Sains Malaysiana 44(4)(2015): 599–605

 

Illness Perception as a Predictor of Health-related Quality of Life in Patients with End Stage Renal Disease: Comparison between Haemodialysis and Continuous Ambulatory Peritoneal Dialysis Patients

(Persepsi terhadap Penyakit sebagai Peramal kepada Kualiti Hidup Kesihatan Pesakit Buah Pinggang Tahap Akhir: Perbandingan antara Pesakit Hemodialisis dan Dialisis Peritoneum Ambulatori Berterusan)

 

NORHAYATI IBRAHIM1*, NORELLA KONG CHIEW THONG2, ASMAWATI DESA3 &

ROZMI ISMAIL3

 

1Health Psychology Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia,

Jalan Raja Muda Aziz, 50300 Kuala Lumpur, Malaysia

 

2Nephrology/Dialysis and SLE Unit, Faculty of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur

Malaysia

 

3School of Psychology and Human Development, Faculty of Social Sciences and Humanities

Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor Darul Ehsan, Malaysia

 

Received: 22 November 2013/Accepted: 17 January 2015

 

ABSTRACT

 

This cross-sectional study examined the influence of illness perception of health-related quality of life (HRQoL) in end stage renal disease (ESRD) patients on either hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD). The Short Form-36 (SF-36) was used to measure HRQoL which comprised the Physical Component Summary (PCS) and Mental Component Summary (MCS). Illness perception was evaluated using Revised Illness Perception Questionnaire (IPQ-R). Both questionnaires were administered on 183 HD and 93 CAPD patients. The results showed that almost all HRQoL subscales except physical functioning and bodily pain were found to be significantly different between HD and CAPD patients. There are significant correlations between most components of illness perception with HRQoL. Significant illness perception predictors of PCS among HD patients were time line, consequences, cyclical and identity, whereas on CAPD patients were time line, illness coherence, emotional, cyclical and identity. Significant illness perception predictors of MCS among HD patients included time line, cyclical and identity and only time line was significant predictor of MCS on CAPD patients. These should be considered when developing intervention programmes to improve their HRQoL.

 

Keywords: Continuous ambulatory peritoneal dialysis; end-stage renal disease; haemodialysis; health-related quality of life; illness perception

 

ABSTRAK

Kajian keratan rentas ini bertujuan meneliti pengaruh persepsi terhadap penyakit terhadap kualiti hidup kesihatan dalam kalangan pesakit buah pinggang tahap akhir yang menjalani rawatan hemodialisis (HD) and dialisis ambulatori peritoneum berterusan (CAPD). Alat ujian SF-36 telah digunakan untuk mengukur kualiti hidup kesihatan yang mengandungi komponen fizikal dan mental. Sementara itu, persepsi terhadap penyakit pula diukur menggunakan Soal Selidik Persepsi Penyakit Terpinda (IPQ-R). Kedua-dua alat ujian tersebut telah ditadbirkan ke atas 183 pesakit HD and 93 pesakit CAPD. Keputusan kajian menunjukkan bahawa hampir kesemua subskala kualiti hidup kesihatan kecuali kefungsian fizikal dan kesakitan badan didapati berbeza secara signifikan bagi pesakit HD dan CAPD. Kebanyakan komponen persepsi terhadap penyakit berkorelasi dengan kualiti hidup kesihatan pesakit. Komponen persepsi terhadap penyakit yang menjadi peramal kepada kualiti hidup kesihatan fizikal bagi pesakit hemodialisis ialah had masa, kesan, kitaran dan identiti. Sementara pemboleh ubah peramal bagi komponen kualiti hidup kesihatan mental bagi pesakit CAPD ialah had masa, koheren penyakit, emosi, kitaran dan identiti. Peramal yang signifikan ke atas kualiti hidup kesihatan komponen mental bagi pesakit HD termasuk had masa, kitaran dan identiti. Walau bagaimanapun hanya had masa sahaja yang menjadi peramal ke atas kualiti hidup kesihatan komponen mental bagi pesakit CAPD. Sehubungan itu sebarang program intervensi ke atas pesakit tersebut perlu memberi penekanan kepada beberapa pemboleh ubah persepsi terhadap penyakit bagi meningkatkan kualiti hidup pesakit.

 

Kata kunci: Dialisis ambulatori peritoneum berterusan; hemodialisis; kualiti hidup kesihatan; persepsi terhadap penyakit; pesakit buah pinggang tahap akhir

REFERENCES

Blodgett, C.A. 1981. Selected review of the literature of adjustment to hemodialysis. Int. J. Psychiatry Med. 11(2): 97-124.

