Quality of life of patients treated with maintenance hemodialysis for more than twenty years

Abstract

Objective To explore the quality of life in end-stage renal disease patients undergoing maintenance hemodialysis treatment for more than twenty years.Methods A clinical transectional study was performed in end-stage renal disease patients treated with maintenance hemodialysis for more than twenty years.General condition,hemoglobin,calcium phosphate product,intact parathyroid hormone (iPTH),high sensitive C reactive protein (HS-CRP) and echocardiography were recorded in these patients.Results Among the five patients,only one had hypertension.Mean hemoglobin level was (113.2 ± 17.7) g/L,and total protein,albumin,potassium,sodium,chlorine and calcium were normal.Higher serum phosphate level was found in three patients.Ferritin was 43.1-1342.5 μg/L (mean (361.1 + 551.7) μg/L),average HS-CRP was (4.1 ± 4.3) rng/L,iPTH was 40-904 ng/L,and Kt/V was 1.1-2.2 (1.5 ± 0.4).The cardiac structure and function was changed.Three patients were self-cared and enjoyed family rapprochement,two patients were satisfied with their life,and three patients had physical symptoms.Conclusion End-stage renal disease patients may maintain good quality of life through maintenance hemodialysis treatment. Key words: Quality of life; Maintenance hemodialysis