Department of Pharmacy Practice, Al Shifa College of Pharmacy
Background: The End Stage Renal Disease patients undergo hemodialysis which requires lifetime treatment, which may eventually affect their quality of life. The disability affects different domains of patient lives. Study measuring the Quality Of Life in patients on renal replacement therapy are limited in the Indian scenario. Aim: To evaluate the Quality Of Life in patients who undergoes hemodialysis in the hospital setting by applying KDQOLTM -36 scale. Objective: This study was conducted to assess the effect of patient counseling on their health-related Quality Of Life. The change in Quality Of Life before and after counseling provides a better understanding about the impact of intervention among them. The study also assess any possible infection that can be acquired from dialysis unit due to unhygienic practices followed by the patient pre and post hemodialysis. Methods: This was a prospective randomized study carried out over 6 months in the hemodialysis unit of KIMS Health Al-Shifa hospital, Perintalmanna. About 385 hemodialysis patients were evaluated using KDQOLTM-36 questionnaire to assess their health-related Quality of Life before and after counseling. The second follow up was conducted after 4 weeks to study the effect of patient counseling. The intervention was done on hygiene practices to prevent any possible chances of infection pre & post hemodialysis. Individual dietary modifications the patient had to follow was also explained. Result: Statistically significant difference in the Mental Component Score (MCS) (P<0.01), Burden Of Kidney Disease (BKD) (P<0.01), Symptoms and Problem of kidney disease (SPKD) (P<0.01) and Effect of kidney disease (EKD) (P<0.01) was seen before and after counseling. The intervention had help to improve the overall QOL in patients. Conclusion: The study provided an insight into the factors that affect the Quality Of Life in hemodialysis patients. With a proper intervention of individualized counseling to patients about the disease, hygiene practices, dietary practices and precautions to be followed on Pre, During and Post hemodialysis can help to improve the Health Related Quality Of Life.
Basheera. V*, Rahna Rasheed, Remeeza Jabbar, Rinsa. A, An Interventional Study On Hemodialysis Patient And Impact Of Patient Counseling To Improve Quality Of Life, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 8, 232-242. https://doi.org/10.5281/zenodo.8281168