Estimation of quality of life in haemodialysis patients

Abstract

Since haemodialysis is an expensive treatment modality for chronic renal failure patients, it is very essential to assess the outcome of therapy in terms of quality of life. The primary objective of the study was to estimate the effect of patient counselling in quality of life of end stage renal disease patients opting haemodialysis using World Health Organisation Quality of life scale and to assess the variables affecting the quality of life of these patients. Quality of life was determined by World Health Organisation Quality of life scale questionnaire comprised of 26 items which measures four domains: physical, psychological, social and environmental domain. A total of 81 patients were selected and divided into test and control group and the test group patients received counselling regarding their disease, use of medications, importance of adherence and the complications experienced during and after dialysis. The quality of life data was collected at the interval of 1, 2, 3, 6 and 12 months and the patients were counselled at each interval. The demographic profiles revealed that majority of the patients were in the age group of 31-50 and there exists a male predominance. About the socioeconomic status, upper middle class people were mostly affected. Assessment of impact of patient counselling in the quality of life of haemodialysis indicated a significant improvement in each domain after counselling. And also found that the psychological domain showed a significant increase in the score compared to others. Patient counselling helped to gain benefits in terms of improvement in quality of life and delayed progression of renal failure. Early recognition and prevention is necessary to improve the quality of life of chronic renal failure patients. Patient counselling should be made mandatory by incorporating clinical pharmacist in the nephrology team to make the patient understand his illness and modifications in lifestyle also create a positive environment and result in better quality of life.

Quality of life in end stage renal disease patients

“…In-depth Review Fleck et al [53] , 2007 Discussion Carver et al [57] , 1995 Review Blinkhorn [61] , 2012 Review O'Connor et al [64] , 2012 Review Catania et al [65] , 2013 Report Quantitative Study design Questionnaire used Mapes et al [8] Longitudinal KDQOLSF-36 Kao et al [13] , 2009 Cross sectional SF-36 Abraham et al [14] , 2008 Case control, follow up WHOQOL-BREF Kimmel et al [15] , 2008 Prospective Satisfaction with Life Scale (SLS), McGill QOL, Single item Patel et al [16] , 2002 Prospective McGill QOL, Beck Depression Griva et al [17] , 2009 Cross sectional SF-36 Elder et al [19] , 2008 Cross sectional, case mix KDQOLSF-36 Sanner et al [20] , 2002 Cross sectional SF-36, Nottingham Health Profile Tondra [22] , 2014 Conceptual Framework, CS Quality of Life Index Dialysis, Mingardi et al [23] , 1999 Prospective SF-36 Seica et al [24] , 2009 Cross sectional SF-36, KDQOLSF-36 Bakewell et al [25] , 2002 Longitudinal /intervention KDQOLSF-36 Theofilou [26] , 2012 Cross sectional/ Observational WHOQOL-BREF, GHQ-28 Kim et al [28] , 2013 Cross sectional KDQOLSF-36 White et al [29] , 2002 Retrospective cohort SF-36 Painter et al [32] , 2000 Experimental/Intervention SF-36 Ouzouni et al [33] , 2009 RCT SF-36, Quality of Life Index Agakhani et al [34] , 2012 Case control/comparative SF-36 Hegazy et al [35] , 2013…”

“…[22,25] , influence of dialysis care practice [27] , self-efficacy, treatment satisfaction [28] , pre-dialysis clinic attendance [29] , exercise [30] . Intervention such as dietary counseling [34,35] , individual/group counselling [14,36,37,40] , education on regular exercise [31][32][33] , physical and psychological rehabilitation interventions, palliative care to manage symptoms [38] , and cognitive behavior therapy to reduce depression [39] Inverse association of factors with QOL More worries and higher depression [13] , ignorance about the basic facts of one's disease [14] , Pain, financial constraints [14] , psychological and spiritual factors [15] , emotional impact, physical impact on daily living, role of religious and spiritual beliefs [16] , beliefs related to illness and treatment [17] , anxiety, depression, suicidal ideation, grief of loss of kidney, self-image selfesteem [18] , sleep quality [19] , sleep related breathing disorders [20] , as well as erectile dysfunction, patient satisfaction with care, depressive aspects, symptom burden, and perception of intrusiveness of illness [21] , female gender [22][23][24]26] , ethnicity [25] , older age [26] , less education [24,26] , poor nutritional status [25] and divorced marital status, Illness and treatment beliefs [17] , work and Symptom domain [25] No or very weak association of fa...…”

Assessment of health-related quality of life and its determinants in patients with chronic kidney disease

“…There is minimal literature on HRQoL in CKD patients from low and middle-income countries, including India. [345678910111213] A few issues unique to the developing world which could potentially affect the HRQoL include age, economic status, literacy level, loss of employment, and gender bias. Apart from the disease and its complications, socioeconomic and cultural environment of the patients also play a major role in determining HRQoL.…”

Assessment of Quality of Life and Drug Usage Among Haemodialysis Patients at A Tertiary Care Hospital

“…[28] Early detection of renal disorders and the adoption of multifactorial interventions targeting the main risk factors like hypertension, hyperglycaemia may delay the progression of renal disease besides reducing the cardiovascular morbidity and mortality.…”