Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Dec 16;8(12):e84152.
doi: 10.1371/journal.pone.0084152. eCollection 2013.

Factors associated with quality of life among hemodialysis patients in Malaysia

Nor Baizura Md Yusop  1 , Chan Yoke Mun  1 , Zalilah Mohd Shariff  1 , Choo Beng Huat  2
Affiliations

Factors associated with quality of life among hemodialysis patients in Malaysia

Nor Baizura Md Yusop et al. PLoS One. .

Abstract

Although hemodialysis treatment has greatly increased the life expectancy of end stage renal disease patients, low quality of life among hemodialysis patients is frequently reported. This cross-sectional study aimed to determine the relationship between medical history, hemodialysis treatment and nutritional status with the mental and physical components of quality of life in hemodialysis patients. Respondents (n=90) were recruited from Hospital Kuala Lumpur and dialysis centres of the National Kidney Foundation of Malaysia. Data obtained included socio-demography, medical history, hemodialysis treatment and nutritional status. Mental and physical quality of life were measured using the Mental Composite Summary (MCS) and Physical Composite Summary (PCS) of the Short-Form Health Survey 36-items, a generic core of the Kidney Disease Quality of Life Short Form. Two summary measures and total SF-36 was scored as 0-100, with a higher score indicating better quality of life. Approximately 26 (30%) of respondents achieved the body mass index (24 kg/m(2)) and more than 80% (n=77) achieved serum albumin level (>35.0 mg/dL) recommended for hemodialysis patients. The majority of respondents did not meet the energy (n=72, 80%) and protein (n=68,75%) recommendations. The total score of SF-36 was 54.1 ± 19.2, while the score for the mental and physical components were 45.0 ± 8.6 and 39.6 ± 8.6, respectively. Factors associated with a higher MCS score were absence of diabetes mellitus (p=0.000) and lower serum calcium (p=0.004), while higher blood flow (p=0.000), higher serum creatinine (p=0.000) and lower protein intake (p=0.006) were associated with a higher PCS score. To improve the overall quality of life of hemodialysis patients, a multidisciplinary intervention that includes medical, dietetic and psychosocial strategies that address factors associated with mental and physical quality of life are warranted to reduce further health complications and to improve quality of life.

PubMed Disclaimer

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

References

    1. Eknoyan G, Lameire N, Barsoum R (2004) The burden of kidney disease: improving global outcomes. Kidney Int 66: 1310-1314. doi: 10.1111/j.1523-1755.2004.00894.x. PubMed: 15458424. - DOI - PubMed
    1. International Diabetes Federation (2011). IDF Diabetes Atlas, 5th edn. Brussels, Belgium: International Diabetes Federation.
    1. Dialysis Registry of Pakistan 2005-2006, The Kidney Foundation 2006, Karachi.
    1. Agarwal SK, Dash SC, Irshad M, Raju S, Singh R et al. (2006) Prevalence of chronic renal failure in adults in Delhi, India. Nephrol Dial Transplant 20: 1638–1642. - PubMed
    1. Wu AY, Kong NC, de Leon FA, Pan CY, Tai TY et al. (2005) An alarmingly high prevalence of diabetic nephropathy in Asian type 2diabetic patients: the Microalbuminuria Prevalence (MAP) Study. Diabetologia 48: 17-26. doi: 10.1007/s00125-004-1599-9. PubMed: 15616801. - DOI - PubMed