Abstract

QUALITY OF LIFE IN PATIENTS UNDERGOING HEMODIALYSIS AT PAKISTAN INSTITUTE OF MEDICAL SCIENCES

Maesum Ali* and Sharif Obaidullah

Abstract

Background: The Domain of Quality of life (QoL) among patients undergoing maintenance hemodialysis is often overlooked and not addressed by treating physicians. Physical and mental health directly impacts disease management and prognosis. In current study, we will evaluate quality of life among hemodialysis patients, in terms of physical and mental health using KDQoL scoring. Methods: It was a cross-sectional study performed at Nephrology Department, Pakistan Institute of Medical Sciences in a duration of 6 months from April 2019 to March 2019. Total 150 patients were interviewed to and data was collected on Physical health, Mental Health, and Kidney Disease Composite Summary (KDCS) using Kidney Disease Quality of Life Questionnaire. Data analysis was performed through SPSS v-20. Results: Among 150 patients on maintenance hemodialysis at our center the most common causes of ESRD were Diabetes and HTN, 70 (46.6%) and 57 (38%) respectively. Using KDQOL-36 scoring, the mean score of QoL was 45.1±25.4. The mean score for PCS, MCS and KDCS were, 35.2±10.4, 42.33±8.27 and 57.9±21.2 respectively. 42% thought that their health is above average and 58% perceived below average. Conclusion: We found that the Quality of life index is very less among patients on maintenance hemodialysis. The physical health domain score was low as compared to Mental health and Kidney Disease domain.

Keywords: Hemodialysis, Quality of life, QoL, End-stage-renal-disease (ESRD), Hypertension, Chronic Kidney Disease (CKD).