HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Estimating the quality of life of hemodialysis patients and adequate clearance


Published: Dec 18, 2016
Keywords:
Quality of life dialysis adequacy clearance Kt / V hemodialysis patients' quality of life questionnaire
Evangelia Prevyzi
Georgios Argyriou
Thomai Kollia
Athanasia Nestor
Anastasia Kotanidou
Christina Marvaki
Abstract

Introduction: Dialysis affects the quality of life of hemodialysis patients due on idrasis in physical activities, psychological factors, and social adaptability.  Predominant indicator for assessing the adequacy of dialysis, considered the Kt / V (clearance time/volume of distribution). According to international guidelines, the price which shows adequate dialysis is > 1.2.

Aim: The aim of the present study was the association of quality of life of hemodialysis patients with adequate dialysis.

Material and Methods: To evaluate the quality of life of hemodialysis patients used the questionnaire KDQOL-SF weighted in the Greek language and the Greek egkyropoiimeno population. Excluded from the study patients with a speaking disability, those who were comatose, aliens, and those undergoing dialysis 3 hours/ 2 times / week. For data processing, used the statistical package SPSS ver.17.

Results: Based on the statistical analysis t-test results showed respect to the route of vascular access that patients with graft (31,6%)   had a higher clearance rate adequacy, as well as patients undergoing hemodialysis with high permeability (high-flux) filters (35,8%) and those undergoing dialysis with hemodiafiltration (35,8%).

According to the statistical criterion pearson's r and multivariate analysis of linear regression, statistically significant difference was only between Kt / V and forefinger encouraging staff and p = 0,032 and p = 0,015 respectively.

Conclusions: The conclusions drawn from this study showed that there was no correlation between quality of life and dialysis adequacy, but only with the index of encouraging staff.

