464 Quality Of Life In Haemodialysis Patients

G. Piran, B. Guven, G. Isitmangil, A. Arzik
Yeditepe University, Dept. of Family Medicine, Istanbul; Dept. of Internal Medicine, Haydarpasa Numune Training Hospital, Istanbul; Yeditepe Dept. of Psychiatry, Marmara University, Istanbul; University, Dept. of Immunology, Istanbul.
The goal of therapy for most patients with chronic disease is not "cure", but improvement in function as a result of decreased symptoms or severity of illness or limitation of disease progression. Quality of life (QOL) is a subjective concept. From the patient's perspective, it refers to how the patient feels and functions.
Aim: The purpose of this study was to evaluate the QOL of the patients with end stage renal disease (ESRD) maintaining haemodialysis treatment, and in which way their perception of life quality is affected by the clinical findings.
Methods: Data from 103 patients from Haydarpasa Numune Hospital have been collected; 48 ESRD cases treated with a maintenance dialysis program who had health insurance, and 55 ESRD cases on an irregular haemodialysis treatment. Two questionnaires were applied to the patients face to face. The first one included socio-demographic and disease-related variables, laboratory findings and complications. The second one was a general health related quality of life (HRQOL) questionnaire Short Form-36 which includes eight dimensions of health.
Results: We calculated less scores in subscales pain, mental health, general health (pConclusion:
We observed that the depressive symptoms in female patients were much more significant compared to the male patients. We determined that the adequacy of dialysis decreased most of the uraemic symptoms but not the lack of physical performance and fatigue caused by anaemia. However it has not been obtained the expected QOL in uraemic patients yet. From a clinical perspective we may conclude that QOL should be considered in the monitoring of dialysis patients.
464 Quality of Life in Haemodialysis Patients