Comparison of Quality of Life of Dialysis Treatments: The Case of Ankara Province

Öz

Objective: In this cross-sectional study, the quality of life of the patients who received Central hemodialysis (CH), Home Hemodialysis (HH) and Peritoneal Dialysis (PD) treatments, which are the RRT methods applied in ESRD in Türkiye, compared. This study aimed to offer suggestions for disseminating the application of the treatment method that provides life comfort. Materials and Methods: Kidney Disease Quality of Life scale KDQOL 36 was applied to patients in Ankara diagnosed with ESRD and receiving central hemodialysis, home hemodialysis and peritoneal dialysis treatment. The scale was applied by face-to-face interview method between 10.02.2022 and 01.05.2022. A simple random sampling method was used to determine the sample size, and all patients (n:574) with the sample size selected within the scope of the study were reached. In the evaluation of statistical tests, the level of significance was taken as α 0,05. Results: It was observed that the mean quality of life of the physical and mental health components, which indicate the general quality of life of the patients, were below the average level with the values of 37.7±9.8 and 42.4±9.3, respectively. The mean of the effects of kidney disease sub-dimension was 58.9±24.5; The mean of the symptom list sub-dimension of kidney disease was 66.0±21.9. Conclusion: When the mean values of the sub-dimensions of the scale are evaluated as a whole, it is considered that the quality of life of the patients receiving dialysis treatment is low. Since home hemodialysis is superior to other types of dialysis in all sub-dimension mean scores of the scale, it is recommended that the Social Security Institution make encouraging regulations in the Health Implementation Communiqué to disseminate this practice.

Anahtar Kelimeler

• Chronic Kidney Failure
• Dialysis
• Quality of Life

Kaynakça

1. Acar, C. (2016). The Effect of Amount of Food Consumption on Blood Pressure During Hemodialysis Application in Chronic Kidney Failure Patients, Master Thesis, Acıbadem University Institute of Health Sciences, Department of Internal Diseases Nursing, Istanbul.
2. Blake, C., Codd, M. B, Cassidy A, & O'meara Y. M (2000). Physical function, employment and quality of life in end-stage renal disease. Journal of nephrology, 13(2), 142–149.
3. Chen, J. Y, Wan, E., Choi, E., Chan, A., Chan, K., Tsang, J, & Lam, C (2017). The Health-Related Quality of Life of Chinese Patients on Hemodialysis and Peritoneal Dialysis. The patient, 10(6), 799–808.
4. Edisan, Z., Kadıoğlu, F.G. (2011). Health-Related Quality of Life Scales: An Ethical Evaluation. Turkiye Klinikleri J Med Ethics 2011;19(1):8-15
5. Kantarcı, F. (2017). Evaluation of Quality of Life in Hemodialysis and Renal Transplantation Patients and Related Factors, Specialization Thesis, Istanbul University Cerrahpasa Medical Faculty, Department of Internal Medicine, Istanbul.
6. Fukuhara, S., Lopes, A. A., Bragg-Gresham, J. L., Kurokawa, K., Mapes, D. L., Akizawa, T., ... & Held, P. J. (2003). Health-related quality of life among dialysis patients on three continents: the Dialysis Outcomes and Practice Patterns Study. Kidney international, 64(5), 1903-1910.
7. Korevaar, J. C., Merkus, M. P., Jansen, M. A., Dekker, F. W., Boeschoten, E. W., & Krediet, R. T. (2002). Validation of the KDQOL-SF TM: A dialysis-targeted health measure. Quality of Life Research, 11, 437-447. Kring, D. L., & Crane, P. B. (2009). Factors affecting quality of life in persons on hemodialysis. Nephrology nursing journal, 36(1).
8. Lopes, G. B., Martins, M. T. S., Matos, C. M., Amorim, J. L. D., Leite, E. B., Miranda, E. A., & Lopes, A. A. (2007). Comparações de medidas de qualidade de vida entre mulheres e homens em hemodiálise. Revista da Associação Médica Brasileira, 53, 506-509.

9. Moreno, F., Gomez, J. L., Sanz-Guajardo, D., Jofre, R., Valderrabano, F., & Spanish Cooperative Renal Patients Quality of Life Study Group4. (1996). Quality of life in dialysis patients. A Spanish multicentre study. Nephrology Dialysis Transplantation, 11(supp2), 125-129.
10. Nısel, R., N, Çınar, A. & Ekizler, H (2016). International Comparative Analysis of Quality of Life in Hemodialysis Patients. Marmara University Journal of Economics and Administrative Sciences, 38(1), 249-259.
11. Peker,N. (2007). Diagnosing the Mental Status of PD Patients and Affecting Factors, Master Thesis, Marmara University Institute of Health Sciences, Department of Public Health, Istanbul.
12. San, A. (2009). History of Hemodialysis in Our Country. Hemodialysis Resource Book for Physicians. Ed: Arık N, Ateş K, Süleymanlar, G, Tonbul HZ, Türk S, Yıldız A, Güneş Kitabevi, Ankara.
13. Serdengeçti, K., Seyahi, N. (2009). Dialysis Indications and Choice of Renal Replacement Therapy. Hemodialysis Resource Book for Physicians. Ed.: Arık N, Ateş K, Süleymanlar, G, Tonbul HZ, Türk S, Yıldız A, Güneş Kitabevi, Ankara.
14. Sermenlı, Aydın, N. (2019). Comparison of quality of life, physical performance, physical activity, activity of daily living, depression level and pain level of patients receiving hemodialysis and peritoneal dialysis (Master's thesis, Trakya University Institute of Health Sciences).
15. Turkish Public Health Institution (THSK) (2014). Turkey Kidney Diseases Prevention and Control Program Action Plan (2014-2017), Ankara.
16. U., S., Renal Data System, USRDS 2019 Annual Data Report: Atlas of End Stage Renal Disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, 2019.