QLUALITY OF LIFE OF CHRONIC KIDNEY DISEASE PATIENTS IN EGYPTIAN ENVIRONMENT

Document Type : Review Article

Authors

Institute of Environmental Studies and Research, Ain Shams University

Abstract

Intoudction: Chronic Kidney Disease (CKD) is a public health problem that tends to take dimensions of epidemic, has a profound and pervasive effect on patients resulting in psychological strain, social isolation and has serious impact on quality of patient’s life and are important predictors of patients outcome
Aim of the Study: is to determine the effects of socio-demographic and clinical, characteristics of chronic kidney disease patients on their quality of life.
Subjects & Methods: Cross sectional case control study were a sample of 60 patients with CKD (case group) aged 18-72 years from inpatient and outpatients clinic in nephrology department in Aokaf hospital, in addition to 40 control group of normal healthy subjects. Full history, clinical examination and lab investigations were done to all subjects.Also the subjects will be assessed for WHOQOL-BREF (WHO, 1996)
Results: This study has shown that the presence of adequate social support (p=) were significantly associated with higher scores on WHOQOL-BREF domains while being divorced (p=), late stage of CKD (p=), presence of complications (p=), being on higher number of medication (p=) and being on a current treatment of RRT (p=) were significantly associated with poor quality of life among CKD patients.
Comparing the QoL (all 4 domains) of patients and control group there was significant difference in all four domains were QoL showed lower scores in patients compared with control healthy group. The difference in physical domain was p< o.oo1, psychological p<0.001, social p Conclusions: Socio-demographic and clinical factors influence the quality of life of chronic kidney disease patients. However, efforts made at early detection and treatment with provision of social & psychological assistance may help reduce their negative effects on the quality of life of these patients.
 

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