On the consideration of well-being and quality of life in hemodialysis patients

  • Iraj Zareban Associate Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  • Maryam Seraji Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  • Davood Shojaeezadeh Department of Health Education and Health Promotion Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Fatemeh Rakhshani Department of Health Education and Health Promotion Department, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Keywords: Well-being, hemodialysis, quality of life

Abstract

Background: Since identifying different aspects of well-being and its relationship with quality of life of the patients affected by chronic kidney disease is a very important issue, this study aims at considering the relationship between well-being and quality of life in hemodialysis patients referring to Zahedan University of Medical Sciences’ affiliated hospitals in 2016. Methods: In this descriptive analytic study, population included all individuals who referred regularity to hemodialysis section of Zahedan hospitals (129 Patients). As our data-gathering instruments, we used two questionnaires: a well-being questionnaire and a kidney disease quality of life (KDQOL) questionnaire. The data were analyzed using independent t-test, ANOVA, and Pearson correlation coefficient through SPSS v. 19. Results: The patients’ mean score of well-being was 138.95± 21.9 and their mean score of quality of life was 43.62± 6.38. According to the findings of this study, there was a reverse correlation between emotional aspect and limitation of emotional role, but their relationship was statistically significant (p= 0.02, r= -0.27); there was a statistically significant relationship between social aspect and social performance (p= 0.04, r= 0.24); there was a statistically significant relationship between mental aspect and social performance (p= 0.004, r= 0.32); there was a reverse correlation between emotional aspect and burden of kidney disease, but their relationship was statistically significant (p= 0.012, r= -0.28); similarly, there was a reverse correlation between physical aspect and burden of kidney disease, but the relationship between them was statistically significant (p= 0.03, r= -0.20). Moreover, the relationship between spiritual aspect and sexual performance was statistically significant (p= 0.05, r= 0.22).  The relationship between mental aspect and sexual performance as well (p= 0.03, r= 0.25). Conclusion: The results revealed that there is a relationship between different aspects of Well-being and quality of life of the hemodialysis patients. Therefore, paying enough attention to these patients’ needs can have positive consequences and promote their quality of life; finally, we will experience a decrease in their death rate and treatment costs.

References

- Perlman RL, Finkelstein FO, Liu L, Roys E, Kiser M, Eisele G, Burrows-Hudson S, Messana JM,Levin N, Rajagopalan S, Port FK, Wolfe RA, Saran R. Quality of life in chronic kidney disease (CKD):a cross-sectional analysis in the Renal Research Institute-CKD study. Am J Kidney Dis. 2005 Apr;45(4): 658-66.

Finkj JC, Armistead N, Turner M, Gardner J, light P. Hemodialysis adequacy in Network 5: Disparity between states and the role of center effects. Amykidney Dis 1999 Jan; 33(1): 97-104.

Bernner BM, Rectro FC. Brenner & Rector, the kidney. Philadelphia: W. B Saunders 1991:2223-99.

Goldman L, Benneth C. Cecil textbook of medicine. Philadelphia: W.B. Saunders, 2000.

- Aghighi M, Rouchi AH, Zamyadi M, Mahdavi-Mazdeh M, Norouzi Sh, Rajolani H, et al. Dialysis in Iran. Iranian Journal of Kidney Diseases. 2008; 2(1): 11-15.

- Valder rabano F, Jofre R, Lopez-Gomez JM. Quality of life in end-stage renal disease patients. Am J Kidney Dis. 2001 Sep; 38(3): 443-64.

- Kutner NG. Quality of life and daily hemodialysis. Semin Dial. 2004 Mar-Apr; 17(2): 92-8.

- Al-Arabi S. Quality of life: subjective descriptions of challenges to patients with end stage renal disease. Nephrology Nursing Journal. 2006; 33(3), 285-298.

Rothmann S, ekkerd J. the validation of the perceived wellness survey in the south african police service, a Journal of industrial psychology 2007;330(3); 35-42.

Samuels TA, Hospedales CJ. From Port-of-Spain Summit to United Nations High Level Meeting:Caricom and the global non-communicable disease agenda. West Indian Med. J 2011; 60(4): 387-91.

Adams T, Bezner J , Steinhardt M. The conceptualization and measurement of perceived wellness: Integrating balance across and within dimensions. American Journal of Health Promotion 1997; 11(3):208-18.

Tol A, Majlessi F, Rahimi A, Shojaizadeh D, Abbasi P. Assessing cognitive state and trait coping and its effective factors among type 2 diabetic patients.Iran J Diabetes Lipid Disord 2012; 11(6):528-37.

Fefal H. Coping strategies and associated features of medically ill patients. psychosom med 2004;49(6):616-25 .

Edlin G, Golanty E, Brown KM. Essentials for health and wellness :Jones & Bartlett Learning; 2000:443-500.

American Diabetes Association: Tests of glycaemia in diabetes (Position Statement). Diabetes Care 2001; 24(Suppl. 1):S80–S82.

Chandler C, Holden J, Kolander CH. Counseling for spiritual wellness: Theory and practice. Journal of Counseling and Development 1992; 71: 168-75.

Ingersoll R, Bauer A L. An integral approach to spiritual wellness in school counseling settings.Professional School Counseling 2004; 7(5): 301-8.

Dhar N1, Chaturvedi SK, Nandan D. Self evolution: 1 st. Domain of spiritual health. Ayu

;33(2):174-7.

Thelan LA, Urden LD, Lough ME and Stacy MK.Textbook of critical care nursing diagnosis and management. 3rd ed. St Louis: Mosby; 2002: 1235.

Testa MA, Simonton DC. Assesment of quality of life outcome. NEJM 2003; 3: 835-84.

Thoonen B. Self-management in asthma care. BMJ 2003; 321(2): 72-75.

Tol A, Majlessi F, Rahimi A, Shojaizadeh D, Abbasi P. Assessing cognitive state and trait coping and its effective factors among type 2 diabetic patients.Iran J Diabetes Lipid Disord 2012; 11(6):528-37.

Ibrahim S, El Salamony O. Depression, quality of lif and malnutrition-infl ammation scores in hemodialysis patients. Am J Nephrol 2008; 28(5):784-91.

BarazPardanjani Sh, Mohamadi I, Boroumand B.The effect of selfcare teaching by video tape on physical problems and quality of life in dialysis patients. Iran journal of nursing 2008;21(54):121- 133.[Persian].

Rodrigues Fructuoso M, Castro R, Oliveira l, Prata C, Morgado T.Quality of life in chronic kidney disease. Nefrologia 2011;31(1):91-6.

- Abbaszade A,Javanbakhtian R, Salehi SH, motavasselian M.Comparative Assessing of quality of life in hemodialysis patients and renal transplant recipients.Journal of yazd university of Medical Sciences.2010;18(4):461-468.Persian.

- Lopes AA, Jennifer L, Gresham B, David A, Goodkin,Fukuhara S, et al. factors associated with health- relatedquality of life among hemodialysis patients in the DOPPS.Qual life Res. 2007;16(6): 545- 557.

Behdani S, Dastjerdi R, Sharifzadeh G. Relationship between trust in God and self – efficacy With mental health in type II diabetics. Journal of Birjand University of Medical Sciences. 2012; 19 (3):302-311.

Deary j, Dougall A , Cosway R , Fryer B , Strachan M. Cognitive function and Information pressing in type 2 Diabetes 2001;24(4):803-810.

Published
2018-12-08
How to Cite
1.
Zareban I, Seraji M, Shojaeezadeh D, Rakhshani F. On the consideration of well-being and quality of life in hemodialysis patients. JPPM. 3(1/2):12-6.
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Original Article(s)