Hemodialysis as long term treatment: Patients satisfaction and its impact on quality of life

Objective: To determine the level of satisfaction as hemodialysis a long term treatment and quality of life in patients off End Stage Kidney Disease ESKD on hemodialysis. Methods: A cross-sectional study was carried out from January to April 2019 in hemodialysis unit of Lahore General Hospital on 141 ESKD patients by using self-designed questionnaire after informed consent. Results: Majority (82.56%) of the participants were satisfied with the care provided at the dialysis center. except with the time spent with doctor and 36.9% were not satisfied with their cannulation technique for dialysis. About 89.9% were satisfied with the knowledge provided to them about self-care. Satisfaction is subjective well-being in different aspects of life, including mental health and behavior of people experiencing serious health concerns. Quality of Life (QOL) is defined as “perception of one’s position in life, in the light of his culture and customs, consisting someone’s goals, standards or expectations. Financial problems to the patient was limited to the transportation as dialysis session and erythropoietin were free, but 54.1% of the patients were unable to earn due to their disease even those who were working ,80% of them had to take the day off for dialysis. The financial burden and debilitating illness didn’t cause separation/divorce from spouse but led to increased frequency of scuffles. Among the unmarried population, 40% of it does not want to start a relationship and 40% is facing difficulties in finding a partners while 97.9% of the population is satisfied with the psychological and emotional support of family. Conclusion: Most patients were satisfied with their decision of opting hemodialysis as treatment and care provided at dialysis centre, although Quality of Life was badly affected in terms of financial and psycho-social aspects. Employed, married with good income have good quality of life. Loopholes of unit environment and health education were also exposed. Despite the medical advancement and emerging techniques to make dialysis better, the outcome of hemodialysis has yet to reach a safe level and more work should be done to improve patient’s outcome. doi: https://doi.org/10.12669/pjms.37.2.2747 How to cite this:Iqbal MS, Iqbal Q, Iqbal S, Ashraf S. Hemodialysis as long term treatment: Patients satisfaction and its impact on quality of life. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.2747 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A comparison of the clinical determinants of health-related quality of life and subjective well-being in long-term breast cancer survivors

European Journal of Cancer Care ◽

10.1111/j.1365-2354.2012.01344.x ◽

2012 ◽

Vol 21 (5) ◽

pp. 692-700 ◽

Cited By ~ 14

Author(s):

P. TESSIER ◽

S. LELORAIN ◽

A. BONNAUD-ANTIGNAC

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Breast Cancer Survivors ◽

Well Being ◽

Subjective Well Being ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Quality of life in long-term childhood cancer survivors and the relation of late effects and subjective well-being

Supportive Care in Cancer ◽

10.1007/s00520-004-0724-0 ◽

2004 ◽

Vol 13 (1) ◽

pp. 49-56 ◽

Cited By ~ 58

Author(s):

Sigrid Pemberger ◽

Reinhold Jagsch ◽

Eva Frey ◽

Rosemarie Felder-Puig ◽

Helmut Gadner ◽

...

Keyword(s):

Quality Of Life ◽

Cancer Survivors ◽

Childhood Cancer ◽

Late Effects ◽

Well Being ◽

Childhood Cancer Survivors ◽

Subjective Well Being

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The crystal arthropathies

InnovAiT Education and inspiration for general practice ◽

10.1177/1755738013499319 ◽

2013 ◽

Vol 6 (11) ◽

pp. 681-687 ◽

Cited By ~ 1

Author(s):

Robert A Jones ◽

Brian Quilty

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Inflammatory Arthritis ◽

Term Treatment ◽

Routine Practice ◽

Treatment Goals ◽

Crystal Arthropathies ◽

Long Term Treatment

Unlike many other forms of inflammatory arthritis, the crystal arthropathies are routinely diagnosed and managed in primary care. Gout, in particular, is relatively commonplace and rates of other types of crystal-related arthritis are predicted to increase. These are, therefore, conditions that GPs and trainees will regularly encounter during routine practice. While the clinical features and pathophysiology of gout and pseudo-gout are well described, the long-term treatment goals and options of management are often less well understood, and opportunities to assess for associated co-morbidities can easily be missed. GPs can be central in optimising management by promptly and appropriately addressing acute symptoms, preventing recurrent attacks, minimising disability and work absences, reducing cardiovascular risk factors, improving general health and enhancing quality of life.

