A DESCRIPTIVE RESEARCH ON DEMOGRAPHIC FACTORS ASSOCIATION WITH MORTALITY, MORBIDITY AND QUALITY OF LIFE (QOL) OF HEMODIALYSIS PATIENTS

Main Author: Dr. Shahzad Shahid, Dr. Umair ul Hassan, Dr Uzma Atta Bhutta
Format: Article
Bahasa: eng
Terbitan: , 2018
Subjects:
Online Access: https://zenodo.org/record/1406308
Daftar Isi:
  • Objective: Numerous factors are involved in the QOL (Quality of Life) of the patients undergoing dialysis. We aimed to determine the social and economic effect on the patients experiencing hemodialysis on regular basis. Methods: Our research was descriptive which was carried out at Allied Hospital, Faisalabad (Nephrology Department) from October 2016 to September 2017. We included every patient experiencing routine MHD (Maintenance Hemodialysis) from a period above three months. All cases under three-month dialysis duration, dementia, cognitive impairment, non-Urdu speakers and active psychosis were not made a part of the research. A pre-designed form was used for the laboratory and demographic data collection. Four groups were made out of the total sample on the basis of monthly income, education, treatment funding source and employment. Two years follow-up was planned and carried out in the patients for the determination of QOL about mortality rate. Results: Research sample included 135 patients. We compared their monthly income, education, treatment funding source and employment (p-value under 0.05). Better status was found in high-income groups (P-value 0.039); whereas, sexual function and social status were better in the low paid participants with respective P-values of 0.029 and 0.04. Low-income group also had better social functioning, more pain, kidney disease and related disease issues. Kidney disease was well dealt with the patients being funded by their own family (P-value 0.007). Staff encouragement, the satisfaction of the patient and emotional well-being was better in an educated group than lower educational groups. Mortality was not affected by QOL. Conclusion: Quality of life of the patients was affected by socioeconomic factors such as employment, education, funding source and monthly income. All these parameters affected the QOL of the kidney patients. Mortality of the dialysis patients was not affected by QOL. Keywords: Quality of Life (QOL), Hemodialysis, Economical Factor and Mortality.