Sažetak
Uvod/Cilj: Kvalitet života povezan sa zdravljem (engl. Health Related Quality of Life, HRQoL) predstavlja jedan od niza važnih prediktora smrtnog ishoda i hospitalizacije osoba na hemodijalizi (HD) usled terminalne bubrežne insuficijencije. Cilj ovog istraživanja je da se proceni HRQoL obolelih u terminalnoj fazi hronične bubrežne insuficijencije koji se leče HD u Centru za hemodijalizu Kliničkog centra Crna Gora (KCCG).
Metode: Studijom preseka obuhvaćeno je 43 ispitanika sa terminalnom fazom hronične bubrežne insuficijencije koji su bili na HD tokom januara 2025. godine u Centru za hemodijalizu KCCG. Podaci od ispitanika su prikupljeni opštim i standardizovanim anonimnim upitnikom Kidney Disease Quality of Life Short Form (KDQOL-SF™) (srpska verzija). U cilju analize podataka korišćen je Pearsonon koeficijent korelacije.
Rezultati: Postoji značajna negativna korelacija između doživljaja uspešnosti i zadovoljstva sa zaokupljenošću bubrežnom bolešću prilikom obavljanja svakodnevnih aktivnosti (r = -0,45; p ˂ 0,001). Zadovoljstvo lečenjem lica na HD je manje što je veći uticaj bubrežne bolesti na život bolesnika (r = -0,47; p ˂ 0,001). Više je problema u seksualnom funkcionisanju što je veći uticaj bolesti na psihičko stanje (r = 0,54; p ˂ 0,001), kao i kada je veća zaokupljenost osobe bolešću tokom obavljanja svakodnevnih životnih aktivnosti (r= 0,67; p ˂ 0,001) i kada je veći uticaj bubrežne bolesti na život (r = 0,46; p ˂ 0,001).
Zaključak: Neophodna su dalja istraživanja u ovoj oblasti u cilju sagledavanja kvaliteta života osoba sa hroničnim bubrežnim oboljenjima koji su na HD u odnosu na demografske i kliničke parametre, kao i u cilju identifikacije nezavisnih prediktora kvaliteta života.
Ključne reči
Reference
Alencar SBV, de Lima FM, Dias LDA, Dias VDA, Lessa AC, Bezerra JM, et al. Depression and quality of life in older adults on hemodialysis. Braz J Psychiatry. 2020;42(2):195-200. doi: 10.1590/1516-4446-2018-0345.
Chuasuwan A, Pooripussarakul S, Thakkinstian A, Ingsathit A, Pattanaprateep O. Comparisons of quality of life between patients underwent peritoneal dialysis and hemodialysis: a systematic review and meta-analysis. Health Qual Life Outcomes. 2020;18(1):191. doi: 10.1186/s12955-020-01449-2.
Kraus MA, Fluck RJ, Weinhandl ED, Kansal S, Copland M, Komenda P, Finkelstein FO. Intensive Hemodialysis and Health-Related Quality of Life. Am J Kidney Dis. 2016;68(5S1):S33-S42. doi: 10.1053/j.ajkd.2016.05.023.
Miljanović G, Marjanović M, Radaković S, Janošević M, Mraović T, Rađen S. Health-related quality of life in patients undergoing hemodialysis. Vojnosanitetski pregled. 2018;75(3):246-52. doi: 10.2298/VSP160511211M
Alanne S, Roine RP, Räsänen P, Vainiola T, Sintonen H. Estimating the minimum important change in the 15D scores. Quality of Life Research. 2015;24(3): 599-606
Živanović D. Quality assessment of life in personal patients on hemodialism. Zdravstvena zaštita. 2017;46(4):19-26. doi: 10.5937/ZZ1704019Z
Mrduljaš-Đujić N. Kvaliteta života bolesnika na dijalizi. Acta medica Croatica [Internet]. 2016;70(4-5):225-232. Available at: https://hrcak.srce.hr/179205
Elliott B, Gessert Ch, Larson P, Russ T. Shiting responses in quality of life: People living with dialysis. Quality Life Res 2014; 23: 1497-504.
Feldman R, Berman N, Reid MC, Roberts J, Shengelia R, Christianer K, et al. Improving symptom management in hemodialysis patients: identifying barriers and future directions. J Palliat Med 2013; 16: 1528-33. 23.
Cohen SD, Kimmel PL. Quality of Life and Mental He-alth Related to Timing, Frequency and Dose of Hemodialysis. Sem Dialysis 2013; 26:697-701. Available at: https://dijaliza.wordpress.com/2015/05/02/kako-se-ispituje-kvalitet-zivota-na-hemodijalizi/
Unruh ML, Weisbord SD, Kimmel PL. Seminars in Dialysis. Psychosocial factors in patients with chronic kidney disease: Health-related quality of life in nephrology research and clinical practice; Wiley Online Library; 2005. pp. 82–90.
