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Quality of life of chronic hemodialysis and peritoneal dialysis patients

Ewa Borowiak, Elżbieta Braksator, Michał Nowicki, Tomasz Kostka

Med Sci Tech 2009; 50(1): RA37-42

ID: 881651

Introduction: The aim of the study was to analyse the factors determining quality of life of patients with end-stage kidney disease treated with chronic haemodialysis and peritoneal dialysis. Material and methods: The study was carried out in a population of 150 subjects above the age of 18 years – in three age-matched groups: 50 patients on hemodialysis, 50 patients on peritoneal dialyses and 50 subjects with normal renal function. Respondents were interviewed in order to gain information about their concomitant chronic diseases. The EuroQol 5D questionnaire was used to assess the quality of life. The nutritional state (Mini Nutritional Assessment - MNA), depression (Geriatric Depression Scale - GDS), physical functions (ADL – Activities of Daily Living and IADL - Instrumental Activities of Daily Living) as well as physical activity (questionnaires Seven Day Recall Physical Activity Questionnaire and Stanford) were assessed. Results: Patients with end-stage kidney disease had poorer quality of life as compared to control subjects, especially with regards to feeling of anxiety/depression and also pain/discomfort. Peritoneal dialysis patients in comparison to hemodialysis patients were characterised by poorer everyday functioning as well as systematic use of larger quantity of medications. Nevertheless, both groups of dialysed patients were characterised by the similar quality of life in all the examined dimensions. Conclusions: In comparison to the healthy population, dialysed patients show poorer quality of life. The factors linked to the lower quality of life in dialysis patients are the female gender, concomitant chronic diseases, limited ability of everyday and instrumental functioning, malnutrition, depression, disqualification to the kidney transplantation and lack of occupational activity. (Clin Exp Med Lett 2009; 50(1)37-42)

Keywords: Quality of Life, hemodialysis, Peritoneal Dialysis

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