Quality of life of patients with terminal chronic renal failure on hemodialysis: about 289 patients in a wilaya of southern Algeria
Keywords:
Quality of life, IRCT, hemodialysis, KDQoLSF36
Abstract
Abstract: Prerequisites: Chronic hemodialysis imposes various limitations on the patient, with serious consequences on his life, felt as a social and professional handicap that can affect his quality of life. However, Algerian studies on this subject remain very rare. Aim : Describe the quality of life of terminal chronic hemodialysis patients and contribute to the knowledge of the main factors correlated with an impaired quality of life in them. in the Wilaya of Laghouat Method: We conducted, during the month of July 2021 to July 22, a cross-sectional study of 289 patients on chronic hemodialysis at the four hemodialysis centers of the Wilaya of Laghouat. The measurement of quality of life was carried out by self-administration and oral administration of the questionnaires adapted and validated in French (SF36 and KDQoL). Other data already collected as part of the study were necessary to meet the objectives: sociodemographic data, as well as clinical data, replacement treatment and at the time of the survey, available in patient files. Results : The overall mean score of the KDQOL-SF36 was 51.18 ± 7.98; that of the SF-36 was 39.34 ± 10.55 with an alteration of the quality of life in 90% of hemodialysis patients, referring to the threshold value of 66.7 of Lean et al. The analysis of the scores of the 8 dimensions of the SF-36 scale showed that all the dimensions of this scale were altered. A bivariate analysis, three variables (Comorbidity, time of hemodialysis session, depression) are significantly associated with all the Dimensions (physical, mental, renal) of the QOL. Conclusion : Our study highlights the importance of systematically assessing the quality of life in chronic hemodialysis patients, in whom it is very frequently impaired. It also shows the importance of action on modifiable factors correlated with impaired quality of life, including the spread of depression, management of comorbidity and the creation of new hemodialysis centers.References
1. Nasr M, Haj Ammar M, Khammouma S, Ben Dhia N, Ghachem A. Hemodialysis and its impact on quality of life. NephrolTher. 2008; 4: 21-7.(1)
2. DeOreoPB.Hemodialysis patient assessed functional health status predicts continued survival, hospitalization, and dialysis-attendance(2)
3.Kim JA, Lee YK, Huh WS et al. Analysis of depression in continuous ambulatory peritoneal dialysis patients. J Korean Med Sci. 2002; 17:790-4.(3)
4.McHorney CA, Ware JJ, Rackzek AE. The MOS 36-item Short Form Health survey (SF-36). Psychometric and clinical tests of validity in measuring physical and mental health construct.Med Care.1993; 31:247-63.(4)
5. Cagney KA, Wu AW, Fink NE, et al. Formal Literature Review of Quality-of-Life Instruments Used In End –Stage Renal Disease.Am J Kidney Dis. 2000; 36:327-36.(5)
6. Hays RD, Kallich JD, Mapes DL, Coons SJ, Amin N, Carter WB.Kidney Disease Quality of Life Short Form (KDQOL- SF™), version 1.3:A manual for use and scoring. P7994. Santa Monica, CA: RAND.(6)
7. Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB.Development of the Kidney Disease Quality of Life (KDQOL™) instrument.Qual Life Res. 1994; 3:329-38.(7)
8.McHorney CA, Ware JJ, Rackzek AE. The MOS 36-item Short Form Health survey (SF-36). Psychometric and clinical tests of validity in measuring physical and mental health construct.Med Care.1993; 31:247-63(8)
9.Canaud B, Leray-Moragues H, Bosc JY, Mion C. Management of hemodialysis and complications. Encycl. Med. Surg. Nephrology-Urology. 1998; 18-063-B-20: 14.(9)
10. Sklar A, Newman N, Scott R, Semenyuk L, Schultz J, Fiacco V. Identification of factors responsible for postdialysis fatigue. Am J Kidney Dis. 1999; 34:464-70.(10)
