haemodialysis_patients_ L2 - https://www.tandfonline.com/doi/full/10.1080/00365590310020015 DB - PRIME DP - Unbound Medicine ER -