Stojanović G, Vlaisavljević Ž, Terzić N, Maričić M, Stojanović D, Paunović V. Social isolation and loneliness among the elderly. Ann Nurs. 2023;1(3):34-54. doi: 10.58424/annnurs.krv.o5t.mo2
Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB. Development of the kidney disease quality of life (KDQOL TM) instrument. Qual Life Res. 1994;3:329–38. doi: 10.1007/BF00451725.
Hays RD, Kallich JD, Mapes DL, Coons SJ, Amin N, Carter WB, et al. Kidney Disease Quality of Life Short Form (KDQOL-SF ™), Version 1.3: A Manual for Use and Scoring. Santa Monica, CA: RAND Corporation, 1997. Available at: https://www.rand.org/pubs/papers/P7994.html.
Lightfoot CJ, Howell M, Smith AC. How to assess quality of life in persons with chronic kidney disease. Curr Opin Nephrol Hypertens. 2021; 30(6):547-554. doi: 10.1097/MNH.0000000000000740.
Huang IC, Lee JL, Ketheeswaran P, Jones CM, Revicki DA, Wu AW. Does personality affect health-related quality of life? A systematic review. PLoS One. 2017;12(3):e0173806. doi: 10.1371/journal.pone.0173806.
Peipert JD, Nair D, Klicko K, Schatell DR, Hays RD. Kidney Disease Quality of Life 36-Item Short Form Survey (KDQOL-36). Normative Values for the United States Dialysis Population and New Single Summary Score. J Am Soc Nephrol. 2019;30(4):654-663. doi: 10.1681/ASN.2018100994.
Ring T, Merkus MP, Krediet RT. Physical symp toms and quality of life in patients on chronic dialysis: results of The Netherlands cooperative study on adequacy of dialysis (NECOSAD). Nephrol Dial Transplant 2000;15(2):280–281.
Merkus MP, Jager KJ, Dekker FW, Haan RJ, Boeschoten EW, Krediet RT. Physical symptoms and quality of life in patients on chronic dialysis: results of The Netherlands Cooperative Studyon Adequacy of Dialysis(NECOSAD). Nephrol Dial Transplant 1999;14(5):1163–1170.
Georges tD, Mbeng AcS, Mahamat M, Bandolo VN, Acha MK, Francois K, et al. Symptom burden in patients on maintenance haemodialysis: magnitude, associated factors, patients’ attitude and practice. Open Urol Nephrology J. 2022;15(1):e187430 3X2207050. doi: 10.2174/1874303X-v15-e2207050.
Boateng EA, East L. The impact of dialysis modality on quality of life: a systematic review. J Ren Care. 2011;37(4):190-200. doi: 10.1111/j.1755-6686.2011.00244.x.
Raoofi S, Pashazadeh Kan F, Rafiei S, Hoseinipalangi Z, Rezaei S, Ahmadi S, et al. Hemodialysis and peritoneal dialysis-health-related quality of life: systematic review plus meta-analysis. BMJ Support Palliat Care. 2023;13(4):365-373. doi: 10.1136/bmjspcare-2021-003182.
Jankowska-Polanska B, Uchmanowicz I, Wysocka A, Uchmanowicz B, Lomper K, Fal AM. Factors affecting the quality of life of chronic dialysis patients. Eur J Public Health. 2017;27(2):262-267. doi: 10.1093/eurpub/ckw193.
Horniak B, Kempny-Kwoka D, Wlodarczyk-Sporek I. Quality of life in hemodialysis, peritoneal dialysis, and renal transplantation patients. Zdrowie i Dobrostan 2014;2:65–78.
Sapilak JB, Steciwko A. Evaluating quality of life in dialysis patients using the KDQoL–SF form. Med Rodz 2004;6:1350–1.
Mohamed NA, Eraslan A, Kose S. The impact of anxiety and depression on the quality of life of hemodialysis patients in a sample from Somalia. BMC Psychiatry. 2023;23(1):825. doi: 10.1186/s12888-023-05312-8.
Robinson BM, Akizawa t, Jager KJ, Kerr PG, Satan S, Pisoni RL. Factors affect-ing outcomes in patients reaching end-stage kidney disease worldwide: differences in access to renal re-placement therapy, modality use, and haemodialysis practices. lancet. 2016;388(10041):294–306. doi: 10.1016/s0140-6736(16)30448-2.
Shim HY, Cho MK. Factors influencing the quality of life of haemodialysis patients according to symptom cluster. J Clin Nurs. 2018y;27(9-10):2132-2141. doi: 10.1111/jocn.13904.
Peličić D, Ratković M, Radunović D, Bokan D, Marković D. Procjena kvaliteta života bolesnika na hroničnom programu hemodijalize. Sestrinska reč. 2014;18(69-70):12-5. doi: 10.5937/sestRec1470012P
Živanović S, Pavlović J, Hadživuković N, Kalajdžić O, Kucurski L. Psychiatric nursing as an integral part of nursing practice in the psychiatric ward: A narrative review. Ann Nurs. 2023;1(4):57-67. doi: 10.58424/annnurs.t36.r1e.4qk