Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/18875
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dc.contributor.authorHettiarachchi, R.
dc.contributor.authorAbeysena, C.
dc.date.accessioned2018-06-29T06:25:04Z
dc.date.available2018-06-29T06:25:04Z
dc.date.issued2018
dc.identifier.citationInternational Journal of Nephrology. 2018; 2018:5678781.en_US
dc.identifier.issn2090-2158 (Electronic)
dc.identifier.issn2090-214X (Print)
dc.identifier.urihttp://repository.kln.ac.lk/handle/123456789/18875
dc.descriptionIndexed In Scopus; In PUBMED; Not indexed in MEDLINEen
dc.description.abstractBACKGROUND: Chronic kidney disease (CKD) is associated with high morbidity and mortality. Hence, CKD patients are often in chronic psychological distress. The objective of the study was to describe factors associated with psychological distress of CKD patients attendingNational Nephrology Unit. METHODS: A descriptive cross-sectional study was conducted among 382 CKD patientsabove 18 years of age applying systematic sampling. The data was collected using self-administered questionnaires to assess the psychological distress (GHQ-12), social support(SSQ6), coping strategies (BRIEFCOPE), pain (0 to 10 numeric pain rating scale), and physical role limitation due to ill health (SF36QOL). Sociodemographic and disease-related data were collected using an interviewer administered questionnaire and a data extraction sheet. Multiple logistic regression was applied for determining the associated factors. The results were expressed as adjusted odds ratio (AOR) and 95% confidence intervals (95% CI). RESULTS: Percentage of psychological distress was 55.2% (95% CI: 48.4% to 62%). Poorsocial support (AOR = 1.81, 95% CI: 1.14-2.88), low satisfaction with the social supportreceived (AOR = 4.14, 95% CI: 1.59-10.78), stages IV and V of CKD (AOR = 2.67, 95% CI: 1.65-4.20), presence of comorbidities (AOR = 2.38, 95% CI: 1.21-4.67), within one year of diagnosis (AOR = 2.23, 95% CI: 1.36-3.67), low monthly income (AOR = 2.26, CI: 1.26-4.06), higher out-of-pocket expenditure per month (AOR = 1.75, 95% CI: 1.75-1.99), and being a female (AOR = 2.95, 95% CI: 1.79-4.9) were significantly associated with psychologicaldistress. CONCLUSIONS: More than half of the CKD patients were psychologically distressed. Factors such as financial and social support will be worth considering early because of their modifiability.en_US
dc.language.isoen_USen_US
dc.publisherHindawi Limiteden_US
dc.subjectRenal Insufficiency, Chronicen_US
dc.subjectRenal Insufficiency, Chronic-psychologyen
dc.subjectSocial Supporten
dc.subjectPsychological Distressen
dc.subjectFinancial Stressen
dc.subjectSri Lankaen
dc.titleAssociation of poor social support and financial insecurity with psychological distress of Chronic Kidney Disease patients attending National Nephrology Unit in Sri Lankaen_US
dc.typeArticleen_US
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