Health related quality of life of patients on maintenance haemodialysis at Kenyatta National Hospital

Citation:
Kamau E, Kayima J, Otieno C, Maritim MC, Wanzala P. "Health related quality of life of patients on maintenance haemodialysis at Kenyatta National Hospital." East African Medical Journal. 2012;89(3):39-45.

Abstract:

Background: Health related quality of life is increasingly being recognized as a primary outcome measure in treatment of end stage renal disease. The health related quality of life of patients on maintenance haemodialysis is reduced. Several interventions directed at modifiable risk factors have been shown to improve quality of life of patients on haemodialysis.
Objective: To assess the health related quality of life of patients on maintanance haemodialysis at Kenyatta National Hospital.
Design: Cross sectional descriptive study
Setting: Kenyatta National Hospital, Renal Unit.
Subjects: The study was conducted on 96 patients with end stage renal disease on maintenance haemodialysis. Socio-Demographic and clinical factors were recorded for all patients. Health-related quality of life was assessed using the Kidney Disease Quality of Life-36 questionnaire. Two summary scores and three sub-scale scores were calculated.
Results: The mean physical composite summary and mental composite summary scores were 39.09+/- 9.49 and 41.87+/- 10.56 respectively. The burden of kidney disease sub-scale, symptom and problems sub-scale and effect of kidney disease on daily life sub-scale score were 16.15+/- 21.83, 73.46+/-18.061 and 67.63+/-23.45 respectively.
Conclusion: Health related quality of life of patients on maintenance hemodialysis is reduced. The physical quality of life is more affected than the mental quality of life. The burden of kidney disease sub-scale is the most affected sub-scale score.

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