Patients’ quality of life in select dialysis centers in Slovakia
Authors:
Mário Ležovič 1; Matej Mucska 1; Zuzana Hološová 1
Authors‘ workplace:
Fakulta verejného zdravotníctva SZU, Bratislava
1
Published in:
Ces Urol 2013; 17(4): 254-262
Category:
Original article
Overview
Introduction:
Patients’ quality of life is becoming the center of attention and an increasing number of authors have addressed this topic in the recent years. The aim of today´s medical care is not only to increase life expectancy, but more importantly, improve or slow down the deterioration of the quality of life of people with chronic diseases, with the emphasis being placed on the factors which influence the subjective perception of quality of life.
Aim:
The objective of this research was to assess the quality of life in patients undergoing chronic dialysis. In this study we evaluated the patient’s perception of key aspects of their life, the relevance of these areas to their overall perception of quality of life and their level of satisfaction with these areas.
Material and methods:
The study group included 100 patients from 3 dialysis centers. The WHOQOL-Bref questionnaire was used and data was tabulated using Microsoft Excel and statistically evaluated with SPSS. For correlation of domains and questions Q1 and Q2 and socio-demographic variables, we used the Spearman correlation coefficient with a significance level of p < 0.01 and p < 0.05.
Results:
Most patients on dialysis evaluated their life as quite good, with satisfaction of their health judged lower with negative feelings occurring more often. Quality of life of dialysis patients and their satisfaction with their health is strongly influenced by their mental health, with their physical health having a lesser effect. These correlations were statistically significant (p < 0.01).
Conclusion:
Quality of life for dialysis patients is a dynamically changing condition, which according to our results is influenced mainly by mental health, and therefore psychological interventions are necessary in order to improve quality of life of these patients.
Key words:
chronic renal failure, dialysis, quality of life, satisfaction, WHOQOL-Bref.
Sources
1. Dragomerická E, Bartoňová J. WHOQOL-BREF, WHOQOL-100. Příručka pro uživatele české verze dotazníkú kvality života Světové zdravotnické organizace. Praha: Psychiatrické centrum Praha 2006.
2. Levická J. Kvalita života ako sociálny jav. Kontakt 2002; č. 4. 171–176.
3. Payne J. Kvalita života a zdraví. Praha: Triton 2005.
4. Džuka J. Kvalita života a subjektívna pohoda- teórie a modely, podobnosť a rozdiely. In: Džuka J. Psychologické dimenzie kvality života. Prešov: Prešovská univerzita v Prešove 2004.
5. Bullová A, Mokáň M. Život dialyzovaného pacienta. Sestra 1999; 2, č. 4, s. 15.
6. Corrigan PW, Buican B. The construct validity of subjective quality of life for the severely mentally ill. Journal of Nervous and Mental Disease 1995; 183(5): 281–285.
7. Libigerová E, Mullerová H. Posuzování kvality života v medicíne. Čes. a slov. Psych. 2001; 97(4): 183–186.
8. Makovický P, Ježíková A, Grandtnerová B, Mokáň M. Problémy dialyzovaných pacientov. Interná medicína 2003; 3(9): 518–523.
9. Gomboš V. Manažment pacientov so zlyhaním obličiek pred zaradením a po zaradení do dlhodobého dialyzačného programu. Interná medicína 2005; 5(6): 357–362.
10. Ležovič M. Kvalita života dialyzovaných pacientov. Lekársky obzor 2011; 60(2): 70–75.
11. Rebollo P, et al. Health-related quality of life in end stage renal disease patients over 65 years. Geriatr Nephrol Urol 1998; 8(2): 85–94.
12. Moreno F, López Gomez JM, Sanz-Guajardo D, Jofre R, Valderrabáno F. Quality od life in dialysis patents. A Spanish multicentre study. Nephrol Dial Transplant 1996; 11(2): 125–129.
13. Paraskevi T. Quality of Life in Patients Undergoing Hemodialysis or Peritoneal Dialysis Treatment. J Clin Med Res 2011; 3(2): 132–138.
14. Ginieri-Coccossis M, Theofilou P, Synodinou C, Tomaras V, Soldatos C. Quality of life, mental health and health beliefs in haemodialysis and peritoneal dialysis patients: investigating differences in early and later years of current treatment. BMC Nephrol 2008; 14: 9–14.
15. Ferreira RC, Da Silva Filho CR. Quality of life of chronic renal patients on hemodialysis. J Bras Nefrol 2011; 33(2): 129–135.
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Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
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