Analysis of influencing factors on quality of life in patients with chronic kidney disease undergoing maintenance haemodialysis

• Published in: Heliyon Vol. 10; no. 4; p. e25817
• Main Authors: Hao, Jianping, Wang, Yifei, Wang, Yali, Zhang, Jing, Gao, Jia, Kang, Liyuan, Wang, Xin, Yang, Jiankun, Zhang, Lili, Liu, Jing
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 29-02-2024; Elsevier
• Subjects: Anxiety; Chronic kidney disease; Depression; Haemodialysis; Quality of life; Sleep quality; Sleep quality; Depression; Chronic kidney disease; Anxiety; Haemodialysis; Quality of life
• ISSN: 2405-8440; 2405-8440
• DOI: 10.1016/j.heliyon.2024.e25817

To investigate and analyse the quality of life (QoL) of patients with chronic kidney disease (CKD) undergoing maintenance haemodialysis (MHD), explore influencing factors and provide a basis for formulating corresponding intervention measures.
A cross-sectional study was conducted on 190 patients with CKD undergoing MHD in hospital between March 2021 and March 2022. A general information questionnaire and the Kidney Disease Quality of Life Short Form were used to collect data. The QoL scores of patients with CKD undergoing MHD were calculated and compared by t-test and analysis of variance. Pearson correlation analysis was used to analyse the correlation between QoL scores and related factors. Stepwise multiple linear regression analysis was used to screen the influencing factors of QoL.
The total score of QoL of patients with CKD undergoing MHD was 59.32 ± 11.67, and the scores of physical component summary, mental component summary and kidney disease component summary were 50.21 ± 9.32, 48.76 ± 10.81 and 66.34 ± 12.76, respectively. The QoL scores of patients with CKD undergoing MHD were significantly different in age, education level, marital status, employment status, monthly income, dialysis frequency, dialysis duration and complications (p < 0.05). The QoL scores were positively correlated with education level, monthly income and dialysis frequency, and negatively correlated with age, dialysis duration and blood phosphorus level (p < 0.05). Stepwise multiple linear regression analysis showed that age, education level, employment status, dialysis frequency, dialysis duration and blood phosphorus level were the main influencing factors of QoL (p < 0.05).
The QoL of patients with CKD undergoing MHD is low, and it is affected by multiple factors. We suggest that healthcare workers should pay attention to the physical and mental health of patients with CKD undergoing MHD, provide individualised and comprehensive nursing interventions and improve their QoL.