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Abstract

ASSESSMENT OF HEALTH-RELATED QUALITY OF LIFE IN PATIENTS WITH END-STAGE RENAL DISEASE (ESRD) UNDERGOING TWICE AND THRICE WEEKLY HEMODIALYSIS

Dr. Anamika Ashokkumar Sharma*, Dr. Arezou Ahmadi R. A., Dr. Narendra Bheemraj Parihar, Dr. Manjusha Sajith, Dr. Sunil Jawale and Dr. S. M. Ambike

ABSTRACT

Hemodialysis is most effective maintenance therapeutic technique used in patients with End- Stage Renal Disease (ESRD). However it is lifelong therapy and requires frequent hospital or dialysis centres visits hampering the patient’s overall quality of life. So the aim of our study is to assess Health Related Quality of life in End-Stage Renal Disease (ESRD) Undergoing Twice and Thrice weekly Haemodialysis. A prospective observational, cross-sectional study was carried out from August 2016 to July 2017 in patients undergoing hemodialysis. WHOQOL-BREF questionnaire was used to access Health Related Quality of Life. Majority of respondents were male (71.55%), married (88.62%), employed (58.54%), belonging to middle class (69.92%) and residing in rural areas (62.61%). Average mean age was 51.61+15.67 years. Average Quality of Life scores observed in twice weekly and thrice weekly hemodialysis was 51.49 + 2.52 and 52.87 + 4.17 respectively. Patients undergoing thrice weekly hemodialysis had improved haemoglobin, serum urea, serum creatinine, blood pressure (10.28 gm/dL, 95.85 mg/dL, 8.32 mg/dL,150±24.31 mmHg & 78 ±14.87 mmHg) as compared to twice weekly hemodialysis (9.23 gm/dL, 104.94 mg/dL and 8.68 mg/dL,154± 22.77 mmHg & 87 ± 16.38 mmHg). Our study concluded that there was no significant difference between overall Health Related Quality Of Life in Twice weekly and Thrice weekly Hemodialysis. Frequent hemodialysis was associated with improved control of hypertension, serum urea, serum creatinine levels.

Keywords: Health Related Quality of Life, Twice & Thrice weekly Hemodialysis, End Stage Renal Disease, WHOQOL-BREF questionnaire.


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