Assessment of quality of life in patients of end stage renal disease on different modalities of treatment.

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dc.contributor.authorShrestha, Sen_US
dc.contributor.authorGhotekar, L Ren_US
dc.contributor.authorSharma, S Ken_US
dc.contributor.authorShangwa, P Men_US
dc.contributor.authorKarki, Pen_US
dc.date.accessioned2009-05-28T03:48:47Z
dc.date.available2009-05-28T03:48:47Z
dc.date.issued2008-06-17en_US
dc.description.abstractThis study was conducted to measure quality of life of patients with end stage renal disease on different modalities of treatment. A total of 30 diagnosed cases of end stage renal disease (ESRD) attending BPKIHS were included in the study. Group 1 included 10 patients on regular maintenance hemodialysis, group 2 included 10 patients on continuous ambulatory peritoneal dialysis (CAPD) and group 3 included 10 patients on regular conservative drugs. The inclusion criteria were all diagnosed cases of ESRD based on the guidelines given by K/DOQI, 2002. A detailed history relating to the disease condition as per the designed proforma was taken, which included demographic data and clinical characteristics of the patients. For assessment of quality of life, KDQOL-SF questionnaire was used. Strata 8.0 software program was used for the analysis of collected data. Physical health was found to be the most severely affected domain of the KDQOL. The mean score for physical health was least in group 1 (33.36 +/- 16.14). Mental health was better in group 2 (54.93 +/- 9.92) than in group 1 (39.50 +/- 14.27) ( "p" value 0.01). Variables like haemoglobin, hematocrit and adequacy of dialysis have positive correlation with all the four domains of the KDQOL. There was a statistically significant correlation of physical health with mental health (p value 0.001), physical health with kidney disease issues (p value 0.001) and mental health with kidney disease issues (p value 0.007). Our study has shown that patients of ESRD have a poor quality of life despite being in some form of dialysis and the most affected domain of the KDQOL scale is physical health. Patients on CAPD have better quality of life than patients on maintenance haemodialysis especially in terms of mental health. Variables like haemoglobin, hematocrit and adequacy of dialysis have a positive correlation with all the four domains of the KDQOL scale i.e. optimizing these variables improves the overall quality of life.en_US
dc.description.affiliationDepartment of Internal Medicine, BPKIHS, Dharan, Nepal. drss_77@hotmail.comen_US
dc.identifier.citationShrestha S, Ghotekar LR, Sharma SK, Shangwa PM, Karki P. Assessment of quality of life in patients of end stage renal disease on different modalities of treatment. Journal of the Nepal Medical Association. 2008 Jan-Mar; 47(169): 1-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/46012
dc.language.isoengen_US
dc.source.urihttps://www.jnma.com.np/en_US
dc.source.urihttps://www.jnma.com.np/files/pdf/vol/47/no/1/issue/169/year/2008/month/jan-mar/original_article/1-6.pdfen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Status Indicatorsen_US
dc.subject.meshHealth Surveysen_US
dc.subject.meshHumansen_US
dc.subject.meshKidney Failure, Chronic --psychologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMental Healthen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeritoneal Dialysis, Continuous Ambulatoryen_US
dc.subject.meshPsychological Testsen_US
dc.subject.meshPsychometricsen_US
dc.subject.meshQuality of Lifeen_US
dc.subject.meshQuestionnairesen_US
dc.titleAssessment of quality of life in patients of end stage renal disease on different modalities of treatment.en_US
dc.typeJournal Articleen_US
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