Environmental

Environmental > Safety

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In the Environmental Domain, the sociodemographics that were moderately correlated were marital status (V = .362) and occupational status (rpb = .321). These two factors had a stronger relationship to environmental quality of life (QoL) compared to the other variables, which showed only weak correlations.

Marital status affected the Environmental Domain because having a spouse often provided emotional, financial, and practical support—such as assistance with transportation to dialysis, navigating the healthcare system, and maintaining a safe, stable home environment. Married patients tended to have better access to resources that improve environmental QoL, while single, divorced, or widowed individuals sometimes struggled with these supports, impacting their living conditions and access to care. Occupational status also influenced the Environmental Domain significantly. Employed patients benefited from better financial stability, allowing them to afford safer housing, better transportation, and necessary healthcare services. On the other hand, unemployed patients often faced financial hardships, limiting their environmental supports and worsening their ability to maintain a healthy and stable living situation.

Thus, marital and employment statuses moderately affected how CKD patients experienced their environment, while other factors like age, sex, education, income, and comorbidities had only weak effects.

Safety

General Interventions

(For age, sex, marital status, household income, comorbidities)

Always check your dialysis access site daily for signs of infection (redness, warmth, swelling)

Early detection of infection prevent complications and hospitalizations

Install handrails and non-slip mats at home, especially in bathrooms and stairways.

Reducing fall risks is critical for physically weakened patients

Learn basic self-monitoring techniques like checking blood pressure before dialysis.

Self-monitoring improves early detection of hypotension or other risks

Marital Status-Based: Married

Create an emergency response plan with your spouse for dialysis-related complications.

Having a partner-involved plan ensures fast action during emergencies

Practice home safety drills together, such as fall simulations.

Regular drills ensure quick responses to accidents

Assign your spouse as your emergency medical contact and update hospital records accordingly.

Ensures your partner can advocate for your safety if emergencies occur

Marital Status-Based: Widowed

Inform neighbors and barangay officials about your dialysis status for safety monitoring.

Involving trusted community members improves quick response

Participate in barangay health risk drills for independent seniors.

Drills increase safety awareness and preparedness

Use wearable alert devices (e.g., fall detection watches) linked to local emergency services.

Technology supports emergency responses for widowed individuals living alone

Marital Status-Based: Separated

Secure your home by installing smart alarms or emergency alert systems.

Ensures fast help even when living alone

Create a solo emergency kit including emergency contact numbers and dialysis info.

Personal kits prepare separated individuals for emergencies

Identify safe community hubs (like barangay health centers) for immediate help if needed

Community hubs provide faster access to care

Marital Status-Based: Single

Join patient support networks where you can list a “health buddy” for emergency assistance.

Support buddies provide quick help in urgent situations

Arrange regular safety check-ins with friends or neighbors.

Community monitoring increases personal safety

Carry a laminated medical ID card showing your condition and emergency contacts.

Critical information speeds up medical response if unconscious

Occupational Status-Based: Unemployed

Set a daily safety check routine at home (e.g., checking for tripping hazards).

Routine checks prevent accidents and improve independence

Use free community mobile health services offering home safety inspections.

Mobile health improves home environments affordably

Join barangay health groups focused on safety education for homebound individuals.

Group education fosters safer living environments

Occupational Status-Based: Employed

Inform your supervisor andco-workers about your dialysis schedule and any emergency needs.

Awareness in the workplace ensures faster help if dialysis-related emergencies occur

Carry an emergency dialysis access card while at work.

Provides instant access to medical information during work emergencies

Request ergonomics adjustments at work to prevent injuries (e.g., proper chairs, desk heights).

Ergonomic support reduces physical stress and injury