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Subject Area

Pediatrics

Article Type

Original Study

Abstract

Objective

The first objective was to assess health-related quality of life (HRQOL) of hemodialysis patients attending dialysis unit in Benha University and Teaching Hospitals, and the second was to determine the factors and predictors affecting HRQOL of hemodialysis patients. Background

Hemodialysis results in a significant change in daily living, physical and psychological impairments, and disruption of marital, family, and social life. HRQOL assessment helps to plan individual management strategies and determine the efficacy and quality of medical and social care provided. Patients and Methods

This was a cross-sectional study that included 228 hemodialysis patients, with 144 males and 84 females, and their mean age was 46.62 ± 14.59 years. Data were collected by a questionnaire that included demographic, social, and medical questions. Kidney Disease Quality of Life short form questionnaire 36 was used as a tool for assessment of HRQOL. The collected data were presented and analyzed by using statistical package for the social sciences, version 20, software. The significance was tested by independent t test, analysis of variance, and multiple linear regression analysis. Results

HRQOL in the studied hemodialysis patients was relatively low. The mean score for physical component summary was 39.3 ± 10.98, and the mean score for mental component summary was 47.59 ± 12.21. Better HRQOL was revealed in less than 60 years old, males, single patients, those with higher educational level, and in patients on maintenance hemodialysis of less than 6 years. Hepatitis C virus (HCV) positive, diabetic, and anemic patients had the lowest HRQOL scores for comorbidities. Age, duration of dialysis, anemia, and HCV positivity were statistically significant predictors of physical component summary; diabetes was a statistically significant predictor of mental component summary. Conclusion

The most important sociodemographic factors affecting HRQOL were age, sex, education, occupation, and marital status. The most important comorbidities affecting quality of life were anemia, HCV infection, and diabetes.

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