scholarly journals Quality of life of individuals with chronic kidney disease on dialysis

2019 ◽  
Vol 41 (3) ◽  
pp. 364-374 ◽  
Author(s):  
Nadaby Maria Jesus ◽  
Gracielly Ferreira de Souza ◽  
Clesnan Mendes-Rodrigues ◽  
Omar Pereira de Almeida Neto ◽  
Deusdélia Dias Magalhães Rodrigues ◽  
...  

Abstract Introduction: Chronic kidney disease (CKD) negatively affects the physical and biopsychosocial aspects of the lives of individuals with the disease, thereby affecting the quality of life (QOL) of patients and their families. Objectives: This study aimed to measure the QOL of individuals with CKD and compare the QOL scores of patients with CKD to the scores of disease-free individuals to find factors associated with better QOL. Method: The local Ethics Committee approved this cross-sectional study. The study was carried out at a public clinic and a private hemodialysis clinic. Participants were asked to answer the WHOQOL-BREF and a sociodemographic questionnaire. Statistical tests were used according to the variables of interest and significance was attributed to differences with p-values < 0.05. Results: Nearly two thirds (59%) of the case group members were males and 55% did not have a spouse; 53% were seen at a private clinic and 57% had complications. The variables that more significantly affected QOL were smoking (perception of QOL) (Bi = - 0.4061; p = 0.032), undergoing hemodialysis (general health status) (Bi = - 0.3029; p = 0.034), and duration of sessions (Bi = 0.117; p = 0.039) (environmental domain). Conclusion: The QOL of patients with CKD was significantly lower when compared to controls in the physical and psychological domains. Several variables affected the perception of QOL and should be considered in clinical assessment.

2018 ◽  
Vol 104 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Anna Francis ◽  
Madeleine S Didsbury ◽  
Anita van Zwieten ◽  
Kerry Chen ◽  
Laura J James ◽  
...  

ObjectiveThe aim was to compare quality of life (QoL) among children and adolescents with different stages of chronic kidney disease (CKD) and determine factors associated with changes in QoL.DesignCross-sectional.SettingThe Kids with CKD study involved five of eight paediatric nephrology units in Australia and New Zealand.PatientsThere were 375 children and adolescents (aged 6–18 years) with CKD, on dialysis or transplanted, recruited between 2013 and 2016.Main outcome measuresOverall and domain-specific QoL were measured using the Health Utilities Index 3 score, with a scale from −0.36 (worse than dead) to 1 (perfect health). QoL scores were compared between CKD stages using the Mann-Whitney U test. Factors associated with changes in QoL were assessed using multivariable linear and ordinal logistic regression.ResultsQoL for those with CKD stages 1–2 (n=106, median 0.88, IQR 0.63–0.96) was higher than those on dialysis (n=43, median 0.67, IQR 0.39–0.91, p<0.001), and similar to those with kidney transplants (n=135, median 0.83, IQR 0.59–0.97, p=0.4) or CKD stages 3–5 (n=91, 0.85, IQR 0.60–0.98). Reductions were most frequent in the domains of cognition (50%), pain (42%) and emotion (40%). The risk factors associated with decrements in overall QoL were being on dialysis (decrement of 0.13, 95% CI 0.02 to 0.25, p=0.02), lower family income (decrement of 0.10, 95% CI 0.03 to 0.15, p=0.002) and short stature (decrement of 0.09, 95% CI 0.01 to 0.16, p=0.02).ConclusionsThe overall QoL and domains such as pain and emotion are substantially worse in children on dialysis compared with earlier stage CKD and those with kidney transplants.


2020 ◽  
Vol 17 (18) ◽  
pp. 2954-2963
Author(s):  
Jakub Ruszkowski ◽  
Zbigniew Heleniak ◽  
Ewa Król ◽  
Agnieszka Tarasewicz ◽  
Joanna Gałgowska ◽  
...  

