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Shvoong Home>Medicine & Health>QUALITY OF LIFE AMONG CHRONIC HEMODIALYSIS PATIENTS Summary

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QUALITY OF LIFE AMONG CHRONIC HEMODIALYSIS PATIENTS

Book Abstract by: holland     

Original Author: Bollineni vikram rao
  • Summary rating: 3 stars (5 Ratings)
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     QUALITY OF LIFE AMONG CHRONIC HEMODIALYSIS
PATIENTS     INTRODUCTION: End-Stage Renal Disease (ESRD) is a non curable condition for which life long renal replacement therapy is required. Since transplantation of a kidney is not possible many patients receive dialysis therapy .Studies on the quality of life of dialysis patients have not yielded consistent results with respect to the impact of diseases and treatment. Quality of life (QOL) is an important parameter of the adequacy in dialysis patients.   METHOD: The study was conducted in dialysis unit of Kahrkiv Region Clinical Nephro-Urological Center. A total of 132 patients who received regular hem dialysis were included.132 patients mean age 40.3±1.24 years have been treated on regular hemodialysis   4 hours 2-3 times per week. Dialysis age was 30.4±3.2months.They were clinically stable with a mean ktv 1.18 ±0.2 62% of patients were under anti-hypersensitive treatment. Patients completed the KDQOL-36 TM.KDQOL-36tm disease targeted items focus on   particular health related concerns of individual with kidney disease and on dialysis, symptoms and problems, Effects of kidney disease, Burden of kidney disease. KDQOL-36 tm also includes a SF-12 physical- health composite and SF-12 mental health composite. Questionnaire was done before starting of regular hemodialysis in every 6 months, 2 questionnaire was done after 6 months after staring HD, indicating better quality of life due to decreased parameter effects  and burden of kidney disease and increased  physical health composite parameter is better to 10 % and mental health composite is better up to 4.7%.   RESULTS: Results shown a significant impairment of quality of life in HD Patients compared to General population for all parameters except mental health (P≤ 0.05) Higher age and co morbidity were associated with lower quality of life. Hypersensitivity patients who received ACEI Enalopril had higher quality of life. Patients who received erythropoietin (EPO) “EPREX” had higher quality of life.   CONCLUSION: We conclude, early referral   and treatment of patients is needed help maintain quality of life by treating anemia, managing co-morbidity, and prevention.KDQOL-36 tm can be applied in evaluating of the ESRD treatment.   K=adequacy of HD Kt/v= calculate by urea in urine. Nearly 2% KDQOL =kidney disease and quality of life. HD= hemodialysis. ESRD=End Stage Renal Disease
Published: July 31, 2007
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