ASSESSMENT OF QUALITY OF LIFE AMONG PATIENT UNDERGOING HEMODIALYSIS AT DISTRICT HEADQUARTER HOSPITAL, SANGHAR

Abstract

Background: Chronic kidney disease (CKD) is a major public health concern worldwide, and many patients progress to end-stage renal disease (ESRD), requiring lifelong hemodialysis. Although hemodialysis is life-sustaining, it significantly affects patients’ physical, psychological, social, and environmental well-being. Assessing quality of life among these patients is essential for identifying the impact of treatment and improving patient-centered care.

Objective:  This study assessed the overall quality of life (QoL) among patients undergoing hemodialysis using the WHOQOL-BREF tool and to identify the most affected domains.

Methodology:  A descriptive cross-sectional study was conducted at the Dialysis Unit (SMSHB) , DHQ Hospital Sanghar  A total of 100 patients undergoing maintenance hemodialysis were selected using non-probability convenience sampling. Data were collected using the WHOQOL-BREF questionnaire and analyzed using SPSS version 28.0. Descriptive statistics including mean, standard deviation, frequencies, and percentages were applied.

Results: The findings revealed that 57.8% of participants reported poor quality of life, 26.5% reported average quality of life, 12.7% reported good quality of life, and only 1.0% reported very good quality of life. The mean Total Quality of Life (TQOL) score was 60.91 ± 10.41, indicating moderate variability among respondents. The physical domain appeared to be the most affected.

Conclusion: The study concludes that most patients undergoing maintenance hemodialysis experience poor quality of life, particularly in physical health. Regular quality-of-life assessment, patient education, psychological counseling, and supportive care are recommended to improve overall well-being and health outcomes.