Social support for ckd patients on dialysis in an inpatient social institution


DOI: https://dx.doi.org/10.18565/nephrology.2020.3.15-21

A.V. Yakunin, M.R. Sheykhov, O.N. Kotenko, L.M. Kondrashova, N.V. Vasina

1) Habilitation for Labor Veterans №1 of the Department of Labor and Social Protection of the Moscow City; Moscow, Russia; 2) Moscow City Scientific and Practical Center for Nephrology and Pathology of a Transplanted Kidney, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia; 3) Interregional Public Organization of Nephrological Patients "Nefro-League"; Moscow, Russia; 4) Research Institute of Health Organization and Medical Management of the Moscow Healthcare Department; Moscow, Russia
The presented article discusses and proposes a solution to the problem of lonely and of disabled patients with limited mobility who need treatment with programmed hemodialysis. According to the results of the survey of patients on programmed hemodialysis, a typical portrait of CKD patient with limited mobility who was on dialysis was identified. They are mostly 66-year-old man or 65-year-old woman. Of all the respondents undergoing the HD procedure, 92% have concomitant diseases and 80% of them use the transportation service to the hemodialysis procedure. It was confirmed that if there was an opportunity to live in a habilitation with all social services and HD without transportation, 21% of the respondents with limited mobility would like to take advantage of this. Based on the analysis of the questionnaire survey of CKD patients with limited mobility who are on HD, it can be concluded that there are at least 60 patients in Moscow (1.5% of the total number of patients on programmed hemodialysis) who live alone, have an income below average and do not have children and relatives. They are ready to live in a social institution with HD and are ready to pay 75% of their average income for this.
Keywords: programmed hemodialysis, social care for disabled patients on dialysis
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About the Autors

Andrey V. Yakunin – Social Work Specialist, Habilitation for Labor Veterans № 1 of the Department of Labor and Social Protection of the Moscow; Moscow, Russia.
Makhach R. Sheykhov – Head of the Habilitation for Labor Veterans № 1 of the Department of Labor and Social Protection of the Moscow Moscow, Russia.
Oleg N.Kotenko – PhD in Medical Sciences, Chief Freelance Specialist in Nephrology of the Moscow Healthcare Department, Head of the Moscow City Scientific and Practical Center for Nephrology and and Pathology of a Transplanted Kidney, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia.
Lyudmila M.Kondrashova – Chairman of the Interregional Public Organization of Nephrological Patients "Nefro-League"; Moscow, Russia.
Nadezhda V. Vasina – PhD in Medical Sciences, Head of the Organizational and Methodological Department for Nephrology, Research Institute of Health Organization and Medical Management of the Moscow Healthcare Department; Moscow, Russia.

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