Social support from health care providers is associated with reduced illness intrusiveness in hemodialysis patients

L. Neri, D. Brancaccio, L. A. Rocca Rey, F. Rossa, A. Martini, V. E. Andreucci

Research output: Contribution to journalArticlepeer-review


Background: End-stage renal disease (ESRD) disrupts patients' life styles, interests and activities negatively affecting their quality of life. Social support has been previously associated with favorable health outcomes. However, no study has examined the association of social support from health care providers with perceived health and ESRD intrusiveness on patients' lives. Methods: A self-administered questionnaire was completed by 1,238 Italian hemodialysis patients. The Self-Rated Health (SRH) and the Illness Intrusiveness Rating Scale (IIRS) assessed disease burden. 10 items assessed social support from health care providers (SS-HC). The nursing staff of each center provided patients' clinical information. Linear regression was used to assess correlates of SRH and IIRS. Mediational analysis was used to assess direct and indirect associations of SS-HC with SRH through IIRS. Results: Higher SS-HC was associated with smaller IIRS and higher SRH. Further correlates of better SRH were younger age, no post-dialysis hypotension, no diabetes and cardiovascular diseases, better sleep quality, and smaller burden of oral therapy. Conclusions: Our results suggest that social support might reduce illness burden and improve patients' perceived health. Further research should assess the efficacy and cost-effectiveness of structured support programs for dialysis patients.

Original languageEnglish
Pages (from-to)125-134
Number of pages10
JournalClinical Nephrology
Issue number2
Publication statusPublished - Feb 2011


  • Hemodialysis
  • Quality of life
  • Social support

ASJC Scopus subject areas

  • Nephrology


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