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Concerns and Quality of Life of Cancer Survivors Across the Survivorship Trajectory: A Singapore Perspective

10.21203/rs.2.14780/v1 ◽

2019 ◽

Author(s):

Gek Phin Chua ◽

Quan Sing Ng ◽

Hiang Khoon Tan ◽

Whee Sze Ong

Keyword(s):

Quality Of Life ◽

Cancer Survivors ◽

Cancer Treatment ◽

Cancer Survivorship ◽

Recurrence Risk ◽

Term Treatment ◽

Fear Of Recurrence ◽

Long Term Treatment

Abstract Background The aim of this study is to determine the main concerns of survivors at various stages of the cancer survivorship of the cancer survivorship trajectory and to assess whether these concerns have any effect on their quality of life (QOL). The overall goal was to use the insights from the study to guide practice on patient care. Methods A cross-sectional survey of 1107 cancer survivors diagnosed with colorectal, breast, lung, gynaecological, prostate or liver cancers from a cancer centre in Singapore. Eligible patients self-completed a questionnaire adapted from the Mayo Clinic Cancer Centre’s Cancer Survivors Survey of Needs. Results The top 5 concerns among all survivors were cancer treatment and recurrence risk (51%), followed by long-term treatment effects (49%), fear of recurrence (47%), financial concerns (37%) and fatigue (37%). Cancer treatment and recurrence risk, long-term treatment effects and fear of recurrence were amongst the top concerns across the survivorship trajectory. Mean QOL was 7.3 on a scale of 0 – 10. Completed treatment patients had higher QOL score than the newly diagnosed and on treatment patients and the patients dealing with recurrence or second cancer patients. Predictors for QOL included the economic status and housing type of patients and whether patients were concerned with pain and fatigue Conclusion This study confirms that cancer survivors in Singapore face multiple challenges and had various concerns at various stages of cancer survivorship, some of which negatively affect their QOL It is critical to design patient care delivery that appropriately address the various concerns of cancer survivors in order for them to cope and improve their QOL.

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Effects of long-term treatment with Dienogest on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain

Journal of Pain Research ◽

10.2147/jpr.s207599 ◽

2019 ◽

Vol Volume 12 ◽

pp. 2371-2378 ◽

Cited By ~ 13

Author(s):

Salvatore Caruso ◽

Marco Iraci ◽

Stefano Cianci ◽

Salvatore Giovanni Vitale ◽

Valentina Fava ◽

...

Keyword(s):

Quality Of Life ◽

Sexual Function ◽

Pelvic Pain ◽

Term Treatment ◽

Long Term Treatment

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Improved quality of life after long-term treatment with the bisphosphonate ibandronate in patients with metastatic bone disease due to breast cancer

European Journal of Cancer ◽

10.1016/j.ejca.2004.03.025 ◽

2004 ◽

Vol 40 (11) ◽

pp. 1704-1712 ◽

Cited By ~ 119

Author(s):

I.J Diel ◽

J.-J Body ◽

M.R Lichinitser ◽

E.D Kreuser ◽

W Dornoff ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Bone Disease ◽

Term Treatment ◽

Metastatic Bone Disease ◽

Long Term Treatment

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Assessment of Quality of Life During Long-Term Treatment of Tolvaptan in Refractory Heart Failure

International Heart Journal ◽

10.1536/ihj.13-326 ◽

2014 ◽

Vol 55 (3) ◽

pp. 264-267 ◽

Cited By ~ 16

Author(s):

Teruhiko Imamura ◽

Koichiro Kinugawa ◽

Tomohito Ohtani ◽

Yasushi Sakata ◽

Taiki Higo ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Term Treatment ◽

Refractory Heart Failure ◽

Long Term Treatment

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What Is a Clinically Relevant Improvement in Quality of Life in Adults With ADHD?

Journal of Attention Disorders ◽

10.1177/1087054715580395 ◽

2015 ◽

Vol 23 (1) ◽

pp. 65-75

Author(s):

Yoko Tanaka ◽

Meryl Brod ◽

Jeannine R. Lane ◽

Himanshu Upadhyaya

Keyword(s):

Quality Of Life ◽

Adult Adhd ◽

Minimal Clinically Important Difference ◽

Term Treatment ◽

Short Term ◽

Treatment Groups ◽

Clinically Important Difference ◽

Long Term Treatment

Objective: To estimate a minimal clinically important difference (MCID) on the adult ADHD Quality of Life (AAQoL) scale. Method: The MCID was determined from data from short-term ( N = 537) and long-term ( N = 440), placebo-controlled atomoxetine trials in adults with ADHD. For the anchor-based approach, change in clinician-rated Clinical Global Impressions–ADHD–Severity (CGI-ADHD-S) scores was used to derive MCID. For the distribution-based approach, baseline-to-endpoint mean ( SD) changes in AAQoL scores corresponding to 0.5 SD were computed. Results: The MCID was similar (approximately 8-point difference) between the short-term and the long-term treatment groups when either the anchor-based or distribution-based approach was used. Conclusion: These results suggest that approximately 8 points in the change from baseline on the AAQoL is a MCID.

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