Association between Financial Hardship and Symptom Burden in Patients Receiving Maintenance Dialysis: A Systematic Review
| Autor: | Dorothy N.S. Chan, Christine Miaskowski, Marques S N Ng, Winnie K.W. So, Qinqin Cheng |
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| Rok vydání: | 2021 |
| Předmět: |
Employment
Health Toxicology and Mutagenesis medicine.medical_treatment media_common.quotation_subject Psychological intervention Review Toxicology systematic review Clinical Research Renal Dialysis Behavioral and Social Science Health care medicine Humans Association (psychology) Dialysis Depression (differential diagnoses) health care economics and organizations media_common Finance financial stress business.industry Public Health Environmental and Occupational Health chronic kidney failure signs and symptoms Critical appraisal Sexual dysfunction Cross-Sectional Studies Unemployment Medicine dialysis medicine.symptom business Mind and Body human activities |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 18, Iss 9541, p 9541 (2021) International journal of environmental research and public health, vol 18, iss 18 |
| ISSN: | 1660-4601 |
| Popis: | Background: Many patients on maintenance dialysis experience financial hardship. Existing studies are mainly cost analyses that quantify financial hardship in monetary terms, but an evaluation of its impact is also warranted. This review aims to explore the definition of financial hardship and its relationship with symptom burden among patients on dialysis. Methods: A literature search was conducted in November 2020, using six electronic databases. Studies published in English that examined the associations between financial hardship and symptom burden were selected. Two reviewers independently extracted data and appraised the studies by using the JBI Critical Appraisal Checklists. Results: Fifty cross-sectional and seven longitudinal studies were identified. Studies used income level, employment status, healthcare funding, and financial status to evaluate financial hardship. While relationships between decreased income, unemployment, and overall symptom burden were identified, evidence suggested that several symptoms, including depression, fatigue, pain, and sexual dysfunction, were more likely to be associated with changes in financial status. Conclusion: Our findings suggest that poor financial status may have a negative effect on physical and psychological well-being. However, a clear definition of financial hardship is warranted. Improving this assessment among patients on dialysis may prompt early interventions and minimize the negative impact of financial hardship. |
| Databáze: | OpenAIRE |
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