Comparative Study of Quality of Life between Elders Underwent Hemodialysis and Continuous Ambulatory Peritoneal Dialysis
Keywords:comparative study, renal replacement therapy, quality-of-life, older person
Introduction: End-Stage Renal Disease (ESRD) is a health problem that has a significant impact on patient's Quality of Life (QOL), especially among elders who relatively high reject a Renal Replacement Therapy (RRT) due to their negative beliefs and attitudes towards the RRT. A study of the QOL of elder patients with ESRD receiving RRT will help them understand and realize the important goals of the RRT. Research objectives: To compare the elder’s QOL with ESRD underwent Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD). Research methodology: This study employed a descriptive cross-sectional design. Participants were elders with ESRD (n=126) who visited a Middle-level hospital (M1) in the Northeastern region of Thailand. A simple random sampling technique was used to recruit the participants. Data were collected in June 2019 using a 9-THAI QOL questionnaire. Data were analyzed using independent t-test. Results: Findings revealed that most of the elders’ QOL on a physical health aspect underwent the HD ( = 37.58, S.D. = 15.02) and CAPD ( = 28.23, S.D. = 14.67) were in a good level. Most of the elder’s QOL on a mental health aspect underwent the HD ( = 33.67, S.D. = 19.25) and CAPD ( = 34.05, S.D. =16.45) were also in a good level. Also, between-group significant difference of QOL in both physical and mental health aspects was found (p<0.05). Conclusions: QOL physical and mental health aspects of the elderly who received RRT (hemodialysis and peritoneal dialysis) were different. Therefore, promoting QOL of the elderly was an important goal of providing healthcare services for older people. Implications: The results of this study would be beneficial for healthcare service improvement to promote QOL among the elders with ESRD underwent the RRT on both HD and CAPD.
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