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Comparison of quality of life (QoL) in patients undergoing hemodialysis and peritoneal dialysis(مقاله علمی وزارت علوم)

کلید واژه ها: Chronic kidney disease Hemodialysis peritoneal dialysis Quality of life QoL

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تعداد بازدید : 821 تعداد دانلود : 235
The growing incidence of chronic kidney disease (CKD) suggests a surge in the number of patients undergoing dialysis and experiencing the problems associated with this treatment, one of which is low quality of life (QoL). The present study was conducted to compare QoL among patients undergoing peritoneal dialysis (PD) and hemodialysis (HD). This descriptive cross-sectional study was conducted among 77 HD patients and 46 PD patients who were admitted to Imam Reza and Ghaem hospitals, Tehran, Iran, in 2018. QoL was assessed using the Short Form (36) Health Survey (SF-36). The resulting data were analyzed using descriptive statistics, independent t-test, and ANOVA. Urinary tract infection and income level had a significant impact on QoL. In addition, QoL differed significantly between HD and PD patients, such that PD patients enjoyed a greater QoL score. Similarly, there was a significant difference between HD and PD patients in terms of general health, social functioning, energy and vitality, emotional health, as well as objective and mental aspects of quality of life. In fact, PD patients showed higher scores in all these domains. In addition, bodily pain was higher in HD patients than PD patients. Based on the findings, the overall QoL in PD patients was higher than that of HD patients. Thus, considering the advantages of PD, patients should be encouraged to choose this treatment method
۲.

Comparison of Marital Satisfaction in Hemodialysis and Peritoneal Dialysis Patients(مقاله علمی وزارت علوم)

کلید واژه ها: Marital satisfaction hemodialysis patients peritoneal dialysis

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تعداد بازدید : 774 تعداد دانلود : 309
Alternative kidney treatments, including renal transplantation, hemodialysis (HD), and peritoneal dialysis (PD), are administered when severe kidney failure occurs and the kidney can no longer function. The present study compares different dimensions of marital satisfaction in HD and PD patients so as to assist physicians and patients in choosing their appropriate treatment. This cross-sectional descriptive-analytical study was performed on 77 hemodialysis and 46 peritoneal dialysis patients who had referred to the Hemodialysis, Peritoneal Dialysis, and Nephrology wards of Imam Reza Hospital and Ghaem Hospital, Tehran, in 2018. Marital satisfaction was significantly different between HD and PD patients, with the latter displaying a greater score in this regard (p <0.05). PD patients also enjoyed a higher level of satisfaction with personality issues, communication, conflict resolution, leisure activities, sexual relationships, children and parenting, and religious orientation (p <0.05).  However, satisfaction with financial management and family and friends made no significant difference between HD and PD patients (p> 0.05).  Other results suggested that gender, education level, age, number of children, disease onset, type of delivery, and urinary tract infection do not have a significant impact on marital satisfaction (p> 0.05), but diabetes, hypertension, occupational status, and income level significantly affect this variable (p <0.05). This study provided evidence that PD patients, compared with HD patients, experience a higher satisfaction with marital life, especially in terms of personality issues, communication, conflict resolution, leisure activities, sexual relationships, children and parenting, and religious orientation

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