Quality Of Life Of Patients Attending Private Hemodialysis Centres In Selangor
End stage renal disease (ESRD) has significant impacts on quality of life (QOL). Its treatment, known as haemodialysis (HD) has contributed significantly to the increased survival of patients, however it is associated with greater psychosocial, social and economic burden to the patients. In Malaysia, the numbers of dialysis patients increased with the steepest elevated in the private settings. Consequently, increased interests in measuring QOL among ESRD patients. This study was aimed to determine the factors associated with QOL among ESRD patients. A cross sectional study was conducted among ESRD patients attending HD centres in four districts in Selangor. A total of 220 respondents were selected randomly. There were eight variables studied; sociodemographic, duration of kidney disease, comorbidity, health insurance. Data was collected from using SF-36 questionnaire, which consisted of eight domains. Both overall and domain specific score were calculated. The mean for overall QOL score was 390.38 and the highest mean score for domain specific was social functioning 67.27, followed by pain 63.47, emotional wellbeing 59.98, fatigue 54.31, general health 46.21, physical functioning 36.25 and role limitation due to emotional problem 29.77. Regression analysis showed that i) physical functioning score was predicted by age, education, ethnicity ii) role limitation due to physical health by gender, income, education, ethnicity and health insurance, iii) role limitation due to emotional problems by education, ethnicity iv) fatigue and v) emotional wellbeing by income, vi) social functioning by ethnicity, vii) pain by comorbidity and education appeared to be predictor for overall QOL score.
Keywords- Quality Of Life, End Stage Renal Disease, Haemodialysis