Quality of life of hemodialysis patients in selected teaching hospitals of Chitwan

Abstract

The quality of life (QOL) needs to be regularly assessed in hemodialysis patients. Hemodialysis patients suffer from average quality of life and survival. A descriptive research design was used, 96 respondents who had received haemodialysis treatment after completion of 1 month duration of hemodialysis in two different teaching hospital at Bharatpur, Chitwan. Data was collected by using standard tool Short Form-36 version2 through face to face structure interview schedule. The objective of study is to find out the quality of life (QOL) of haemodialysis patients. Various test such as one sample t-test, ANOVA test, independent t-test, Kruskal-Wallis test and Mann-Whittney U test, Pearson's correlation was applied. The findings showed that higher proportion of respondents were from 40-59 years (41.0%) and male (62.2%). The mean±SD was 57.45±16.25, 55.72±22.41 and 60.04±11.50 in overall QOL, physical and mental component summary respectively which was slightly above the average. All dimention and sub scale was satistically significant. Younger respondents had statistically significant with overall QOL (p<0.001) and physical component summary (p<0.001). Non diabetics had better in overall QOL (p=0.040) and physical component summary (p=0.033). Level of educational had also positive impact in overall QOL(p=0.010), physical (p=0.006) and mental component summary (p<0.001). Employment status (p=0.020) and sex (p=0.037) was also statistically significant with mental component summary. There was correlation between physical and mental component summary with overall QOL 0.970(p<0.001) and 0.698(p<0.001), and between the physical and mental component summary was 0.502(p<0.001). Below average score were seen in the general health (32.86±25.74) and vitality (41.53±13.98) sub scale. In order to improve quality of life family, physician, nurses and policy makers can use this finding.

Maintenance Hemodialysis among Patients Visiting Nephrology Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study

“…The mean age of our study population was 46.6 years which was slightly lower as compared to a study from Chitwan, Nepal (Mean age 58 years) whereas it was similar to another study from Kathmandu (Mean age 42 years). 5 The most common cause of ESRD in the current study was Hypertension (44%) followed by Diabetes Mellitus (23%) which was similar to a study done in Nepal. 6 , 7 However, this was different in two studies conducted at Bir hospital, Kathmandu where Chronic GN and Diabetes were major causes of CKD.…”

Out of Pocket Expenditure in Patients on Maintenance Hemodialysis: A Single Center Study

“…The mean age of study population was 47 years which is similar to the study done by Ghimire S et al 4 In last 7 years ou of pocket expenses have increased by nearly double from NRs. 20000 to 35000 as compared to a study from National Kidney Center, Kathmandu done in 2015 which included similar patient profile.…”

“…3 In Nepal, every year approximately 2,600 new cases of CKD developed end stage renal disease patient. 4 ThoughHD is free in Nepal, there are many areas of out-of-pocket expenditure that is occurred by patients. The aim of this was study to look into different categories of expenses done by patients in the Bipanna nagarik free HD program provided by government of Nepal.…”

Factors associated with quality of life among chronic kidney disease patients in Nepal: a cross-sectional study

“…A previous study in Nepal [32] also reported that being younger offered a better chance of good QOL than being older. Another study conducted in Nepal [33] reported that older age was associated with poor Health related quality of life (HRQOL).…”