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

Abstract

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.

Cost-benefit analysis of haemodialysis in patients with end-stage kidney disease in Abuja, Nigeria

“…Patients were willing to pay a mean of USD 25,999.06 for haemodialysis, as Fig. 2 shows, whereas CCC patients were willing to pay a mean of USD 2,343.68 [ 23 ].…”

“…Cost-benefit analysis is critically suited for valuing goods and services with health and non-health consequences [ 1 ]. Sustainable access to haemodialysis improves quality of life and longevity of patients with ESKD [ 23 ]. Hence, CBA would be applicable in valuing the consequences of haemodialysis using monetary units.…”

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

“…ESKD has high adverse health and non-health consequences [ 26 ]. Since haemodialysis prolongs the patient’s life and might increase the quality of life and productivity of ESKD patients [ 35 ], patients would be more likely to be willing to pay for their access to a life-saving intervention.…”

The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence

“…Fatigue 13 , pruritus 21 , and TD 25 among patients receiving hemodialysis can negatively affect their QOL. QOL among these patients refers to general well-being, satisfaction, and ability to perform daily activities while receiving hemodialysis, and includes physical health, psychoemotional well-being, social functioning, and general satisfaction with life 27 . Fatigue can reduce patients’ QOL by reducing their motivation for treatment continuation, impairing their social relationships, and reducing their sleep quality 11 .…”