The Different of Quality of Life Between Patient with Kidney Failure Undergoing Hemodialysis and Continous Ambulatory Peritoneal Dialysis (CAPD)

Abstract

Dialysis is a therapy that aims to remove waste and excess fluid from the body. This method replaces the main function of the kidney. Two types of dialysis are known, namely Peritoneal Dialysis and Hemodialysis. Patients with chronic kidney failure are faced with these two treatment options. Both types of dialysis therapy have a risk of complications during the treatment period that can affect the quality of life of patients. The purpose of this study was to determine the differences in dialysis methods of patients with chronic kidney failure with CAPD (continuous ambulatory peritoneal dialysis) and hemodialysis in terms of quality of life as a basis for palliative care. The research design uses a cross-sectional comparative analytical research design. The independent variable is the action of hemodialysis and CAPD. The dependent variable is quality of life. The study sample was patients with chronic kidney failure who underwent hemodialysis and CAPD at Saiful Anwar Hospital in Malang with 126 respondents using consecutive sampling technique. Data analysis using Independent T-test ( = 0.05). The research instrument was a WHO-QOL questionnaire. Respondents who received hemodialysis were 104 patients. The average quality of life of patients undergoing hemodialysis was 84.52 ± 11.37. Respondents who received CAPD were 22 patients. The average quality of life of patients undergoing CAPD is 80.23 ± 7.95. There are differences in quality of life in patients who get HD and CAPD (p value = 0,000). There were no differences in kidney function in patients who received HD and CAPD (creatinine p value = 0.130; urea p value = 0.083).

Protocolo gráfico de validação para avaliação da assistência de enfermagem segura em hemodiálise

“…Em decorrência disso, a forma de tratamento consiste principalmente na Terapia Renal Substitutiva (TRS), por meio de técnicas invasivas, como a diálise renal, que têm por finalidade assumir a principal função dos rins, e, entre os seus tipos, tem-se a diálise peritoneal (DP) e a hemodiálise (HD). (2,5) Consoante a isso, destaca-se a HD, uma vez que é a técnica de depuração renal predominante, adotada atualmente para 92% dos pacientes com doença renal em estágio terminal (DRCT) (6) . Tal procedimento é realizado por meio de equipamento com a finalidade de remover substâncias tóxicas e líquido concentrado no sangue devido à falência renal.…”

Graphic Protocol for Assessing Safe Nursing Care in Hemodialysis: a Validation Study

“…As a result, treatment consists mainly of Renal Replacement Therapy (RRT), through invasive techniques such as dialysis, which aims to take over the main function of the kidneys. Among its types, there are peritoneal dialysis (PD) and hemodialysis (HD) 2,5 .…”