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Make a choice prof. dr. A.V. Ranchor Dr. B.C. van Munster CFM Franssen A Özyilmaz Y Vermeeren

Project properties

Title	Resilience in dialysis
Keywords	dialysis Multimorbidity Resilience
Researchers	prof. dr. A.V. Ranchor Dr. B.C. van Munster CFM Franssen A Özyilmaz Y Vermeeren
Type of project	Stage Wetenschap / Research project
Nature of the research	Prospective cohort study
Fields of study	psychiatry nephrology geriatrics

Background / introduction

Older patients, especially frail older patients or patients with multimorbidity are at risk for negative health outcomes. Aging researchers have recently called for a focus on resilience as a new approach to explaining such outcomes. Resilience is how well a person can adapt to events in their life and can be seen as a psychological and physical construct. Dialysis is a major life event with high impact on those 2 domains. Linking psychological and physical subsystems, can provide insight into dynamic interactions involved in a resilient response.

Research question / problem definition
1. Is there a correlation between physical resilience and psychological resilience in a hemodialysis population? 2. What are the discriminating characteristics of patients that are resilient either psychological, physical or both?

Workplan

You will include hemodialysis patients in the Dialyse Centrum Groningen and the UMCG or Gelre Hospital Apeldoorn. Dialysis recovery time will be determined as measure for physical resilience. You will take questionnaires and perform physical measurements before, and after dialysis. Patients will be asked to fill in a diary about their fatigue and will be called daily about their symptoms. Baseline characteristics about functional status and multimorbidity will be collected. Psychological resilience will be determined by the Brief Resilience Scale and the perceptions of control. You will calculate the correlation between dialysis recovery time and the Brief Resilience Scale. In a multivariate analysis you will adjust for possible confounding factors. You will write a report on the results, which can be optionally submitted for publication in a scientific journal.