Quality of Life for Palestinian Renal Failure Patients Underwent Hemodialysis

Abstract

The quality of life (QOL) is an important predictor of outcome in end-stage renal disease (ESRD) patients. Therefore, (QOL) in (ESRD) patients have become an important focus of attention in evaluating hemodialysis. Patient's adaptation to a chronic disease is determined by their beliefs about (ESRD) and (HD); many studies take risk factors for poor QOL for hemodialysis patient.

The aim of this study: is to assess the quality of life (QOL) for patients undergoing hemodialysis (HD). Trough find out quality of life of patients undergoing dialysis and To find out factors (demographic data) affecting the quality of life of patients undergoing dialysis. Methodology: The research design is a quantitative descriptive approach; Purposive sample method will use according to the determination the inclusion criteria, the sample size was been 158 patients. Data collection tool: Self administrative structured questionnaire (Quality Life Index Dialysis version 21) used to collect data from participant. Data analyzed by SPSS software.

Result The study participants were; 150 female, 64% from Hebron hospital and 36% from Betjall. Regarding their work experience, more than 51% had diploma and 49% were educated at a bachelor degree in nursing,  There is 21.5% who have a work experience for more than 10 years, 60% work experience ranged from 0 to 10 years, 26 % from 10- 15, and 29 % more than 15 years' experience. The most of participating married 60%,   35% from single, and 5% widow, and 52 % from participants with children from 1 -4 . In addition, 48 of participants with children more than 5. The sample according to gender 66% male and 34% female, this result indicate slightly increase in male patient in the sample, this happen by chance because we distribute questionnaire randomly. Most of patients are married with 71%, 48 % of participant live in village , 42 % live in city and 10 % in camp, 74 % from participant secondary school, and less than 20 % primary school, and 23 % from participant higher education.. Most of patients don’t work with 78% and 17% retired. And more than 46 % of participant the icome less than 1500 NS. Most of patient have this disease from 1-7 yrs old with 59%, 75 % of participant make hemodialysis 3 time in a week, 21 % make twice in week. Most of patients have other chronic disease with 56%, most of Chronic disease are HTN, and diabetic.

Health related quality of life for Palestinian renal failure patient under hemodialysis and QOL domain scores were in moderate level. The renal failure has negative impact on QOL, this clear from negative correlation in some symptoms and items that mainly resulted from renal failure like pain, fatigue, financial difficulties. Result show Low level of global quality of life (GQOL) Conclusions: The moderate QOL can be made better by promote health polices to increase level of satisfaction of renal failure patients and to Staff training about support and teaching about diet, medication and self-care and Increase the focus on emotional, cognitive and social aspects of health also Focus more about dialysis departments’ environment and facilities.