avicenna medical research
Volume 3, Numéro 4, Pages 145-151
2024-12-29

Quality Of Life Of Patients With Terminal Chronic Renal Failure On Hemodialysis: About 289 Patients In A Wilaya Of Southern Algeria



Authors : Barkati I . Messaoudi A . Rayane T . Benyagoub M .

Abstract

Prerequisites: Chronic hemodialysis imposes various limitations on the patient, with serious consequences on his life, felt as a social and professional handicap that can affect his quality of life. However, Algerian studies on this subject remain very rare. Aim : Describe the quality of life of terminal chronic hemodialysis patients and contribute to the knowledge of the main factors correlated with an impaired quality of life in them. in the Wilaya of Laghouat Method: We conducted, during the month of July 2021 to July 22, a cross-sectional study of 289 patients on chronic hemodialysis at the four hemodialysis centers of the Wilaya of Laghouat. The measurement of quality of life was carried out by self-administration and oral administration of the questionnaires adapted and validated in French (SF36 and KDQoL). Other data already collected as part of the study were necessary to meet the objectives: sociodemographic data, as well as clinical data, replacement treatment and at the time of the survey, available in patient files. Results : The overall mean score of the KDQOL-SF36 was 51.18 ± 7.98; that of the SF-36 was 39.34 ± 10.55 with an alteration of the quality of life in 90% of hemodialysis patients, referring to the threshold value of 66.7 of Lean et al. The analysis of the scores of the 8 dimensions of the SF-36 scale showed that all the dimensions of this scale were altered. A bivariate analysis, three variables (Comorbidity, time of hemodialysis session, depression) are significantly associated with all the Dimensions (physical, mental, renal) of the QOL. Conclusion : Our study highlights the importance of systematically assessing the quality of life in chronic hemodialysis patients, in whom it is very frequently impaired. It also shows the importance of action on modifiable factors correlated with impaired quality of life, including the spread of depression, management of comorbidity and the creation of new hemodialysis centers.

Keywords

Keywords: Quality of life, IRCT, hemodialysis, KDQoLSF36

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