Quality of Life in End-Stage Renal Disease Patients

Abstract

Background: ESRD is severe result from chronic renal diseases. Treatment of ESRDs is still difficult and expensive. Quality of life of these patients is low. Aims: 1. Study quality of life in patients with ESRD by SF-36 questionaire. 2. Estimate the relationship between SF-36 score and clinical, paraclinical features, Kt/V in the patients with ESRD. Patients-Method: cross-sectional study design. 157 ESRD patients in Department of Nephrology and Rheumatology and Department of Hemodialysis – Hue Central Hospital devided into three groups: conservative treatment (CT), hemodialysis (HD) and CAPD. Study quality of life by using SF-36 questionnaire, version 2.0, Vietnamese. Results: 1. Patients with ESRD have average SF-36 score (physical health: 46.75 ± 15.34; mental health: 47.5 ± 14.66; general health: 49.06 ± 14.61). Conservative group has low SF-36 score (physical health: 32.5 ± 15.9; mental health: 29.67 ± 15.29; general health: 32.35 ± 15.52); CAPD group has average SF-36 score (physical health: 59.75 ± 10.91; mental health: 54.43 ± 7.97; general health: 59.21 ± 8.82); HD group has average SF-36 score (physical health: 51.62 ± 11.94; mental health: 54.9 ± 10.31; general health: 55.2 ± 10.49). 2. In conservative health: SF-36 score has negative correlation with serum BUN, creatininemia, dose of erythropoietin, has positive correlation with Hb, HCO3-. In HD group, there are negative correlations between SF-36 score and blood pressure, BUN, creatininemia, positive correlation with Hb, Albuminemia and Kt/V. In CAPD group, negative correlation between SF-36 score and BUN, creatininemia, positive correlation with Hb. Conclusion: Quality of life by SF-36 score in patients with ESRD is at average level and there is negative correlation between SF-36 score and BUN, creatininemia.