Assessment of quality of life determinants in hemodialysis patients of a developing country: A cross-sectional study during ongoing COVID-19 pandemic

Asghar, Muhammad Sohaib; Ahsan, Muhammad; Mal, Pooran; Tahir, Muhammad Junaid; Yasmin, Farah; Ahmed, Khabab Abbasher Hussien Mohamed

doi:10.1097/md.0000000000029305

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…A search of the literature for corresponding studies during this time period found similar results to those of the present study. Ashgar et al (2022) observed low QoL ( p > 0.001) in all subscales ( p = 0.003) [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Investigation of Perception of Quality of Life and Psychological Burden of Patients Undergoing Hemodialysis—Quality of Life of Hemodialysis Patients

Rikos,

Kassotaki,

Frantzeskaki

et al. 2023

Nursing Reports

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Chronic kidney disease (CKD) has a significant impact on the life of patients undergoing chronic periodic hemodialysis. It negatively affects their social, economic and family status, and particularly their psychological well-being. The aim of this study was to investigate the perception of the quality of life (QoL) and psychological burden of patients undergoing hemodialysis. A cross-sectional study was conducted with 63 patients. Τhe majority were men (63.5%), and the mean age of the patients was 66.7 years (±12.9) with 61.9% aged 65–89 years. Data collection was performed in 2021 using the Hospital Anxiety and Depression Scale (HADS) and the Kidney Disease and Quality of Life-Short Form (KDQOL-SF™) research tools, and their relationships were assessed using parametric and non-parametric methods. Moderate to mild levels of Anxiety and Depression were found. Physical and Mental Composite Scores were mild to moderate, with the Mental Composite Score being significantly higher (p < 0.05). Anxiety and Depression were significantly correlated with lower QoL (p < 0.05), while a higher educational level was correlated with lower Depression Symptom Levels and higher QoL for Disease Symptoms, Disease Effects, Physical Functioning, Vitality and Overall Health (p < 0.05). A higher number of years of hemodialysis was correlated with lower levels of Anxiety and higher levels of Quality of Sleep (p < 0.05). Ease of Access to the Hemodialysis Unit was correlated with lower levels of Social Support (p < 0.05). The highest Mental Composite Scores were also correlated with a higher level of education, with patients living in urban areas, and with a higher monthly income (p < 0.05). Patients with moderate or severe levels of Anxiety and Depression had a lower QoL in the Physical and Mental Composite Scores, indicating their dependence on the appropriate medical, nursing and social environment in order to attain higher levels of well-being, leading to the improvement of patients’ health. This study was not registered.

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Section: Discussionmentioning

confidence: 99%

Investigation of Perception of Quality of Life and Psychological Burden of Patients Undergoing Hemodialysis—Quality of Life of Hemodialysis Patients

Rikos,

Kassotaki,

Frantzeskaki

et al. 2023

Nursing Reports

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“…Hasil penelitian ini berbeda dengan penelitian-penelitian sebelumnya. Penelitian yang dilakukan oleh Asghar et al 22 pada tahun 2021, yang menilai asosiasi antara IMT dengan kualitas hidup pasien hemodialisis dengan menggunakan Quality of Life Index-dialysis version-III (QLI), menunjukkan terdapat asosiasi bermakna antara IMT dengan kualitas hidup pasien PGK yang melakukan terapi dialisis dua kali per minggu (p<0,001). Penelitian oleh Günalay et al 23 di İzmir Tepecik Training and Research Hospital pada tahun 2016, yang menilai hubungan antara malnutrisi dan kualitas hidup pasien hemodialisis menggunakan EQ-5D, menunjukkan bahwa skor kualitas hidup lebih rendah ditemukan pada pasien dengan malnutrisi dibandingkan dengan yang tidak malnutrisi (p=0,001).…”

Section: Bahasanunclassified

Asosiasi Kadar Hemoglobin dan Indeks Massa Tubuh terhadap Kualitas Hidup Pasien Penyakit Ginjal Kronik Stadium 5 Hemodialisis

