Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/122022
Title: PSYCHOLOGICAL DISTRESS AND PHYSICAL MULTIMORBIDITY - THE EXAMPLE OF COEXISTING DIABETES MELLITUS AND END-STAGE RENAL DISEASE
Authors: AUGUSTINE KANG WEE CHENG
Keywords: End-Stage Renal Disease, Diabetes Mellitus, Psychological Distress, Health Literacy. Adherence, Illness Perception
Issue Date: 27-Oct-2015
Source: AUGUSTINE KANG WEE CHENG (2015-10-27). PSYCHOLOGICAL DISTRESS AND PHYSICAL MULTIMORBIDITY - THE EXAMPLE OF COEXISTING DIABETES MELLITUS AND END-STAGE RENAL DISEASE. ScholarBank@NUS Repository.
Abstract: Introduction: Patients with coexisting Diabetes Mellitus and End-Stage Renal Disease (DM-ESRD) represent the fastest growing and most frail segment of the ESRD population. Multimorbidity can lead to psychological distress, intensify illness perception, impair nutritional Quality of Life (QOL), health literacy and adherence to treatment, but evidence is largely lacking. The study aimed to document prevalence and factors associated with psychological distress outcomes in DM-ESRD. Methods: This was a mixed-methods study involving N=31 interviews and a cross-sectional questionnaire survey with N=171 DM-ESRD patients using: the Hospital Anxiety and Depression Scale, UCLA Loneliness Scale, Beck Hopelessness Inventory, and measures of Health Literacy, Illness/Treatment Perception, Nutritional Quality-of-Life, and Adherence. Results: Interpersonal tension and challenges related to diet/appetite dominated patients’ narratives. Survey data indicated considerable range of distress (46% ; 53%; 79%; 53% for depression, anxiety, loneliness & hopelessness). Multivariate modelling predominantly revealed that Health Literacy dimensions and Nutrional QOL were associated with distress indicators. Conclusion: DM-ESRD patients find diet and health care communication/navigation challenging and experience psychological distress. Carefully tailored interventions are needed.
URI: http://scholarbank.nus.edu.sg/handle/10635/122022
Appears in Collections:Master's Theses (Open)

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
AUGUSTINE KANG WEE CHENG-A0044870E_electronic thesis revised.pdf2.97 MBAdobe PDF

OPEN

NoneView/Download

Page view(s)

137
checked on Apr 19, 2018

Download(s)

9
checked on Apr 19, 2018

Google ScholarTM

Check


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.