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Kidney Week

Abstract: TH-PO331

A Survey on the Prevalence of Burnout Among Peritoneal Dialysis Patients and Caregivers in Performing Peritoneal Dialysis

Session Information

  • Home Dialysis - I
    November 02, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

  • Chen, Yung An, National Taiwan University Hospital, Taipei, Taiwan
  • Chen, Yi-Ting, National Taiwan University Hospital, Taipei, Taiwan
  • Chou, Yu-hsiang, National Taiwan University Hospital, Taipei, Taiwan
  • Lin, Shuei-Liong, National Taiwan University Hospital, Taipei, Taiwan
Background

PD patients or their caregivers should regularly perform PD fluids exchanges 1-4 times per day. Some PD patients are still unable to accept their kidney damage and require dialysis to keep their lives. Previous studies have shown that emotional and social deficits are the major causes of burnout of PD patients. The study’s aim is to survey the prevalence and risk factor of burnout in PD patients and their caregivers in performing PD.

Methods

We used two questionnaires the Maslach Burnout Inventory (MBI) and the State-Trait Anxiety Inventory (STAI) to investigate PD patients and caregivers who were the primary operator performing PD. The MBI questionnaire includes three main dimensions (emotional exhaustion, depersonalization, and reduced sense of personal accomplishment), 22 items, and a scale of 0-6 to indicate the severity of symptoms. The definition of burnout in MBI is high emotional exhaustion(cutoff score=7.78) and high depersonalization (cutoff score=22.36).
The STAI questionnaire consists of state anxiety and trait anxiety, each containing 20 items, and each item is rated on a scale of 1-4.

Results

A total of 107 PD operators including PD patients and their caregivers, were enrolled for our study from April 2023. One of them withdrew due to peritonitis in the past 3 months, and 5 refused to participate due to lack of interest. In the final sample of 101 patients, mean age was 54 years old, and 49.5% were female. Ninety (89%) participants were patients and the remainder were caregivers. Median PD vintage were 3.5 years.
In the MBI questionnaire survey, 22 patients (21.8%) had a high exhaustion score; 9 cases (8.9%) had a high score of cynicism (>22.36); 63 patients (62.4%) had a high Professional Efficacy (>28.2). On the STAI questionnaire, the mean score for state anxiety was 35.5, and 24 patients (23.8%) reported severe anxiety; the average score for trait anxiety was 38.3, and 31 cases (30.7%) met severe anxiety.

Conclusion

In our PD patients, there was a high incidence of emotional exhaustion and severe anxiety but a high personal efficacy. However, after adjusting for PD operators, age, PD vintage, there was no significant correlation between these parameters and the scores in each questionnaire.