Comparison of the psychosocial quality of life in hemodialysis patients between the elderly and non-elderly using a visual analogue scale: the importance of appetite and depressive mood.

Abstract:

AIM:The number of hemodialysis (HD) patients is increasing along with their mean age in Japan. The assessment of their psychosocial status and quality of life (QOL) is therefore becoming more and more important along with laboratory data or comorbidities. METHODS:We examined the psychosocial status of 211 HD patients (72 elderly and 139 non-elderly) and compared the difference between elderly and non-elderly patients using a visual analogue scale (VAS). We then examined how QOL affected mortality rate in 3-year prospective follow up. We assessed 10 items of QOL: health condition, appetite, sleep, mood, memory, family relationships, friendship, economical status, life satisfaction in daily life, and happiness with qualified self-evaluating questionnaires along with laboratory data and comorbidities. Furthermore, we investigated the correlation between the scores of mood and geriatric depression scale (GDS)-15. RESULTS:There was no difference in VAS scores between elderly and non-elderly patients. Lower VAS scores for appetite and mood correlated with higher mortality in HD patients, especially in the non-elderly. VAS scores for mood correlated with GDS-15 in HD patients. CONCLUSIONS:More attention should be paid to appetite and the diagnosis and therapy of depressive mood to improve the prognosis of HD patients, especially for the non-elderly.

journal_name

Geriatr Gerontol Int

authors

Kanamori H,Nagai K,Matsubara T,Mima A,Yanagita M,Iehara N,Takechi H,Fujimaki K,Usami K,Fukatsu A,Kita T,Matsubayashi K,Arai H

doi

10.1111/j.1447-0594.2011.00731.x

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

65-71

issue

1

eissn

1444-1586

issn

1447-0594

journal_volume

12

pub_type

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