Abstract

Background: Chronic Kidney Disease (CKD) is a Health-Related Quality of Life
(HRQOL) deteriorating disease which is not only a public health but also a socioeconomic
problem of a country. The aim of this study to assess the health-related
quality of life among patients with chronic kidney disease who are on maintenance
dialysis.
Materials& Methods: A hospital based cross sectional study done on 100 patients with
chronic kidney disease on maintenance dialysis at Holy Family Hospital, Okhla, New
Delhi, Indiafor one year period. The techniques used for data collection were interview
and record analysis. Assessment of health-related quality of life was done by using the
KDQOL-SF 1.3 also includes a 36- item health survey (RAND 36- items Health Survey
1.0 or SF-36). Data were analysed using descriptive and inferential statistics.
Results: Among 100 patients with chronic kidney disease 74% were above the age of 50
years. Males (63%) are more affected than female (37%). Majority of them were hailed
from urban area (70%). Nearly 2/3rd of them (67%) have been undergoing dialysis for
more than 3 years. Diabetes and hypertension were the leading cause of CKD. The
overall HRQOL of CKD patients on maintenancedialysis is 35.65±7.19.The HRQOL
related to mental health composite(26.12±6.78) is the worst affected followed by kidney
disease problem composite(31.56±4.63), physical health composite(34.38±5.60),and
patient satisfaction (50.54±11.78).
Conclusion: Monitoring HRQOL is an important indicator to identify impact of CKD
onphysical, psychological and social wellbeing. So, there is a need for the health
caresystem to develop appropriate evidence-based practice guideline for the assessment
and management of HRQOL on CKD.