Quality of Life of Chronic Kidney Disease Patients on haemodialysis in a tertiary care centre

Karishma Shaik, R.N Sechassayana, Sathyasagar Kalidoss
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Abstract

Abstract Background: End-stage renal failure is a chronic disease that greatly impacts a patient's health-related quality of life mainly due to the imposed limitations in almost all domains of their daily lives affecting >10% of the general population worldwide, amounting to >800 million individuals. Haemodialysis consists of a complex procedure for patients that requires frequent hospital or dialysis centre visits, three times a week, Objectives: To assess Quality of life and to find an association between QOL, socio-demographic factors, and clinical variables among chronic kidney disease patients on haemodialysis Material and methods: The sample consisted of 89 patients undergoing haemodialysis. Data was collected by a specially designed questionnaire (KDQOL-36) which apart from the socio-demographic and clinical variables, also included the kidney disease variables for assessing the quality of life. Results: The results indicated that haemodialysis patients' QOL was impacted by socio-demographic and clinical factors related to dialysis. The study majorly reported that these factors played a major role directly and indirectly, with social activities affecting more followed by emotional disturbances and physical activities. Conclusion: QOL of haemodialysis patients can be improved by correctable factors like anemia, diabetes, and hypertension. Healthcare practitioners can create personalised interventions that are tailored to the needs of haemodialysis patients by having a deeper grasp of the variables like treatment of co-morbidities decrease in the number of hospitalizations, better management of anemia and decreasing the distance between home & dialysis center. 
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三级医疗中心接受血液透析的慢性肾脏病患者的生活质量
摘要背景:终末期肾功能衰竭是一种严重影响患者健康相关生活质量的慢性疾病,主要是由于其日常生活的几乎所有领域都受到限制,影响了全球超过10%的普通人群,总计超过8亿人。血液透析是一项复杂的患者程序,需要每周三次频繁前往医院或透析中心。目的:评估生活质量,并发现生活质量、社会人口因素、,慢性肾脏病患者血液透析的临床变量材料和方法:样本包括89名接受血液透析的患者。数据是通过一份专门设计的问卷(KDQOL-36)收集的,该问卷除了社会人口统计学和临床变量外,还包括用于评估生活质量的肾病变量。结果:血液透析患者的生活质量受到与透析相关的社会人口学和临床因素的影响。该研究主要报告称,这些因素直接和间接地发挥了重要作用,社交活动的影响更大,其次是情绪障碍和身体活动。结论:贫血、糖尿病、高血压等可纠正的因素可改善血液透析患者的生活质量。医疗从业者可以根据血液透析患者的需求,通过更深入地掌握并发症的治疗、住院人数的减少、贫血的更好管理以及减少家庭和透析中心之间的距离等变量,制定个性化的干预措施。
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审稿时长
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