Symptoms and Health-Related Quality of Life in Patients with Heamodialysis and Continuous Ambulatory Peritoneal Dialysis

摘要

The purpose of this study was to identify the symptoms experienced by patients, to evaluate the differences in Health-Related Quality of Life (HRQoL) by the type of dialysis treatment and to examine the relationship between symptoms and HRQOL. The study involved 274 End-Stage Renal Disease (ESRD) patients, comprising 183 treated by Haemodialysis (HD) and 91 by Continuous Ambulatory Peritoneal Dialysis (CAPD). Short Form 36 (SF-36) was used to measure HRQoL, Physical Health Component Summary (PCS) and Mental Component Summary (MCS). Meanwhile, symptoms were tested by using the list of disease symptoms according to the Revised Illness Perception Questionnaire (IPQ-R). Results showed that many patients reported symptoms of fatigue, weakness, muscle cramps, body itchiness and sleeping difficulty. CAPD patients were found to have higher PCS and MCS scores than the HD patients. The results also showed the relationship between the symptoms experienced with PCS and MCS. In conclusion, both type of dialysis treatment and symptoms impacted the HRQoL of ESRD patients with CAPD patients having a superior HRQoL than HD patients.