IMPACT OF TYPE OF HEMODILAYSIS ACCESS ON HRQOL ON PATIENT S UNDERGOING HEMODIALYSIS

Anum Arif; Misbah Zafar; Nayab Malik Munir; Javeria Khalid; Amna Salman; Ahsin Manzoor Bhatti

doi:10.51253/pafmj.v72i6.7822

Authors

Anum Arif Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS), Pakistan
Misbah Zafar Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS), Pakistan
Nayab Malik Munir Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS), Pakistan
Javeria Khalid Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS), Pakistan
Amna Salman Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS), Pakistan
Ahsin Manzoor Bhatti Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS), Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i6.7822

Keywords:

Arteriovenous fistula, tunneled catheter, non-tunneled catheter, quality of life

Abstract

OBJECTIVE

The aim of the study was to measure the relationship between the type of vascular access and HRQOL in patients undergoing dialysis in a tertiary care hospital

STUDY DESIGN

Cross-sectional study

PLACE AND DURATION OF STUDY

Department of Vascular Surgery and Nephrology from January 2021 till June 2021

PATIENTS AND METHODS

Data was collected by dialysis center nurse and duty doctors on patients meeting the inclusion criteria . It was a short form survey 36 ( SF -36 ) questionnaire which included health related quality if life in terms of physical symptoms, social functions and access related complications in last 4 weeks on a score of 0 to 3 .Higher scores means poorer quality of life.

RESULTS

A total of 80 patients were recruited in the study. A total of 80 patients participated in the study. Male predominance was observed ( n = 59, 73.8 % ). Mean age was 53 +/− 13.9 . 2. Mean HRQOL score in AVF 3.8 +/− 4.8 which was the lowest followed by tunnelled dialysis catheter ( TDC) 9.7 +/−4.5 and non tunnelled double lumen catheter( NTDC ) 11.8 +/−9.1 .

CONCLUSION

The HRQOL assessment in ESRD patients can inform the medical personnel of the effectiveness of treatment interventions, it also plays an important role in improving patient's care, assessing patient's needs, setting treatment goals and monitoring disease progression.