11. Will T, Saudan P, Droulez MG, Soulignac R, Martin PY.
Relationship and dependency in a dialysis unit. NephrolTher. 2008; 4: 320-4.(11)
12. Hays RD, Kallich JD, Mapes DL, Coons SJ, Amin N, Carter WB.Kidney Disease Quality of Life Short Form (KDQOL- SF™), version 1.3:A manual for use and scoring. P7994. Santa Monica, CA: RAND.(12)
13. Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB.Development of the Kidney Disease Quality of Life (KDQOL™) instrument.Qual Life Res. 1994; 3:329-38.(13)
14. Lean ME, Han TS, Seidell JC. Impairment of health and
quality of life using new US federal guidelines for the identification of obesity. Arch Intern Med. 1999; 159: 837-43.(6)14
15.DeOreoPB.Hemodialysis patient assessed functional health status predicts continued survival, hospitalization, and dialysis attendance15
16. Kim JA, Lee YK, Huh WS et al. Analysis of depression in continuous ambulatory peritoneal dialysis patients. J Korean Med Sci. 2002; 17:790-16
17. Zouari A Tunisia Medical-2016;Vol 94(1)
18. Nasr M, Haj Ammar M, Khammouma S, Ben Dhia N, Ghachem A. Hemodialysis and its impact on quality of life. NephrolTher. 2008;4:21-7.
19. Cagney KA, Wu AW, Fink NE et al. Formal Literature Review of Quality-of-Life Instruments Used In End –Stage Renal Disease.Am J Kidney Dis. 2000; 36:327-36.
20. Gataa R, Ajmi TN, Haouala F, Mtiraoui A.Quality of life patterns of dialysis patients in the region of Kairouan. Tunis Med. 2008; 86:68-74. 21.Perneger TV, Leski M, Chopard-Stoermann C, Martin PY.Assessment of health status in chronic hemodialysis patients.J Nephrol.2003; 16:252-9.
22. Moreno F, Lopez Gomez JM, Sanz-Guajardo D, Jofre R, Valderrábano F. Quality of life in dialysis patients. A Spanishmulticentrestudy. Nephrol Dial Transpl. 1996; 11(Suppl 2): 125-9
23. Teles F, D'Azevedo VF, Miranda CT, Miranda MP, Teixeira MC, Elias RM. Depression in hemodialysis patients: the role of dialysis shift. Clinics 2014; 69:198-202.
24. Khan IH, Garratt AM, Kumar A et al. Patient's perception of health on renal replacement therapy: evaluation of a new
instrument. Nephrol Dial Transplant. 1995; 10:684–9
25. Riazuelo H, Cupa D, Pirlot G, Gourdon ML, Causeret
C. Psychopathology of the elderly patient with terminal renal failure, Ann Med Psychol. 2011; 169: 297-301
26.26isse MM, Ka EF, Gueye S et al. Quality of life of hemodialysis patients in Dakar (Senegal): what are the particularities for people living in tropical environments? Med Sante Trop. 2012; 22: 198- 202.
27. Cartery C, Fessi H. Dialysis after 75 years: particularities and challenges. NPG Neurology - Psychiatry - Geriatrics. 2014;14:306-313
2. DeOreoPB.Hemodialysis patient assessed functional health status predicts continued survival, hospitalization, and dialysis-attendance(2)
3.Kim JA, Lee YK, Huh WS et al. Analysis of depression in continuous ambulatory peritoneal dialysis patients. J Korean Med Sci. 2002; 17:790-4.(3)
4.McHorney CA, Ware JJ, Rackzek AE. The MOS 36-item Short Form Health survey (SF-36). Psychometric and clinical tests of validity in measuring physical and mental health construct.Med Care.1993; 31:247-63.(4)
5. Cagney KA, Wu AW, Fink NE, et al. Formal Literature Review of Quality-of-Life Instruments Used In End –Stage Renal Disease.Am J Kidney Dis. 2000; 36:327-36.(5)
6. Hays RD, Kallich JD, Mapes DL, Coons SJ, Amin N, Carter WB.Kidney Disease Quality of Life Short Form (KDQOL- SF™), version 1.3:A manual for use and scoring. P7994. Santa Monica, CA: RAND.(6)
7. Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB.Development of the Kidney Disease Quality of Life (KDQOL™) instrument.Qual Life Res. 1994; 3:329-38.(7)
8.McHorney CA, Ware JJ, Rackzek AE. The MOS 36-item Short Form Health survey (SF-36). Psychometric and clinical tests of validity in measuring physical and mental health construct.Med Care.1993; 31:247-63(8)
9.Canaud B, Leray-Moragues H, Bosc JY, Mion C. Management of hemodialysis and complications. Encycl. Med. Surg. Nephrology-Urology. 1998; 18-063-B-20: 14.(9)
10. Sklar A, Newman N, Scott R, Semenyuk L, Schultz J, Fiacco V. Identification of factors responsible for postdialysis fatigue. Am J Kidney Dis. 1999; 34:464-70.(10)
