I Moisoglou1, E Margariti2, K Kollia3, J Droulias4, L Savva5. 1. Quality Assurance and Continuing Education Unit, General Hospital of Lamia, Greece. 2. 1 Propaedeutic Internal Medicine Department, AHEPA General Hospital, Aristotle University of Thessaloniki, Greece. 3. Dialysis Unit, General Hospital of Amfissa, Greece. 4. Attiko Hemodialysis Center, Athens, Greece. 5. Ionio Hemodialysis Center, Athens, Greece.
Abstract
BACKGROUND: The assessment of health-related quality of life (HRQL) is a valid tool, which can measure the degree that a chronic condition and its treatment, can affect patients' quality of life (QOL). METHODS: A cross-sectional study was implemented at three hemodialysis units. One hundred fifteen patients were included in the study and 107 participated (response rate 93 %). The General Health Questionnaire (GHQ-28) and the Missoula-VITAS Quality of Life Index (MVQOLI-25) were utilized for the data collection. RESULTS: Multivariate logistic regression analysis found that increased number of coexisting diseases was associated with increased total score ≥24 on GHQ-28 [odds ratio: 1.35, 95 % confidence intervals (CI): 1.03-1.77, p =0.03]. Multivariate linear regression analysis revealed that increased age was associated with an increased score on somatic symptoms subscale (coefficient beta: 1.01, 95 % CI: 1.00-1.03, p =0.007). Increased number of coexisting diseases was associated with an increased score on anxiety/insomnia subscale (coefficient beta: 1.17, 95 % CI: 1.06-1.29, p =0.003). Moreover, increased educational level was associated with decreased score on social dysfunction subscale (coefficient beta: -0.89, 95 % CI: -1.62 to -0.096, p =0.028) and decreased score on severe depression subscale (coefficient beta: -1.14, 95 % CI: -2.03 to -0.26, p =0.012). Patients with fistula/graft had a higher score on MVQOLI-25 than patients with a central venous catheter (coefficient beta: 2.31, 95 % CI: 0.43-4.19, p =0.017). CONCLUSIONS: Comorbidities, educational level and vascular access were the most important findings regarding to their impact on patients' HRQL. HIPPOKRATIA 2017, 21(4): 163-168.
BACKGROUND: The assessment of health-related quality of life (HRQL) is a valid tool, which can measure the degree that a chronic condition and its treatment, can affect patients' quality of life (QOL). METHODS: A cross-sectional study was implemented at three hemodialysis units. One hundred fifteen patients were included in the study and 107 participated (response rate 93 %). The General Health Questionnaire (GHQ-28) and the Missoula-VITAS Quality of Life Index (MVQOLI-25) were utilized for the data collection. RESULTS: Multivariate logistic regression analysis found that increased number of coexisting diseases was associated with increased total score ≥24 on GHQ-28 [odds ratio: 1.35, 95 % confidence intervals (CI): 1.03-1.77, p =0.03]. Multivariate linear regression analysis revealed that increased age was associated with an increased score on somatic symptoms subscale (coefficient beta: 1.01, 95 % CI: 1.00-1.03, p =0.007). Increased number of coexisting diseases was associated with an increased score on anxiety/insomnia subscale (coefficient beta: 1.17, 95 % CI: 1.06-1.29, p =0.003). Moreover, increased educational level was associated with decreased score on social dysfunction subscale (coefficient beta: -0.89, 95 % CI: -1.62 to -0.096, p =0.028) and decreased score on severe depression subscale (coefficient beta: -1.14, 95 % CI: -2.03 to -0.26, p =0.012). Patients with fistula/graft had a higher score on MVQOLI-25 than patients with a central venous catheter (coefficient beta: 2.31, 95 % CI: 0.43-4.19, p =0.017). CONCLUSIONS: Comorbidities, educational level and vascular access were the most important findings regarding to their impact on patients' HRQL. HIPPOKRATIA 2017, 21(4): 163-168.
Entities:
Keywords:
Comorbidity; demographic; health; hemodialysis; quality of life