Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri Lanka
Chronic kidney disease (CKD) is a significant global health challenge. This condition is particularly prevalent in developing nations like Sri Lanka, where the burden of CKD necessitates hemodialysis (HD) as a life-sustaining therapy. This study aims to assess the health-related quality of life (HRQ...
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| Format: | Article |
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The Open University of Sri Lanka
2025-06-01
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| Series: | OUSL Journal |
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| Online Access: | https://ouslj.sljol.info/articles/7654/files/68886e36037ea.pdf |
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| author | H. T. P. U. Piyasena W. G. P. Sandeepani M. P. S. Ruwanthika S. G. C. D. Wijesinghe D. K. M. De Silva K. A. Sriyani |
| author_facet | H. T. P. U. Piyasena W. G. P. Sandeepani M. P. S. Ruwanthika S. G. C. D. Wijesinghe D. K. M. De Silva K. A. Sriyani |
| author_sort | H. T. P. U. Piyasena |
| collection | DOAJ |
| description | Chronic kidney disease (CKD) is a significant global health challenge. This condition is particularly prevalent in developing nations like Sri Lanka, where the burden of CKD necessitates hemodialysis (HD) as a life-sustaining therapy. This study aims to assess the health-related quality of life (HRQOL) among HD patients in Sri Lanka and identify key determinants influencing their well-being. A descriptive cross-sectional study was conducted at two dialysis units involving 110 CKD patients undergoing HD. Data were collected using interviewer-administered questionnaires, including the validated kidney disease and quality of life (KDQOL-36TM) tool, which assess both generic and disease-specific HRQOL domains. Findings indicate that the overall HRQOL of participants was below average, with mean scores of 41.91 ± 12.25. The scores across the five subscales of symptoms and problems of kidney disease, effects of kidney disease, burden of kidney disease, physical component summary, and mental component summary were 75.15±14.33, 46.73±20.57, 22.10±19.42, 34.00±8.79 and 31.56±9.74 respectively. Significant associations were identified between HRQOL subscales and various factors, including gender, education level, income, and comorbidities (p<0.05). Male patients reported lower perceived burdens from CKD (p=0.009), while those with higher education levels exhibited better HRQOL scores (p<0.05). Additionally, a higher income was associated with improved HRQOL (p<0.05). Urine output ≥500 ml/day and measuring daily intake were associated with higher HRQOL (p<0.05). Heart failure and symptoms like shortness of breath, edema, ascites, and pulmonary edema were linked to lower HRQOL (p<0.05). These findings underscore the necessity for targeted interventions that address both medical and psychosocial aspects of care to enhance the HRQOL of CKD patients undergoing HD in Sri Lanka. |
| format | Article |
| id | doaj-art-ebabf55823f84292a4273da9ece57ae4 |
| institution | Kabale University |
| issn | 1800-3621 2550-2816 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | The Open University of Sri Lanka |
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| series | OUSL Journal |
| spelling | doaj-art-ebabf55823f84292a4273da9ece57ae42025-08-22T08:45:31ZengThe Open University of Sri LankaOUSL Journal1800-36212550-28162025-06-012015583https://doi.org/10.4038/ouslj.v20i1.7654Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri LankaH. T. P. U. Piyasena0W. G. P. Sandeepani1M. P. S. Ruwanthika2S. G. C. D. Wijesinghe3D. K. M. De Silva4K. A. Sriyani5https://orcid.org/0000-0003-4514-7295Department of Nursing, Faculty of Health Sciences, The Open University of Sri Lanka, Sri LankaDepartment of Nursing, Faculty of Health Sciences, The Open University of Sri Lanka, Sri LankaDepartment of Nursing, Faculty of Health Sciences, The Open University of Sri Lanka, Sri LankaDepartment of Nursing, Faculty of Health Sciences, The Open University of Sri Lanka, Sri LankaDepartment of Clinical Nursing, Faculty of Nursing, University of Colombo, Sri LankaDepartment of Nursing, Faculty of Health Sciences, The Open University of Sri Lanka, Sri LankaChronic kidney disease (CKD) is a significant global health challenge. This condition is particularly prevalent in developing nations like Sri Lanka, where the burden of CKD necessitates hemodialysis (HD) as a life-sustaining therapy. This study aims to assess the health-related quality of life (HRQOL) among HD patients in Sri Lanka and identify key determinants influencing their well-being. A descriptive cross-sectional study was conducted at two dialysis units involving 110 CKD patients undergoing HD. Data were collected using interviewer-administered questionnaires, including the validated kidney disease and quality of life (KDQOL-36TM) tool, which assess both generic and disease-specific HRQOL domains. Findings indicate that the overall HRQOL of participants was below average, with mean scores of 41.91 ± 12.25. The scores across the five subscales of symptoms and problems of kidney disease, effects of kidney disease, burden of kidney disease, physical component summary, and mental component summary were 75.15±14.33, 46.73±20.57, 22.10±19.42, 34.00±8.79 and 31.56±9.74 respectively. Significant associations were identified between HRQOL subscales and various factors, including gender, education level, income, and comorbidities (p<0.05). Male patients reported lower perceived burdens from CKD (p=0.009), while those with higher education levels exhibited better HRQOL scores (p<0.05). Additionally, a higher income was associated with improved HRQOL (p<0.05). Urine output ≥500 ml/day and measuring daily intake were associated with higher HRQOL (p<0.05). Heart failure and symptoms like shortness of breath, edema, ascites, and pulmonary edema were linked to lower HRQOL (p<0.05). These findings underscore the necessity for targeted interventions that address both medical and psychosocial aspects of care to enhance the HRQOL of CKD patients undergoing HD in Sri Lanka.https://ouslj.sljol.info/articles/7654/files/68886e36037ea.pdfchronic kidney diseasehealth-related quality of lifehemodialysisdeterminantspatientssri lanka |
| spellingShingle | H. T. P. U. Piyasena W. G. P. Sandeepani M. P. S. Ruwanthika S. G. C. D. Wijesinghe D. K. M. De Silva K. A. Sriyani Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri Lanka OUSL Journal chronic kidney disease health-related quality of life hemodialysis determinants patients sri lanka |
| title | Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri Lanka |
| title_full | Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri Lanka |
| title_fullStr | Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri Lanka |
| title_full_unstemmed | Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri Lanka |
| title_short | Health-Related Quality of Life and its Determinants Among Patients Undergoing Hemodialysis at a Tertiary Care Hospital in Western Province, Sri Lanka |
| title_sort | health related quality of life and its determinants among patients undergoing hemodialysis at a tertiary care hospital in western province sri lanka |
| topic | chronic kidney disease health-related quality of life hemodialysis determinants patients sri lanka |
| url | https://ouslj.sljol.info/articles/7654/files/68886e36037ea.pdf |
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