Assessment of Health-Related Quality of Life in Patients Receiving Regular Hemodialysis

Abstract

ResultsAmong the 81 HD patients studied (49 males + 32 females) aged 50.6 ± 12.7 years, HRQOL scores were poor in all domains and subscales. The mean total score was 47.2 ± 25.2, mean Physical Health Composite (PHC) = 35.57 ± 7.34 and mean Mental Health Composite AbstractThis cross-sectional descriptive study was carried out at the hemodialysis unit of Karmouz Health Insurance Hospital, Alexandria, Egypt. The study was conducted on adult End-stage renal disease (ESRD) patients maintained on regular hemodialysis treatment for ≥1 year. Aim was to assess self-perception of ESRD patients undergoing regular Hemodialysis (HD) of their health-related quality of life (HRQOL) and explore resulted scores using kidney disease quality of life short form 36 instrument (KDQOL SF-36). A total of 81 eligible patients joined the study (49 males and 32 females). Aged 50.6 ± 12.7 years. Results showed that HRQOL of HD patients was very poor in all domains. The mean total score was below 50 (out of 100 point) with mean Physical Health Composite (PHC) = 35.57 ± 7.34 and mean Mental Health Composite (MHC) = 36.76 ± 10.22. In general, scores were relatively higher in males, younger age groups, high educational level, employed and/or higher family income. Regarding clinical prolife, this study showed that scores were lower among patients suffering anemia, dyslipidemia, hypoalbuminemia and/or those with comorbidities. Scores for general health survey were significantly lower in anemic patients (with hemoglobin level <11g/dL). Working patients had significantly higher scores than non-working or retired. The study also showed that employment was the only significant predictor for total HRQOL score in a multiple linear regression model was designed to predict total score, while controlling for hemoglobin level, age, duration of being on HD (p = 0.028).

Quality of Life of Patients Undergoing Hemodialysis

“…The findings are consistent with the study conducted by Abdelghany et.al., found that the mean total score was below 50 (out of 100 point) with mean PH composite (PHC)=35.57±7.34 and mean mental health composite=36.76±10.22 which revealed that all domains of HRQOL were reduced and very poor in HD patients. Anemia and unemployment adversely affected HRQOL scores [25]. The result of the study findings is parallel with the study conducted by Sathvik et.al.…”

Depression and quality of life in patients on long term hemodialysis at a national hospital in Ghana: a cross-sectional study

“…33 Variables Β 95% CI Further, we noted a significant relationship between employment and QoL and our findings further support findings from other studies. 33,34 Employment is reported to improve QoL of ESRD patients probably due to the regular income which caters for the costs of treatment. 33,34 There are limitations in the present study.…”

“…33,34 Employment is reported to improve QoL of ESRD patients probably due to the regular income which caters for the costs of treatment. 33,34 There are limitations in the present study. Some of the patients were interviewed during dialysis; therefore, immediate effects of dialysis on symptom reporting such as hypotension cannot be ruled out.…”

The Effect of Clinical and Demographic Factors on Quality of Life in End-Stage Renal Disease. A Multicenter Cross-Sectional Study

“…However, marital status has been the focus of several studies. On the one hand, there is a belief that family is a social support network (19), while, on the other hand, researchers argue that family obligations increase family anxiety, resulting in negative QoL (13).…”