title: Quality of life, clinical outcome, personality and coping in chronic hemodialysis patients.
abstract: BACKGROUND
  Our aim was to investigate the quality of life (QoL) in 103 patients undergoing chronic hemodialysis (HD) in an integrated assessment of clinical, personological, and adaptation parameters, also in a non-urban context.
  
  
  OBJECTIVE
  We collected data from all chronic HD patients attending four HD units. Clinical status was assessed by Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines and by Age-adjusted Charlson Comorbidity Index (ACCI). Patients completed the following questionnaires: Kidney Disease Quality of Life Short Form (KDQOL-SF), Pittsburgh Sleep Quality Index (PSQI). Personality profile and coping style were assessed by Temperament and Character Inventory (TCI) revised and Coping Inventory for Stressful Situation (CISS). Data were analyzed by conventional descriptive statistics. Multiple forward stepwise linear regression analyses were performed.
  
  
  RESULTS
  Variables significantly associated with physical and mental components of KDQOL-SF were: intact parathyroid hormone (iPTH) (p = .004; p = .0015), typology of cohabitant (family member or not) (p = .022; p = .007), years of dialysis (p = .022; p = .048). Variables associated with mental component of KDQOL-SF were: PSQI (p = .000), task-coping (p = .000), avoidance-coping (p = .003), work status (p = .021). Principle conclusions: Our results suggest the importance of an integrated and multidirectional management of patients chronically undergoing HD and living in a non-urban context.
authors: e Department of Nephrology and Dialysis , Pugliese-Ciaccio Hospital of Catanzaro , Catanzaro , Italy.
authors: Giuseppina
authors: G
authors: D'Onofrio
authors: a Department of Nephrology and Dialysis , 'Mater Domini' University Hospital , Catanzaro , Italy.
authors: Mariadelina
authors: M
authors: Simeoni
authors: b Department of Psychiatry, Health Sciences , University Hospital 'Mater Domini' , Catanzaro , Italy.
authors: Paolo
authors: P
authors: Rizza
authors: b Department of Psychiatry, Health Sciences , University Hospital 'Mater Domini' , Catanzaro , Italy.
authors: Mariarita
authors: M
authors: Caroleo
authors: a Department of Nephrology and Dialysis , 'Mater Domini' University Hospital , Catanzaro , Italy.
authors: Maria
authors: M
authors: Capria
authors: c Hemodialysis Unit of Soverato , Catanzaro , Italy.
authors: Giovanni
authors: G
authors: Mazzitello
authors: a Department of Nephrology and Dialysis , 'Mater Domini' University Hospital , Catanzaro , Italy.
authors: Tiziana
authors: T
authors: Sacco
authors: d Territorial Hemodialysis Unit of Catanzaro Lido , Catanzaro , Italy.
authors: Elena
authors: E
authors: Mazzuca
authors: e Department of Nephrology and Dialysis , Pugliese-Ciaccio Hospital of Catanzaro , Catanzaro , Italy.
authors: Maria Teresa
authors: MT
authors: Panzino
authors: a Department of Nephrology and Dialysis , 'Mater Domini' University Hospital , Catanzaro , Italy.
authors: Annamaria
authors: A
authors: Cerantonio
authors: b Department of Psychiatry, Health Sciences , University Hospital 'Mater Domini' , Catanzaro , Italy.
authors: Cristina
authors: C
authors: Segura-Garcia
authors: a Department of Nephrology and Dialysis , 'Mater Domini' University Hospital , Catanzaro , Italy.
authors: Michele
authors: M
authors: Andreucci
authors: b Department of Psychiatry, Health Sciences , University Hospital 'Mater Domini' , Catanzaro , Italy.
authors: Pasquale
authors: P
authors: De Fazio
authors: a Department of Nephrology and Dialysis , 'Mater Domini' University Hospital , Catanzaro , Italy.
authors: Giorgio
authors: G
authors: Fuiano
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D015897:Comorbidity; D005260:Female; D006801:Humans; D007558:Italy; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy*; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood; D010551:Personality; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D006435:Renal Dialysis; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
chemical_list: D010281:Parathyroid Hormone
keywords: Chronic hemodialysis; dialysis age; iPTH; quality of life; typology of cohabitant