Quality of life in Chronic Hemodialysis Patients
Background: This study was conducted to assess the quality of life and burden of kidney disease in patients undergoing hemodialysis in physical, mental and social aspects.
Methods: This descriptive cross-sectional study was conducted from October 2015 to March 2016 and included 201 patients from dialysis centers of Holy Family Hospital, Benazir Bhutto Hospital, and District Head Quarters Hospital Rawalpindi. Using KDQOL-SF-36, patients were interviewed in Urdu to gather information on Physical Health Composite Summary (PCS), Mental Health Composite Summary (MCS) and Kidney Disease Composite Summary (KDCS) domains. Data entry and analysis was done using SPSS version-22.
Results: Amongst 201 patients undergoing hemodialysis the most common cause of ESRD and consequent dialysis was found to be Hypertension
(n= 141), followed by Diabetes Mellitus (n= 28). Using SF-36 scoring, the mean score of quality of life was 47.29±27.05. The mean score for Physical Health Composite Summary (PCS) was 37.05±8.7, Mental Health Composite Summary (MCS) was 43.44±9.24 and Kidney Disease Composite Summary (KDCS) was 56.28±23.01. Thirty Eight percent (38%) patients had perceived health above average and 62% thought that their health was below average.
Conclusion: Quality of life is significantly reduced in majority of the patients undergoing chronic hemodialysis. The lowest score is found in physical health domain and the highest score is found in Kidney Disease domain.
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