Health Related Quality of Life Among Maintenance Hemodialysis Patients and Healthy Pregnant Women: A Comparative Cross-sectional Study
Abstract:
Introduction: About 600 million (10%) of the
world population has chronic kidney diseases (CKD). It is progressive, irreversible
but effectively treated with maintenance hemodialysis and renal transplantation.
In Nigeria, majority of end stage kidney disease patients struggle to continue regular
hemodialysis as renal transplantation is beyond the reach of many. The financial
burden and other restrictions on the life of the patients have implications for
quality of life of these patients.
Objectives: To compare health related quality
of life of end stage CKD patients with that of healthy pregnant women without any
medical co-morbidity.
Methodology: WHOQOL-BREF questionnaire was
used to determine quality of life of 64 CKD patients and 64 healthy pregnant women
in a cross sectional comparative descriptive study. Statistical
significance difference between the two groups attributed to events with a p-value
lower than 5% (p < 0.05).
Results: The mean quality of
life index among the maintenance hemodialysis patient was 43.03±15.96 while it is
63.56±12.61 among the healthy pregnant women and the difference is statistically
significant (T= 8.01, p =0.000). Hemodialysis participants had lower QOL across
all the four domains when compared to healthy pregnant women.
Conclusion: Health related quality of life
of CKD patients in Nigeria is low. The government and care givers need to push for
interventions known to make quality of life of CKD as well as that of healthy populace.
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