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Open Access Research article

Distance between residence and the dialysis unit does not impact self-perceived outcomes in hemodialysis patients

Paulo Roberto Santos123* and Francisco Plácido Nogueira Arcanjo12

Author Affiliations

1 Sobral School of Medicine, Federal University of Ceará, Avenida Comandante Maurcélio Rocha Ponte 100, Sobral, 62042-280, Brazil

2 Avenida Comandante Maurocélio Rocha Ponte, 100 - CEP 62.042-280, Sobral, CE, Brazil

3 Rua Tenente Amauri Pio, 380 Apt. 900 - CEP 60.160-090, Fortaleza, CE, Brazil

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BMC Research Notes 2012, 5:458  doi:10.1186/1756-0500-5-458

Published: 27 August 2012

Abstract

Background

Patients have to travel long distances to undergo hemodialysis (HD) in some regions. We aimed to search for an association of the distance between patients’ residence and the dialysis unit with quality of life, depression and coping among end-stage renal disease (ESRD) patients undergoing maintenance HD.

Methods

We studied 161 ESRD patients undergoing HD during April 2009. Quality of life, depression and coping were assessed by the SF-36, the 10-item CES-D and the Jalowiec Coping Scale, respectively. The sample was stratified in three groups: I-patients residing in Sobral (where the dialysis unit is located); II-patients residing in towns up to 100 km from Sobral; and III-patients residing in towns distant greater than 100 km from Sobral. Analysis of variance was used to detect differences in quality of life and coping scores between the groups. Logistic regression was used to test distance as a predictor of depression.

Results

There were 47 (29.2%) patients residing in Sobral, 46 (28.6%) up to 100 km away and 68 (42.2%) greater than 100 km from Sobral. There were no differences related to quality of life and coping scores between the groups. Distance was not a predictor of depression.

Conclusions

Social and cultural factors may explain the lack of differences. Studies from other regions are needed to clarify the distance effects on self-perceived outcomes among HD patients.

Keywords:
Coping; Depression; End-stage renal disease; Hemodialysis; Quality of life; Distance effects