Article Details
  • Section
  • Research Articles
Downloads
Download data is not yet available.
References
Pakpour AH, Saffari M, Yekaninejad MS, Panahi D, Harrison AP, Moisted S. Health-related quality of life in a sample of Iranian patients on hemodialysis. Iran J Kidney Dis 2010, 4(1): 50-59.
Theofilou P, Panagiotaki H. Quality of Life in Patients with Chronic Renal Failure: Differences between the Early and Later Years of Current Treatment. Nosileftiki 2010, 49(3) :295-304.
Glover C, Banks P, Carson A, Martin CR, Duffy. Understanding and assessing the impact of end-stage renal disease on quality of life: a systematic review of the content validity of self-administered instruments used to assess health-related quality of life in end-stage renal disease. Patient 2011, 4(1) :19-30.
Theofilou P. Psychiatric disorders in chronic periodic haemodialysis. Vima Asklipiou 2010, 9(4) :421-440.
Amini M, Aghighi M, Masoudkabir F, Zamyadi M, Norouzi S, Rajolani H et al. Hemodialysis adequacy and treatment in Iranian patients: a national multicenter study. Iran J Kidney Dis 2011, 5(2):103-109.
Danquah FVN, Wasserman J, Meininger J, et al. Quality of life measures for patients on hemodialysis: A review of psychometric properties. Nephrology Nursing Journal 2010, 37(3):255-270.
NKF KDOQI GUIDELINES. Clinical Practice Guidelines and Clinical Practice Recommendation. 1 Clinical practice for haemodialysis. Guideline 4. 2006 Updates. www.kdigo.haemodialysis.org.32
European Renal Best Practice (ERBP). Kidney Disease. European Best Practice Guidelines for Haemodialysis (Part 1). 2002 Updates. http://www.era-edta.org/guidelines1.htm
European Renal Best Practice (ERBP). Kidney Disease. European Best Practice Guidelines for Haemodialysis (Part 2). 2007 Updates. http://www.era-edta.org/guidelines1.htm
NKF KDOQI GUIDELINES. Clinical Practice Guidelines and Clinical Practice Recommendation. 1 Clinical practice for vascular access. Guideline 3. Cannulation of fistulae and grafts and accession of hemodialysis catheter systems. 2006 Updates. www.kdigo.vascularaccess.org35
Kidney Disease Quality of Life Short Form (KDQOL-SF): http://gim.med.ucla.edu/kdqol/downloads/Greek-KDQOL.pdf.
Twardowski ZJ. Short, thrice-weekly hemodialysis is inadequate regardless of small molecule clearance. Int J Artif Organs 2004 27(6):452-466.
Eknoyan G, Beck GJ, Cheung AK, Daugirdas JT, Greene T, Kusek JW et al. Effect of dialysis dose and membrane flux in maintenance hemodialysis. N Engl J Med 2002, 347(25):2010-2019.
Karkar A. Modalities of hemodialysis: quality improvement.Saudi J Kidney Dis Transpl 2012, 23(6): 1145-1161.
Masakane I. Choice of modality with the use of high-performance membrane and evaluation for clinical effects. Contrib Nephrol 2011.173:84-94.
Kantartzi K, Panagoutsos S, Mourvati E, Roumeliotis A, Leivaditis K, Devetzis V et al. Can Dialysis Modality Influence Quality of Life in Chronic Hemodialysis Patients? Low-Flux Hemodialysis versus High-Flux Hemodiafiltration: A Cross-Over Study. Ren Fail 2013, 35(2):216-221.
Tiranathanagul K, Yossundharakul C, Techawathanawanna N, Katavetin P, Hanvivatvong O, Praditpomsilp K et al. Comparison of middle-molecule clearance between convective control double high-flux hemodiafiltration and on-line hemodiafiltration. Int J Artif Organs 2007, 30(12): 1090-1097.
Mesic E, Bock A, Major L, Vaslaki L, Berta K, Wikstrom B et al. Dialysate saving by automated control of flow rates: comparison between individualized online hemodiafiltration and standard hemodialysis. Hemodial Int 2011, 15(4): 522-529.
Canaud B, Bragg-Gresham JL, Marshall MR, Desmeules S, Gillespie BW, Depner T and et al. Mortality risk for patients receiving hemodiafiltration versus hemodialysis: European results from the DOPPS. Kidney Int 2006, 69(11): 2087-2093.
Orasan RA, Patiu IM, Anghel D, Bejan C, Iosub L, Totolici C et al. Variation of clinical and laboratory features in chronic dialysis patients treated with high-flux hemodialysis after switching to online hemodiafiltration. Int Nephrol 2012 (Epub ahead of print).
Den Hoedt CH, Mazairac AH, Van den Dorpel MA, Grooteman MP, Blankestijn PJ. Effect of hemodiafiltration on mortality, inflammation and quality of life. Contrib Nephrol 2011, 168: 39-52.
Mazairac AH, de Wit GA, Grooteman MP, Penne EL, van der Weerd NC, den Hoedt CH et al. Effect of Hemodiafiltration on Quality of Life over Time. Clin J Am Nephrol 2013,8(1): 82-89.
Simic-Ogrizovic S, Jemcov T, Pejanovic S, StosoviC M, Radovic M, Djukanovic L. Health-related quality of life, treatment efficacy, and hemodialysis patient outcome. Ren Fail 2009, 31(3):201-206.
Wang W, Tonelli M, Hemmelgarn B, Gao S, Johnson JA, Taud K et al. The Effect of Increasing Dialysis Dose in Overweight Hemodialysis Patients on Quality of Life: A 6-Week Randomized Crossover Trial. Am J Kidney Dis 2008, 51:796-803.
Manns BJ, Johnson JA, Taub K, Mortis G, Ghali WA, Donaldson C. Dialysis adequacy and health related quality of life in hemodialysis patients. ASAIO J 2002,48(5):565-569.
Hamilton G, Locking-Cusolito H. Hemodialysis adequacy and quality of life: how do they relate? CANNT J 2003,13(4):24-29.
Mazairac AH, de Wit GA, Grooteman MP, Penne EL, van der Weerd NC, den Hoedt CH et al. Clinical performance targets and quality of life in hemodialysis patients.Blood Purif 2012, 33(1-3): 73-79.
Morsch CM, Gonçalves LF, Barros E. Health-related quality of life among haemodialysis patients--relationship with clinical indicators, morbidity and mortality. J Clin Nurs 2006, 15(4): 498-504.
Lopes AA, Bragg-Gresham JL, Goodkin D, Fukuhara S, Mapes DL, Young EW et al. Factors associated with health-related quality of life among haemodialysis in the DOPPS. Qual of Life Research 2007,16(4): 545-557.
Gabbay E, Meyer K, Griffith J, Richardson MM, Miskulin DC. Temporal Trends in Health-Related Quality of Life among Hemodialysis Patients in the United States. Clin J Am Nephrol 2010, 5(2): 261-267.
Cleary J, Drennan J. Quality of life of patients on haemodialysis of end-stage renal disease. J Adv Nurs 2005, 51(6): 577-586.
Gayle F, Soyito AK, Gilbert DT, Barton EN. Quality of life and its correlates in chronic dialysis patients. West Indian Med J 2007, 58(3):235-242.
Most read articles by the same author(s)