Curtin, R.B., Lowrie, E.G. & DeOreo, B.B. 1999. Self-reported functional status: An important predictor of health outcomes among end-stage renal disease patients. Adv. Ren. Replace. Ther. 6(2): 133-140.

de Wit, G.A., Merkus, M.P., Krediet, R.T. & de Charro, F.T. 2001. A comparison of quality of life of patients on automated and continuous ambulatory peritoneal dialysis. Peritoneal Dialysis International 21(3): 306-312.

Diefenbach, M.A. & Leventhal, H .1996. The Common-sense model of illness representation: Theoretical and practical consideration. Journal of Social Distress and the Homeless 5(1): 11-38.

Fabrega, H. 1974. Disease and Social Behavior. Cambridge, MD: MIT Press.

Fowler, C. & Baas, L.S. 2006. Illness representations in patients with chronic kidney disease on maintainance Hemodialysis. Nephrology Nursing Journal 33(2): 173-187.

Gokal, R., Figueras, M. & Olle, A. 1999. Outcomes in peritoneal dialysis and hemodialysis. Nephrol. Dial. Transplant 14(6): 24-30.

Griffin, K.W., Wadhwa, N.K., Friends, R., Suh, H., Howell, N., Cabralda, T., Jao, E., Hatchett, L.A. & Eitel, P.E. 1994. Comparison of quality of life in hemodialysis and peritoneal dialysis patients. Advances in Peritoneal Dialysis 10: 104- 108.

Hagger, M.S. & Orbell, S. 2005. A confirmatory factor analysis of the revised illness perception questionnaire (IPQ-R) in cervical screening context. Psychology and Health 20(20): 161-173.

Hagger, M.S. & Orbell, S. 2003. A meta-analytic review of the common-sense model of illness representations. Psychology and Health 18(2): 141-184.

Holaday, B. 1989. The family with a chronically ill child. In Toward a Science in Family Nursing, edited by Gilles, C.L. New York: Addison-Wesley.

Holloway, M.S., Blagg, C.R. & Smoke-Hill, S. 1999. Peritoneal dialysisi and home dialysis therapies. In Review of Hemodialysis for Nurses and Dialysis Personnel, edited by Gutch, C.F., Stoner, M.H. & Corea, A.L. Missouri: Mosby. p. 230.

Kalander, B., Ozdemir, A.C., Dervisoglu, E. & Ozdemir, O. 2007. Quality of life in chronic kidney disease: Effects of treatment modality, depression, malnutrition and inflammation. Int. J. Clin. Pract. 61(4): 569-576.

Klang, B., Bjorvell, H. & Cronqvist, A. 1996. Patients with chronic renal failure and their ability to cope. Scandinavian Journal of Caring Science 10(2): 89-95.

Korevaar, J.C., Jansen, M.A.M., Merkus, M.P., Dekker, F.W., Booeschoten, E.W. & Krediet, R.T. 2000. Quality of life in pre-dialysis and stage renal disease patients at the initiation of dialysis therapy. Peritoneal Dialysis International 20: 69-75.

Landrine, H. & Klonoff , E.A. 2001. Cultural Diversity and Health Psychology. Mahwah, NJ: Lawrence Erlbaum.

Leventhal, H., Benyamini, Y., Brownlee, S., Diefenbach, M., Leventhal, E.A., Patrick-Miller, L. & Robitaille. 1997. Illness representations: Theoretical foundations. In Perceptions of Health and Illness, edited by Petrie, K.J. & Weinman, J. Amsterdam: Harwood Academic. pp. 155-188.

Lok, P. 1996. Stressors, coping mechanisms and quality of life among dialysis patients in Australia. Journal of Advanced Nursing 23(5): 873-881.

Majkowicz , M., Afeltowicz, Z. & Lichodziejewska-Niemierko, M. 2000. Comparison of quality of life in hemodialysis (HD) and Peritoneal dialysed (CAPD) patients using the EORTC QLQ-C30) questionnaire. Int. J. Artif. Organs 23(7): 421-428.

Mapes, D.L., Lopes, A.A., Satayathum, S., Mccullough, K.P., Goodkin, D.A., Locatelli, F., Fukuhara, S., Young, E.W., Kurokawa, K., Saito, A., Bommer, J., Wolfe, R.A., Held, P.J. & Port, F.K. 2003. Health-related quality of life as a predictor of mortality and hospitalization: The dialysis outcomes and practice patterns study (DOPPS). Kidney Int. 64(1): 339-349.

