COMPARISON OF PERSONAL CHARACTERISTIC FACTORS RELATING TO QUALITY OF LIFE IN PATIENTS WITH END STAGE OF RENAL DISEASE

Abstract

The objective of this study was to compare levels of quality of life of the patient with end stage of renal disease (ESRD) between patients with hemodialysis (HD) and patients with continuous ambulatory peritoneal dialysis (CAPD) and comparison of personal characteristic factors relating to Quality of Life in Patients with End Stage of Renal Disease.

Method: This study was descriptive research design. Sample was recruited using purposive sampling that included 76 ESRD patients treated by HD and CAPD procedure at dialysis clinic in Phraphutthabat Hospital, Saraburi Province, Thailand. Data was collected by using the Quality of Life Questionnaire for Chronic Kidney Disease (KDQOL-SFTM) version 1.3. The independent t-test and ANOVA procedure was used to analyze study data.

Results: The results revealed that the HD patients had moderate level of quality of life. The highest score of quality of life was the encouragement of staff at the dialysis unit and patient satisfaction to the treatment (X= 100, SD = .00), and following by social support (X= 89.29, SD = 16.88) and perception (X= 88.57, SD = 11.82) respectively. On the other hand, the smallest of quality of life level was physical problems (X= 50, SD = 51.89), and pain (X= 50, SD = 39.03), and following by work status (X= 53.57, SD = 45.84) and burden from kidney disease (X= 58.48, SD = 31.07), respectively. For the CAPD patient, they also had moderate quality of life level. The highest scores of quality of life was the encouragement of staff from renal unit, and patient satisfaction to the treatment (X= 100, SD = .00), and following by the social support (X= 95.61, SD = 14.20) and cognitive function (X= 88.83, SD = 13.52), respectively. The smallest score of quality of life level were work status (X= 44.44, SD = 42.72), general health (X= 53.61, SD = 39.05) and pain (X= 62.70, SD = 41.14), respectively. The different of overall and dimensions of quality of life in end stage of renal disease patient who were treated by HD and CAPD procedures were not statistically significantly different.

The quality of life was not significantly different among patients with different personal characteristics except for income and period of treatment, the quality of life was statistical significance different at .05 level.

Conclusion: The overall quality of life and expectancy of patients with chronic kidney disease treated with HD and CAPD are not different with gender, age, status, education, occupation and the treatment right. The quality of life was not significantly different, except for patients with different incomes and duration of renal replacement therapy, whose quality of life was significantly different. The quality of life of patients receiving dialysis should be studied. To develop the quality of life program for patients with chronic kidney disease who received dialysis.