Social support from health care providers is associated with reduced illness intrusiveness in hemodialysis patients.

Clin Nephrol

Dipartimento di Medicina del Lavoro, Clinica del Lavoro L. Devoto-Ospedale San Paolo, Università di Milano, Milano, Italy.

Published: February 2011

AI Article Synopsis

  • ESRD negatively impacts patients' quality of life by disrupting their activities and interests, but social support from healthcare providers may help mitigate these effects.
  • A study with 1,238 Italian hemodialysis patients found that higher perceived social support from healthcare providers was linked to better self-rated health and lower illness intrusiveness.
  • The research indicates that improving social support could reduce the burden of illness and enhance patients' health perceptions, warranting further investigation into structured support programs for dialysis patients.

Article Abstract

Background: End-stage renal disease (ESRD) disrupts patients' life styles, interests and activities negatively affecting their quality of life. Social support has been previously associated with favorable health outcomes. However, no study has examined the association of social support from health care providers with perceived health and ESRD intrusiveness on patients' lives.

Methods: A self-administered questionnaire was completed by 1,238 Italian hemodialysis patients. The Self-Rated Health (SRH) and the Illness Intrusiveness Rating Scale (IIRS) assessed disease burden. 10 items assessed social support from health care providers (SS-HC). The nursing staff of each center provided patients' clinical information. Linear regression was used to assess correlates of SRH and IIRS. Mediational analysis was used to assess direct and indirect associations of SS-HC with SRH through IIRS.

Results: Higher SS-HC was associated with smaller IIRS and higher SRH. Further correlates of better SRH were younger age, no post-dialysis hypotension, no diabetes and cardiovascular diseases, better sleep quality, and smaller burden of oral therapy.

Conclusions: Our results suggest that social support might reduce illness burden and improve patients' perceived health. Further research should assess the efficacy and cost-effectiveness of structured support programs for dialysis patients.

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Source
http://dx.doi.org/10.5414/cnp75125DOI Listing

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