Quality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from Palestine

Abstract Background Both diabetes and hemodialysis can seriously impair patients’ health related quality of life (HRQOL). This study seeks to obtain data which will help to address the factors associated with impaired HRQOL in hemodialysis patients with diabetes in Palestine. Methods A cross-section...

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Main Authors: Sohaib T. Khatib, Mohammad K. Hemadneh, Samer A. Hasan, Emad Khazneh, Sa’ed H. Zyoud
Format: Article
Language:English
Published: BMC 2018-02-01
Series:BMC Nephrology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12882-018-0849-x
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author Sohaib T. Khatib
Mohammad K. Hemadneh
Samer A. Hasan
Emad Khazneh
Sa’ed H. Zyoud
author_facet Sohaib T. Khatib
Mohammad K. Hemadneh
Samer A. Hasan
Emad Khazneh
Sa’ed H. Zyoud
author_sort Sohaib T. Khatib
collection DOAJ
description Abstract Background Both diabetes and hemodialysis can seriously impair patients’ health related quality of life (HRQOL). This study seeks to obtain data which will help to address the factors associated with impaired HRQOL in hemodialysis patients with diabetes in Palestine. Methods A cross-sectional study was performed in multiple centers in the period from November 2016 to June 2017. We utilized the Arabic version of EuroQoL 5 Dimensions 5 Levels (EQ-5D-5L) scale and EuroQol-visual analogue scale (EQ-VAS) to measure patients’ HRQOL. The study was conducted in six dialysis centers in the North of West Bank, Palestine. Descriptive and comparative statistics were used to describe clinical and socio-demographic features of patients. Multiple linear regression analysis was used to determine the association between clinical and socio-demographic factors and HRQOL score. Results One hundred and forty one diabetic patients undergoing hemodialysis were enrolled in our study. Overall, 52.5% of them (74 patients) were males; the patients had a mean age of 60.32 with 52.5% of them aged below 60. The mean ± standard deviation of EQ-5D-5L index and EQ-VAS score was 0.314 ± 0.4 and 50.85±22.43, respectively. The findings of this study suggest that female patients, uneducated patients, unemployed patients, unmarried patients, and patients with more chronic diseases and comorbidities had a significant poor HRQOL scores (p values <0.05). Variables such as marital status and occupational status were significantly (p < 0.05) associated with the QOL score. More specifically, married status and employed patients positively associated with QOL score (β = 0.22; p = 0.016 and β = 0.27; p = 0.013, respectively). Conclusions Among diabetic patients undergoing hemodialysis, married status and being employed were associated with modestly higher scores of QOL. We recommend that healthcare providers give more attention to diabetic dialysis patients who are unemployed and unmarried, as they are at a higher risk of having impaired HRQOL.
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spelling doaj.art-7d8e392dfc904b968a11fa680bd2627c2022-12-22T02:38:02ZengBMCBMC Nephrology1471-23692018-02-011911910.1186/s12882-018-0849-xQuality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from PalestineSohaib T. Khatib0Mohammad K. Hemadneh1Samer A. Hasan2Emad Khazneh3Sa’ed H. Zyoud4Department of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityNephrology Unit, Internal Medicine Department, An-Najah National University HospitalPoison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National UniversityAbstract Background Both diabetes and hemodialysis can seriously impair patients’ health related quality of life (HRQOL). This study seeks to obtain data which will help to address the factors associated with impaired HRQOL in hemodialysis patients with diabetes in Palestine. Methods A cross-sectional study was performed in multiple centers in the period from November 2016 to June 2017. We utilized the Arabic version of EuroQoL 5 Dimensions 5 Levels (EQ-5D-5L) scale and EuroQol-visual analogue scale (EQ-VAS) to measure patients’ HRQOL. The study was conducted in six dialysis centers in the North of West Bank, Palestine. Descriptive and comparative statistics were used to describe clinical and socio-demographic features of patients. Multiple linear regression analysis was used to determine the association between clinical and socio-demographic factors and HRQOL score. Results One hundred and forty one diabetic patients undergoing hemodialysis were enrolled in our study. Overall, 52.5% of them (74 patients) were males; the patients had a mean age of 60.32 with 52.5% of them aged below 60. The mean ± standard deviation of EQ-5D-5L index and EQ-VAS score was 0.314 ± 0.4 and 50.85±22.43, respectively. The findings of this study suggest that female patients, uneducated patients, unemployed patients, unmarried patients, and patients with more chronic diseases and comorbidities had a significant poor HRQOL scores (p values <0.05). Variables such as marital status and occupational status were significantly (p < 0.05) associated with the QOL score. More specifically, married status and employed patients positively associated with QOL score (β = 0.22; p = 0.016 and β = 0.27; p = 0.013, respectively). Conclusions Among diabetic patients undergoing hemodialysis, married status and being employed were associated with modestly higher scores of QOL. We recommend that healthcare providers give more attention to diabetic dialysis patients who are unemployed and unmarried, as they are at a higher risk of having impaired HRQOL.http://link.springer.com/article/10.1186/s12882-018-0849-xDiabetes mellitusHemodialysisHealth-related quality of lifePalestineHRQOL
spellingShingle Sohaib T. Khatib
Mohammad K. Hemadneh
Samer A. Hasan
Emad Khazneh
Sa’ed H. Zyoud
Quality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from Palestine
BMC Nephrology
Diabetes mellitus
Hemodialysis
Health-related quality of life
Palestine
HRQOL
title Quality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from Palestine
title_full Quality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from Palestine
title_fullStr Quality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from Palestine
title_full_unstemmed Quality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from Palestine
title_short Quality of life in hemodialysis diabetic patients: a multicenter cross-sectional study from Palestine
title_sort quality of life in hemodialysis diabetic patients a multicenter cross sectional study from palestine
topic Diabetes mellitus
Hemodialysis
Health-related quality of life
Palestine
HRQOL
url http://link.springer.com/article/10.1186/s12882-018-0849-x
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