Learning Objective 1: Evaluate challenges of inadequate life attitude and the consequence of depression as barriers to quality of life in patients with end stage renal disease.
Learning Objective 2: Explore the effect of independent variables on eight domains- related quality of life in patients with end stage renal disease in a primary care setting.
Methods: A cross-sectional, descriptive correlational design with self-administered questionnaires was conducted in two hospitals in central
Results: (1)In patients with ESRD who were more positive life attitude, HRQOL was significantly better(p<0.05). (2)Few number of samples was in the level of mild, moderate and severe depression (14.3%). Higher TDQ scores were strongly inversely associated with lower scores of all eight dimensions of the SF-36 (P<0.01). (3)After adjusting for demographic and clinical factors, multiple linear regression analyses showed that educational background, marriage, age, estimated glomerular filtration rate, freedom and independence, the feeling of being, and attitude toward death accounted for 13.5 % to 44 % variance in all eight dimensions of the SF-36.
Conclusion: The results can be as references to provide the health interventions of adjustment and positive life attitudes in patients with ESRD. Developing the multidisciplinary education from health-care providers to individualized plans of care is a continuing need.