Evaluation of quality of life in hemodialysis patients and measurement of clinical outcomes
Journal Title: Journal of Biomedical and Pharmaceutical Research - Year 2018, Vol 7, Issue 4
Abstract
End stage renal disease is the final stage of chronic kidney disease in which the kidneys longer function well enough to meet needs of life. The treatments for ESRD are dialysis or kidney transplant. Hemodialysis (HD) is the most common type of dialysis which can cause significant impairment in health related quality of life (HRQOL) and outcomes. The aim of the present study was to learn about the quality of life in patients receiving dialysis treatment and to evaluate the influence of various factors associated with poor HRQOL. In addition, this study compares SF-36 scores of various domains between survival and deceased patients. The study was a prospective observational, analytical study, conducted for 7 months in IPD/OPD of Dialysis Department at Sagar Hospitals, Bengaluru. The validated and authorized health related quality of life questionnaire (RAND SF-36) consists of 36 questions measuring physical and mental health status was used. Statistical significance of differences in physical component summary and mental component summary was calculated by using Kruskal-Wallis test and the Mann-Whitney U test. A total of 126 patients meeting the study criteria participated and completed the study. Overall, 85(67%) were male and the mean ± standard deviation age was 58.10± 11.38 years. Both PCS and MCS scores have significant negative association with age, total number of chronic medications and the total number of chronic co-morbid diseases. Among eight scales of SF-36, Bodily Pain (BP), Physical Function (PF), Role limitation due to Physical health (RP) and Vitality scores were significantly higher in surviving patients when compared to that of deceased patients respectively. Our study showed that important variables like PF, BP, RP and VT scores can be taken into consideration when dealing with hemodialysis patients. Healthcare providers should be aware of poor physical health as well as mental health among female gender, elderly patients, unemployed patients, patients with no formal education, multiple co-morbid diseases, and multiple chronic medications to improve their quality of life. Key words: End stage renal disease, Hemodialysis, Health related quality of life, SF-36 questionnaire.
Authors and Affiliations
Shaik Ayesha
Keywords
Related Articles
- EP ID EP487266
- DOI -
- Views 121
- Downloads 0
Microstylis muscifera (Jeevak): Highly Therapeutic and Endangered Orchid
In ancient times, Ashwani Kumars (Ayurvedic wonder healers) have been said to see the old, frail and emaciated body of Rishi Chyawan and decided to rejuvenate his body through medication by incorporating Ashtawarga, a gr...
MEDICAL ETHICS: AYURVEDIC VIEW POINT IN PURVIEW OF CHARAK SAMHITA
Ethics are the methods, policies, perspectives which decide a set of guidelines to act in a particular situation and for analyzing complex problem courses. The medical profession is governed by legislation and by code of...
Nanotheranostic: Nanomedicine and future development
Nanotechnology holds a productive potential about to happen explored as a multifunctional word of light at end of tunnel for a wide alps of biological and engineering applications a cleanly known as molecular sensors for...
ISOLATION AND CHARACTERIZATION OF A FLAVONOID FROM ETHANOLIC EXTRACT OF ALTERNANTHERA SESSILIS LINN.
This study was performed to isolate and characterize the flavonoid present in Alternanthera sessilis Linn. Direct soxhlet extraction process was adopted for extraction by using 95% ethanol and vacuum evaporator was used...
PHARMACEUTICO THERAPEUTICS OF SULPHUR (GANDHAKA) AN AYURVEDIC REVIEW
The term Sulfur or Sulphur derived From the Sanskrit word "Shulvari"(Shulva + Ari) meaning enemy of shulva or copper metal(Anti-copper). Sulphur occurs free in abundant quantities and hence was probably known to ancient...