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Comparing Quality of Life Related Health in Peritoneal Dialysis and and Hemodialysis Based on A Multidisciplinary Cooperation

Thursday, 16 July 2009: 3:45 PM

Shu-Ya Chen, MS, RN1
Yu Yang2
Chih-Ying Huang, BA3
Shu-Chen Chang, MA, RN4
Chia-Chu Chang, MD5
Ping-Fang Chiu, MD5
1Nursing department, Changhua Christian Hospital, Chanuhua, Taiwan
2Nephrology division, Changhua Christian Hospital, Changhua City, Taiwan
3Kidney Promotion Educating Unit, Division of Nephrology, Changhua Christian Hospital, Changhua City, Taiwan
4Department of Nursing, Changhua Christian Hospital, Changhua, Taiwan
5Division of Nephrology, Changhua Christian Hospital, Changhua City, Taiwan

Learning Objective 1: The learner will be able to take subjective and objetcive parameters to evaluate correlations of quality of life in dialysis patients.

Learning Objective 2: The learner will be able to to find out how nursing professionals involve in multidisciplinary cooperation.

Purpose:  In Taiwan, 92.2% of end-stage-renal-diseases(ESRD) patients chose hemodialysis (HD), and only 7.6% patients underwent peritoneal dialysis(PD).  Promotion PD is important and with advantages, including lower modality-rated stress, better cost effectiveness, and higher employment.  Due to long term dialysis , patients perhaps suffered from emotional disturbance and cardiovascular complications, and are not able to achieve optimum function in quality of life(QOL).   This study was to examine QOL, depression mood, ischaemia intermittent claudication and index of blood biochemical data in treatment, and to compare those elements between peritoneal dialysis and hemodialysis patients.

Methods:  This is a cross- sectional study.  Before data collection, the institutional boards approved this protocol.  Structured questionnaires used in this study were as follows: the World Health Organization QOL questionnaire(WHOQOL-BREF), Taiwan Depression Questionnaire(TDQ), Edinburgh Claudication Questionnaire(ECQ)and blood biochemical laboratory data. 

Results: (1)The characteristics of participants were different in age, education, original disease, exercise behavior, life time, and so on. (2)PD patients had significant lower WHOQOL-BREF scores(55.72. vs 59.22) and higher TDQ scores(16.07 vs. 10.72)(P<0.05).  ECQ scores were not significantly different. (3)Blood biochemical data showed some significant differences between both , including normalized protein catabolic rate (nPCR) and dynamic urea kinetic clearance volume(Kt/V)(P<0.05).  

Conclusion: ESRD patients should be informed about choice of renal replacement modality.  To enhance QOL of PD patients, it requires multidisciplinary cooperation. Nurses as coordinators have an essential task to guide patients how to continue self-care in adapting to adverse life circumstances.

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