11. Will T, Saudan P, Droulez MG, Soulignac R, Martin PY.
Relationship and dependency in a dialysis unit. NephrolTher. 2008; 4: 320-4.(11)
12. Hays RD, Kallich JD, Mapes DL, Coons SJ, Amin N, Carter WB.Kidney Disease Quality of Life Short Form (KDQOL- SF™), version 1.3:A manual for use and scoring. P7994. Santa Monica, CA: RAND.(12)
13. Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB.Development of the Kidney Disease Quality of Life (KDQOL™) instrument.Qual Life Res. 1994; 3:329-38.(13)
14. Lean ME, Han TS, Seidell JC. Impairment of health and
quality of life using new US federal guidelines for the identification of obesity. Arch Intern Med. 1999; 159: 837-43.(6)14
15.DeOreoPB.Hemodialysis patient assessed functional health status predicts continued survival, hospitalization, and dialysis attendance15
16. Kim JA, Lee YK, Huh WS et al. Analysis of depression in continuous ambulatory peritoneal dialysis patients. J Korean Med Sci. 2002; 17:790-16
17. Zouari A Tunisia Medical-2016;Vol 94(1)
18. Nasr M, Haj Ammar M, Khammouma S, Ben Dhia N, Ghachem A. Hemodialysis and its impact on quality of life. NephrolTher. 2008;4:21-7.
19. Cagney KA, Wu AW, Fink NE et al. Formal Literature Review of Quality-of-Life Instruments Used In End –Stage Renal Disease.Am J Kidney Dis. 2000; 36:327-36.
20. Gataa R, Ajmi TN, Haouala F, Mtiraoui A.Quality of life patterns of dialysis patients in the region of Kairouan. Tunis Med. 2008; 86:68-74. 21.Perneger TV, Leski M, Chopard-Stoermann C, Martin PY.Assessment of health status in chronic hemodialysis patients.J Nephrol.2003; 16:252-9.
22. Moreno F, Lopez Gomez JM, Sanz-Guajardo D, Jofre R, Valderrábano F. Quality of life in dialysis patients. A Spanishmulticentrestudy. Nephrol Dial Transpl. 1996; 11(Suppl 2): 125-9
23. Teles F, D'Azevedo VF, Miranda CT, Miranda MP, Teixeira MC, Elias RM. Depression in hemodialysis patients: the role of dialysis shift. Clinics 2014; 69:198-202.
24. Khan IH, Garratt AM, Kumar A et al. Patient's perception of health on renal replacement therapy: evaluation of a new
instrument. Nephrol Dial Transplant. 1995; 10:684–9
25. Riazuelo H, Cupa D, Pirlot G, Gourdon ML, Causeret
C. Psychopathology of the elderly patient with terminal renal failure, Ann Med Psychol. 2011; 169: 297-301
26.26isse MM, Ka EF, Gueye S et al. Quality of life of hemodialysis patients in Dakar (Senegal): what are the particularities for people living in tropical environments? Med Sante Trop. 2012; 22: 198- 202.
27. Cartery C, Fessi H. Dialysis after 75 years: particularities and challenges. NPG Neurology - Psychiatry - Geriatrics. 2014;14:306-313
Published
2024-12-31
Issue
Section
original article
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