2017 ◽  
Vol 30 (4) ◽  
pp. 781-788 ◽  
Author(s):  
Jefferson Belarmino Nunes Barbosa ◽  
Elaine Cristina Santa Cruz de Moura ◽  
Celine Lorena Oliveira Barboza de Lira ◽  
Patrícia Érika de Melo Marinho

Abstract Introduction: Quality of life (QoL) of hemodialysis patients is a major evaluative marker currently measured, while treatment time is a clinical determinant associated with impaired QOL. Objective: To evaluate QOL in individuals undergoing hemodialysis (HD) considering treatment time and the presence of comorbidities. Methods: A cross-sectional study conducted in the hemodialysis unit of the Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE). We studied patients with Chronic Kidney Disease (CKD) of both genders over the age of 18 years, at any level of education and undergoing HD for at least 6 months. We evaluated the demographic/socioeconomic and clinical data, followed by application of the quality of life questionnaire (KDQOL-SF). Results: Participants were 47 patients with a mean age of 50.94 ± 13.33 years, 55.3% were male and average treatment time of 57.35 ± 61.46 months. Hypertension (59.6%) was the most frequent underlying disease. According to the responses obtained through the KDQOL-SF, the situation at work and physical limitation scored worse. Sexual function (85.83) and encouragement by the team had the best performance. There were no differences in dimensions of questionnaire and treatment time. Conclusion: The presence of comorbidities and HD duration were not found to be possible factors for changing QoL in this study. However, we suggest that future studies evaluate other factors such as laboratory, emotional and functional data to check for changes in QoL in these patients related to HD duration.


Author(s):  
Shambhu Kumar Saxena Mahato ◽  
Tawatchai Apidechkul ◽  
Pamornsri Sriwongpan ◽  
Rajani Hada ◽  
Guna Nidhi Sharma ◽  
...  

2014 ◽  
Vol 12 (1) ◽  
pp. 27 ◽  
Author(s):  
Henrique Mansur ◽  
Fernando AB Colugnati ◽  
Fabiane Rossi dos Santos Grincenkov ◽  
Marcus Bastos

Author(s):  
Beatriz dos Santos Pereira ◽  
Neimar da Silva Fernandes ◽  
Nayara Pires de Melo ◽  
Renata Abrita ◽  
Fabiane Rossi dos Santos Grincenkov ◽  
...  

2021 ◽  
Vol 6 (1) ◽  
pp. 28
Author(s):  
Virgianti Nur Faridah ◽  
Muhamad Syukri Ghozali ◽  
Arifal Aris ◽  
Siti Sholikhah ◽  
Masunatul Ubudiyah

Introduction: Assessment of hemodialysis adequacy is an important indicator to assess the effectiveness of hemodialysis measures that can affect the patient's quality of life with chronic kidney disease. This study aims to determine the relationship between adequate hemodialysis and the quality of life of patients with chronic kidney disease undergoing hemodialysis therapy.Method: This type of research is a correlational study with a cross sectional approach. The population in this study were 86 elderly patients who underwent hemodialysis at the Muhammadiyah Lamongan Hospital. In this study, the independent variables were adequate hemodialysis and quality of life as the dependent variable. Measurement of hemodialysis adequacy was carried out using the URR formula, and the assessment of quality of life using the SF 36 questionnaire. Data analysis methods used the Spearman test using SPSS Ver. 16Result: The results of measurement of adequacy of 86 respondents, namely 13.9% achieved adequate and 86% did not achieve adequacy. The results of the quality of life assessment showed that 17.4% had a good quality of life and 82.5% had a poor quality of life. The results of statistical tests showed that there was a significant relationship between adequate hemodialysis and quality of life (p value = 0.000).Conclusion: The role of nurses is very important in improving the quality of care in achieving adequate adequacy so that it will improve the quality of life in patients with chronic kidney disease undergoing hemodialysis therapy.


Sign in / Sign up

Export Citation Format

Share Document