Merkus, M.P., Jager, K.J., Dekker, F.W., Boeschoten, E.W., Stevens, P., Krediet, R.T. & The Necosad Study Group. 1997. Quality of life of patients on chronic dialysis: Self assessment 3 months after the start of treatment. American Journal of Kidney Diseases 29(4): 584-592.

Mittal, S.K., Aherm, L., Flaster, E., Maesaka, J.K. & Fishbane, S. 2001. Self- assessment physical and mental function of hemodialysis patients. Nephrology Dialysis Transplantation 16(7): 1387-1394.

Moss-Morris, R., Weinman, J., Petrie, K.J., Horne, R., Cameron, L. & Buick, D. 2002. The revised illness perception questionnaire (IPQ-R). Psychology and Health 17(1): 1-16.

Nolph, K.D. 1996. Why are reported relative mortality risk for CAPD and HD so variable?. (Inadequencies of the cox proportional hazards model). Perit. Dial. Int. 16: 15-18.

Norhayati Ibrahim, Norella Kong Chiew Thong & Asmawati Desa. 2011. Illness perception and health-related quality of life among haemodialysis patients. Pertanika Journal of Social Sciences & Humanities 19(S): 173-181.

Norshad, H., Sadreddini, S., Nezami, N., Salekzamani, Y. & Aedalan, M.R. 2009. Comparison of outcome and quality of life: Haemodialysis versus peritoneal dialysis patients. Singapore Med. J. 50(2): 185-192.

Rumsfeld, J.S., MaWhinney, S., McCarthy, M., Shroyer, A.L.W., VillaNueva, C.B., O'Brien, M., Moritz, T.E., Henderson, W.G., Grover, F.L., Sethi, G.K. & Hammermeister, K.E. 1999. Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. JAMA 281(14): 1298-1303.

Russo, G.E., Morgia, A., Cavallini, M., Centi, A., Broccoli, M.L., Cicchinelli, A., Borzacca, B., Testorio, M. & Pugliee, F. 2010. Quality of life assessment in patients on hemodialysis and peritonel dialysis. G Ital. Nefrol. 27(3): 290-295.

Scharloo, M., Kaptein, A.A., Weinman, J., Hazes, J.M., Breedveld, F.C. & Rooijmans, H.G.M. 1999. Predicting functional status in patients with rheumatoid arthritis. J. Rheumatol. 26(8): 1686-1693.

Scharloo, M., Kaptein, A.A., Weinman, J., Bergman, W., Vermeer, B.J. & Rooijmans, H.G.M. 2000. Patients' illness perceptions and coping as predictor of functional status in psoriasis: A 1-year follow up. Br. J. Dermatol. 142(5): 899-907.

Sensky, T. 1993. Psychosomatic aspects of end-stage renal failure. Psychother. Psychosom. 59(2): 56-68.

Timmers, L., Thong, M., Dekker, F.D., Boeschotten, E.W., Heijmans, M., Rijken, M. & Weinman, J. 2008. Illness percreptions in dialysis patients and their association with quality of life. Psychology & Health 23(6): 679-690.

Tucker, C.M., Ziller, R.C., Smith, W.R., Mars, D.R. & Coons, M.P. 1991. Quality of life of patients on in-centre hemodialysis versus continuous ambulatory peritoneal dialysis. Peritoneal Dialysis International 11(4): 341-346.

Walters, B.A., Hays, R.D. & Spritzer, K.L. 2002. Health-related quality of life, depressive symptoms, anemia, and malnutrition at hemodialysis initiation. AM. J. Kidney 40: 1185-1194.

Ware, J.E., Snow, K.K., Kosinski, M. & Gandek, B. 1993. SF-36 Health survey. Manual and Interpretation Guide. Boston: Nimrod Press.

Wasserfallen, J.B., Halabi, G. & Saudan, P. 2004. Quality of life on chronic dialysis. Comparison between hemodialysis and peritoneal dialysis. Nephrol. Dial. Transplant 19(6): 1594-1599.

Wolcott, D.L., Nissenson, A.R. & Lansverk, J. 1988. Quality of life in chronic dialysis patients: Factors unrelated to dialysis modality. Gen. Hosp. Psychiatry 10: 267-277.

 

 

*Corresponding author; email: norhayati70@gmail.com

 

 

 

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