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BMC Nephrology
Published in: BMC Nephrology 1/2016

Open Access 01-12-2016 | Research article

Factors affecting quality of life in patients on haemodialysis: a cross-sectional study from Palestine

Authors: Sa’ed H. Zyoud, Dala N. Daraghmeh, Diana O. Mezyed, Razan L. Khdeir, Mayas N. Sawafta, Nora A. Ayaseh, Ghada H. Tabeeb, Waleed M. Sweileh, Rahmat Awang, Samah W. Al-Jabi

Published in: BMC Nephrology | Issue 1/2016

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Abstract

Background

Haemodialysis (HD) is a life-sustaining treatment for patients with end-stage renal disease (ESRD). HD can bring about significant impairment in health-related quality of life (HRQOL) and outcomes. Therefore, we sought to describe the patterns of HRQOL and determine the independent factors associated with poor HRQOL in Palestinian patients on HD.

Methods

A multicenter cross-sectional study was performed from June 2014 to January 2015 using the EuroQOL-5 Dimensions instrument (EQ-5D-5L) for the assessment of HRQOL. ESRD patients undergoing HD in all dialysis centres in the West Bank of Palestine were approached and recruited for this study. Multiple linear regression was carried out to identify factors that were significantly associated with HRQOL.

Results

Two hundred and sixty-seven patients were participated in the current study giving response rate of 96 %. Overall, 139 (52.1 %) were male, and the mean ± standard deviation age was 53.3 ± 16.2 years. The reported HRQOL as measured by mean EQ-5D-5L index value and Euro QOL visual analogue scale (EQ-VAS) score was 0.37 ± 0.44 and 59.38 ± 45.39, respectively. There was a moderate positive correlation between the EQ-VAS and the EQ-5D-5L index value (r = 0.42, p < 0.001). The results of multiple linear regression showed a significant negative association between HRQOL with age, total number of chronic co-morbid diseases and the total number of chronic medications. However, a significant positive association was found between HRQOL with male gender, university education level and patients who live in village.

Conclusion

Our results provided insight into a number of associations between patient variables and their HRQOL. Healthcare providers should be aware of low HRQOL among patients with no formal education, female gender, patient’s residents of refugee camps, multiple co-morbid diseases, multiple chronic medications, and elderly patients to improve their quality of life.
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Metadata
Title
Factors affecting quality of life in patients on haemodialysis: a cross-sectional study from Palestine
Authors
Sa’ed H. Zyoud
Dala N. Daraghmeh
Diana O. Mezyed
Razan L. Khdeir
Mayas N. Sawafta
Nora A. Ayaseh
Ghada H. Tabeeb
Waleed M. Sweileh
Rahmat Awang
Samah W. Al-Jabi
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Nephrology / Issue 1/2016
Electronic ISSN: 1471-2369
DOI
https://doi.org/10.1186/s12882-016-0257-z

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