Psychosocial Factors in End-Stage Kidney Disease Patients at a Tertiary Hospital in Australia

Aim. This study seeks to review the psychosocial factors affecting patients with end-stage kidney disease (ESKD) from a tertiary hospital in Australia. Methods. We audited patients with ESKD, referred to social work services from January 2012 to December 2014. All patients underwent psychosocial ass...

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Bibliographic Details
Published in:International Journal of Nephrology 2016-01, Vol.2016 (2016), p.17-22
Main Authors: Ranganathan, Dwarakanathan, Huynh, Sonny, Pham, Linh, Jegatheesan, Dev, Douglas, Alexandra, Bale, Charan, Mulay, Atul
Format: Article
Language:English
Subjects:
Chronic kidney failure
Complications and side effects
Patient compliance
Psychological aspects
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Summary:Aim. This study seeks to review the psychosocial factors affecting patients with end-stage kidney disease (ESKD) from a tertiary hospital in Australia. Methods. We audited patients with ESKD, referred to social work services from January 2012 to December 2014. All patients underwent psychosocial assessments by one, full-time renal social worker. Patient demographics, cumulative social issues, and subsequent interventions were recorded directly into a database. Results. Of the 244 patients referred, the majority were >60 years (58.6%), male (60.7%), born in Australia (62.3%), on haemodialysis (51.6%), and reliant on government financial assistance (88%). Adjustment issues (41%), financial concerns (38.5%), domestic assistance (35.2%), and treatment nonadherence (21.3%) were the predominant reasons for social work consultation. Younger age, referral prior to start of dialysis, and unemployment were significant independent predictors of increased risk of adjustment issues ( p = 0.004 ,
ISSN:2090-2158
2090-214X
2090-2158
DOI:10.1155/2016/2051586