Background
Given the high morbidity and mortality of the ESRD population receiving dialysis, quality improvement has long been a priority. Measuring the quality of life in end stage renal disease (ESRD) today is considered as a favorite standard in the medical world and has become an essential tool to develop better plans of care. So the aim of this study is to assess quality of life in patients with ESRD on heamodialysis by using Kidney Disease QOL-36 surveys (KDQOL), and it is association with socio-demographic characteristics and comrbidities that can affect it.
Methods
The study was a hospital based cross-sectional research conducted on 100 ESRD patients under heamodialysis treatment in Ibn-Sina hospital in Khartoum state, in the year 2019. Data were collected using a questionnaire including 2 parts: demographic variables and SF36. The components of QOL and the health related SF-12 PCS and MCS were the primary concern (dependent variables). Chi-square and bivariate correlation are used for association between dependent and independent variables. Descriptive and analytical statistics (Mean and Standard Deviation, independent t-test, One-Way ANOVA) were used to analyze the data in SPSS-15. Probability values less than 0.05 were considered as significant.
Result
The participants mean age was (50.4±13.83) years, there were more males than females (62% VS 38%), with 50% start dialysis befor 3-10 years. The mean score of the quality of life (QOL) of the study patients was (59.38±12.42), the lowest scores were recorded for physical composite PCS (33.50±10.25), and the mental composite MCS score (47.72±9.38). The results showed a significant difference between the mean of both QOL and PCS and independent variables of age, occupation and duration of dialysis, QOL (P=.05, P=.01, P=.07), and for PCS (P=.008, P=.04 P=.004) respectively, with marital status show significant relationship with QOL only. There was no significant difference to other independent variables. MCS not affected by any of the independent variables.
Conclusion
The results showed large variations in the dimensions of life in end stage renal disease as the result of hemodialysis. , Family and health care team members can use factors influencing the patients’ quality of life in order to provide care and support programs for patients to help them cope with the illness and improve their quality of life.
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