Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2010 Dec 8:11:35.
doi: 10.1186/1471-2369-11-35.

Pre-dialysis patients' perceived autonomy, self-esteem and labor participation: associations with illness perceptions and treatment perceptions. A cross-sectional study

Daphne L Jansen  1 , Diana C Grootendorst, Mieke Rijken, Monique Heijmans, Ad A Kaptein, Elisabeth W Boeschoten, Friedo W Dekker; PREPARE-2 Study Group
Collaborators, Affiliations
Comparative Study

Pre-dialysis patients' perceived autonomy, self-esteem and labor participation: associations with illness perceptions and treatment perceptions. A cross-sectional study

Daphne L Jansen et al. BMC Nephrol. .

Abstract

Background: Compared to healthy people, patients with chronic kidney disease (CKD) participate less in paid jobs and social activities. The aim of the study was to examine a) the perceived autonomy, self-esteem and labor participation of patients in the pre-dialysis phase, b) pre-dialysis patients' illness perceptions and treatment perceptions, and c) the association of these perceptions with autonomy, self-esteem and labor participation.

Methods: Patients (N = 109) completed questionnaires at home. Data were analysed using bivariate and multivariate analyses.

Results: The results showed that the average autonomy levels were not very high, but the average level of self-esteem was rather high, and that drop out of the labor market already occurs during the pre-dialysis phase. Positive illness and treatment beliefs were associated with higher autonomy and self-esteem levels, but not with employment. Multiple regression analyses revealed that illness and treatment perceptions explained a substantial amount of variance in autonomy (17%) and self-esteem (26%). The perception of less treatment disruption was an important predictor.

Conclusions: Patient education on possibilities to combine CKD and its treatment with activities, including paid work, might stimulate positive (realistic) beliefs and prevent or challenge negative beliefs. Interventions focusing on these aspects may assist patients to adjust to CKD, and ultimately prevent unnecessary drop out of the labor market.

PubMed Disclaimer

References

    1. Grassmann A, Gioberge S, Moeller S, Brown G. End-stage renal disease: global demographics in 2005 and observed trends. Artif Organs. 2006;30(12):895–897. - PubMed
    1. Oppe M, Treur MJ, Barendregt W, de Charro FTh. De ontwikkeling van het nierfunctievervangingsprogramma in Nederland gedurende de periode 1990-2006. Rotterdam, The Netherlands: Stichting Renine, Renal Replacement Registry Netherlands; 2007. Statistisch Verslag 2007. [Statistical Report 2007. The development of the renal replacement programme in the Netherlands in the period 1990-2006]
    1. Thong MS, van Dijk S, Noordzij M. et al.Symptom clusters in incident dialysis patients: associations with clinical variables and quality of life. Nephrol Dial Transplant. 2009;24(1):225–230. doi: 10.1093/ndt/gfn449. - DOI - PubMed
    1. Neto JF, Ferraz MB, Cendoroglo M, Draibe S, Yu L, Sesso R. Quality of life at the initiation of maintenance dialysis treatment - a comparison between the SF-36 and the KDQ questionnaires. Qual Life Res. 2006;9(1):101–107. doi: 10.1023/A:1008918609281. - DOI - PubMed
    1. Khan IH, Garratt AM, Kumar A. et al.Patients' perception of health on renal replacement therapy: evaluation using a new instrument. Nephrol Dial Transplant. 1995;10:684–689. - PubMed

Publication types