A study of quality of life among hemodialysis patients and its associated factors using kidney disease quality of life instrument-SF36 in Riyadh, Saudi Arabia

Ajeebi, Abdulaziz; Saeed, Abdulkarim; Aljamaan, Alwaleed; Alshehri, Mujahid; Nasradeen, Majed; Alharbi, Nouf; Omair, Aamir; Al-Sayyari, Abdulla A

doi:10.4103/1319-2442.308331

Cited by 9 publications

(5 citation statements)

References 26 publications

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“…In contrast to our findings, Bastos et al (23) illustrated that poor quality of sleep, and excessive daytime sleepiness were common and unrelated to the timing of dialysis. Our results were strengthened by Ajeebi et al (24) , who used KDQOL-36 scales to evaluate the QOL of HD patients and reported that patients under dialysis during morning shifts had better Mental and Kidney Disease Effect scores compared to night shifts. Nevertheless, these results are not consistent with our results as there was a significant difference between different shifts regarding physical component score, and no significant difference was found regarding the burden on the kidney.…”

Section: Discussionsupporting

confidence: 56%

Role of Time of Hemodialysis Shifts on Quality of Life: A Comparative Study between Morning versus Evening Conventional Hemodialysis at Nephrology & Urology Unit, Minia University Hospital

Fathy¹,

Salama²,

Khalil³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: End-stage renal failure (ESRF) is a prevalent problem at national and global levels. It's a public health concern. Quality of life (QOL) conception had evolved over time but still emerging in Egypt. Reduced QOL of hemodialysis (HD) patients has been linked to non-compliance to treatment, a surge in hospital admissions, hemodialysis complications, and mortality.Objective: It was to evaluate QOL of the hemodialysis patients in Minia, Egypt.

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Section: Discussionsupporting

confidence: 56%

Role of Time of Hemodialysis Shifts on Quality of Life: A Comparative Study between Morning versus Evening Conventional Hemodialysis at Nephrology & Urology Unit, Minia University Hospital

Fathy¹,

Salama²,

Khalil³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…When compared to data from the literature, Lebanese patients on hemodialysis reported acceptable to good quality of life on both physical and mental health components: mean scores on these two variables using the SF-36 were shown to be 55.1 and 67.6 compared to 49.4 and 38.7, respectively in a Saudi study using the same instrument [ 49 ]. Quality of life is an individual’s perception of their position in life with respect to their culture, value system, and relationship to life goals, expectations, and standards.…”

Section: Discussionmentioning

confidence: 99%

Anxiety, depression and post-traumatic stress disorder in patients on hemodialysis in the setting of the pandemic, inflation, and the Beirut blast: a cross-sectional study

et al. 2023

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Background In 2020, Lebanon has witnessed its worst economic crisis, exacerbated by the COVID-19 pandemic and a massive explosion of its capital. Amidst these stressors, this study aims at assessing the prevalence of depression, anxiety, suicidality, post-traumatic stress disorder (PTSD) and cognitive impairment in patients undergoing hemodialysis in an academic hospital destroyed by the explosion. Methods This cross-sectional study conducted 6 months after the blast included adults on hemodialysis, with no previous diagnoses of dementia or intellectual disability. It explores prevalence rates of psychiatric disorders, in addition to other medical and psychosocial variables such as frailty, malnutrition, sarcopenia, quality of life and religiosity. Results Forty two patients (mean age 66.1; SD: 11.2 years) undergoing hemodialysis for 6.12 years (SD:7.22 years) were included. Anxiety and depression rates reached 54.8% and 57.1% using cut-offs of 6 and 7 respectively on the Hospital Anxiety and Depression rating Scale. 9.5% of the patients reported being in the hospital at the time of the blast and 7.1% reported being injured. 33.3% screened positively for PTSD using a cut-off of 23 on the PCL-5. 26.2% had passive death wishes and 7.1% had suicide plans, however no one had attempted it. 23.8% were found cognitively impaired as shown by the Mini-Cog (<3). Around two-third of participants were moderately to severely malnourished per the GLIM criteria. One third suffered from frailty, according to the FRAIL screening tool. Around 60% suffered from sarcopenia, based on handgrip strength measures. These findings contrast with “acceptable to good” quality of life subjectively reported by participants on the Short Form 36 (SF-36) Health Survey. While one-third of participants participated in organizational religious activities, 88% reported significant subjective meaning of religion in their heart. Conclusions Rates of depression, anxiety, PTSD, suicidality, and cognitive impairment were found to be alarming in the setting of an urban dialysis unit following a major explosion. Psychiatric disorders were found to be compounded with increased prevalence of malnutrition, frailty, and sarcopenia. These findings urge healthcare providers to implement early diagnostic and intervention strategies to improve both mental and physical wellbeing of this vulnerable population, in similar settings.

