Correlates of changes in functional status in chronic in-center hemodialysis patients.

Format:

• Book
• Thesis/Dissertation

Author/Creator:

• Thomas-Hawkins, Charlotte.

Contributor:

• Fawcett, Jacqueline, advisor.
• University of Pennsylvania.

Language:

English

Subjects (All):

• Nursing.
• Medicine.
• Physical therapy.
• 0382.
• 0564.
• 0569.
• Penn dissertations--Nursing.
• Nursing--Penn dissertations.

Local Subjects:

• Penn dissertations--Nursing.
• Nursing--Penn dissertations.
• 0382.
• 0564.
• 0569.

Physical Description:

119 pages

Contained In:

Dissertation Abstracts International 59-11B.

System Details:

• Mode of access: World Wide Web.
• text file

Summary:

The primary purpose of this correlational panel study was to examine daily changes in functional status during one week in the life of chronic in-center hemodialysis patients. The secondary purpose of the study was to determine the extent to which age, gender, level of education, selected comorbidity variables (presence or absence of diabetes, number of comorbid conditions), ultrafiltration (UF) volume, and symptom distress explain variations in functional status. The study was guided by the Roy Adaptation Model of Nursing. The Inventory of Functional Status- Dialysis and the KDQOLTM Symptom Scale-Short Form were used to obtain functional status and symptom distress data for seven consecutive days. A Demographic Data Sheet was used to gather demographic, comorbidity, and UF volume data. Repeated measures ANOVA was used to examine daily changes in functional status. Multiple regression was used to examine the extent to which study variables explained variations in functional status. One-hundred and four in-center hemodialysis patients participated. Study findings revealed that functional status did not change significantly every day. However, total functional status was significantly lower on the non-dialysis day before the first dialysis session of the week compared to baseline. Total functional status was also significantly lower on the second dialysis day of the week compared to the preceding and subsequent non-dialysis days. Age, level of education, and number of comorbid conditions were significantly related to functional status at baseline. Age was the only significant predictor of functional status at baseline, accounting for 10% of the variance. Symptom distress independently accounted for a significant amount of variation in functional status on the non-dialysis day before the first dialysis session of the week and the non-dialysis day after the second dialysis session of the week. Ultrafiltration volume was not significantly correlated with symptom distress or functional status during the week. In conclusion, functional status does change significantly on several days during the week, and symptom distress independently explains variations in functional status on two days during the week.

Notes:

• Thesis (Ph.D. in Nursing) -- University of Pennsylvania, 1998.
• Source: Dissertation Abstracts International, Volume: 59-11, Section: B, page: 5792.
• Supervisor: Jacqueline Fawcett.

Local Notes:

School code: 0175.

ISBN:

9780599121355

Access Restriction:

Restricted for use by site license.