Factors Influencing Health-Related Quality of Life among Patients with End-Stage Renal Disease Receiving Hemodialysis

Abstract

This descriptive research aimed to examine the level of health-related quality of life (HRQoL) and its associated factors among patients with end-stage renal disease undergoing hemodialysis. The sample consisted of 120 patients receiving hemodialysis at a tertiary care hospital in Kamphaeng Phet Province, selected by purposive sampling. Research instruments included a demographic questionnaire and the Kidney Disease Quality of Life (KDQOL-SF version 1.3), Thai version, with a Cronbach’s alpha coefficient of .90. Data were analyzed using descriptive statistics: percentage, mean, and standard deviation, and multiple linear regression analysis.

The results showed that the overall HRQoL of patients was at a moderate level (mean = 61.86, SD = 8.40). The majority of patients had moderate HRQoL (81.66%), followed by low and high levels at equal proportions (9.17%). No patients were classified as having very low HRQoL. Stepwise multiple linear regression analysis revealed that monthly income, duration of hemodialysis, and hemodialysis-related complications were significant predictors of HRQoL (p < .05), accounting for 55.1% of the variance (R² = .551).

These findings suggest that, although the identified predictors are largely non-modifiable, they can be used to identify patients at risk of poor HRQoL and inform the development of appropriate care plans tailored to patients’ conditions.