Assessment of quality of life and identifications of problems of patients undergoing haemodialysis through arteriovenous fistula in selected hospitals of Navi Mumbai

Abstract

The term Quality of Life comprehends a wide range of indicators covering overall satisfaction with life in areas such as health, housing conditions, employment, safety, education, and leisure. In terms of health, the physical, social, and emotional impacts introduced by a disease and its treatment are considered.

Aim and Objectives: The present study was aimed to assess the quality of life and identification of problems of patients undergoing haemodialysis through AV fistula in selected hospitals of Navi Mumbai. 1) To assess the quality of life of patients after haemodialysis through AV fistula 2) To identify the problems of patients after haemodialysis through AV fistula. 3) To compare the quality of life with selected demographic variables.

Methods: A qualitative phenomenological approach was used on 100 patients undergoing haemodialysis through AV fistula fulfilling inclusion criteria selected by non –probability convenient sampling. Tool used was standardized SF-36 questionnaire. Findings revealed that there is significant impairment of quality of life in both physical domain and mental domain of patients undergoing hemodialysis.

Results: The majority of the samples were in the group of 51-60 yrs (38%). Most samples were male (59%).in accordance to professional qualifications majority were educated till higher secondary (39%).and unemployed(36%).the majority of sample had income between 10,000-20000 (48%). The majority of the population performs physical activity (54%). In co morbidities majority of population was hypertensive (68%).followed by diabetes (47%). In majority of the population the duration of hemodialysis was thrice a week (39%).

Conclusion: The result conducted on Assessment of quality of life and identification of problems of patients are undergoing haemodialysis through AV fistula in selected hospitals of Navi Mumbai. Revealed that quality of life of haemodialysis patients were significantly impaired. In this study the various parameters like age, gender, education, income activity, health habit, duration of haemodialyisis and number of times of haemodialysis were analyzed .the result shows that physical domains of hemodialysis patients indicate that they are more dependent on haemodialysis for survival and dialy activities were disturbed. Many of them were dissatisfied as they have negative feeling as anxiety and depression thus there is low score in psychological domain.