ArticleJournal of nephrology2025
Holistic needs assessment for hospitalized patients with kidney disease: a prospective cross-sectional study.
Article in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundKidney disease is a chronic health burden that considerably impairs patients' quality of life, necessitating a systematic evaluation of their holistic needs. This study employed the Taiwanese version of the Sheffield Profile for Assessment and Referral for Care (SPARC-T) questionnaire to identify unmet needs among patients with kidney disease.
methodsIn this prospective, cross-sectional study, the patients completed the SPARC-T questionnaire upon admission to the nephrology ward. Scores exceeding predefined thresholds in the psychological, depression, religious and spiritual, or social domains triggered referral to a psychiatry department, social works, or a discharge planning team. Demographic information and SPARC-T scores were analyzed using logistic regression.
resultsA total of 490 patients completed the questionnaire between January 2023 and June 2024. Of these, 47 patients (9.59%) had scores exceeding the threshold in at least one SPARC-T domain. The most frequently reported concerns were depression (6.94%) and spiritual distress (5.51%). Multivariate logistic regression revealed that female patients (odds ratio = 2.21, 95% confidence interval: 1.09 to 4.47) and individuals from low-income groups (odds ratio = 5.56, 95% confidence interval: 1.48 to 20.95) were significantly more likely to report higher distress scores.
conclusionsMany patients with kidney disease, particularly women and those belonging to low-income groups, experienced unmet needs that extended beyond physical symptoms. Routine use of the SPARC-T is recommended to support patient-centered care by addressing psychological, spiritual, and social concerns alongside clinical management.
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