scholarly journals Health Related Quality of Life Among Maintenance Hemodialysis Patients and Healthy Pregnant Women: A Comparative Cross-sectional Study

2021 ◽  
pp. 36-47
Author(s):  
Monisayo Olayemi Komolafe
Keyword(s):  
Quality Of Life ◽  
Renal Transplantation ◽  
Pregnant Women ◽  
Maintenance Hemodialysis ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related ◽  
End Stage

Introduction: About 600 million (10%) of the world population has chronic kidney diseases (CKD). It is progressive, irreversible but effectively treated with maintenance hemodialysis and renal transplantation. In Nigeria, majority of end stage kidney disease patients struggle to continue regular hemodialysis as renal transplantation is beyond the reach of many. The financial burden and other restrictions on the life of the patients have implications for quality of life of these patients. Objectives: To compare health related quality of life of end stage CKD patients with that of healthy pregnant women without any medical co-morbidity. Methodology: WHOQOL-BREF questionnaire was used to determine quality of life of 64 CKD patients and 64 healthy pregnant women in a cross sectional comparative descriptive study. Statistical significance difference between the two groups attributed to events with a p-value lower than 5% (p < 0.05). Results: The mean quality of life index among the maintenance hemodialysis patient was 43.03±15.96 while it is 63.56±12.61 among the healthy pregnant women and the difference is statistically significant (T= 8.01, p =0.000). Hemodialysis participants had lower QOL across all the four domains when compared to healthy pregnant women. Conclusion: Health related quality of life of CKD patients in Nigeria is low. The government and care givers need to push for interventions known to make quality of life of CKD as well as that of healthy populace.

scholarly journals Health-related quality of life in different trimesters during pregnancy

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Hanqing Chen ◽  
Yanxin Wu ◽  
Wenjing Ding ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Abstract Background Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy. Methods This cross-sectional study was performed using the The EuroQoL Group’s five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China. Results A total of 908 pregnant women were included in this study. Pregnant women in the early 2nd trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group’s visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13). Conclusions During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.

scholarly journals Health Related Quality of Life Among Chronic Kidney Disease Patients Undergoing Hemodialysis in Pakistan.

2021 ◽  
Vol 5 (4) ◽  
pp. 100-104
Author(s):  
Raheel Ahmed ◽  
Tanveer Ahmed ◽  
Najm Ud Din ◽  
Syed Munib ◽  
Inayat Ur Rehman Inayat Ur Rehman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Kidney Diseases ◽  
Maintenance Hemodialysis ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Background: Hemodialysis is a well-established replacement therapy for patient with end stage kidney disease havin a great impact on the patient’s quality of life. Therefore, the purpose of this study is to identify the health-related quality of life of patients undergoing maintenance hemodialysis. Methods: A cross sectional single centere survey was carried out from March 2018 to June 2018 at Department of Nephrology, Institute of Kidney diseases, Peshawar in Pakistan. A 36 item KDQOL validated Urdu version was used to identify the quality of life of patients. Results: A total of n=184 patients having chronic kidney disease undergoing hemodialysis participated,of whom 63.6% were males and 57.1% patients were Pashtun. A multiple linear regression showed that patients having kidney disease caused due to hypertension had 45% higher kidney disease component summary (KDCS) score while 16% higher physical component summary (PCS) score and 60% higher mental component summary (MCS) score  and were statistically significant. Similarly; Peshawari patients had 22% lower PCS score as compared to other ethnic groups ; however, in MCS Peshawari patients had 16% higher score  and were statistically significant. Conclusion: The patients have poor quality of life receiving hemodialysis therapy in all three domains like PCS, MCS and KDCS.

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