Comparison of Personal Characteristic Factors Relating to Quality of Life in Patients with End-Stage Renal Disease

Abstract

Objective: The objective of this study was to compare the quality of life (QOL) of patients with end-stage renal disease (ESRD) between patients receiving hemodialysis (HD) and patients receiving continuous ambulatory peritoneal dialysis (CAPD) and to compare personal characteristic factors relating to the quality of life in patients with ESRD. Method: This study used a descriptive research design. The sample was recruited using purposive sampling that included 76 ESRD patients receiving either HD or CAPD at a dialysis clinic in Phraphutthabat Hospital, Saraburi Province, Thailand. Data was collected using the Quality of Life Questionnaire for Chronic Kidney Disease (KDQOL-SFTM) version 1.3. Independent t-test and ANOVA procedures were used to analyze study data. Results: The results revealed that the HD patients had a moderate level of QOL. The highest scoring dimension of QOL was the encouragement of staff at the dialysis unit and patient satisfaction with the treatment ( = 100, SD=.00), followed by social the other hand, the lowest scoring QOL dimension was physical problems ( = 50, SD=51.89), and pain ( = 50, SD=39.03), followed by work status ( = 53.57, SD=45.84) and burden from kidney disease ( = 58.48, SD=31.07). The CAPD patients also had a moderate QOL. The highest scoring QOL dimension was the encouragement of staff in the renal unit and patient satisfaction with the treatment ( = 100, SD=.00), followed by social support ( = 95.61, SD=14.20) and cognitive function ( = 88.83, SD=13.52). The worst scoring QOL dimensions were work status ( = 44.44, SD=42.72), general health ( = 53.61, SD=39.05), and pain ( = 62.70, SD=41.14). The difference overall and in each dimension of QOL in ESRD patients who were treated with HD and CAPD was not statistically significantly different. The QOL was not significantly different among patients with different personal characteristics except for income and duration of treatment; in those cases, the difference in QOL was statistically significant (p=.05). Conclusion: The overall QOL and life expectancy of patients with ESRD treated with HD and CAPD are not affected by gender, age, marital status, education, occupation, or type of health coverage. QOL was not significantly different, except for patients with different incomes and duration of renal replacement therapy, whose QOL was significantly different. The QOL of patients receiving dialysis should be studied to develop a QOL program for patients with chronic kidney disease who receive dialysis.

Keywords

• personal characteristic factors
• quality of life
• end-stage renal disease
• hemodialysis (HD)
• continuous ambulatory peritoneal dialysis (CAPD)