பயோமெடிக்கல் மற்றும் மருந்து அறிவியல் இதழ்

Factors Affecting Quality of Life in Heamodialysis Patients in Tertiary Care Hospital

Abstract

Anamika Ashok Kumar Sharma, Arezou Ahmadi RA, Narendra Bheemraj Parihar, Manjusha Sajith, Sunil Jawale and Shrinivas Ambike

Background: Patients undergoing haemodialysis has poor Quality of Life (QOL). Various studies have shown that level of haemoglobin, socio-economic status, literacy, dialysis program, ethnic groups, sex, comorbidities, malnutrition, depression and unsuccessful previous renal transplant affect quality of life of dialysis patient. There are limited data available that may co-relate the relationship of socio-demographic, clinical variables with QOL domains in Haemodialysis (HD) patients. Hence the present study is in line with these efforts.

Materials and Methods: A prospective observational study was conducted from August 2016 to July 2017 on 131 patients in Haemodialysis unit of Bharati Hospital and Medical Research Centre. Socio-demographic and clinical details were obtained by Self-Predesigned Performa. Quality of life was assessed by WHO-BREF questionnaire. Mann-Whitney U test and Kruskal-Wallis ‘H’ test were used to analyze the data statistically.

Results: All four domains in male (52.80+13.80), graduated (57.44 + 15.10), retired (62.77 + 17.03) patients and residing in an urban area (53.96 + 14.79) had higher scores as compared to female, primarily educated, employed or unemployed patients and residing in the rural area. As for the increase in duration and frequency of haemodialysis, physical domains were highly affected (47.99 + 12.67, 47.45+14.05). Surprisingly increase in the number of pills had a positive effect on physical (48.62 + 11.83), social (60.21 + 12.13) and environmental (58.40 + 12.11) domains.

Conclusion: Marital status, employment status has a negative impact while education, economic and residential has a positive impact on QOL. Interestingly, patients with social habits and increase in duration of haemodialysis, the frequency of haemodialysis and poly-pharmacy had a better QOL.