Sitompul¹,

Rotty²,

Sugeng³

2023

MSJ

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The prevalence of chronic kidney disease (CKD) increases every year, and majority of patients suffer from its complications namely anemia. Chronic inflammation also affects nutritional status, therefore, the patients tend to have a low body mass index (BMI). Low hemoglobin and BMI will cause a decrease in quality of life. This study aimed to determine the association of hemoglobin and BMI to the quality of life of patients with CKD stage 5 hemodialysis (CKD 5 HD). This was a cross-sectional study with 42 subjects with CKD 5 HD more than three months. Retrieval of hemoglobin data obtained through medical records, assessment of nutritional status by BMI calculations, and assessment of quality of life by interviewing the Short Form 36 questionnaire (SF-36). The results found that the analysis of the association between hemoglobin and the SF-36 score, carried out with the Pearson test, obtained a r-value of 0.330 and a p-value of 0.033. Analysis of the association between BMI and the SF-36 score carried out using the Kruskal-Wallis test, obtained a p-value of 0.890. In conclusion, there is an association between hemoglobin and quality of life, albeit, there is no association between BMI and quality of life in CKD 5 HD patients. Keywords: hemoglobin; body mass index; short form 36; chronic kidney disease; hemodialysis Abstrak: Prevalensi penyakit ginjal kronik (PGK) meningkat setiap tahunnya dan mayoritas pasien mengalami komplikasi PGK yaitu anemia. Inflamasi kronik juga berpengaruh terhadap status nutrisi sehingga pasien tersebut cenderung memiliki indeks massa tubuh (IMT) rendah. Rendahnya hemo-globin dan IMT akan menyebabkan penurunan kualitas hidup. Penelitian ini bertujuan untuk menge-tahui asosiasi hemoglobin dan IMT terhadap kualitas hidup pasien penyakit ginjal kronik stadium 5 hemodialisis (PGK 5 HD). Penelitian ini merupakan studi potong lintang dengan subjek sebanyak 42 pasien PGK 5 HD lebih dari tiga bulan. Pengambilan data hemoglobin diperoleh melalui rekam medik, penilaian status nutrisi dengan perhitungan IMT, dan penilaian kualitas hidup diperoleh dengan wawancara kuesioner Short Form 36 (SF-36). Analisis asosiasi antara hemoglobin dengan skor SF-36. Hasil analisis dengan uji Pearson mendapatkan nilai r=0,330 dan p=0,033. Analisis asosiasi antara IMT dengan skor SF-36, yang dilakukan dengan uji Kruskal-Wallis mendapatkan nilai p=0,890. Simpulan penelitian ialah terdapat asosiasi antara hemoglobin dengan kualitas hidup namun tidak terdapat asosiasi antara IMT dengan kualitas hidup pada pasien PGK 5 HD. Kata kunci: hemoglobin; indeks massa tubuh; short form 36; penyakit ginjal kronik; hemodialisis

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Prevalence and risk factors of long COVID among maintenance hemodialysis patients post SARS‐CoV‐2 infection: A one‐year follow‐up study in China

Zhao,

Chen,

Huo

et al. 2024

Journal of Medical Virology

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Patients undergoing maintenance hemodialysis (MHD) are a high‐risk group susceptible to SARS‐CoV‐2 infection and long‐COVID syndrome appearance. However, there is limited and unclear evidence for long COVID in MHD patients. We collected the general information, symptoms, signs and laboratory indices of 366 MHD patients infected with COVID‐19 and conducted 12 months follow‐up with a series of questionnaires. As a result, 285 MHD patients had long COVID, with the most common symptoms were fatigue (84.69%) and muscle weakness (72.45%). Mobility problem (p < 0.001), anxiety/depression (p = 0.002) and breathlessness (p < 0.001) were more prevalent in long COVID patients than in non‐long COVID patients. Persistent long COVID people were more likely to report all domains problems of the EQ‐5D‐5L. Age, female, inadequate dialysis (Kt/V < 1.2), coagulation abnormalities (d‐dimer > 1 mg/L) and more comorbidities were risk factors for the development of long COVID. In addition to these factors, elevated inflammatory markers (CRP > 10 mg/L) represent an extra risk factor for the persistence of long COVID symptoms in MHD patients. And more than 80% of long COVID symptoms would resolve after 1 year in MHD patients, of which the sixth month after COVID‐19 infection is a critical turning point. In conclusion, more than 68% of MHD patients have long COVID, which has a poor impact on their health status and quality of life. These risk factors for the development and persistence of long COVID deserve the attention of clinicians.

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Assessment of quality of life determinants in hemodialysis patients of a developing country: A cross-sectional study during ongoing COVID-19 pandemic

Cited by 3 publications

References 30 publications

Investigation of Perception of Quality of Life and Psychological Burden of Patients Undergoing Hemodialysis—Quality of Life of Hemodialysis Patients

Investigation of Perception of Quality of Life and Psychological Burden of Patients Undergoing Hemodialysis—Quality of Life of Hemodialysis Patients

Asosiasi Kadar Hemoglobin dan Indeks Massa Tubuh terhadap Kualitas Hidup Pasien Penyakit Ginjal Kronik Stadium 5 Hemodialisis

Prevalence and risk factors of long COVID among maintenance hemodialysis patients post SARS‐CoV‐2 infection: A one‐year follow‐up study in China

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