The Quality of Life among Patients with End-Staged Renal Disease Undergoing Various Renal Replacement Therapies*

Abstract

The Quality of Life among Patients with End-Staged Renal Disease Undergoing Various Renal Replacement Therapies*

Wichitra Kusoom                        BEd (Nursing Education), MS (Nursing), MPA (Public Administration)**

Nittaya   Larpcharoenwong      MNS***

* This work was supported by the Vajira Research Fund (annual research fund 2003)

**Kuakarun College Nursing

***Department of Medicine, BMA Medical college and Vajira Hospital

Objective: To determine quality of life (QOL) of patients with end-staged renal disease (ESRD) undergoing various renal replacement therapies with hemodialysis (HD), continuous ambulatory peritoneal diaysis (CAPD) and kidney transplantation (KT).

Study design: Descriptive research.

Setting: CAPD,hemodialysis units and nephrological clinic in Bangkok Metropolitan Administration Medical college and Vajira Hospital, Pramongkutklao Hospital, Bhumipol Hospital and Kidney Foundation of Thailand

Subject: The subjects consisted of patients with ESRD who were treated with HD,CAPD and KT. All patients were 18 years of age or older. A total of 150 patients which have 3 groups, 50 patients for each group.

Method: Data were collectectd by structural interview about QOL of patients undergoing various renal replacement therapies, which based on Zhan's conceptual framework There are 4 aspects, which consisted of life satisfaction physical & functioning, self concept and socio-economic. Data were collected from May 2002 to December 2003.

Main outcome measures: X,SD, oneway ANOVA and Post Hoc comparison by using Sheffe's test of QOL with ESRD undergoing various renal replacement therapies

Results were as follows:

1. The four aspects of QOL showed that physical & functioning aspect and socio-economic aspect were at good level, life satisfaction aspect and self concept were at moderate level, Those of HD group and CAPD group were at moderate level.

2. The patients' QOL in life satisfaction, physical & functioning and self concept difference among the group with HD, CAPD and KT recipient showed different significant (p