Chronic kidney disease (CKD) is defined as changes in glomerular filtration rate and/or the presence of parenchymal damage, which are maintained for at least three months. When in advanced stages of evolution, renal replacement therapies are necessary, and the most widespread is hemodialysis, indispensable for the stability of the patient. However, such a therapeutic measure has a great influence on the patient's quality of life, interfering with their habits, as well as their physical conditions and social and occupational functioning. Thus, when evaluating the quality of care provided to 204 participants with CKD attending the nephrology and hemodialysis clinic, aimed at recognizing the quality of life, through the validated WHOQOL-BREF questionnaire, a causal relationship between the data obtained from each domain addressed in the questionnaire (physical, environmental, psychological and social relationships) and their quality of life profile. Those younger, males, with higher socioeconomic and educational levels, showed a significant increase in their quality of life. In addition, among the analyzed domains, the physical one, which deals with conditions such as pain, sleep quality, and physical and psychological capacity to perform functions showed to have the greatest impact, unfavorably. The opposite was observed in the environmental domain, which stood out positively among the others, allowing us to conclude that even though the participants had ideal conditions to carry out the procedure, the effects generated by this in the body, contribute to the reduction of significantly on the quality of life.
Currently, more in-depth interest had been paid globally to the issues relating to nutrition, growth, development and psychosocial well-being of children and adolescents. Hence, this research aimed to identify and assess the nutritional and psychological risk factors affecting the life quality of adolescents in the Gaza Strip in order to highlight and prioritize them for future interventions. There are four objectives in this study, the first is to determine and assess the risk factors associated with two different components of life quality of adolescents in the Gaza Strip, the second is to measure the extent of psychological disorders amongst adolescents affected by current lifestyle in Gaza, the third is to study in depth the effect of nutritional status in the Gaza Strip on adolescent's life quality, whilst, the fourth is to identify research gaps to set priorities for future relevant studies, that might encourage adolescent's behavioural changes. In order to achieve these objectives, the study population had been focused on adolescents (12-19 years old) who enrolled in the schools of the Gaza Strip during the academic year (2015-2016). The present Cross-sectional study utilized quantitative and qualitative measures by incorporating face to face interview questionnaire with adolescents and focus group discussion with parents and stakeholders. In addition, anthropometric measurements and micronutrients tests were conducted. Triangulation of data was used to ensure the credibility of the results.
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