Comparison Quality of Life in Patient With Chronic Kidney Disease Based on Frequency of Hemodialysis in the Community: A Research During Covid-19

Abstract

Background: The incidence of chronic kidney disease has been increased every year. One of the treatment in these cases is hemodialysis. Hemodialysis can affect physical dan psychological that affect quality of life in patients. This study was conducted to analyze the differences in quality of life based on frequency of hemodialysis on chronic kidney patients in community. Methods: This research uses a cross sectional design and done at 66 sample with the sampling method of purposive sampling. Data collection using Kidney Disease Quality of Life Questionairre (KDQOL) versi 1.3. Results: The result using Kruskall Wallis Test showed there was a difference between quality of life based on frequency hemodialysis in the domain problem list, effects of kidney disease, patient statification, physical function, role limitation due to physical problems, general health, social function, and energy (p value <0.05). Conclusion: In physics component site, patient with hemodialysis once a week has higher score of quality of life than twice weekly and thrice weekly. Whereas,in mental component site, patient with hemodialysis twice weekly has a higher quality of life score than once weekly and thrice weekly.

Assessment of quality of life determinants in hemodialysis patients of a developing country: A cross-sectional study during ongoing COVID-19 pandemic

“…[ 1 , 35 ] Data from Ethiopia suggested socioeconomic and educational status on top of higher hemoglobin levels were significant determinants for improved QoL. [ 2 ] Higher BMI and duration of dialysis onset >5 years were associated with poor QoL in an Iranian population; however, these variables are insignificant in our findings. [ 35 ] Previous studies from Pakistan have suggested presence of diabetes and duration of dialysis onset negatively correlating with QoL.…”

“…[ 8 ] Twice-weekly sessions of dialysis were popular among older Caucasian women and individuals suffering from Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) according to study mentioned above. [ 32 ] Majority of studies stated better QoL among individuals adjusting with twice-weekly sessions of dialysis as compared to thrice-weekly sessions, [ 2 , 7 , 30 , 33 ] while a study recorded no difference of QoL among both frequencies of dialysis. [ 8 , 31 ] Impaired mental status, disturbances of sleep, decline in sexual and cognitive function was prominent among patients with thrice-weekly schedule of dialysis.…”

“…[ 7 ] Social interaction and support were prevalent within individuals with twice-weekly sessions of dialysis. [ 2 , 7 ] Decline in mortality rate was observed in patients with twice-weekly sessions of dialysis, [ 32 ] while prevalence of infection was high among patients with thrice-weekly sessions of dialysis. [ 33 ] No difference within BMI, nutritional status and weight in association with frequency of dialysis was detected in patients of CKD.…”

“…[5,6] QoL in patients of ESRD undergoing dialysis is also affected by multiple clinical manifestations (i.e., vomiting, nausea, decreased appetite, exhaustion, muscle cramps, chronic pain, and sleep disturbances). [1,2] Pakistan has a predicted number of 150 patients with CKD per annum per million, with estimated value of 16,000 patients each year. [5] Sufferers of ESRD initially are scheduled thrice weekly irrespective of residual renal status.…”

“…Hemodialysis is preferably opted modality of treatment for survival by more than 70% of patients with end-stage renal disease (ESRD). [ 1 , 2 ] Chronic kidney disease (CKD) imparts a pronounced negative effect on quality of life (QoL) of sufferers prominently due to association with impairment and restrictions in all aspects of daily life. [ 1 , 3 ] Patients with ESRD are prone to have very low QoL.…”