Jebmh.com Original Research Article
J Evid Based Med Healthc, pISSN - 2349-2562, eISSN - 2349-2570 / Vol. 8 / Issue 21 / May. 24, 2021 Page 1636
Assessment of Quality of Life in Patients with Chronic Kidney Disease
on Maintenance Haemodialysis with Regard to Anaemia
- A Descriptive Cross-Sectional Study at a Tertiary Hospital in Kuppam
Uma M.A.
1
, Nagakiran K.V.
2
, Ashwin K.
3
, R. Lakshmi Visruja
4
1, 4
Department of General Medicine, P.E.S. Institute of Medical Sciences and Research, Kuppam,
Andhra Pradesh, India.
2
Department of Orthopaedics, P.E.S. Institute of Medical Sciences and
Research, Kuppam, Andhra Pradesh, India.
3
Department of General Surgery, P.E.S. Institute of
Medical Sciences and Research, Kuppam, Andhra Pradesh, India.
ABSTRACT
BACKGROUND
Anaemia is common among chronic kidney disease (CKD) patients. Quality of life
(QOL) is a broad multidimensional concept and many factors affect QOL in CKD
patients. This study attempted to measure QOL with varying levels of haemoglobin
in CKD patients.
METHODS
The present study was a descriptive cross-sectional study done on CKD patients
on maintenance haemodialysis (MHD) after ethical committee approval. All
patients aged more than 18 years on MHD for at least 3 months were enrolled in
the study. Patients were categorised into 4 separate groups as Hb 4 to < 6 g/dl,
6 to < 8 g/dl, 8 to < 10 g/dl and 10 - 12 g/dl. After obtaining informed consent,
participants were given the study questionnaire - kidney disease quality of life
(KDQOL) short form (SF - 36)
TM
V1 .2.
RESULTS
At different Hb levels, there were significant differences in the kidney symptom/
problem scores (P = 0.000), the burden of kidney disease scores (P = 0.000), the work
satisfaction scores (P = 0.014) and the cognitive function scores (P = 0.000). About
SF - 36, all of the physical domains were significantly different: physical function
scores (P = 0.000), role physical scores (P = 0.045), pain scores (P = 0.000) and
general health component scores (P = 0.004) at different Hb levels. For mental
domain components, the differences between four groups of Hb levels were
significant in the variety of quality of life domains: emotional wellbeing score (P
= 0.006), role emotion scores (0.000), social function scores (P = 0.000) and
energy/fatigue scores (0.026).
CONCLUSIONS
KDQOL, SF - 36 showed that the QOL scores are strongly related to Hb
concentrations. The higher scores in various quality of life domains were mostly
associated with higher Hb levels in the KDQOL - SF scores. Efforts to optimize
haemoglobin in CKD patients may show QOL improvement.
KEYWORDS
Chronic Kidney Disease, Haemodialysis, Anaemia, Quality of Life
Corresponding Author:
Dr. R. Lakshmi Visruja,
# 303, Hill View Apartment,
PESIMSR Campus, Kuppam - 517425,
Andhra Pradesh, India.
E-mail: visruja@gmail.com
DOI: 10.18410/jebmh/2021/309
How to Cite This Article:
Uma MA, Nagakiran KV, Ashwin K, et al.
Assessment of quality of life in patients
with chronic kidney disease on
maintenance haemodialysis with regard
to anaemia-a descriptive cross -sectional
study at a tertiary hospital in Kuppam. J
Evid Based Med Healthc
2021;8(21):1636-1641. DOI:
10.18410/jebmh/2021/309
Submission 02-02-2021,
Peer Review 13-02-2021,
Acceptance 02-04-2021,
Published 24-05-2021.
Copyright © 2021 Uma M.A. et al. This
is an open access article distributed
under Creative Commons Attribution
License [Attribution 4.0 International
(CC BY 4.0)]