Marki Eleni, Moisoglou Ioannis, Aggelidou Stamata, Malliarou Maria, Tsaras Konstantinos, Papathanasiou Ioanna V
Peritoneal Dialysis Unit, "Laiko" General Hospital of Athens, Athens, Greece and Hellenic Open University, Greece.
Department of Nursing, University of Thessaly, Larissa, Greece.
AIMS Public Health. 2023 Aug 14;10(3):698-709. doi: 10.3934/publichealth.2023048. eCollection 2023.
End-stage-renal-disease is one of the most common chronic diseases, and peritoneal dialysis constitutes one of the replacement therapies. The aim of this study was to investigate the views of patients on peritoneal dialysis regarding their body image, to assess their quality of life and level of emotional intelligence.
A cross-sectional study was performed with structured questionnaires. The sample of the study was the patients undergoing peritoneal dialysis and monitored by the nephrology clinics of 7 public hospitals in Greece.
A total of 102 completed questionnaires were collected and analyzed (68% response rate). The participants showed moderate degree of body-image dysphoria (mean = 1.29, = 0.94), moderate levels of emotional intelligence and experienced moderate quality of life. According to the statistical analysis, women reported worse body image ( = 0.013) and university graduates showed higher levels of emotionality ( = 0.016). The correlations between the quality of life questionnaire subscales and demographic characteristics revealed statistically significant relationships between marital status and the Physical Functionality subscale, where unmarried people had a better quality of life in this subscale ( = 0.042) and between postgraduate/doctoral degree holders and the subscale Patient Satisfaction ( = 0.035). Also, statistically significant relationships were found between occupation and the Social Interaction subscale, where those engaged in household activities and were unemployed ( = 0.022) showed better quality of life. Participants living in semi-urban areas had better quality of life on the subscale Burden of Kidney Disease ( = 0.034).
ESRD patients on peritoneal dialysis suffer significant limitations related to disease and treatment modality. According to our findings, these affect both their body image as well as their quality of life. Improvement in emotional intelligence is the factor which plays an important mediating role in improving both body image and quality of life in patients on peritoneal dialysis.
终末期肾病是最常见的慢性病之一,腹膜透析是替代疗法之一。本研究旨在调查患者对腹膜透析的看法及其身体形象,评估其生活质量和情商水平。
采用结构化问卷进行横断面研究。研究样本为在希腊7家公立医院肾病科接受监测的腹膜透析患者。
共收集并分析了102份完整问卷(回复率68%)。参与者表现出中度的身体形象焦虑(均值 = 1.29,标准差 = 0.94)、中等水平的情商且生活质量中等。根据统计分析,女性报告的身体形象较差(P = 0.013),大学毕业生情商水平较高(P = 0.016)。生活质量问卷各子量表与人口统计学特征之间的相关性显示,婚姻状况与身体功能子量表之间存在统计学显著关系,未婚者在该子量表上的生活质量更好(P = 0.042),研究生/博士学位持有者与患者满意度子量表之间也存在显著关系(P = 0.035)。此外,职业与社会交往子量表之间也存在统计学显著关系,从事家务活动且失业者(P = 0.022)生活质量更好。居住在半城市地区的参与者在肾病负担子量表上生活质量更好(P = 0.034)。
接受腹膜透析的终末期肾病患者在疾病和治疗方式方面存在显著限制。根据我们的研究结果,这些限制影响了他们的身体形象和生活质量。情商的提高是改善腹膜透析患者身体形象和生活质量的重要中介因素。