Abstract

Introduction: Hemodialysis or renal function replacement therapy is routine medical care for chronic kidney disease (CKD) patients. Many problems arise among patients with chronic kidney disease (CKD) undergoing hemodialysis, including physical, psychological, social and family relationships. Those will affect patient’s quality of life (QOL).Method: A cross-sectional study performed from April-May 2017 in Sanglah General Hospital Denpasar using EuroQol 5 (EQ-5D-5L) Questionnaire to assess the Health-Related Quality of Life (HRQOL). All of CKD patients undergoing hemodialysis in Sanglah General Hospital Denpasar that matched the inclusion and exclusion criteria were recruited to this study.Results: There were 46 patients participated in this study. Overall, 37 (86.05%) were male and divided into four age groups. The reported HRQOL as measured by means of EQ-5D-5L Index Value and EQ-VAS (Visual Analog Scale) Score was 0.71 ± 0.22 and 75.7 ± 0.635, respectively. The median of EQ-5D-5L Index Value and EQ-VAS Score was 0.71 [0.63-0.84] and 75 [70-80].Conclusion: This study provided associations between sociodemographic characteristics and their HRQOL. Healthcare providers should be aware of low HRQOL among patients with female gender, elderly patients and unemployed patients to improve their quality of life.

Highlights

  • Hemodialysis or renal function replacement therapy is routine medical care for chronic kidney disease (CKD) patients

  • The “self-care” dimension had the least influence on Health-Related Quality of Life (HRQOL) outcomes

  • Female gender, and unemployed patients were all associated with poor HRQOL

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Summary

Introduction

Hemodialysis or renal function replacement therapy is routine medical care for chronic kidney disease (CKD) patients. At a certain level of renal capacity or function, the progression of chronic kidney disease become ESRD is unavoidable.[1] Chronic kidney disease (CKD) defined as abnormalities of kidney structure or function, present for more than three (>3) months, with implications for health which is into several stages based on cause, glomerulus filtration rate (GFR) category, and albuminuria category (CGA).[2] The number of this case is overgrowing, especially in the developing countries It has become a significant health problem because it is a devastating medical condition, and the cost of treatment is a vast economic burden.[3]

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