[Haemodialysis and its impact on the quality of life]

The haemodialysis has considerably transformed the evolution of chronic renal failure which usually has a precarious evolution. However, this palliative treatment disturbed in several manners the universe of the patient. Our purposes were to evaluate the quality of life of patient on haemodialysis and to identify the risk factors that can deteriorate it. Our work was a transversal study realized in four centers of haemodialysis during a period of three months (2004). One hundred and sixty-two patients participated. The quality of life was assessed with a specific scale Kidney Disease Quality of Life Short-Form (KDQDL-SF). A standardization of the initial average scores of SF-36 was realized. The global average score, according to KDQOL-SF, was 55,2. The standardization showed a physical component more alterated than the mental one with respective scores 36,8 and 44,7. The logistic regression permitted us to identify that the quality of life's alteration was correlated with an absent autonomy, a diabetic origin of renal insufficiency, a predialytic serum creatine concentration inferior to 800micromol/l and haemodialysis demographic social features. This clinimetric approach not only precises the more deteriorated sectors through the regard of patient, but also reintroduces its point of view about the treatment permitting a personalization of therapies and consequently a better adhesion.