Quality of life and associated factors in hemodialysis and peritoneal dialysis patients

Yıl 2020, Cilt: 45 Sayı: 1, 79 - 88, 31.03.2020

İpek Türk , Kenan Ateş Zeynep Bıyıklı

https://doi.org/10.17826/cumj.628274

Cited By: 2

Öz

Purpose: This study aimed to examine the quality of life (QOL) in hemodialysis (HD) and peritoneal dialysis (PD) patients. Additionally, associations between QOL and clinical and demographic factors were investigated.
Materials and Methods: Patients under dialysis treatment were included in this cross-sectional study. Demographic data, disease history, and laboratory data were collected. Charlson comorbidity index (CCl) was used to score the level of comorbidity. Health-related quality of life (HRQOL) was measured by Kidney Disease Quality of Life Short Form Version 1.3 (KDQOL-SF 1.3).
Results: One hundred and five patients, 60 of whom were under HD, and 45 were under PD (45.7% were females; mean age 54.63±13.86 years) were enrolled in the study. PD patients had better scores in five domains of the KDQOL-SF 1.3 questionnaire (emotional role, work status, cognitive function, dialysis staff encouragement, patient satisfaction). Older age, female sex, lower education level, high comorbidity score and, hospitalization in the last 12 months were found to be related to low QOL. We detected positive correlations between serum hemoglobin levels, albumin, and some subgroups of KDQOL-SF 1.3 scale; whereas negative correlations were detected between serum ferritin levels and some of the KDQOL-SF 1.3 items.
Conclusion: According to our study, HRQOL was better in PD patients compared to HD in specific domains of the KDQOL-SF 1.3. Age, gender, education level, hemoglobin level, albumin, and ferritin were associated with HRQOL. 

Anahtar Kelimeler

Periton dialysis, hemodialysis, health related quality of life

Hemodiyaliz ve periton diyalizi hastalarında yaşam kalitesi ve ilişkili olduğu faktörler

Öz

Amaç: Bu çalışmanın amacı hemodiyaliz (HD) ve periton diyalizi (PD) hastalarında yaşam kalitesini incelemektir. Ayrıca, yaşam kalitesi ile klinik ve demografik faktörler arasındaki ilişkiler incelenmiştir.
Gereç ve Yöntem: Diyaliz tedavisi alan hastalar bu kesitsel çalışmaya dahil edildi. Demografik veriler, hastalık öyküsü, laboratuvar verileri toplandı. Komorbidite seviyesini puanlamak için Charlson komorbidite indeksi (CCl) kullanıldı. Sağlıkla ilişkili yaşam kalitesi (SYK), Böbrek Hastalığı İlişkili Yaşam Kalitesi Kısa Form Versiyon 1.3 (KDQOL-SF 1.3) ile ölçülmüştür.
Bulgular: Çalışmaya 60'ı HD, 45'i PD tedavisi altında (% 45.7'si kadın; ort. yaş 54.63 ± 13.86) toplam 105 hasta alındı. PD hastaları beş alanda KDQOL-SF 1.3 alt ölçek puanları (duygusal rol, iş durumu, bilişsel işlev, diyaliz personelinin teşviki, hasta memnuniyeti) HD hastalarına göre daha yüksek puanlara sahipti. İleri yaş, kadın cinsiyet, düşük eğitim düzeyi, yüksek komorbidite skoru ve son 12 aydaki hastanede yatış sürelerinin yaşam kalitesi ile ilişkili olduğu bulundu. Bazı KDQOL-SF 1.3 alt ölçekleri ile hemoglobin, albümin arasında pozitif; ferritin düzeyleri arasında negatif korelasyonlar olduğu tespit edildi.
Sonuç: Çalışmamıza göre, SYK, PD hastalarında HD hastalarına göre, KDQOL-SF 1.3'ün spesifik alanlarında daha iyiydi. Yaş, cinsiyet, eğitim düzeyi, hemoglobin, albümin ve ferritin düzeyleri SYK ile ilişkiliydi.

Anahtar Kelimeler

Periton diyalizi, hemodiyaliz, sağlıkla ilişkili yaşam kalitesi

Kaynakça

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