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Published on: October 2, 2020
Factors Affecting Quality of Life in Hemodialysis Patients
Ade Yonata1, Nurul Islamy2, Ahmad Taruna1
1Department of Internal Medicine, Faculty of Medicine, Lampung University-Abdul Moelok Hospital, Lampung, Indonesia.
Insights
Quality of life is good for most hemodialysis patients. Managing comorbidities is key to improving their quality of life, as indicated by logistic regression analysis.
Area of Science:
- Nephrology
- Public Health
- Quality of Life Research
Background:
- Hemodialysis is a primary treatment for end-stage renal disease.
- Quality of life is crucial for chronic kidney disease (CKD) patients on hemodialysis.
- Identifying factors influencing quality of life is essential for patient management.
Purpose of the Study:
- To assess the quality of life in CKD patients undergoing hemodialysis.
- To determine factors significantly impacting the quality of life in this population.
Main Methods:
- Analytical survey with a cross-sectional design.
- Utilized Subjective Global Assessment (SGA) for nutritional status.
- Employed KDQOL-SF™ for quality of life assessment.
- Statistical analysis included Student's t-test, Mann-Whitney U-test, and logistic regression.
Main Results:
- 124 hemodialysis patients participated (median age 44 years; 53% male).
- 67.7% of patients reported good quality of life.
- Number of comorbidities (p=0.014) was linked to quality of life; economic status also showed a relationship (p=0.029).
- Logistic regression identified the number of comorbidities as a significant factor (p=0.004, OR=3.4).
Conclusions:
- The majority of hemodialysis patients experience good quality of life.
- The number of comorbidities significantly impacts quality of life in hemodialysis patients.
- Effective management of comorbidities is vital for enhancing patient quality of life.
Background:
Hemodialysis is one of the main therapies for patients with end-stage renal disease. Quality of life is essential in the management of chronic kidney disease (CKD) patients undergoing hemodialysis. Factors that influence the quality of life in hemodialysis patients must be identified.
Purpose:
This research evaluated the quality of life in CKD patients undergoing hemodialysis and determined factors affecting the quality of life.
Patients And Methods:
This study used an analytical survey method with a cross-sectional design. The Subjective Global Assessment (SGA) questionnaire was used to evaluate nutritional status, and the KDQOL-SFTM questionnaire was used to evaluate quality of life. The bivariate statistical test applied was the Student's t-test or the Mann-Whitney U-test. Multivariate analysis was done using logistic regression.
Results:
The total number of hemodialysis patients in the study was 124. Their median age was 44 years. The patients consisted of 66 (53%) men and 58 (47%) women. Overall, 84 patients had good quality of life (67.7%), and 40 (32.3%) reported poor quality of life. Our study showed a relationship between economic status and quality of life (p = 0.029) and between the number of comorbid factors and quality of life (p = 0.014). No relationship was found between nutritional status and quality of life (p = 0.121). Multivariate analysis using logistic regression analysis showed that the number of comorbidities was a significant factor in quality of life (p = 0.004, OR = 3.4 [1.67-7.46]).
Conclusion:
The majority of hemodialysis patients had good quality of life. Logistic regression analysis found that the number of comorbidities was a significant factor in the quality of life of hemodialysis patients. Comorbidities in hemodialysis patients must be managed to improve their quality of life.
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