The clinical impact of burnout among peritoneal dialysis patients
Yung-An Chen, Yi-Chih Lin, Yu-Hsiang Chou, Yi-Ting Chen, Shuei-Liong LinBackground
Peritoneal dialysis (PD) requires intensive daily self-management and may impose a substantial psychological burden on patients. However, the prevalence of burnout among PD patients and its association with clinical outcomes remain unclear. This study investigated the prevalence of burnout and anxiety among patients undergoing PD and their associations with clinical outcomes.
Methods
In this prospective observational cohort study, patients undergoing PD at National Taiwan University Hospital were assessed using the Maslach Burnout Inventory, and the State-Trait Anxiety Inventory. Patients were followed for transfer to hemodialysis (HD) and all-cause mortality. Associations were evaluated using multivariable Cox proportional hazards models.
Results
Among 183 patients who completed the questionnaires, 24.0% had emotional exhaustion and 19.7% had severe anxiety. During follow-up, high cynicism was associated with an increased risk of transfer to HD. In the age- and sex-adjusted Cox proportional hazards model, high cynicism remained significantly associated with transfer to HD (adjusted hazard ratio (HR), 3.47; 95% CI, 1.14–10.58;
Conclusions
Burnout and anxiety are common among patients undergoing PD. High cynicism was independently associated with an increased risk of transfer to HD, highlighting the potential importance of psychological well-being in PD care.