Quality of Life and Related Factors in Hemodialysis Patients Referred to Teaching Hospitals in Zanjan

Authors
Farhad Ramezani Badr
Vahid Moieni
Meysam Nematikhah
Parvin Shiri Gheydari
Mina Akhlaghi
Meharn Tahrekhani
Abstract
Introduction and Aims

The evaluation of the quality of life helps us to fundamentally focus on the patients’ problems and drastically causes the treatment methodologies to be reconsidered. The present research studies the quality of life and related factors in the Hemodialysis patients in the educational hospitals of Zanjan, Iran.

Materials and Methods

This descriptive cross-sectional study has been carried out on 74 patients in two Hemodialysis centers in Zanjan. Convenience sampling was done in 3 months. To assess the different parameters, standard of living questionnaire of kidney patients (KDQOL) was used.

Results

The findings showed that 8.1% of the patients had a good quality of life, 70.2% experienced medium quality of life and 21.7% had a poor quality of life. The mean and the standard deviation were 44.4 and 14.2. The highest average and standard deviation of the quality of life of samples in the 9 aspects were related to “pain” with the scores of 57.6 and 12. Also the lowest was related to “physical health problems” with the numbers of 18.5 and 11.

Conclusion

According to the results of this research, the poor quality of life is remarkable among the hemodialysis patients. Definitely accurate planning with a proper focus on the most important elements related to the quality of these patients’ lives can be helpful.



* Corresponding Author: Islamic Azad University of Mashhad, Faculty of Nursing.

Email: Meysam.nematikhah@gmail.com
Keywords
Chronic Renal Failure
Hemodialysis
the quality of life
Broun W, Fauci K, Hauserand E. Harrisons principles of internal medicine .17th ed. United States: McGraw-Hill Professional; 2008.

Abedi Samakoosh M, Aghaie N, Gholami F, Shirzad M, Yosefi E, Teymoorzadeh Baboli M. Assesment dialysis adequacy in hemodialysis patients of Qaemshar Razi hospital in 2012. J Mazandaran Univ Med Sci. 2013;23(107):20-7. [Persian]

Urden LD, Stacy KM, Logh M. Thelan’s ciritical care nursing: diagnosis and management. 5th ed. St Louis: Mosbys; 2006.

Johansen KL. Exercise in the end stage renal disease population. J Am Soc Nephrol. 2007;18(6):1845-54.

Stride M. Exercise and the patient with chronic kidney disease. Br J Hosp Med. 2011;72(4):200-4.

Tayyebi A, Salimi S H, Mahmoudi H, Tadrisi S D. Comparison of quality of life in haemodialysis and renal transplantation patients. Iran J Crit Care Nurs. 2010;3(1):7-8. [Persian]

Parsons TL, Toffelmire EB, King-Vanrock CE. The effect of an exercise program during Hemodialysis on dialysis efficacy blood pressure and quality of life in end-stage renal disease (ESRD) patients. Clin Nephrol. 2004;61(4):261-74.

Shafipour V, Jafari H, Shafipour L. The Relationship between stress intensity and life quality in hemodialysis patients hospitalized in Sari Iran (2008). J Sabzevar Univ Med Sci. 2009;16(3):155-60. [Persian]

Baraz S, Mohammadi E, Boroumand B. Correlation of quality of sleep or quality of life and some of blood factors in hemodialysis patients. J Shahrekord Univ Med Sci. 2008;9(4):67-74. [Persian]

Taghizadeh Afshari A, GhareAghaji Asl R, KazemneJad A. [Survey The effect kidney transplantion improvement qualitiy of life dialysis patients referral to curative centers Oroumieh]. Urmia Med J. 2008;17(3):175-80. [Persian]

Namadi M, Movahedpoor A. Quality of Life in Patients after Renal Transplantation in Comparison with Intermittent Hemodialysis. J Ardabil Univ Med Sci. 2009;9(2):171-9. [Persian]

Nonoyama ML, Brooks D, Ponikvar A, Vanita Jassal S, kontos P, Devins GM, et al. Exercise program to inhance physical performance and quality of life of older hemodialysis patients: a feasibility study. Int Urol Nephrol. 2010;42(4):1125-30.

Rambod M, Rafiee F. Relationship between perceived social support and quality of life in hemodialysis patient. Iranian Journal of Nursing Research, 2008;3(10,11):87-97. [Persian]

Amirkhani M, Nouhi E, Jamshidi H. The comparative survey of life quality in renal transplant recipients, peritoneal dialysis, and hemodialysis patients in Kerman in the Year 2013. J Fasa Univ Med Sci. 2014;4(1):126-33. [Persian]

Rahimi A, Ahmadi F, Galeaf M. Effects of Applying Continuous Care Model on Quality of Life in Hemodialysis Patients.
. Razi Journal of Medical Sciences, 2006;13(52):123-34. [Persian]

Narimani K. Effect of self-care on the quality of life of patients under maintenance hemodialysis. Journal of Shahed University, 2008;16(79):63-70. [Persian]

Hadi N, Rahmani Z, Montazeri A. Health-related quality of life in chronic renal failure patients receiving hemodialysis. Payesh. 2010;9(4):349-54. [Persian]

Pakpour A, Panahi D, Yekaninejad M, Ebadi Fard Azar F , Izy H. A comparative study on health related quality of life in hemodialysis patients and healthy people. J Health Adm. 2006;9(25):55-62. [Persian]

Baraz Sh, Mohammadi E, Broumand B. The effect of self - care educational program on decreasing the problems and improving the quality of life of dialysis patients. Hayat, 2005;11(1-2):51-62. [Persian]

Mahmoodi Gh, Shariati AR, Behnampoor N. Relationship between quality of life and coping among hemodialysis patients in hospitals. J Gorgan Uni Med Sci. 2003;5(2):43-52. [Persian]

Sajadi M, Akbari A, Kianmehr M, Ataroudi AR. The relationship between self-care and depression in patients undergoing hemodialysis. Ofogh-E-Danesh, 2008;14(1):13-7. [Persian]