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“…A study by Ajeebi and his colleagues showed that patients with advanced kidney failure could likely be unaware of the effects of chronic renal replacement therapy on their physical and mental health [ 42 ]. Following this school of thought, it is evident that kidney failure patients need chronic dialysis for a drastic lifestyle change [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Health-Related Quality of Life, Medication Adherence, and Prevalence of Depression in Kidney Failure Patients

Butt

Ong

Butt

et al. 2022

IJERPH

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Background: Kidney failure is a global health problem with a worldwide mean prevalence rate of 13.4%. Kidney failure remains symptomless during most of the early stages until symptoms appear in the advanced stages. Kidney failure is associated with a decrease in health-related quality of life (HRQOL), deterioration in physical and mental health, and an increased risk of cardiovascular morbidity and mortality. This study aimed to evaluate the factors associated with decreased HRQOL and other factors affecting the overall health of patients. Another objective was to measure how medication adherence and depression could affect the overall HRQOL in patients with kidney failure. Methodology: The study used a prospective follow-up mix methodology approach with six-month follow-ups of patients. The participants included in the study population were those with chronic kidney disease grade 4 and kidney failure. Pre-validated and translated questionnaires (Kidney Disease Quality of Life-Short Form, Hamilton Depression Rating Scale Urdu Version, and Morisky Lewis Greens Adherence Scale) and assessment tools were used to collect data. Results: This study recruited 314 patients after an initial assessment based on inclusion criteria. The mean age of the study population was 54.64 ± 15.33 years. There was a 47.6% male and a 52.4% female population. Hypertension and diabetes mellitus remained the most predominant comorbid condition, affecting 64.2% and 74.6% of the population, respectively. The study suggested a significant (p < 0.05) deterioration in the mental health composite score with worsening laboratory variables, particularly hematological and iron studies. Demographic variables significantly impact medication adherence. HRQOL was found to be deteriorating with a significant impact on mental health compared to physical health. Conclusions: Patients on maintenance dialysis for kidney failure have a significant burden of physical and mental symptoms, depression, and low HRQOL. Given the substantial and well-known declines in physical and psychological well-being among kidney failure patients receiving hemodialysis, the findings of this research imply that these areas related to health should receive special attention in the growing and expanding population of kidney failure patients.

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A study of quality of life among hemodialysis patients and its associated factors using kidney disease quality of life instrument-SF36 in Riyadh, Saudi Arabia

Cited by 9 publications

References 26 publications

Role of Time of Hemodialysis Shifts on Quality of Life: A Comparative Study between Morning versus Evening Conventional Hemodialysis at Nephrology & Urology Unit, Minia University Hospital

Role of Time of Hemodialysis Shifts on Quality of Life: A Comparative Study between Morning versus Evening Conventional Hemodialysis at Nephrology & Urology Unit, Minia University Hospital

Anxiety, depression and post-traumatic stress disorder in patients on hemodialysis in the setting of the pandemic, inflation, and the Beirut blast: a cross-sectional study

Assessment of Health-Related Quality of Life, Medication Adherence, and Prevalence of Depression in Kidney Failure Patients

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