The Evaluation of Change in Psychosocial Risk With Caregivers of Children With Chronic Kidney Disease: A Short-term Longitudinal Mixed-Methods Study
Canadian Journal of Kidney Health and Disease,
Год журнала:
2025,
Номер
12
Опубликована: Янв. 1, 2025
Background:
The
COVID-19
pandemic
and
its
accompanying
safeguards
intensified
many
of
the
ongoing
daily
challenges
faced
by
caregivers
young
people
with
chronic
kidney
disease
(CKD)
both
pre-transplant
post-transplant,
also
created
a
variety
new
pressing
concerns.
Little
is
known
about
how
these
families
managed
this
unexpected
adversity
in
their
lives.
Objective:
To
evaluate
change
psychosocial
risk
for
CKD
during
health
emergency
from
perspective
caregivers.
Design:
A
short-term
longitudinal
mixed-methods
study
convergent
parallel
design.
Setting:
Manitoba,
Canada.
Participants:
Thirty-six
participated
quantitative
assessment
prior
to
pandemic;
approximately
half
were
transplant
recipients.
Thirteen
re-assessed
(62%
recipients)
using
qualitative
assessments.
Methods:
First,
completed
Psychosocial
Assessment
Tool
(PAT)
pandemic.
Second,
PAT
They
interviewed
experiences.
Changes
scores
over
time
evaluated,
including
an
investigation
whether
was
related
status.
Interviews
coded
thematic
analysis.
In
interpretation
stage,
findings
combined
results
help
explain
latter
reach
more
fulsome
understanding
caregivers’
experience.
Results:
Quantitatively,
overall
family
increased
significantly
emergency,
as
did
domain
Caregiver
Problems.
Families
recipients
found
be
at
lower
pre-pandemic
than
candidates.
Coding
identified
Negative
Pandemic
Experiences,
Positive
Coping
Mechanisms.
Mixed-methods
analyses
revealed
several
areas
convergence
divergence
between
findings.
Limitations:
Limitations
included
small
sample
size
that
limited
generalizability,
single
site
data
collection,
caregiver
report.
Conclusions:
Although
pandemic,
described
resilience
processes
characteristics.
mixed-method
approach
provided
unique
highlighted
value
integrating
Results
discussed
within
pediatric
preventive
model
framework.
Язык: Английский
Economic burden of hospitalization for Chinese children with chronic kidney disease: a comparison between patients with and without infection
Frontiers in Pediatrics,
Год журнала:
2025,
Номер
13
Опубликована: Апрель 4, 2025
Objective
To
assess
hospitalization
costs
in
pediatric
chronic
kidney
disease
(CKD)
patients,
compare
the
economic
burden
between
those
with
and
without
infections,
identify
key
factors
influencing
these
costs,
emphasizing
significant
financial
impact
on
families
healthcare
systems.
Methods
This
retrospective
analysis
included
patients
CKD
hospitalized
May
2011
April
2020.
Clinical
characteristics,
including
demographics,
etiology,
urinary
protein
level,
estimated
glomerular
filtration
rate,
stage,
were
analyzed.
Hospitalization
compared
groups
infection
using
appropriate
statistical
methods.
Results
Among
721
this
study,
388
had
primary
333
secondary
disease.
Patients
group
significantly
higher
urine
levels,
longer
hospital
stays,
total
fees
than
(all
P
<
0.05).
In
cohort,
aged
14–18
years
incurred
highest
(16,706
CNY,
=
0.009),
while
1
+
levels
expenses
averaging
29,813
CNY
(
0.035).
3
(62,841
0.001).
Multiple
linear
regression
identified
age,
length
of
stay
as
cost
determinants.
cohort
an
average
additional
expenditure
13,572.55
to
Conclusion
study
highlights
during
hospitalization,
need
for
effective
management
strategies
reduce
strain
improve
outcomes.
Язык: Английский