The impact on quality of life of dialysis patients with renal insufficiency

The aim of the study was the subjective assessment of the quality of life (QoL) of 140 patients treated with dialysis (peritoneal dialysis and hemodialysis). Chronic kidney disease and the methods of its treatment play an important part in shaping the QoL of patients receiving dialysis. As a result,...

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Bibliographic Details
Published in:Patient preference and adherence 2018-01, Vol.12, p.577-583
Main Authors: Dąbrowska-Bender, Marta, Dykowska, Grażyna, Żuk, Wioletta, Milewska, Magdalena, Staniszewska, Anna
Format: Article
Language:English
Subjects:
Care and treatment
Chronic kidney failure
Diseases
Flexible hours
Hemodialysis
Kidney diseases
Kidney failure
Medical research
negative symptoms
Original Research
peritoneal dialysis
quality of life
renal failure
renal replacement therapy
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Summary:The aim of the study was the subjective assessment of the quality of life (QoL) of 140 patients treated with dialysis (peritoneal dialysis and hemodialysis). Chronic kidney disease and the methods of its treatment play an important part in shaping the QoL of patients receiving dialysis. As a result, kidney failure causes many limitations in patients' physical, mental, and social activities. The instrument to measure the QoL was the authors' own questionnaire made on the basis of Kidney Disease and Quality of Life Short Form version 1.2 (KDQOL - SF 1.2) and their selection of areas influencing the perceived QoL of chronically ill patients. The research showed that patients receiving peritoneal dialysis assessed their QoL in its different dimensions as much higher than patients receiving hemodialysis. The parameter having the biggest negative impact on the QoL of patients receiving hemodialysis was an impeded possibility to continue work or studies and a change of life plans. The will to live was more highly assessed by patients receiving peritoneal dialysis as compared to patients receiving hemodialysis. In order to improve the functioning of hemodialysis patients in a manner most similar to healthy persons, the renal replacement therapy should consider patients' individual needs and expectations, ie, guarantee flexible hours of work or study and of receiving dialysis. In addition, patients treated with hemodialysis should receive psychological care, in particular those demonstrating emotional problems, in order to achieve better results in therapy and improve their QoL.
ISSN:1177-889X
1177-889X
DOI:10.2147/PPA.S156356