Effects of a Palliative Care Intervention on Quality of Life of End-Stage Renal Disease Patients on Hemodialysis and their Families

Abstract

          The objective of this research is to study the effects of a palliative care intervention on quality of life of end-stage renal disease patients on hemodialysis and their families. The test group in this study is the group of 26 end-stage renal disease patients at Hospital for Tropical Diseases by using collected patients’ data from October 2018 to March 2019. Questionnaires mainly used in the research are divided into 4 parts: 1. Personal and health data 2. Life quality data 3. Patient satisfaction with a palliative care and 4. Patients’ family satisfaction with a palliative care. Software package program was used in statistical data analysis, including T-test., percentage, average, and standard deviation
          The results showed that in Overall and in the details on the quality of life (QoL) and the satisfaction of the patients on hemodialysis after using a palliative care programs trend to change in a better significant level at the p =0.05. Participating in a palliative care program affects the patient's physical symptoms. It was found that the patients had a better memory and more accept their illness. There was no depression. In addition, the results of the laboratory blood test also found that the patients had a better serum albumin and serum phosphorous levels in the blood which indicate the quality of life. Therefore, diet control is better and suitable for renal disease patients. The results of the study also found that patients and their families have a positive attitude and understand more about the disease. As well as there is a preparation in the final stages of life by evaluating from all patients to consent to prepare the will of life while the patients are still conscious after participating in the palliative care program