P-186: Life quality assessment in elderly hemodialysis patients

摘要

Introduction: Chronic kidney disease (CKD) is a substantial public health problem with adverse psychological, physical and economic outcomes. Health related quality of life (HRQOL) is an important predictor of clinical outcomes for End Stage Renal Disease (ESRD) patients. This study aimed to identify socio-demographic and clinical factors associated with HRQOL for younger and older haemodialysis (HD) patients. Methods: 130 patients who received HD treatment 2 or 3 times a week were included in the study. The HRQoL was assessed through the 36-Item Short Form Health Survey (SF-36) and the multiple linear regression model was used to analyze the factors associated with change in QoL. Results: 130 patients were evaluated, 75 of them were ≥ 60 years old, 55 were<60 years old. The sociodemographic characteristics of groups and the results of the laboratory evaluation are shown in Table 1. Functional evaluation tests were significantly lower in the elderly group than in the younger group (p = 0.000, p = 0.000, respectively). In the evaluation of quality of life, the values of the elderly group were lower than those of the young group but the decrease in physical function and mental health was more prominent (p = 0.028, p = 0.013, respectively). Conclusions: Poor HRQoL along with disability, functional decline and high health care costs are major consequences of multimorbidity. Hemodialysis applications are among the treatment modalities that significantly affect the quality of life. In the evaluation of age and functional capacity together with treatment modalities, the effects on quality of life were found to be great.